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 l’éducation thérapeutique peut apporter à l’addictologie
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 
CO<inf>2</inf> 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
  amitriptyline (50-48-6, 549-18-8)
  baclofen (1134-47-0)
  buprenorphine (52485-79-7, 53152-21-9)
  capsaicin (404-86-4)
  celecoxib (169590-42-5)
  cyclobenzaprine (303-53-7, 6202-23-9)
  duloxetine (116539-59-4, 136434-34-9)
  gabapentin (60142-96-3)
  ibuprofen (15687-27-1, 31121-93-4, 527688-20-6, 79261-49-7)
  ketorolac (74103-06-3)
  lidocaine (137-58-6, 24847-67-4, 56934-02-2, 73-78-9)
  meloxicam (71125-38-7)
  methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
  methocarbamol (532-03-6)
  naloxone (357-08-4, 465-65-6)
  naproxen (22204-53-1, 26159-34-2)
  nortriptyline (72-69-5, 894-71-3)
  opiate (53663-61-9, 8002-76-4, 8008-60-4)
  oxycodone (124-90-3, 76-42-6)
  paracetamol (103-90-2)
  paroxetine (61869-08-7)
  pregabalin (148553-50-8)
  salsalate (552-94-3)
  tizanidine (51322-75-9, 64461-82-1)
  venlafaxine (93413-69-5)
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: 
<br /> LEARNING OBJECTIVE 3: <br /> 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 <A2 and F2 in METAVIR scoring) were observed 
in 12% of the total population; cirrhosis in 13% of patients with 
significant fibrosis (≥F2). At the end of the monitoring period, 64% of the 
patients had been referred to a specialist. Antiviral treatment had been 
started in 20%, i.e. 32% of the patients who consulted a specialist. 
Occupational activity (P<0.0001), young age (P=0.007), more recent diagnosis 
(P<0.0001), lack of HIV co-infection (P=0.015), male gender (P=0.006), lack 
of replacement treatment (P=0.006), previous liver histology with METAVIR A 
and F≥2 (P<0.0001) and enrolment by a group I general practitioner (P<0.007) 
were the independent predictive factors of initiation of antiviral 
treatment. Conclusion - Only one-third of patients with access to the French 
health care system started antiviral treatment and some categories of 
patients, including women, patients co-infected with HIV and patients on 
replacement therapy, were less likely to be treated than others. The 
recommendations of the French Consensus Conference, held in the middle of 
the study period (2002), might have been implemented (probably followed) by 
a minority of general practitioners. © 2007. Elsevier Masson SAS.
EMTREE DRUG INDEX TERMS
  buprenorphine
  methadone
  morphine
  peginterferon (drug combination, drug therapy)
  ribavirin (drug combination, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health care system
  hepatitis C (drug therapy, etiology)
EMTREE MEDICAL INDEX TERMS
  adult
  alcohol consumption
  antiviral therapy
  article
  clinical practice
  consultation
  controlled study
  disease severity
  drug dependence
  female
  France
  general practitioner
  health care access
  Hepatitis C virus
  human
  Human immunodeficiency virus infection
  liver cirrhosis
  liver disease
  liver fibrosis
  liver histology
  major clinical study
  male
  medical specialist
  mixed infection (etiology)
  observational study
  occupation
  outcome assessment
  patient care
  patient monitoring
  patient referral
  prediction
  prospective study
  scoring system
  sex ratio
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)
  morphine (52-26-6, 57-27-2)
  ribavirin (36791-04-5)
EMBASE CLASSIFICATIONS
  Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
  Internal Medicine (6)
  Public Health, Social Medicine and Epidemiology (17)
  Drug Literature Index (37)
  Gastroenterology (48)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English, French
EMBASE ACCESSION NUMBER
  2008025473
MEDLINE PMID
  18176360 (http://www.ncbi.nlm.nih.gov/pubmed/18176360)
PUI
  L351081008
DOI
  10.1016/S0399-8320(07)78338-0
FULL TEXT LINK
  http://dx.doi.org/10.1016/S0399-8320(07)78338-0
COPYRIGHT
  Copyright 2010 Elsevier B.V., All rights reserved.

RECORD 1305
TITLE
  Role of endocannabinoids in regulating drug dependence
AUTHOR NAMES
  Parolaro D.
  Vigano' D.
  Realini N.
  Rubino T.
AUTHOR ADDRESSES
  (Parolaro D., daniela.parolaro@uninsubria.it; Vigano' D.; Realini N.; Rubino 
T.) Neuroscience Center, DBSF, University of Insubria, via A. da Giussano 
10, 21052 Busto Arsizio, VA, Italy.
CORRESPONDENCE ADDRESS
  D. Parolaro, Neuroscience Center, DBSF, University of Insubria, via A. da 
Giussano 10, 21052 Busto Arsizio, VA, Italy. Email: 
daniela.parolaro@uninsubria.it
SOURCE
  Neuropsychiatric Disease and Treatment (2007) 3:6 (711-721). Date of 
Publication: 2007
ISSN
  1176-6328
BOOK PUBLISHER
  DOVE Medical Press Ltd., PO Box 300-008, Albany, Auckland, New Zealand.
ABSTRACT
  This review will discuss the latest knowledge of how the endocannabinoid 
system might be involved in treating addiction to the most common illicit 
drugs. Experimental models are providing increasing evidence for the 
pharmacological management of endocannabinoid signaling not only to block 
the direct reinforcing effects of cannabis, opioids, nicotine and ethanol, 
but also for preventing relapse to the various drugs of abuse, including 
opioids, cocaine, nicotine, alcohol and metamphetamine. Preclinical and 
clinical studies suggest that the endocannabinoid system can be manipulated 
by the CBI receptor antagonist SR141716A, that might constitute a new 
generation of compounds for treating addiction across different classes of 
abused drugs. © 2007 Dove Medical Press Limited. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  endocannabinoid (endogenous compound)
EMTREE DRUG INDEX TERMS
  1 (2,4 dichlorophenyl) 5 (4 iodophenyl) 4 methyl n (1 piperidyl) 1h pyrazole 
3 carboxamide (pharmacology)
  2,3 dihydro 5 methyl 3 (morpholinomethyl) 6 (1 naphthoyl)pyrrolo[1,2,3 
de][1,4]benzoxazine (pharmacology)
  4 (1,1 dimethylheptyl) 1',2',3',4',5',6' hexahydro 2,3' dihydroxy 6' (3 
hydroxypropyl)biphenyl (pharmacology)
  alcohol
  cannabinoid 1 receptor (endogenous compound)
  cannabinoid 1 receptor agonist (pharmacology)
  cannabinoid 1 receptor antagonist (clinical trial, drug therapy, 
pharmacology)
  cannabinoid 2 receptor (endogenous compound)
  cannabinoid receptor agonist (pharmacology)
  cannabinoid receptor antagonist (clinical trial, drug therapy, pharmacology)
  cannabis
  cocaine
  cyclohexylcarbamic acid 3' carbamoylbiphenyl 3 yl ester (pharmacology)
  dexanabinol (pharmacology)
  diamorphine
  dronabinol (pharmacology)
  illicit drug
  methadone
  methamphetamine
  morphine
  naloxone
  nicotine
  opiate
  opiate antagonist (pharmacology)
  placebo
  psychostimulant agent
  rimonabant (adverse drug reaction, clinical trial, drug dose, drug therapy, 
pharmacology)
  surinabant (pharmacology)
  unindexed drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  drug dependence (drug therapy, prevention)
EMTREE MEDICAL INDEX TERMS
  alcoholism (drug therapy, prevention)
  basal ganglion
  body weight gain
  clinical protocol
  clinical trial
  drinking behavior
  drug detoxification
  drug efficacy
  drug exposure
  drug mechanism
  drug self administration
  drug withdrawal
  experimental model
  human
  limbic system
  nerve cell plasticity
  nonhuman
  opiate addiction (drug therapy)
  protein degradation
  protein synthesis
  receptor blocking
  receptor intrinsic activity
  relapse
  review
  side effect (side effect)
  signal transduction
  smoking cessation
DRUG TRADE NAMES
  am 251
  cp 55940
  hu 210
  sr 141716a
  sr 147778
  urb 597
  win 55212 2
CAS REGISTRY NUMBERS
  1 (2,4 dichlorophenyl) 5 (4 iodophenyl) 4 methyl n (1 piperidyl) 1h pyrazole 
3 carboxamide (183232-66-8)
  2,3 dihydro 5 methyl 3 (morpholinomethyl) 6 (1 naphthoyl)pyrrolo[1,2,3 
de][1,4]benzoxazine (134959-51-6)
  4 (1,1 dimethylheptyl) 1',2',3',4',5',6' hexahydro 2,3' dihydroxy 6' (3 
hydroxypropyl)biphenyl (83003-12-7)
  alcohol (64-17-5)
  cannabis (8001-45-4, 8063-14-7)
  cocaine (50-36-2, 53-21-4, 5937-29-1)
  dexanabinol (112924-45-5)
  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)
  methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
  morphine (52-26-6, 57-27-2)
  naloxone (357-08-4, 465-65-6)
  nicotine (54-11-5)
  opiate (53663-61-9, 8002-76-4, 8008-60-4)
  rimonabant (158681-13-1, 168273-06-1)
EMBASE CLASSIFICATIONS
  Neurology and Neurosurgery (8)
  Clinical and Experimental Biochemistry (29)
  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
  2008025680
PUI
  L351082745
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1306
TITLE
  Physician attitudes toward opioid prescribing for patients with persistent 
noncancer pain
AUTHOR NAMES
  Lin J.J.
  Alfandre D.
  Moore C.
AUTHOR ADDRESSES
  (Lin J.J., jennyj.lin@mountsinai.org; Alfandre D.; Moore C.) Division of 
General Internal Medicine, Department of Medicine, Mount Sinai School of 
Medicine, New York, NY, United States.
(Lin J.J., jennyj.lin@mountsinai.org) Mount Sinai School of Medicine, Box 
1087, 1470 Madison Avenue, New York, NY 10029, United States.
CORRESPONDENCE ADDRESS
  J. J. Lin, Mount Sinai School of Medicine, Box 1087, 1470 Madison Avenue, 
New York, NY 10029, United States. Email: jennyj.lin@mountsinai.org
SOURCE
  Clinical Journal of Pain (2007) 23:9 (799-803). Date of Publication: 
November/December 2007
ISSN
  0749-8047
BOOK PUBLISHER
  Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327, 
Philadelphia, United States.
ABSTRACT
  OBJECTIVES: Physicians frequently express dissatisfaction about caring for 
patients with chronic pain and frequently report that inadequate training 
and concern about addiction are impediments to prescribing opioids. Elderly 
patients with chronic pain may be at increased risk of experiencing 
uncontrolled pain and this patient population is increasingly being cared 
for by geriatricians rather than internists. We sought to determine if there 
is a differential impact on internists and geriatricians of the factors that 
adversely affect attitudes toward opioid prescribing. METHODS: Anonymous 
survey of geriatric and internal medicine physicians at a large urban 
academic medical center about their beliefs and behaviors regarding opioid 
prescribing. RESULTS: One hundred thirty-two of 187 physicians completed the 
survey for an overall response rate of 71%. Controlling for level of 
training, internists were more likely to be concerned about illegal 
diversion (adjusted odds ratio=10.0, P=0.004), were more concerned about 
causing addiction (38% vs. 0%, P<0.001), and were more likely to be 
concerned about their inability to prescribe the correct opioid dose 
(adjusted odds ratio=11.1, P=0.020). DISCUSSION: Factors shown to have an 
adverse affect on opioid prescribing disproportionately impact on the 
attitudes of internists compared with geriatricians. Further research is 
needed to determine if there is also a differential impact on how internists 
care for their elderly patients with chronic pain. © 2007 Lippincott 
Williams & Wilkins, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  chronic pain
  physician attitude
  prescription
EMTREE MEDICAL INDEX TERMS
  article
  clinical practice
  female
  human
  male
  normal human
  opiate addiction
  physician
  priority journal
  questionnaire
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
  2008114678
MEDLINE PMID
  18075408 (http://www.ncbi.nlm.nih.gov/pubmed/18075408)
PUI
  L351339417
DOI
  10.1097/AJP.0b013e3181565cf1
FULL TEXT LINK
  http://dx.doi.org/10.1097/AJP.0b013e3181565cf1
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1307
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
  Ruf D.
  Berner M.
  Lohmann M.
  Mundle C.
  Lorenz G.
  Niebling W.
  Kriston L.
  Härter M.
AUTHOR ADDRESSES
  (Ruf D., daniela.ruf@uniklinik-freiburg.de) Universitätsklinikum Freiburg, 
Abteilung für Psychiatrie und Psychotherapie, Sektion Klinische 
Epidemiologie und Versorgungsforschung, Hauptstr. 5, 79104 Freiburg.
(Ruf D., daniela.ruf@uniklinik-freiburg.de; Berner M.; Kriston L.; Härter 
M.) Universitätsklinikum Freiburg, Abteilung für Psychiatrie und 
Psychotherapie, .
(Lohmann M.) Universitätsklinik Tübingen, Abteilung für Psychiatrie und 
Psychotherapie, .
(Mundle C.) Oberbergklinik Hornberg, Universitätsklinik Tübingen, Abteilung 
für Psychiatrie und Psychotherapie, .
(Lorenz G.) Medizinische Fakultät Tübingen, Lehrbereich Allgemeinmedizin, .
(Niebling W.) Medizinische Fakultät Freiburg, Lehrbereich Allgemeinmedizin, 
.
CORRESPONDENCE ADDRESS
  D. Ruf, Universitätsklinikum Freiburg, Abteilung für Psychiatrie und 
Psychotherapie, Sektion Klinische Epidemiologie und Versorgungsforschung, 
Hauptstr. 5, 79104 Freiburg. Email: daniela.ruf@uniklinik-freiburg.de
SOURCE
  Zeitschrift fur Allgemeinmedizin (2007) 83:11 (447-451). Date of 
Publication: November 2007
ISSN
  0937-6801
BOOK PUBLISHER
  Georg Thieme Verlag, Rudigerstrasse 14, Stuttgart, Germany.
ABSTRACT
  Background: Alcohol-related disorders are of high importance for health 
policy. Primary care physicians play a central role in detecting and 
treating people with alcohol problems. However, they are not always 
adequately prepared for this challenge. Therefore, continuing education on 
the topic of "alcohol-related disorders" is highly relevant. Methods: In the 
project "Comprehensive quality management in out-patient care for 
alcohol-related disorders" (AQAH) a training programme for practitioners and 
practice nurses was developed in the context of a randomised controlled 
trial. The 112 physicians taking part in the study were randomized to 3 
groups. The first group received a training session for the practitioner 
only. In the second group, the training was offered to the practitioner and 
the whole practice team. The third group was a control group and did not get 
a training session at all. 46 physicians and 21 practice nurses out of the 
two intervention groups took part in the training. Results: Most of the 
participants were very satisfied with the training, but the satisfaction of 
the nurses tended to be lower compared with the physicians. Especially the 
relevance for routine care was assessed lower by the nurses. The majority of 
the participants considered themselves able to develop a strategy for the 
treatment of patients with alcohol-related disorders for the first time or 
to modify their own strategy on the basis of the training. In this regard, 
the effect was highest in the practice nurses. Discussion: In the context of 
the study a training programme was developed which was very well received by 
general practitioners. The rating of nurses was generally indicated room for 
improvement. The effects of the training on the treatment of patients are 
currently evaluated in a randomised controlled trial. © Georg Thieme Verlag 
KG Stuttgart.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism
EMTREE MEDICAL INDEX TERMS
  article
  computer aided design
  general practitioner
  health program
  human
  nurse
  physician
  training
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  German
LANGUAGE OF SUMMARY
  English, German
EMBASE ACCESSION NUMBER
  2007612196
PUI
  L350272044
DOI
  10.1055/s-2007-992797
FULL TEXT LINK
  http://dx.doi.org/10.1055/s-2007-992797
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1308
TITLE
  The health status of patients of a student-run free medical clinic in 
inner-city Buffalo, NY
AUTHOR NAMES
  Cadzow R.B.
  Servoss T.J.
  Fox C.H.
AUTHOR ADDRESSES
  (Cadzow R.B., rcadzow@buffalo.edu; Servoss T.J.; Fox C.H.) Department of 
Family Medicine, Primary Care Research Institute, State University of New 
York at Buffalo, Buffalo, NY, United States.
(Cadzow R.B., rcadzow@buffalo.edu) Department of Anthropology, State 
University of New York at Buffalo, Buffalo, NY, United States.
(Servoss T.J.) Department of Psychology, Canisius College, Buffalo, NY.
(Cadzow R.B., rcadzow@buffalo.edu) Department of Family Medicine, State 
University of New York at Buffalo, ECMC Clinical Center, CC-119, 462 Grider 
Street, Buffalo, NY 14215, United States.
CORRESPONDENCE ADDRESS
  R.B. Cadzow, Department of Family Medicine, State University of New York at 
Buffalo, ECMC Clinical Center, CC-119, 462 Grider Street, Buffalo, NY 14215, 
United States. Email: rcadzow@buffalo.edu
SOURCE
  Journal of the American Board of Family Medicine (2007) 20:6 (572-580). Date 
of Publication: November/December 2007
ISSN
  1557-2625
  1558-7118 (electronic)
BOOK PUBLISHER
  American Board of Family Medicine, 2228 Young Drive, Lexington, United 
States.
ABSTRACT
  Background: This study explores the health status and the social and 
economic correlates of adults 20 years of age and older who presented at an 
urban free medical clinic in Buffalo, NY, between 2002 and 2005. Methods: 
Clinic staff asked patients to fill out a Health Risk Assessment 
questionnaire that addressed their chronic disease and illness history, 
mental health, social support, substance use, income, education, and 
housing. Through statistical analysis of 469 anonymous patient 
questionnaires, we identified prevalent health conditions in this patient 
population and compared these rates to regional and national data. Results: 
Of those patients 20 years of age and older, 70% earned less than US $10,000 
a year. The rates of obesity, hypertension, asthma, diabetes, anxiety, and 
depression were higher in this population than in the Buffalo, NY, region 
and the general United States population. Conclusion: The data reflect the 
health disparity experienced by low-income minority populations in the 
United States and emphasize a need to plan additional services that target 
hypertension, heart disease, obesity, diabetes, and mental health disorders 
such as anxiety and depression. Findings also serve as an introduction to 
the patient population for volunteer medical students who have limited 
exposure to urban, low-income populations.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health status
EMTREE MEDICAL INDEX TERMS
  adult
  anxiety
  article
  asthma
  chronic disease
  depression
  diabetes mellitus
  economic aspect
  education
  female
  hospital
  housing
  human
  hypertension
  income
  major clinical study
  male
  mental health
  obesity
  questionnaire
  social aspect
  social support
  substance abuse
  United States
EMBASE CLASSIFICATIONS
  Internal Medicine (6)
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2008003503
MEDLINE PMID
  17954865 (http://www.ncbi.nlm.nih.gov/pubmed/17954865)
PUI
  L351010269
DOI
  10.3122/jabfm.2007.06.070036
FULL TEXT LINK
  http://dx.doi.org/10.3122/jabfm.2007.06.070036
COPYRIGHT
  Copyright 2010 Elsevier B.V., All rights reserved.

RECORD 1309
TITLE
  Smoking cessation after genotype notification: pilot studies of smokers 
employed by a municipal government and those on Nagoya University medical 
campus.
AUTHOR NAMES
  Kano M.
  Goto Y.
  Atsuta Y.
  Naito M.
  Hamajima N.
AUTHOR ADDRESSES
  (Kano M.; Goto Y.; Atsuta Y.; Naito M.; Hamajima N.) Department of 
Preventive Medicine/Biostatistics and Medical Decision Making, Nagoya 
University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 
466-8550, Japan.
CORRESPONDENCE ADDRESS
  M. Kano, Department of Preventive Medicine/Biostatistics and Medical 
Decision Making, Nagoya University Graduate School of Medicine, 65 
Tsurumai-cho, Showa-ku, Nagoya 466-8550, Japan. Email: 
yobojim@med.nagoya-u.ac.jp
SOURCE
  Nagoya journal of medical science (2007) 69:3-4 (149-156). Date of 
Publication: Oct 2007
ISSN
  0027-7622
ABSTRACT
  In order to examine whether a notification of genotypes related to a 
susceptibility to smoking has any influence on an intention to quit, a pilot 
study was conducted for 61 smokers out of 66 municipal government employees 
who attended an anti-smoking seminar in November 2005 or January 2006 (MG), 
and for 46 smokers (employees and students) on a medical campus (Tsurumai 
Campus) of Nagoya University (TC), who voluntarily responded to the study 
enrollment notice in August 2006. They were genotyped for four 
polymorphisms; GSTM1 null/present, GSTT1 null/present, NQO1 C609T, and 
CYP1A1 Ile/Val. For the MG group, their smoking habits were ascertained 
three times; at enrollment, one month later just before the genotype 
notification by in-house mail, and three months after the notification. The 
smoking cessation rate was 8.2%. For the TC group, their genotypes were 
mailed two weeks after blood sampling. The follow-up questionnaire three 
months after the genotype notification found a 10.9% cessation rate. Their 
stage of smoking cessation significantly improved after the genotype 
notification. This study demonstrated that the effects of the genotype 
notification in this context of smoking cessation were moderate and less 
remarkable than might have been expected. Although the genotype notification 
in TC improved their stage of readiness to quit smoking, additional skills 
or tools in support of the notification are needed to achieve a higher 
cessation rate.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  genetic predisposition
  health education
  smoking (prevention)
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  employment
  female
  genetics
  genotype
  government
  human
  Japan
  male
  middle aged
  pilot study
  university hospital
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  18351234 (http://www.ncbi.nlm.nih.gov/pubmed/18351234)
PUI
  L351564766
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1310
TITLE
  Assessment of spirituality and its relevance to addiction treatment
AUTHOR NAMES
  Galanter M.
  Dermatis H.
  Bunt G.
  Williams C.
  Trujillo M.
  Steinke P.
AUTHOR ADDRESSES
  (Galanter M., marcgalanter@nyu.edu; Dermatis H.; Bunt G.; Williams C.; 
Trujillo M.; Steinke P.) Division of Alcoholism and Drug Abuse, New York 
University School of Medicine, New York, NY 10016, United States.
CORRESPONDENCE ADDRESS
  M. Galanter, Division of Alcoholism and Drug Abuse, New York University 
School of Medicine, New York, NY 10016, United States. Email: 
marcgalanter@nyu.edu
SOURCE
  Journal of Substance Abuse Treatment (2007) 33:3 (257-264). Date of 
Publication: October 2007
ISSN
  0740-5472
BOOK PUBLISHER
  Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
  The prominence of Twelve-Step programs has led to increased attention on the 
putative role of spirituality in recovery from addictive disorders. We 
developed a 6-item Spirituality Self-Rating Scale designed to reflect a 
global measure of spiritual orientation to life, and we demonstrated here 
its internal consistency reliability in substance abusers on treatment and 
in nonsubstance abusers. This scale and the measures related to recovery 
from addiction and treatment response were applied in three diverse 
treatment settings: a general hospital inpatient psychiatry service, a 
residential therapeutic community, and methadone maintenance programs. 
Findings on these patient groups were compared to responses given by 
undergraduate college students, medical students, addiction faculty, and 
chaplaincy trainees. These suggest that, for certain patients, spiritual 
orientation is an important aspect of their recovery. Furthermore, the 
relevance of this issue may be underestimated in the way treatment is framed 
in a range of clinical facilities. © 2007 Elsevier Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction
EMTREE MEDICAL INDEX TERMS
  article
  controlled study
  health program
  human
  medical student
  priority journal
  psychometry
  questionnaire
  religion
  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
  2007454421
MEDLINE PMID
  17574800 (http://www.ncbi.nlm.nih.gov/pubmed/17574800)
PUI
  L47418579
DOI
  10.1016/j.jsat.2006.06.014
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.jsat.2006.06.014
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1311
TITLE
  Improving physician and medical student education in substance use 
disorders.
AUTHOR NAMES
  Wyatt S.A.
  Dekker M.A.
AUTHOR ADDRESSES
  (Wyatt S.A.; Dekker M.A.) Dual Diagnosis Program, Middlesex Hospital, 28 
Crescent St, Middletown, CT 06457, USA.
CORRESPONDENCE ADDRESS
  S.A. Wyatt, Dual Diagnosis Program, Middlesex Hospital, 28 Crescent St, 
Middletown, CT 06457, USA. Email: wyattsa@sbcglobal.net
SOURCE
  The Journal of the American Osteopathic Association (2007) 107:9 Suppl 5 
(ES27-38). Date of Publication: Sep 2007
ISSN
  0098-6151
ABSTRACT
  Medical and psychosocial problems related to substance use disorders (SUDs) 
remain a major source of national morbidity and mortality. This situation 
exists despite greater understanding of genetic, neurobiologic, and social 
underpinnings of the development of these illnesses that has resulted in 
many advances in addiction medicine. The value of assessment and brief 
intervention of this disease is well documented. Patients need to be 
identified and engaged in order for them to be treated. A variety of 
evidence-based pharmacologic and psychotherapeutic treatments are now 
available. Strong evidence exists that treatment of patients for SUDs 
produces results similar to or better than those obtained from treatment for 
other chronic illnesses. It is also clear that physicians can play a pivotal 
role in helping to reduce the burden of disease related to SUDs However, to 
do this, physicians need to be better educated. Through such education comes 
greater confidence in identification and providing treatment. Also, the 
discomfort and stigma often associated with this disease are reduced. The 
federal government-through the Office of National Drug Control Policy, the 
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 of the 
Department of Transportation (DOT)-is expending concerted efforts to improve 
physician education in addiction medicine. These efforts culminated in the 
Second Leadership Conference on Medical Education in Substance Abuse in 
December 2006. The osteopathic medical profession was represented at this 
conference. This article reviews not only the recommendations from this 
meeting, but also the nature of the problem, how members of the osteopathic 
medical profession are currently addressing it, and a strategy for 
improvement endorsed by the American Osteopathic Academy of Addiction 
Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (prevention)
  clinical competence
  medical education
  medical student
  physician
EMTREE MEDICAL INDEX TERMS
  human
  review
  standard
  United States
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  17908828 (http://www.ncbi.nlm.nih.gov/pubmed/17908828)
PUI
  L350038857
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1312
TITLE
  Education inequality and use of cigarettes, alcohol, and marijuana
AUTHOR NAMES
  Galea S.
  Ahern J.
  Tracy M.
  Rudenstine S.
  Vlahov D.
AUTHOR ADDRESSES
  (Galea S., sgalea@umich.edu; Ahern J., jahern@berkeley.edu; Tracy M., 
mstracy@umich.edu; Rudenstine S., srudenstine@umich.edu) Department of 
Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI, 
United States.
(Galea S., sgalea@umich.edu; Vlahov D., dvlahov@nyam.org) Center for Urban 
Epidemiologic Studies, New York Academy of Medicine, New York, NY, United 
States.
(Galea S., sgalea@umich.edu; Vlahov D., dvlahov@nyam.org) Department of 
Epidemiology, Columbia University Mailman School of Public Health, New York, 
NY, United States.
(Vlahov D., dvlahov@nyam.org) Department of Epidemiology, Johns Hopkins 
Bloomberg School of Public Health, Baltimore, MD, United States.
CORRESPONDENCE ADDRESS
  S. Galea, Department of Epidemiology, University of Michigan School of 
Public Health, Ann Arbor, MI, United States. Email: sgalea@umich.edu
SOURCE
  Drug and Alcohol Dependence (2007) 90:SUPPL. 1 (S4-S15). Date of 
Publication: September 2007
ISSN
  0376-8716
BOOK PUBLISHER
  Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
  Education inequality at the neighborhood-level may influence population 
health and health behavior. We assessed the relations between education 
inequality and substance use in 59 New York City (NYC) neighborhoods. We 
used Gini coefficients of education to describe neighborhood education 
inequality and data from a random-digit-dial phone survey of adult residents 
of NYC to assess use of substances. Among 1355 respondents (female = 56.2%; 
white = 35.7%; mean age = 40.4), 23.9% (95% confidence interval [CI] = 
20.3-27.5) reported smoking, 39.4% (95% CI = 35.3-43.4) drinking, and 5.4% 
(95% CI = 3.6-7.3) using marijuana in the previous 30 days. In multilevel 
models controlling for neighborhood education, neighborhood income 
inequality, and individual covariates, living in a neighborhood with high 
education inequality was associated with a greater prevalence of drinking (p 
= 0.02) and of smoking marijuana (p = 0.004) but among current drinkers it 
was associated (p = 0.03) with having fewer drinks. The odds of alcohol use 
(OR = 1.70) and marijuana use (OR = 3.49) were greater in neighborhoods in 
the 75th percentile of education Gini compared to neighborhoods in the 25th 
percentile of education Gini. Statisical interactions suggest that there may 
be a stronger relation between education inequality and marijuana use in 
neighborhoods with low mean education than in neighborhoods with higher mean 
levels of education. These findings, taken together, suggest a complex 
relation between education inequality and substance use; likelihood of the 
use of alcohol and marijuana was higher in areas with higher education 
inequality suggesting potential roles for substance use norms and 
availability, whereas quantity used among drinkers was higher in areas with 
low education inequality, suggesting potential roles for both disadvantage 
and norms. © 2006 Elsevier Ireland Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol consumption
  cannabis smoking
  cigarette smoking
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  controlled study
  education
  female
  health behavior
  health survey
  human
  lowest income group
  male
  prevalence
  priority journal
  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
  2007276313
MEDLINE PMID
  17129684 (http://www.ncbi.nlm.nih.gov/pubmed/17129684)
PUI
  L46874783
DOI
  10.1016/j.drugalcdep.2006.11.008
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.drugalcdep.2006.11.008
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1313
TITLE
  Cross-boundary substance uses among Hong Kong Chinese young adults
AUTHOR NAMES
  Lau J.T.F.
  Tsui H.Y.
  Lam L.T.
  Lau M.
AUTHOR ADDRESSES
  (Lau J.T.F., jlau@cuhk.edu.hk; Tsui H.Y.; Lau M.) Faculty of Medicine, 
Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, NT, Hong 
Kong.
(Lam L.T.) Royal Alexandra Hospital for Children, Westmead, NSW, Australia.
CORRESPONDENCE ADDRESS
  J.T.F. Lau, Faculty of Medicine, Chinese University of Hong Kong, Prince of 
Wales Hospital, Shatin, NT, Hong Kong. Email: jlau@cuhk.edu.hk
SOURCE
  Journal of Urban Health (2007) 84:5 (704-721). Date of Publication: 
September 2007
ISSN
  1099-3460
  1468-2869 (electronic)
BOOK PUBLISHER
  Springer Science and Business Media Deutschland GmbH, Heidelberger Platz 3, 
Berlin, Germany.
ABSTRACT
  The study documents the characteristics of Hong Kong residents who used 
substances in mainland China. Characteristics of such users were compared 
with those using substances elsewhere. A cross-sectional survey was used. 
Data analyses were stratified by gender, and multivariate analyses were 
performed. Respondents, Hong Kong adults aged 18-30 (n = 6,528), were 
interviewed using a mixed interviewer and computerized mobile phone method, 
at the Hong Kong-mainland China boundary. Cross-border substance users and 
other types of substance users had characteristics that were quite different 
(e.g., education level, perceived harmfulness of substance use in general, 
having friends who frequently used substances in mainland China). 
Cross-boundary substance users also found it easier to obtain substances in 
mainland China than in Hong Kong (males: 60.5%, females: 39.6%) and 
perceived no chance of being arrested in mainland China because of substance 
use (men: 28.8%, women: 24.5%). They tended to use substances in discos/rave 
parties together with friends (men: 77%, women: 81%), and substances were 
often obtained for free (men: 63.2%, women: 78%). Ecstasy and ketamine were 
often used (men: 86.5% & 79.4%, women: 81% & 70.2%), and multiple uses of 
different substances were common (men: 81.3%, women: 68.6%). Lower price, 
peer influence, and better availability were reasons behind cross-boundary 
substance use behaviors. Cross-boundary substance users have specific 
characteristics. Prevention policies should take these characteristics into 
account. Regional collaborations are highly warranted. © 2007 The New York 
Academy of Medicine.
EMTREE DRUG INDEX TERMS
  cannabis
  diamorphine
  ketamine
  methamphetamine
  midomafetamine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  adult
  article
  Chinese
  controlled study
  female
  health survey
  Hong Kong
  human
  major clinical study
  male
  priority journal
  questionnaire
  sex difference
CAS REGISTRY NUMBERS
  3,4 methylenedioxymethamphetamine (42542-10-9)
  cannabis (8001-45-4, 8063-14-7)
  diamorphine (1502-95-0, 561-27-3)
  ketamine (1867-66-9, 6740-88-1, 81771-21-3)
  methamphetamine (28297-73-6, 51-57-0, 537-46-2, 7632-10-2)
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
  2007437398
MEDLINE PMID
  17610070 (http://www.ncbi.nlm.nih.gov/pubmed/17610070)
PUI
  L47366975
DOI
  10.1007/s11524-007-9206-2
FULL TEXT LINK
  http://dx.doi.org/10.1007/s11524-007-9206-2
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1314
TITLE
  Long-term retention of smoking cessation counseling skills learned in the 
first year of medical school
AUTHOR NAMES
  Kosowicz L.Y.
  Pfeiffer C.A.
  Vargas M.
AUTHOR ADDRESSES
  (Kosowicz L.Y., Kosowicz@nso1.uchc.edu; Pfeiffer C.A.; Vargas M.) University 
of Connecticut School of Medicine, Farmington, CT 06030, United States.
(Kosowicz L.Y., Kosowicz@nso1.uchc.edu) University of Connecticut Health 
Center MC-2824, 263 Farmington Avenue, Farmington, CT 06030, United States.
CORRESPONDENCE ADDRESS
  L.Y. Kosowicz, University of Connecticut Health Center MC-2824, 263 
Farmington Avenue, Farmington, CT 06030, United States. Email: 
Kosowicz@nso1.uchc.edu
SOURCE
  Journal of General Internal Medicine (2007) 22:8 (1161-1165). Date of 
Publication: August 2007
ISSN
  0884-8734
  1525-1497 (electronic)
BOOK PUBLISHER
  Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
  BACKGROUND: Tobacco use is a significant cause of preventable morbidity and 
mortality in the United States, yet clinicians underutilize smoking 
cessation counseling. Medical schools are increasingly including training 
for smoking cessation skills in preclinical curricula. Information about 
long-term retention of these skills is needed. OBJECTIVE: To assess 
retention of smoking cessation counseling skills learned in the first year 
of medical school. DESIGN: Retrospective review of data collected for 
routine student and curriculum assessment. PARTICIPANTS: Two cohorts of 
medical students at the University of Connecticut School of Medicine (total 
N = 112) in 1999-2001 and 2002-2004. MEASUREMENTS AND MAIN RESULTS: Scores 
by standardized patients were compared from first and fourth-year 
assessments, based on checklist items corresponding to the 5 strategies 
recommended by the U.S. Public Health Service (Ask, Advise, Assess, Assist, 
Arrange). In study cases, 97% of first-year students "asked" about smoking 
and retained this skill in fourth year (p = .08). Ninety-four percent of 
first-year students "assessed" readiness to quit and retained this skill (p 
= .21). Ninety-six percent of first-year students "advised" smokers to quit 
and retained this skill (p = .18). Eighty-six percent of first year students 
"assisted" smokers in quitting and retained this skill (p = 0.10). 
Eighty-one percent of first year students "arranged" follow-up contact and 
performance of this strategy improved in the fourth year to 91% (p = .03). 
CONCLUSIONS: Smoking cessation counseling skills demonstrated by first year 
medical students were, with brief formal reinforcement in the third year, 
well retained into the fourth year of medical school. It is appropriate to 
begin this training early in medical education. © 2007 Society of General 
Internal Medicine.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  counseling
  skill
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  article
  checklist
  cohort analysis
  comparative study
  curriculum
  follow up
  human
  information processing
  long term memory
  medical education
  medical record review
  medical school
  medical student
  public health service
  reinforcement
  smoking
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2007330167
MEDLINE PMID
  17557189 (http://www.ncbi.nlm.nih.gov/pubmed/17557189)
PUI
  L47038063
DOI
  10.1007/s11606-007-0255-8
FULL TEXT LINK
  http://dx.doi.org/10.1007/s11606-007-0255-8
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1315
TITLE
  Alcohols and other substance use/abuse among junior doctors and medical 
students in a teaching institute
AUTHOR NAMES
  Shyangwa P.M.
  Joshi D.
  Lal R.
AUTHOR ADDRESSES
  (Shyangwa P.M., pshyangwa@yahoo.com) B.P. Koirala Institute of Health 
Sciences, Dharan, Nepal.
(Joshi D.) Mental Hosital, Lagankhel, Lalitur, Nepal.
(Lal R.) All Indian Institute of Medical Sciences, New Delhi, India.
(Shyangwa P.M., pshyangwa@yahoo.com) Department of Psychiatry, B.P. Koirala 
Institute of Health Sciences, Dharan, Nepal.
CORRESPONDENCE ADDRESS
  P. M. Shyangwa, Department of Psychiatry, B.P. Koirala Institute of Health 
Sciences, Dharan, Nepal. Email: pshyangwa@yahoo.com
SOURCE
  Journal of the Nepal Medical Association (2007) 46:167 (126-129). Date of 
Publication: July/September 2007
ISSN
  0028-2715
BOOK PUBLISHER
  Nepal Medical Association, Exhibition Road, post box 189, Kathmandu, Nepal.
ABSTRACT
  Substance related disorders have become matters of global concern because of 
its negative impact on individual health, familial, social and professional 
life. This study aims to assess prevalence of alcohol and other substance 
use among students and junior doctors at teaching institute. This 
descriptive study conducted on medical students, following convenient 
sampling method. Results revealed the prevalence rates of 'ever used', 'last 
year used' and 'last month used' were 63.5%, 56.5% and 42.5% respectively. 
The most preferred substance was alcohol (90.9%) and only 32.2% females 
'ever used' substance. Cannabis use was seen exclusively among male (15.0%) 
students and opioid use was not found. Alcohol is most prevalent substance 
of use/abuse and was common among house officers and medical students.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  alcohol
  cannabis
EMTREE DRUG INDEX TERMS
  opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol abuse
  medical student
  physician
  substance abuse
  teaching hospital
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  article
  cannabis addiction
  controlled study
  female
  human
  major clinical study
  male
  medical staff
  prevalence
  sampling
  sex ratio
CAS REGISTRY NUMBERS
  alcohol (64-17-5)
  cannabis (8001-45-4, 8063-14-7)
  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
  2008188279
MEDLINE PMID
  18274568 (http://www.ncbi.nlm.nih.gov/pubmed/18274568)
PUI
  L351547190
COPYRIGHT
  Copyright 2010 Elsevier B.V., All rights reserved.

RECORD 1316
TITLE
  "Appropriate remedial action?" Medical students, medical schools, and 
smoking and health education in New York and the United States, 1964-87
AUTHOR NAMES
  Cortas C.S.
  Talley C.L.
AUTHOR ADDRESSES
  (Cortas C.S., csc43@columbia.edu) Columbia University, College of Physicians 
and Surgeons, 630 West 168th Street, P and S 529, New York, NY 10032.
(Talley C.L., cltalle@sph.emory.edu) Department of Behavioral Sciences and 
Health Education, Rollins School of Public Health, Emory University, 1518 
Clifton Road, North East, Atlanta, GA 30322.
CORRESPONDENCE ADDRESS
  C.S. Cortas, Columbia University, College of Physicians and Surgeons, 630 
West 168th Street, P and S 529, New York, NY 10032. Email: 
csc43@columbia.edu
SOURCE
  Journal of the History of Medicine and Allied Sciences (2007) 62:3 
(316-335). Date of Publication: July 2007
ISSN
  0022-5045
  1468-4373 (electronic)
BOOK PUBLISHER
  Oxford University Press
ABSTRACT
  The Surgeon General's 1964 report on smoking and health, which declared that 
cigarette smoking was a cause of lung cancer, is considered a landmark in 
the history of medicine and public health. This article examines the impact 
of the report on medical student education by reviewing how the relationship 
between smoking and lung cancer was presented in medical school textbooks 
and syllabi between 1964 and 1987, changes in hospital smoking regulations 
and doctors' attitudes toward smoking following the publication of the 
report, and medical students' smoking patterns and attitudes toward 
cigarette smoking in the years after 1964. Although it provided some 
advanced students with additional insight into mechanisms of pathogenesis 
related to smoking, the education that many medical students received seems 
to have been neither a primary influence on their smoking patterns nor an 
important source of their scientific understanding of the causal link 
between smoking and lung cancer for at least a decade following the 
publication of the Surgeon General's report.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  attitude to health
  health education
  health personnel attitude
  medical education
  medical school
  medical student
  smoking
EMTREE MEDICAL INDEX TERMS
  article
  history
  human
  policy
  United States
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  17124259 (http://www.ncbi.nlm.nih.gov/pubmed/17124259)
PUI
  L47364574
DOI
  10.1093/jhmas/jrl047
FULL TEXT LINK
  http://dx.doi.org/10.1093/jhmas/jrl047
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1317
TITLE
  A survey of alcohol consumption among first-year military medical students
AUTHOR NAMES
  Lande R.G.
  Marin B.A.
  Chang A.S.
  Mason S.
  Lande G.R.
AUTHOR ADDRESSES
  (Lande R.G., rglande@pol.net; Marin B.A.) Army Substance Abuse Program, 
Walter Reed Army Medical Center, Washington, DC, United States.
(Chang A.S.) Department of Clinical Investigation, Walter Reed Army Medical 
Center, Washington, DC, United States.
(Mason S.) Walter Reed Army Medical Center, Washington, DC, United States.
(Lande G.R.) GRL Technology Products and Services, L.L.C., Silverspring, MD, 
United States.
(Lande R.G., rglande@pol.net) Army Substance Abuse Program, Walter Reed Army 
Medical Center, Washington, DC 20307, United States.
CORRESPONDENCE ADDRESS
  R.G. Lande, Army Substance Abuse Program, Walter Reed Army Medical Center, 
Washington, DC 20307, United States. Email: rglande@pol.net
SOURCE
  American Journal of Drug and Alcohol Abuse (2007) 33:4 (605-610). Date of 
Publication: July 2007
ISSN
  0095-2990
  1097-9891 (electronic)
BOOK PUBLISHER
  Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United 
States.
ABSTRACT
  First-year medical students (n = 138) at the U.S. Military's Medical School 
report frequent binge drinking. Nearly one fifth of female and one third of 
male students report at least one episode of binge drinking in the two weeks 
preceding a survey of alcohol use. Only one fifth of the medical students 
reported an interest in an expanded addiction medicine curriculum. The 
authors' promoted the use of a survey to bridge the gap between self 
assessment and learning. Copyright © Informa Healthcare.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol consumption
EMTREE MEDICAL INDEX TERMS
  adult
  army
  controlled study
  drinking behavior
  female
  health survey
  human
  learning
  male
  medical school
  medical student
  review
  self evaluation
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2007379811
MEDLINE PMID
  17668346 (http://www.ncbi.nlm.nih.gov/pubmed/17668346)
PUI
  L47196712
DOI
  10.1080/00952990701407678
FULL TEXT LINK
  http://dx.doi.org/10.1080/00952990701407678
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1318
TITLE
  Does psychiatry residency training reflect the "real world" of psychiatry 
practice? A survey of residency graduates
AUTHOR NAMES
  Petersen T.
  Fava M.
  Alpert J.E.
  Vorono S.
  Sanders K.M.
  Mischoulon D.
AUTHOR ADDRESSES
  (Petersen T.; Fava M.; Alpert J.E.; Vorono S.; Sanders K.M.; Mischoulon D., 
dmischoulon@partners.org) Department of Psychiatry, Massachusetts General 
Hospital, Boston, MA, United States.
(Mischoulon D., dmischoulon@partners.org) Massachusetts General Hospital, 
Psychiatry, WAC-812, 15 Parkman Street, Boston, MA 02114, United States.
CORRESPONDENCE ADDRESS
  D. Mischoulon, Massachusetts General Hospital, Psychiatry, WAC-812, 15 
Parkman Street, Boston, MA 02114, United States. Email: 
dmischoulon@partners.org
SOURCE
  Academic Psychiatry (2007) 31:4 (281-289). Date of Publication: July/August 
2007
ISSN
  1042-9670
BOOK PUBLISHER
  American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite 1825, 
Arlington, United States.
ABSTRACT
  Objective: The authors determine whether Massachusetts General Hospital's 
residency graduates believed their training reflected their current practice 
activities. Method: The authors surveyed 134 graduates from MGH and 
MGH-McLean residency classes from 1983 to 2003. Subjects ranked their 
satisfaction with different components of training on a scale of 1 to 6 and 
listed areas they wanted emphasized during residency. Results: Sixty-six 
subjects (49%) returned surveys. Twenty respondents graduated in the 1980s 
(Cohort 1), 27 in the 1990s (Cohort 2), and 16 in the 2000s (Cohort 3). The 
most common activities included psychopharmacology, teaching, supervision, 
research, administration, psychodynamic therapy, and supportive therapy. 
Least common activities included geriatrics, addiction, and psychoanalysis. 
Satisfaction with training was high, as was relevance of training. 
Conclusions: Our graduates from 1983 to 2003 considered residency good 
preparation for the world of practice and reported that psychopharmacology 
should be emphasized during training. Respondents expressed a strong desire 
for continued training in psychodynamic therapy, despite growing emphasis on 
short-term therapies and biological treatments. Copyright © 2007 Academic 
Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  psychiatry
  residency education
EMTREE MEDICAL INDEX TERMS
  adult
  article
  clinical practice
  controlled study
  female
  human
  male
  medical education
  medical student
  normal human
  psychoanalysis
  psychopharmacology
  psychotherapy
  resident
  teaching
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2008473190
MEDLINE PMID
  17626190 (http://www.ncbi.nlm.nih.gov/pubmed/17626190)
PUI
  L352479461
DOI
  10.1176/appi.ap.31.4.281
FULL TEXT LINK
  http://dx.doi.org/10.1176/appi.ap.31.4.281
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1319
TITLE
  Smoking: Results of an interventation for health education of young workers 
attending to the spisal service for pre-employment medical examination
ORIGINAL (NON-ENGLISH) TITLE
  Fumo: Risultati di un intervento di educazione alla salute rivolto ai 
giovanilavoratori che si presentano al servizio spisal per la visita di 
assunzione
AUTHOR NAMES
  Marcolina D.
  De Marzo N.
  D'isep M.E.
AUTHOR ADDRESSES
  (Marcolina D.; De Marzo N.; D'isep M.E.) Servizio di Prevenzione Igiene e 
Sicurezza negli Ambienti di Lavoro, ULSS, n. 1 Belluno Veneto, Italy.
CORRESPONDENCE ADDRESS
  D. Marcolina, Servizio di Prevenzione Igiene e Sicurezza negli Ambienti di 
Lavoro, ULSS, n. 1 Belluno Veneto, Italy.
SOURCE
  Giornale Italiano di Medicina del Lavoro ed Ergonomia (2007) 29:3 (796-797). 
Date of Publication: July/September 2007
ISSN
  1592-7830
BOOK PUBLISHER
  Tipografia PI-ME Editrice Srl, Via Vigentina 136, Pavia, Italy.
ABSTRACT
  Young people who start smoking are constantly increasing and the age of 
initiation has decreased. This work presents the results of a specific 
health education programme on smoking that was carried out for a group of 
804 young apprentices who came to the Occupational Health Units in Belluno 
for a check on work fitness. The objective is to induce young non-smoking 
apprentices to continue as such and smokers to give up smoking. After two 
years, a telephone follow-up was carried out to see if the smoking habit has 
changed. The average age of the group was 19 years and the percentage of 
smokers was 34%; after two years the percentage of smokers was 29.5%. Then, 
the percentage of smokers has fallen and the percentage of ex smokers has 
increased, because smokers became non-smokers during the period of 
observation. This results show the effectiveness of health programme on 
smoking directed to young apprentices already demonstrated by a previous 
study and confirm the withdraw rates obtained by counselling methods. 
Moreover, this study stressed the role of Occupational Health Units in 
prevention programmes addressed to the young apprentices during work fitness 
check.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health education
  health promotion
  occupational health
  smoking (prevention)
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  conference paper
  female
  human
  male
LANGUAGE OF ARTICLE
  Italian
LANGUAGE OF SUMMARY
  English, Italian
MEDLINE PMID
  18409966 (http://www.ncbi.nlm.nih.gov/pubmed/18409966)
PUI
  L351261822
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1320
TITLE
  The level of students of Opole National Higher Medical School knowledge 
regarding the medical consequences of smoking
ORIGINAL (NON-ENGLISH) TITLE
  Poziom wiedzy studentów Państwowej Medycznej Wyższej Szkoły Zawodowej w 
Opolu na temat zdrowotnych nastȩpstw palenia tytoniu
AUTHOR NAMES
  Wojtal M.
  Kurpas D.
  Sochocka L.
  Bielska D.
  Seń M.
AUTHOR ADDRESSES
  (Wojtal M., mariola30@onet.eu; Kurpas D.; Sochocka L.) Instytut 
Pielegniarstwa Panstwowej Medycznej Wyzszej Szkoy Zawodowej W Opolu, .
(Kurpas D.) Katedra I Zakład Medycyny Rodzinnej Akademii Medycznej we 
Wrocławiu, .
(Bielska D.) Zaklad Medycyny Rodzinnej I Pielegniarstwa Srodowiskowego 
Akademii Medycznej W Bialymstoku, .
(Seń M.) Zakład Pielȩgniarstwa Społecznego Akademii Medycznej we Wrocławiu, 
.
(Wojtal M., mariola30@onet.eu) Państwowa Medyczna Wyzsza Szkoła Zawodowa W 
Opolu, ul. Katowicka 68, 45-060 Opole.
CORRESPONDENCE ADDRESS
  M. Wojtal, Państwowa Medyczna Wyzsza Szkoła Zawodowa W Opolu, ul. Katowicka 
68, 45-060 Opole. Email: mariola30@onet.eu
SOURCE
  Family Medicine and Primary Care Review (2007) 9:3 (639-643). Date of 
Publication: July/September 2007
ISSN
  1734-3402
BOOK PUBLISHER
  Wydawnictwo Continuo, ul.lelewela 4, Wroclaw woj.dolnoslaskie, Poland.
ABSTRACT
  Background. One third of total adults' population in the world smoke 
cigarettes. Smoking cigarettes is one of major health hazards for Polish 
citizens. First smoking attempts are usually done by children and teenagers, 
who do not realize the risk of addiction. Is the knowledge about the 
harmfulness of smoking wide enough to count it as a prevention factor with 
respect to nicotine addiction? Objectives. The aim of the paper was to 
estimate the level of PMWSZ students' knowledge regarding the medical 
consequences of smoking. Material and methods. The survey involved 290 
students from Nursing Institute and Midwifery Institute from PMWSZ in Opole. 
The study has been done with diagnostic poll method using specially prepared 
for this work purposes questionnaire. Results. The respondents were asked 
about: quantity and names of carcinogenic substances included in tobacco 
smoke, only 6 women (2.4%) and 1 man (2.8%) mentioned three substances, 
possibility of psychophysical nicotine addiction - 247 respondents (85.2%) 
said that smoking cigarettes was as addictive as drugs: heroin and cocaine, 
substitutes of nicotine in Poland; the most known preparation of nicotine is 
Nicorette (95.7% women and 91.4% men imparted this answer). Conclusions. The 
findings of the research showed low level of students' awareness regarding 
quantity and names of carcinogenic substances contained in tobacco and 
tobacco smoke, however the results confirmed high consciousness on their 
harmful influence on human health. Over 90% respondents pointed to the 
association between tobacco smoking and cancers and the diseases of 
respiratory and circulatory systems. © Copyright by Wydawnictwo Continuo.
EMTREE DRUG INDEX TERMS
  carcinogen
  cigarette smoke
  cocaine
  diamorphine
  nicotine
  tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health hazard
  knowledge
  medical school
  medical student
  smoking
EMTREE MEDICAL INDEX TERMS
  adult
  article
  cigarette smoking
  citizenship
  controlled study
  diagnostic procedure
  female
  health survey
  human
  human experiment
  male
  Poland
  population research
  psychophysics
  quantitative analysis
  questionnaire
  sex ratio
  tobacco
  tobacco dependence (epidemiology, prevention)
CAS REGISTRY NUMBERS
  cocaine (50-36-2, 53-21-4, 5937-29-1)
  diamorphine (1502-95-0, 561-27-3)
  nicotine (54-11-5)
EMBASE CLASSIFICATIONS
  Neurology and Neurosurgery (8)
  Public Health, Social Medicine and Epidemiology (17)
  Biophysics, Bioengineering and Medical Instrumentation (27)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  Polish
LANGUAGE OF SUMMARY
  English, Polish
EMBASE ACCESSION NUMBER
  2007510205
PUI
  L47605517
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1321
TITLE
  Testing for substance use in trauma patients: Are we doing enough?
AUTHOR NAMES
  London J.A.
  Battistella F.D.
AUTHOR ADDRESSES
  (London J.A., jason.london@ucdmc.ucdavis.edu; Battistella F.D.) Department 
of Surgery, University of California, Davis Medical Center, Sacramento, CA, 
United States.
(London J.A., jason.london@ucdmc.ucdavis.edu) Department of Surgery, 
University of California, Davis Medical Center, 2315 Stockton Blvd, 
Sacramento, CA 95817, United States.
CORRESPONDENCE ADDRESS
  J.A. London, Department of Surgery, University of California, Davis Medical 
Center, 2315 Stockton Blvd, Sacramento, CA 95817, United States. Email: 
jason.london@ucdmc.ucdavis.edu
SOURCE
  Archives of Surgery (2007) 142:7 (633-638). Date of Publication: July 2007
ISSN
  0004-0010
  1538-3644 (electronic)
BOOK PUBLISHER
  American Medical Association, 515 North State Street, Chicago, United 
States.
ABSTRACT
  Hypothesis: Only a fraction of trauma patients are being tested for 
substance use, and the proportion of those tested may have decreased over 
time. Design: Retrospective review of longitudinal data. Setting: National 
Trauma Data Bank. Patients: Individuals aged 15 to 50 years admitted with 
injuries from 1998 to 2003. Main Outcome Measures: The primary outcomes of 
interest are the incidence of drug and alcohol testing and the results of 
these tests. The primary exposure of interest is year of admission. Results: 
Half of patients admitted with injuries are being tested for alcohol use, 
and half of these patients have positive test results. Only 36.3% of 
patients admitted with injuries are tested for drug use, and 46.5% of these 
patients have positive test results. There have been no significant trends 
for either alcohol testing or results in the past 6 years. Compared with 
1998, patients are significantly less likely to be tested for drugs, but 
more likely to have positive test results. Conclusions: Only a small 
proportion of patients who are admitted with injuries are tested for 
substance use. The proportion of patients tested for drugs has decreased 
significantly during the past 6 years. Routine testing would maximize 
identification of patients who may benefit from interventions. Several 
obstacles exist to routine screening, including legal and physician-related 
barriers. Future efforts to facilitate routine testing of trauma patients 
for substance use should concentrate on protecting patient confidentiality 
and educating physicians on the techniques and benefits of brief 
interventions. ©2007 American Medical Association. All rights reserved.
EMTREE DRUG INDEX TERMS
  alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  injury
  substance abuse
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  controlled study
  data base
  drug screening
  drug use
  education
  female
  hospital admission
  human
  incidence
  longitudinal study
  major clinical study
  male
  medical examination
  outcome assessment
  patient identification
  priority journal
  retrospective study
  review
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
  2007351561
MEDLINE PMID
  17638800 (http://www.ncbi.nlm.nih.gov/pubmed/17638800)
PUI
  L47080441
DOI
  10.1001/archsurg.142.7.633
FULL TEXT LINK
  http://dx.doi.org/10.1001/archsurg.142.7.633
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1322
TITLE
  The level of knowledge of Department of Public Health students on 
noxiousness of tobacco smoking
ORIGINAL (NON-ENGLISH) TITLE
  Stan wiedzy studentów Wydziału Zdrowia Publicznego Akademii Medycznej we 
Wrocławiu na temat zagrożeń wynikaja̧cych z palenia tytoniu
AUTHOR NAMES
  Seń M.
  Felińczak A.
  Grzebieluch J.
  Kurpas D.
  Bielska D.
  Wojtal M.
  Sochocka L.
  Taranowicz I.
AUTHOR ADDRESSES
  (Seń M., marisen@wzp.am.wroc.pl; Felińczak A.; Grzebieluch J.; Taranowicz 
I.) Katedra Zdrowia Publicznego, Zakład Pielȩgniarstwa Społecznego, Zakład 
Organizacji I Zarza̧dzania Akademii Medycznej we Wrocławiu, .
(Kurpas D.) Katedra I Zakład Medycyny Rodzinnej Akademii Medycznej we 
Wrocławiu, .
(Kurpas D.) Państwowa Medyczna Wyzsza Szkoła Zawodowa W Opolu, .
(Bielska D.) Zaklad Medycyny Rodzinnej I Pielegniarstwa Srodowiskowego 
Akademii Medycznej W Bialymstoku, .
(Wojtal M.; Sochocka L.) Instytut Pielȩgniarstwa Państwowej Medycznej 
Wyzszej Szkoły Zawodowej W Opolu, .
(Seń M., marisen@wzp.am.wroc.pl) Katedra Zdrowia Publicznego, Zakład 
Pielȩgniarstwa Społecznego AM, ul. Bartla 5, 51-618 Wrocław.
CORRESPONDENCE ADDRESS
  M. Seń, Katedra Zdrowia Publicznego, Zakład Pielȩgniarstwa Społecznego AM, 
ul. Bartla 5, 51-618 Wrocław. Email: marisen@wzp.am.wroc.pl
SOURCE
  Family Medicine and Primary Care Review (2007) 9:3 (605-609). Date of 
Publication: July/September 2007
ISSN
  1734-3402
BOOK PUBLISHER
  Wydawnictwo Continuo, ul.lelewela 4, Wroclaw woj.dolnoslaskie, Poland.
ABSTRACT
  Background. The knowledge of Department of Public Health students at Wroclaw 
University of Medicine, concerning hazards of cigarettes smoking. Smoking of 
cigarettes is one of the main causes of a heart attack, a stroke and also 
lung diseases and cancers. This is the most serious exogenous risk factor 
but it can be avoided. The whole society incur wholesome and social effects 
of being subjected to smoking of cigarettes. Smoking cessation should be one 
of the main aims in cardiovascular and cancer diseases prevention which 
should be realized by health care professionals. Objectives. The aim of the 
study was to assess the level of knowledge of Department of Public Health 
students on noxiousness of smoking cigarettes as this is the main cause of 
cancer, cardiovascular and lung diseases. Material and methods. The 
diagnostic interview method was used in the research. The interview 
questionnaire was the research tool. It consisted of 13 questions. Results. 
393 Public Health Department students took part in the research. They agreed 
to fulfill the questionnaire. Conclusions. The results of the survey showed 
that Department of Public Health students had insufficient knowledge to take 
active part in professional prophylactic and educational activities against 
tobacco addiction in the society. © Copyright by Wydawnictwo Continuo.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  cigarette smoking
  college student
  professional knowledge
  public health service
EMTREE MEDICAL INDEX TERMS
  adult
  article
  cardiovascular disease (etiology)
  cause of death
  diagnostic approach route
  education program
  hazard assessment
  health education
  health promotion
  health survey
  human
  interview
  lung disease (etiology)
  malignant neoplasm (etiology)
  medical assessment
  normal human
  smoking cessation
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  Polish
LANGUAGE OF SUMMARY
  English, Polish
EMBASE ACCESSION NUMBER
  2007510195
PUI
  L47605507
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1323
TITLE
  Human's social condition as a determinant of his chances for health
ORIGINAL (NON-ENGLISH) TITLE
  Sytuacja społeczna człowieka wyznacznikiem jego szans na zdrowie
AUTHOR NAMES
  Pyra K.K.
  Buraczyński P.
  Kalisiewicz K.
  Serafin A.
  Jabłońska J.
AUTHOR ADDRESSES
  (Pyra K.K., kkkp@poczta.fm) Studenckie Kolo Naukowe Przy Zakladzie 
Podstawowej Opieki Zdrowotnej I, Katedrze Medycyny Rodzinnej Akademii 
Medycznej, Lublinie.
(Buraczyński P.; Kalisiewicz K.; Serafin A.; Jabłońska J.) Zakład 
Podstawowej Opieki Zdrowotnej I Katedra Medycyny Rodzinnej Akademii 
Medycznej, Lublinie.
(Pyra K.K., kkkp@poczta.fm) Studenckie Kolo Naukowe Przy Zakladzie 
Podstawowej Opieki Zdrowotnej I, Katedrze Medycyny Rodzinnej AM, ul. 
Sławinkowska 63, 20-081 Lublin.
CORRESPONDENCE ADDRESS
  K.K. Pyra, Studenckie Kolo Naukowe Przy Zakladzie Podstawowej Opieki 
Zdrowotnej I Katedrze Medycyny Rodzinnej, ul. Sławinkowska 63, 20-081 
Lublin. Email: kkkp@poczta.fm
SOURCE
  Family Medicine and Primary Care Review (2007) 9:3 (815-818). Date of 
Publication: July/September 2007
ISSN
  1734-3402
BOOK PUBLISHER
  Wydawnictwo Continuo, ul.lelewela 4, Wroclaw woj.dolnoslaskie, Poland.
ABSTRACT
  The transformation which took place in 1989 in Poland influenced the origin 
of the diverse society. According to the survey, it was revealed that 
poverty and richness impact not only the access to medical care but also the 
rate of morbidity and mortality caused by civilization diseases. The surveys 
which have been conducted indicated that: 1) ecological differences 
influence health, 2) there are significant differences between the 
economical status and the estimation of health condition, 3) education and 
income determined attitude and the behavior in health matters, 4) people of 
the lower economic status have no manner to preserve health, 5) the worse 
the estimation of own economic status the stronger the addiction to 
pharmacological tranquilizers and nicotine, 6) education is the most 
important and the strongest health determiner. In conclusion, we have to 
emphasize that the surveys of social differences and their influence on 
health should be continued in broader scale, because solid and up-to-date 
information will be the basis to launch a pilot scheme of effective social 
policy in our country. Using the system of social care aimed of to the 
lowest class, the government should struggle to the improve the condition of 
life, education and the promotion of healthy lifestyle. © Copyright by 
Wydawnictwo Continuo.
EMTREE DRUG INDEX TERMS
  nicotine
  tranquilizer
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health promotion
  health status
  social status
EMTREE MEDICAL INDEX TERMS
  attitude to health
  drug dependence
  education
  government
  health care access
  human
  income
  lifestyle
  morbidity
  mortality
  Poland
  poverty
  review
  social care
CAS REGISTRY NUMBERS
  nicotine (54-11-5)
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  Polish
LANGUAGE OF SUMMARY
  English, Polish
EMBASE ACCESSION NUMBER
  2007512362
PUI
  L47610410
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1324
TITLE
  Cost-effectiveness analysis of a European primary-care physician training in 
smoking cessation counseling
AUTHOR NAMES
  Pinget C.
  Martin E.
  Wasserfallen J.-B.
  Humair J.-P.
  Cornuz J.
AUTHOR ADDRESSES
  (Pinget C., Christophe.Pinget@chuv.ch; Wasserfallen J.-B.) Health Technology 
Assessment Unit, Lausanne University Hospital, Switzerland.
(Martin E.; Cornuz J.) Institute of Social and Preventive Medicine, Lausanne 
University Hospital, Switzerland.
(Cornuz J.) Department of Ambulatory Care, Lausanne University Hospital, 
Switzerland.
(Pinget C., Christophe.Pinget@chuv.ch; Martin E.; Wasserfallen J.-B.) 
Institute of Health Economics and Management, Lausanne University, 
Switzerland.
(Humair J.-P.) Department of Community Medicine, Geneva University Hospital, 
Switzerland.
(Pinget C., Christophe.Pinget@chuv.ch) Medical Direction, Lausanne 
University Hospital, 46, rue du Bugnon, CH-1011 Lausanne, Switzerland.
CORRESPONDENCE ADDRESS
  C. Pinget, Medical Direction, Lausanne University Hospital, 46, rue du 
Bugnon, CH-1011 Lausanne, Switzerland. Email: Christophe.Pinget@chuv.ch
SOURCE
  European Journal of Cardiovascular Prevention and Rehabilitation (2007) 14:3 
(451-455). Date of Publication: June 2007
ISSN
  1741-8267
BOOK PUBLISHER
  Lippincott Williams and Wilkins, 250 Waterloo Road, London, United Kingdom.
ABSTRACT
  BACKGROUND: Physician training in smoking cessation counseling has been 
shown to be effective as a means to increase quit success. We assessed the 
cost-effectiveness ratio of a smoking cessation counseling training 
programme. Its effectiveness was previously demonstrated in a cluster 
randomized, control trial performed in two Swiss university outpatients 
clinics, in which residents were randomized to receive training in smoking 
interventions or a control educational intervention. DESIGN AND METHODS: We 
used a Markov simulation model for effectiveness analysis. This model 
incorporates the intervention efficacy, the natural quit rate, and the 
lifetime probability of relapse after 1-year abstinence. We used previously 
published results in addition to hospital service and outpatient clinic cost 
data. The time horizon was 1 year, and we opted for a third-party payer 
perspective. RESULTS: The incremental cost of the intervention amounted to 
US$2.58 per consultation by a smoker, translating into a cost per life-year 
saved of US$25.4 for men and 35.2 for women. One-way sensitivity analyses 
yielded a range of US$4.0-107.1 in men and US$9.7-148.6 in women. Variations 
in the quit rate of the control intervention, the length of training 
effectiveness, and the discount rate yielded moderately large effects on the 
outcome. Variations in the natural cessation rate, the lifetime probability 
of relapse, the cost of physician training, the counseling time, the cost 
per hour of physician time, and the cost of the booklets had little effect 
on the cost-effectiveness ratio. CONCLUSIONS: Training residents in smoking 
cessation counseling is a very cost-effective intervention and may be more 
efficient than currently accepted tobacco control interventions. © 2007 
European Society of Cardiology.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  counseling
  health care cost
  primary medical care
  smoking cessation program
EMTREE MEDICAL INDEX TERMS
  adult
  article
  consultation
  controlled study
  cost effectiveness analysis
  female
  hospital charge
  human
  major clinical study
  male
  medical education
  medical fee
  outpatient care
  outpatient department
  priority journal
  probability
  simulation
  smoking cessation
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Cardiovascular Diseases and Cardiovascular Surgery (18)
  Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2007298193
MEDLINE PMID
  17568248 (http://www.ncbi.nlm.nih.gov/pubmed/17568248)
PUI
  L46945572
DOI
  10.1097/HJR.0b013e32804955a0
FULL TEXT LINK
  http://dx.doi.org/10.1097/HJR.0b013e32804955a0
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1325
TITLE
  Cannabis smoking in adolescence and its consequences
ORIGINAL (NON-ENGLISH) TITLE
  »Kiffen« bei Jugendlichen und die Folgen
AUTHOR NAMES
  Horn W.-R.
AUTHOR ADDRESSES
  (Horn W.-R., wolf-r.horn@t-online.de) Suchtbeauftragter des Berufsverbandes 
der Kinder- und Jugendärzter e.V., Gernsbach, Germany.
(Horn W.-R., wolf-r.horn@t-online.de) Igelbachstraße 7, 76593 Gernsbach, 
Germany.
CORRESPONDENCE ADDRESS
  W.-R. Horn, Igelbachstraße 7, 76593 Gernsbach, Germany. Email: 
wolf-r.horn@t-online.de
SOURCE
  Padiatrische Praxis (2007) 70:2 (217-229). Date of Publication: June 2007
ISSN
  0030-9346
BOOK PUBLISHER
  Hans Marseille Verlag GmbH, P.O. Box 22 13 41, Munchen, Germany.
ABSTRACT
  Most licit and illicit psychoactive substances can be deleterious to young 
people's health, mainly in early and mid adolescence. Although the majority 
of recreational and occasional users do not suffer from any long-lasting 
adverse effects, frequent use of high cannabis doses may particularly result 
in psychosocial harms (dependence, educational underachievement and 
psychosis in vulnerable persons). Predictors of cannabis misuse and 
dependence are early conduct disorder, school problems, mood disorders and 
poor individual and family resources. Prevention, counselling and treatment 
efforts should focus on these areas of risk. Paediatricians interested and 
educated in adolescent substance use issues might be contacted first by 
youth in need, assuring them of confidentiality, and possibly transfer to 
drug-advice centres or, in case of comorbidity to child and adolescent 
psychiatrists. Decriminalising cannabis use would probably not increase 
consumption rates, but save social costs and make the access to support 
systems easier.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  cannabis (drug toxicity)
EMTREE DRUG INDEX TERMS
  illicit drug (drug toxicity)
  psychotropic agent (drug toxicity)
  recreational drug (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  adolescence
  cannabis smoking
EMTREE MEDICAL INDEX TERMS
  academic achievement
  article
  cannabis addiction (complication, prevention)
  child psychiatry
  comorbidity
  conduct disorder (complication, prevention)
  criminal law
  dose response
  drug misuse
  health hazard
  human
  mood disorder (complication, prevention)
  patient counseling
  pediatrician
  prediction
  preventive health service
  professional secrecy
  psychosis (complication, prevention)
  psychosocial disorder (complication, prevention)
  rehabilitation center
  risk management
  socioeconomics
CAS REGISTRY NUMBERS
  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)
  Toxicology (52)
LANGUAGE OF ARTICLE
  German
LANGUAGE OF SUMMARY
  German, English
EMBASE ACCESSION NUMBER
  2007321608
PUI
  L47019338
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1326
TITLE
  Employment and work among drug court clients: 12-Month outcomes
AUTHOR NAMES
  Leukefeld C.
  Webster J.M.
  Staton-Tindall M.
  Duvall J.
AUTHOR ADDRESSES
  (Leukefeld C., cdar@uky.edu; Webster J.M.; Staton-Tindall M.; Duvall J.) 
Center on Drug and Alcohol Research, University of Kentucky, Lexington, KY, 
United States.
(Leukefeld C., cdar@uky.edu) University of Kentucky, Center on Drug and 
Alcohol Research, 643 Maxwelton Court, Lexington, KY 40506-0350, United 
States.
CORRESPONDENCE ADDRESS
  C. Leukefeld, University of Kentucky, Center on Drug and Alcohol Research, 
643 Maxwelton Court, Lexington, KY 40506-0350, United States. Email: 
cdar@uky.edu
SOURCE
  Substance Use and Misuse (2007) 42:7 (1109-1126+1219). Date of Publication: 
June 2007
ISSN
  1082-6084
  1532-2491 (electronic)
BOOK PUBLISHER
  Taylor and Francis Inc., 325 Chestnut St, Suite 800, Philadelphia PA, United 
States.
ABSTRACT
  Employment contributes to drug abuse treatment success and is an important 
treatment outcome (Institute of Medicine, 1990). However, few tailored 
employment interventions are available. This project developed an employment 
intervention focused on obtaining, maintaining, and upgrading employment. 
The current study, approved by an IRB, uses 12-month outcomes to examine 
intervention dosage effects. Participants were 500 clients who entered two 
Kentucky drug court programs between March 2000 and November 2002. Measures 
included demographics, drug/alcohol use, criminality, employment, and 
education measures from the Addiction Severity Index (McLellan, Luborsky, 
Woody, and O'Brien, 1980) as well as specific employment measures. To 
examine the intervention, the number of intervention upgrading sessions 
attended was divided by the number of possible upgrading sessions. Session 
attendance percentages were then used to median split into a low upgrading 
group and a high upgrading group and were compared with the no intervention 
group. These three groups were used in a series of ANOVA and chi-square 
analyses to examine differences at 12-month follow-up. When employment, 
legal work, illegal work, and employment problems were examined for one year 
and 30 days at follow-up, there were significant effects for jobs in the 
past year, days worked at a legitimate job in both the past year as well as 
30 days, and income from a legitimate job in the past year. Participants in 
the high upgrade group received maximum employment benefits. Since legal 
earnings increased and illegal earnings decreased, drug-user treatment 
programs and practitioners should assess and refer clients to employment 
interventions. Tailored employment interventions should be tested to keep 
drug users in treatment and to increase treatment outcome. The study's 
limitations are noted and future needed research is suggested. The study was 
funded by the National Institute on Drug Abuse. Copyright © 2007 Informa 
Healthcare.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  court
  employment
  work
EMTREE MEDICAL INDEX TERMS
  adult
  alcohol consumption
  analysis of variance
  chi square test
  conference paper
  controlled study
  criminal behavior
  demography
  dose response
  drug dependence treatment
  drug use
  education
  female
  follow up
  human
  income
  intervention study
  major clinical study
  male
  priority journal
  treatment outcome
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, French, Spanish, German
EMBASE ACCESSION NUMBER
  2007379823
MEDLINE PMID
  17668328 (http://www.ncbi.nlm.nih.gov/pubmed/17668328)
PUI
  L47196728
DOI
  10.1080/10826080701409701
FULL TEXT LINK
  http://dx.doi.org/10.1080/10826080701409701
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1327
TITLE
  Physicians' knowledge of alcohol, tobacco and folic acid in pregnancy
AUTHOR NAMES
  Lefebvre L.G.
  Ordean A.
  Midmer D.
  Kahan M.
  Tolomiczenko G.
AUTHOR ADDRESSES
  (Lefebvre L.G., Lisa.Lefebvre@utoronto.ca; Ordean A.; Midmer D.; Kahan M.) 
Department of Family and Community Medicine, University of Toronto, Toronto, 
ON, Canada.
(Tolomiczenko G.) Departments of Psychiatry and Health Policy,Management and 
Evaluation, University of Toronto, Toronto, ON, Canada.
(Lefebvre L.G., Lisa.Lefebvre@utoronto.ca) Centre for Addiction and Mental 
Health, 33 Russell Street, Toronto, ON M5S 2S1.
CORRESPONDENCE ADDRESS
  L. G. Lefebvre, Centre for Addiction and Mental Health, 33 Russell Street, 
Toronto, ON M5S 2S1. Email: Lisa.Lefebvre@utoronto.ca
SOURCE
  Substance Abuse (2007) 28:1 (3-9). Date of Publication: 31 May 2007
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Routledge, 325 Chestnut Street, Philadelphia, United States.
ABSTRACT
  Objective: To assess: (1) physicians' knowledge and clinical confidence 
regarding problematic substance use in pregnancy compared to folic acid, and 
(2) physicians' desire for education in this area and their preferred 
learning modalitiestools. Design: Self-administered survey. Setting: Family 
Medicine Forum 2004 in Toronto, Canada. Participants: Physicians attending 
Family Medicine Forum2004 in Toronto who provide antenatal care. Main 
Outcome Measures: Knowledge of folic acid, smoking and alcohol in pregnancy. 
Clinical confidence and interest in resources regarding problematic 
substance use in pregnancy. Results: Sixty-six surveys completed. Physicians 
answered 92.3% of folic acid questions correctly, compared to 82.0% for 
nicotine and 57.1% for alcohol. Scores were higher on questions about 
effects of nicotine and alcohol use in pregnancy than on questions about 
treatment options. A perceived inability to influence clinical outcomes and 
a lack of professional resources regarding substance use in pregnancy were 
also identified. Physicians were interested in learning more about 
problematic substance use in pregnancy, particularly from continuing medical 
education events, websites and pocket cards. Conclusion: Participants' level 
of knowledge regarding substance use in pregnancy was significantly lower 
than their knowledge of folic acid, as was their clinical confidence. This 
lack of knowledge was not attributable to disinterest and clearly more 
educational resources are needed to address this topic. © 2007 by The 
Haworth Press, Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  alcohol
  folic acid
  nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  pregnancy
  professional knowledge
  substance abuse
  tobacco
EMTREE MEDICAL INDEX TERMS
  alcohol abuse
  alcohol consumption
  article
  clinical competence
  clinical education
  controlled study
  family medicine
  health survey
  Internet
  learning style
  maternal smoking
  prenatal care
  questionnaire
  tobacco dependence
CAS REGISTRY NUMBERS
  alcohol (64-17-5)
  folic acid (59-30-3, 6484-89-5)
  nicotine (54-11-5)
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
  2009343713
MEDLINE PMID
  19263558 (http://www.ncbi.nlm.nih.gov/pubmed/19263558)
PUI
  L354885579
DOI
  10.1300/J465v28n01_02
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v28n01_02
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1328
TITLE
  Opioid analgesia: Perspective on right use and utility
AUTHOR NAMES
  Ballantyne J.C.
AUTHOR ADDRESSES
  (Ballantyne J.C., jballantyne@partners.org) Massachusetts General Hospital 
Pain Center, Harvard Medical School, Division of Pain Medicine, 15 Parkman 
Street, Boston, MA 02114, United States.
CORRESPONDENCE ADDRESS
  J.C. Ballantyne, Massachusetts General Hospital Pain Center, 15 Parkman 
Street, Boston, MA 02114, United States. Email: jballantyne@partners.org
SOURCE
  Pain Physician (2007) 10:3 (479-491). Date of Publication: May 2007
ISSN
  1533-3159
BOOK PUBLISHER
  Association of Pain Management Anesthesiologists, 2831 Lone Oak Road, 
Paducah, United States.
ABSTRACT
  The ability of opioids to effectively and safely control acute and cancer 
pain has been one of several arguments used to support extending opioid 
treatment to patients with chronic pain, against a backdrop of considerable 
caution that has been based upon fears of addiction. Of course, opioids may 
cause addiction, but the "principle of balance" may justify that "...efforts 
to address abuse should not interfere with legitimate medical practice and 
patient care." Yet, situations are increasingly encountered in which 
opioid-maintained patients are refractory to analgesia during periods of 
pain, or even during the course of chronic treatment. The real question is 
whether analgesic efficacy of opioids can be maintained over time. Overall, 
the evidence supporting long-term analgesic efficacy is weak. The putative 
mechanisms for failed opioid analgesia may be related to tolerance or 
opioid-induced hyperalgesia. Advances in basic sciences may help in 
understanding these phenomena, but the question of whether long-term opioid 
treatment can improve patients' function or quality of life remains a 
broader issue. Opioid side effects are well known, but with chronic use, 
most (except constipation) subside. Still, side effects can negatively 
affect the outcomes and continuity of therapy. This paper addresses 1) what 
evidence supports the long-term utility of opioids for chronic pain; 2) how 
side effects may alter quality of life; 3) the nature of addiction and why 
it is different in pain patients, and 4) on what grounds could pain 
medication be denied? These questions are discussed in light of patients' 
rights, and warrant balancing particular responsibilities with risks. These 
are framed within the Hippocratic tradition of "producing good for the 
patient and protecting from harm," so as to enable 1) more informed clinical 
decision making, and 2) progress towards right use and utility of opioid 
treatment for chronic pain.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  narcotic analgesic agent (adverse drug reaction, clinical trial, drug dose, 
drug therapy, intrathecal drug administration)
EMTREE DRUG INDEX TERMS
  codeine (clinical trial, drug combination, drug comparison, drug therapy)
  ibuprofen (clinical trial, drug comparison, drug therapy)
  levorphanol (clinical trial, drug dose, drug therapy)
  methadone (clinical trial, drug comparison, drug dose, drug therapy)
  morphine (clinical trial, drug combination, drug comparison, drug therapy)
  oxycodone (clinical trial, drug combination, drug comparison, drug dose, 
drug therapy)
  paracetamol (clinical trial, drug combination, drug comparison, drug 
therapy)
  placebo
EMTREE MEDICAL INDEX TERMS
  aggression
  arthritis (drug therapy)
  cancer pain (drug therapy)
  chronic pain (drug therapy)
  clinical decision making
  clinical trial
  community care
  constipation (side effect)
  controlled clinical trial
  criminal law
  cultural factor
  drive
  drug dependence (diagnosis, drug therapy, side effect)
  drug dose comparison
  drug dose escalation
  drug efficacy
  drug exposure
  drug legislation
  drug megadose
  drug safety
  drug tolerability
  drug utilization
  drug withdrawal
  employment status
  estrogen blood level
  euphoria
  evidence based medicine
  female infertility (side effect)
  genetic predisposition
  human
  hydrocortisone blood level
  hyperalgesia (side effect)
  hypogonadism (side effect)
  immune deficiency (side effect)
  libido disorder (side effect)
  long term exposure
  low drug dose
  male infertility (side effect)
  medical ethics
  nausea (side effect)
  neuropathic pain (drug therapy)
  patient care
  patient right
  patient selection
  pruritus (side effect)
  quality of life
  race difference
  randomized controlled trial
  respiration depression (side effect)
  review
  risk benefit analysis
  sedation
  short course therapy
  side effect (side effect)
  social psychology
  social status
  testosterone blood level
CAS REGISTRY NUMBERS
  codeine (76-57-3)
  ibuprofen (15687-27-1)
  levorphanol (125-72-4, 77-07-6)
  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)
  paracetamol (103-90-2)
EMBASE CLASSIFICATIONS
  Neurology and Neurosurgery (8)
  Public Health, Social Medicine and Epidemiology (17)
  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
  2007304926
MEDLINE PMID
  17525783 (http://www.ncbi.nlm.nih.gov/pubmed/17525783)
PUI
  L46971301
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1329
TITLE
  Centers to weave addiction treatment into medical education
AUTHOR NAMES
  Kuehn B.M.
AUTHOR ADDRESSES
  (Kuehn B.M.)
SOURCE
  Journal of the American Medical Association (2007) 297:16 (1763). Date of 
Publication: 25 Apr 2007
ISSN
  0098-7484
  1538-3598 (electronic)
BOOK PUBLISHER
  American Medical Association, 515 North State Street, Chicago, United 
States.
EMTREE DRUG INDEX TERMS
  benzodiazepine derivative (drug therapy)
  central stimulant agent (drug therapy)
  opiate derivative (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  drug dependence (diagnosis, etiology)
  medical education
  substance abuse
EMTREE MEDICAL INDEX TERMS
  attention deficit disorder (drug therapy)
  curriculum
  diagnostic test
  human
  intravenous drug abuse
  medical society
  medical student
  narcolepsy (drug therapy)
  pain (drug therapy)
  pathogenesis
  patient identification
  prescription
  priority journal
  screening test
  short survey
  skill
  sleep disorder (drug therapy)
  United States
EMBASE CLASSIFICATIONS
  General Pathology and Pathological Anatomy (5)
  Psychiatry (32)
  Drug Literature Index (37)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2007207962
MEDLINE PMID
  17456812 (http://www.ncbi.nlm.nih.gov/pubmed/17456812)
PUI
  L46658665
DOI
  10.1001/jama.297.16.1763
FULL TEXT LINK
  http://dx.doi.org/10.1001/jama.297.16.1763
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1330
TITLE
  Primary care quality and addiction severity: A prospective cohort study
AUTHOR NAMES
  Kim T.W.
  Samet J.H.
  Cheng D.M.
  Winter M.R.
  Safran D.G.
  Saitz R.
AUTHOR ADDRESSES
  (Kim T.W.) Clinical Addiction Research and Education (CARE) Unit, Section 
General Internal Medicine, Boston University Medical Center, 91 E. Concord 
Street, Boston, MA 02118, United States.
(Samet J.H.; Cheng D.M.; Saitz R.) Clinical Addiction Research and Education 
(CARE) Unit, Boston University Medical Center, Boston, MA, United States.
(Samet J.H.) Department of Social and Behavioral Sciences, Boston University 
School of Public Health, .
(Cheng D.M.) Department of Biostatistics, Boston University School of Public 
Health, .
(Winter M.R.) Data Coordinating Center, Boston, MA, United States.
(Safran D.G.) Health Institute, Institute for Clinical Research and Health 
Policy Studies, Boston, MA, United States.
CORRESPONDENCE ADDRESS
  T.W. Kim, Clinical Addiction Research and Education (CARE) Unit, Section 
General Internal Medicine, Boston University Medical Center, 91 E. Concord 
Street, Boston, MA 02118, United States.
SOURCE
  Health Services Research (2007) 42:2 (755-772). Date of Publication: April 
2007
ISSN
  0017-9124
  1475-6773 (electronic)
BOOK PUBLISHER
  Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
  Background. Alcohol and drug use disorders are chronic diseases that require 
ongoing management of physical, psychiatric, and social consequences. While 
specific addiction-focused interventions in primary care are efficacious, 
the influence of overall primary care quality (PCQ) on addiction outcomes 
has not been studied. The aim of this study was to prospectively examine if 
higher PCQ is associated with lower addiction severity among patients with 
substance use disorders. Study Population. Subjects with alcohol, cocaine, 
and/or heroin use disorders who initiated primary care after being 
discharged from an urban residential detoxification program. Measurements. 
We used the Primary Care Assessment Survey (PCAS), a well-validated, 
patient-completed survey that measures defining attributes of primary care 
named by the Institute of Medicine. Nine summary scales cover two broad 
areas of PCQ: the patient-physician relationship (communication, 
interpersonal treatment, thoroughness of the physical exam, whole-person 
knowledge, preventive counseling, and trust) and structural/organizational 
features of care (organizational access, financial access, and visit-based 
continuity). Each of the three addiction outcomes (alcohol addiction 
severity (ASI-alc), drug addiction severity (ASI-drug), and any drug or 
heavy alcohol use) were derived from the Addiction Severity Index and 
assessed 6-18 months after PCAS administration. Separate longitudinal 
regression models included a single PCAS scale as the main predictor 
variable as well as variables known to be associated with addiction 
outcomes. Main Results. Eight of the nine PCAS scales were associated with 
lower alcohol addiction severity at follow-up (p≤.05). Two measures of 
relationship quality (communication and whole- person knowledge of the 
patient) were associated with the largest decreases in ASI-alc (-0.06). More 
whole-person knowledge, organizational access, and visit-based continuity 
predicted lower drug addiction severity (ASI-drug: -0.02). Two PCAS scales 
(trust and whole-person knowledge of the patient) were associated with lower 
likelihood of subsequent substance use (adjusted odds ratio, [AOR]=0.76, 95 
percent confidence interval [95% CI]=0.60, 0.96 and AOR=0.66, 95 percent 
CI=0.52, 0.85, respectively). Conclusion. Core features of PCQ, particularly 
those reflecting the quality of the physician-patient relationship, were 
associated with positive addiction outcomes. Our findings suggest that the 
provision of patient-centered, comprehensive care from a primary care 
clinician may be an important treatment component for substance use 
disorders. © 2006 Health Research and Educational Trust.
EMTREE DRUG INDEX TERMS
  alcohol
  cocaine
  diamorphine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism (therapy)
  drug dependence (therapy)
EMTREE MEDICAL INDEX TERMS
  adult
  article
  cohort analysis
  confidence interval
  controlled study
  doctor patient relation
  drug detoxification
  female
  follow up
  health care quality
  health survey
  hospitalization
  human
  interpersonal communication
  male
  patient counseling
  primary medical care
  prospective study
  regression analysis
  substance abuse
  urban population
CAS REGISTRY NUMBERS
  alcohol (64-17-5)
  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
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2007130255
MEDLINE PMID
  17362216 (http://www.ncbi.nlm.nih.gov/pubmed/17362216)
PUI
  L46398785
DOI
  10.1111/j.1475-6773.2006.00630.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1475-6773.2006.00630.x
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1331
TITLE
  Training psychiatrists to treat dual diagnosis patients
AUTHOR NAMES
  Renner Jr. J.A.
AUTHOR ADDRESSES
  (Renner Jr. J.A., john.renner@med.va.gov) Department of Psychiatry, Boston 
University School of Medicine, VA Outpatient Clinic, 251 Causeway Street, 
Boston, MA 02114, United States.
CORRESPONDENCE ADDRESS
  J.A. Renner Jr., Department of Psychiatry, Boston University School of 
Medicine, VA Outpatient Clinic, 251 Causeway Street, Boston, MA 02114, 
United States. Email: john.renner@med.va.gov
SOURCE
  Journal of Dual Diagnosis (2007) 3:2 (125-136). Date of Publication: 22 Mar 
2007
ISSN
  1550-4263
  1550-4271 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Despite the high incidence of dual diagnosis patients in most treatment 
settings, psychiatrists have not been adequately trained to care for 
patients with substance use disorders and co-occurring psychiatric 
disorders. Brief rotations on detoxification or substance abuse 
rehabilitation units do not provide the type of training that is needed to 
develop the long-term management skills required to successfully treat these 
patients. Boston University Medical Center has developed an expanded 
addiction psychiatry curriculum that is coupled with a 2-year longitudinal 
rotation on a dual diagnosis outpatient unit. Residents receive in-depth 
training in cognitive behavioral and harm reduction therapy, motivational 
enhancement treatment, and addiction pharmacotherapy. Trainees need to work 
with psychiatrists who respect these patients and are willing to take 
responsibility to manage both SUD and co-occurring disorders. A longitudinal 
training experience is an ideal model for learning appropriate addiction 
treatment skills and for gaining confidence in the efficacy of these 
treatments. Copyright © by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  medical practice
  mental disease (diagnosis)
  psychiatrist
EMTREE MEDICAL INDEX TERMS
  addiction
  behavior therapy
  cognition
  conference paper
  detoxification
  Diagnostic and Statistical Manual of Mental Disorders
  diagnostic procedure
  differential diagnosis
  human
  medical profession
  motivation
  substance abuse
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2007299504
PUI
  L46953134
DOI
  10.1300/J374v03n02_14
FULL TEXT LINK
  http://dx.doi.org/10.1300/J374v03n02_14
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1332
TITLE
  Training and fidelity monitoring of behavioral interventions in multi-site 
addictions research
AUTHOR NAMES
  Baer J.S.
  Ball S.A.
  Campbell B.K.
  Miele G.M.
  Schoener E.P.
  Tracy K.
AUTHOR ADDRESSES
  (Baer J.S., jsbaer@u.washington.edu) University of Washington, Department of 
Psychology, Alcohol and Drug Abuse Institute, United States.
(Baer J.S., jsbaer@u.washington.edu) VA Puget Sound Health Care System, 
United States.
(Ball S.A., Samuel.Ball@yale.edu) Yale University School of Medicine, 
Department of Psychiatry, 1 Long Wharf, Suite 321, New Haven, CT 06510, 
United States.
(Campbell B.K., drbarbaracampbell@earthlink.net) Oregon Health and Science 
University, Department of Public Health and Preventive Medicine, 3181 SW Sam 
Jackson Pk. Road, CB-669, Portland, OR 97239, United States.
(Miele G.M., gmm23@columbia.edu) New York State Psychiatric Institute, 
Columbia University College of Physicians and Surgeons, 6182 Palomar Circle, 
Camarillo, CA 93012, United States.
(Schoener E.P., eschoen@med.wayne.edu) Wayne State University, Departments 
of Psychiatry, Pharmacology and Community Medicine, 2761 East Jefferson 
Avenue, Detroit, MI 48207, United States.
(Tracy K., kathlene.tracy@med.nyu.edu) New York University School of 
Medicine, Department of Psychiatry, 423 East 23rd Street, 12 North 122D, New 
York, NY 10010, United States.
CORRESPONDENCE ADDRESS
  J.S. Baer, University of Washington, Department of Psychology, Alcohol and 
Drug Abuse Institute, United States. Email: jsbaer@u.washington.edu
SOURCE
  Drug and Alcohol Dependence (2007) 87:2-3 (107-118). Date of Publication: 16 
Mar 2007
ISSN
  0376-8716
BOOK PUBLISHER
  Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
  Aims: Methods for the training and fidelity monitoring of behavioral 
interventions in multi-site addictions research are reviewed, including five 
published studies and seven ongoing studies sponsored by the National 
Institute on Drug Abuse-funded Clinical Trials Network. Methods: Methods are 
categorized and reviewed consistent with a technology model of treatment 
delivery. Topics include: therapist selection, training, certification, and 
supervision; selection, training, and certification of supervisors; scales 
and processes used for monitoring of the quality of treatment; and processes 
followed to provide new training for replacement staff once trials have 
begun. Results: The review reveals both a wide array of procedures and 
emerging standards for multi-site trials. Methodological weakness was 
observed with respect to limited empirical support for many adherence 
scales, little or no evaluation of supervisory processes, and no evaluation 
of re-training practices. Conclusions: Methods used in multi-site trials are 
important not only to ensure validity of those trials, but also to inform 
the wider dissemination of empirically based treatment into community 
agencies. Studies examining noted weaknesses are needed. Training and 
fidelity models that delegate responsibility to participating sites appear 
most relevant for establishing best practices for dissemination of 
behavioral interventions. The effectiveness of these distributed training 
and supervision models should be subjected to empirical study at a level of 
rigor comparable to the evaluation of their corresponding treatments. © 2006 
Elsevier Ireland Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism (therapy)
  behavior therapy
  drug dependence (therapy)
EMTREE MEDICAL INDEX TERMS
  behavior
  certification
  clinical protocol
  clinical trial
  cognitive therapy
  experience
  family therapy
  group therapy
  health care quality
  human
  medical education
  medical research
  medical staff
  monitoring
  motivation
  patient compliance
  patient counseling
  posttraumatic stress disorder (therapy)
  priority journal
  rating scale
  review
  smoking cessation
  standard
  substance abuse
  validity
  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
  2007075960
MEDLINE PMID
  17023123 (http://www.ncbi.nlm.nih.gov/pubmed/17023123)
PUI
  L46215936
DOI
  10.1016/j.drugalcdep.2006.08.028
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.drugalcdep.2006.08.028
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1333
TITLE
  Substitution treatment for opioid addicts in Germany
AUTHOR NAMES
  Michels I.I.
  Stöver H.
  Gerlach R.
AUTHOR ADDRESSES
  (Michels I.I., ingoiljamichels@gmail.com) Office of the Federal Drug 
Commissioner, Federal Ministry of Health, Berlin, Germany.
(Stöver H., heino.stoever@uni-bremen.de) Bremen Institute of Drug Research, 
University of Bremen, Bremen, Germany.
(Gerlach R., INDRO@t-online.de) Institute for the Advancement of Qualitative 
Drug Research (INDRO), Münster, Germany.
CORRESPONDENCE ADDRESS
  I.I. Michels, Office of the Federal Drug Commissioner, Federal Ministry of 
Health, Berlin, Germany. Email: ingoiljamichels@gmail.com
SOURCE
  Harm Reduction Journal (2007) 4 Article Number: 5. Date of Publication: 2007
ISSN
  1477-7517 (electronic)
BOOK PUBLISHER
  BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom.
ABSTRACT
  Background: After a long and controversial debate methadone maintenance 
treatment (MMT) was first introduced in Germany in 1987. The number of 
patients in MMT - first low because of strict admission criteria - increased 
considerably since the 1990s up to some 65,000 at the end of 2006. In 
Germany each general practitioner (GP), who has completed an additional 
training in addiction medicine, is allowed to prescribe substitution drugs 
to opioid dependent patients. Currently 2,700 GPs prescribe substitution 
drugs. Psychosocial care should be made available to all MMT patients. 
Results: The results of research studies and practical experiences clearly 
indicate that patients benefit substantially from MMT with improvements in 
physical and psychological health. MMT proves successful in attaining high 
retention rates (65 % to 85 % in the first years, up to 50 % after more than 
seven years) and plays a major role in accessing and maintaining ongoing 
medical treatment for HIV and hepatitis. MMT is also seen as a vital factor 
in the process of social re-integration and it contributes to the reduction 
of drug related harms such as mortality and morbidity and to the prevention 
of infectious diseases. Some 10 % of MMT patients become drug-free in the 
long run. Methadone is the most commonly prescribed substitution medication 
in Germany, although buprenorphine is attaining rising importance. Access to 
MMT in rural areas is very patchy and still constitutes a problem. There are 
only few employment opportunities for patients participating in MMT, 
although regular employment is considered unanimously as a positive factor 
of treatment success. Substitution treatment in German prisons is 
heterogeneous in access and treatment modalities. Access is very patchy and 
the number of inmates in treatment is limited. Nevertheless, substitution 
treatment plays a substantial part in the health care system provided to 
drug users in Germany. Conclusion: In Germany, a history of substitution 
treatment spanning 20 years has meanwhile accumulated a wealth of 
experience, e.g. in the development of research on health care services, 
guidelines and the implementation of quality assurance measures. 
Implementing substitution treatment with concomitant effects and treatment 
elements such as drug history-taking, dosage setting, co-use of other 
psychoactive substances (alcohol, benzodiazepines, cocaine), management of 
'difficult patient populations', and integration into the social environment 
has been arranged successfully. Also psychosocial counseling programmes 
adjuvant to substitution treatment have been established and, in the 
framework of a pilot project on heroin-based treatment, standardised manuals 
were developed. Research on allocating opioid users to the 'right' form of 
therapy at the 'right' point in time is still a challenge, though the pilot 
project 'heroin-based treatment' brought experience with patients who do not 
benefit from methadone treatment. There is also expertise in the treatment 
of specific co-morbidity such as HIV/AIDS, hepatitis and psychiatric 
disorders. The promotion and involvement of self-help groups plays an 
important part in the process of successful substitution treatment. © 2007 
Michels et al; licensee BioMed Central Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  methadone (adverse drug reaction, drug comparison, drug therapy, 
pharmacoeconomics)
EMTREE DRUG INDEX TERMS
  alcohol
  benzodiazepine derivative
  buprenorphine (adverse drug reaction, drug comparison, drug therapy)
  cocaine
  codeine (drug therapy)
  diamorphine
  dihydrocodeine (drug therapy)
  levacetylmethadol (adverse drug reaction, drug therapy)
  levomethadone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  methadone treatment
  opiate addiction (disease management, drug therapy)
EMTREE MEDICAL INDEX TERMS
  article
  counseling
  drug use
  employment
  general practitioner
  Germany
  harm reduction
  health care access
  health care quality
  health care system
  health services research
  heart disease (side effect)
  hepatitis
  human
  Human immunodeficiency virus infection
  infection prevention
  integration
  low drug dose
  mental health
  morbidity
  mortality
  patient care
  practice guideline
  prison
  psychosocial care
  rural area
  treatment outcome
  withdrawal syndrome (side effect)
DRUG TRADE NAMES
  l polamidon
  orlaam
  subutex
CAS REGISTRY NUMBERS
  alcohol (64-17-5)
  buprenorphine (52485-79-7, 53152-21-9)
  cocaine (50-36-2, 53-21-4, 5937-29-1)
  codeine (76-57-3)
  diamorphine (1502-95-0, 561-27-3)
  dihydrocodeine (125-28-0, 24204-13-5, 5965-13-9)
  levacetylmethadol (34433-66-4)
  levomethadone (125-58-6)
  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)
  Health Policy, Economics and Management (36)
  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
  2007103687
PUI
  L46306389
DOI
  10.1186/1477-7517-4-5
FULL TEXT LINK
  http://dx.doi.org/10.1186/1477-7517-4-5
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1334
TITLE
  Medical students' knowledge about alcohol and drug problems: Results of the 
Medical Council of Canada examination
AUTHOR NAMES
  Kahan M.
  Midmer D.
  Wilson L.
  Borsoi D.
AUTHOR ADDRESSES
  (Kahan M., kahanm@stjoe.on.ca) Addiction Medicine Service, St. Joseph's 
Health Centre, Toronto, Ont., Canada.
(Midmer D.) Department of Family and Community Medicine, University of 
Toronto, Toronto, Ont., Canada.
(Wilson L.) Department of Family Medicine, St. Joseph's Health Centre, 
Toronto, Ont., Canada.
(Borsoi D.) Centre for Addiction and Mental Health, Toronto, Ont., Canada.
(Kahan M., kahanm@stjoe.on.ca) Addiction Medicine Service, St. Joseph's 
Health Centre, 33 The Queensway, Toronto, Ont. M6R 1B5, Canada.
CORRESPONDENCE ADDRESS
  M. Kahan, Addiction Medicine Service, St. Joseph's Health Centre, 33 The 
Queensway, Toronto, Ont. M6R 1B5, Canada. Email: kahanm@stjoe.on.ca
SOURCE
  Substance Abuse (2007) 27:4 (1-7). Date of Publication: 5 Mar 2007
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Purpose: To determine knowledge of a national sample of medical students 
about substance withdrawal, screening and early intervention, medical and 
psychiatric complications of addiction, and treatment options. Methods: 
Based on learning objectives developed by medical faculty, twenty-two 
questions on addictions were included in the 1998 Canadian licensing 
examination. Results: The exam was written by 858 medical students. The 
average score on the addiction questions was 64%. Students showed strong 
knowledge of the clinical features of medical complications. Specific 
knowledge gaps were identified for withdrawal treatment protocols, low-risk 
drinking guidelines, taking an alcohol history, substance-induced 
psychiatric disorders, and Alcoholics Anonymous. Conclusion: Medical 
students are knowledge-deficient around key learning objectives in 
addictions. The deficiencies were in areas of basic knowledge that could be 
learnt with little difficulty. Copyright © by The Haworth Press, Inc. All 
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism
  drug dependence
  knowledge
  medical student
EMTREE MEDICAL INDEX TERMS
  alcoholics anonymous
  article
  Canada
  clinical feature
  human
  licensing
  medical school
  mental disease
  screening
  withdrawal syndrome
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
  2007133269
MEDLINE PMID
  17347120 (http://www.ncbi.nlm.nih.gov/pubmed/17347120)
PUI
  L46407728
DOI
  10.1300/J465v27n04_01
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v27n04_01
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1335
TITLE
  Validating Medical Students' Self-Report of Smoking-Related Communication 
Skills and Educational Experiences
AUTHOR NAMES
  Brooks K.R.
  Siegel B.
  Lash T.L.
  Geller A.C.
  Fitzgerald A.
  Tracy C.
  Prout M.N.
AUTHOR ADDRESSES
  (Brooks K.R.; Geller A.C.) Department of Dermatology, Boston University 
School of Medicine, Boston, Mass, United States.
(Siegel B., bsiegel@bu.edu) Department of Pediatrics, Boston University 
School of Medicine, Boston, Mass, United States.
(Lash T.L.; Geller A.C.; Fitzgerald A.; Tracy C.; Prout M.N.) Department of 
Epidemiology, Boston University School of Public Health, Boston, Mass, 
United States.
CORRESPONDENCE ADDRESS
  B. Siegel, Department of Pediatrics, Boston University School of Medicine, 
Boston, Mass, United States. Email: bsiegel@bu.edu
SOURCE
  Ambulatory Pediatrics (2007) 7:2 (187-191). Date of Publication: 1 Mar 2007
ISSN
  1530-1567
BOOK PUBLISHER
  Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
  Objective: Pediatric clerkships can be important settings for medical 
students to learn how to perform smoking assessments and counseling with 
parents. In evaluating an educational intervention that promotes this skill, 
we assess whether students' self-report of this counseling skill was a valid 
measure of actual behavior. Methods: A trained observer evaluated student 
smoking assessment and counseling practices during pediatric well-child 
visits at 5 clinical sites in eastern Massachusetts. The external 
observations of behavior were used as a gold standard, and we determined the 
accuracy of the students' self-report of their smoking counseling practices 
with families and of their preceptors' educational interventions. Results: 
We observed 38 pediatric preceptors and 85 Boston University School of 
Medicine (BUSM) III students in 85 clinical encounters. Sensitivities of the 
students' report of assessing smoking practices and counseling parents and 
children ranged from 0.60-1.00, and specificities ranged from 0.41-0.88. 
Specifically, with regards to the students' report of performing a smoking 
assessment with the family, the sensitivity was 0.97 (95% confidence 
interval, 0.89-0.99) and the specificity was 0.88 (95% confidence interval, 
0.72-0.97). For measures where the observer could not determine practice, 
agreement between the student and preceptor was between 57% and 83%. 
Specifically, with regard to whether the preceptor made expectations clear 
with the student, students and preceptors agreed 83% of the time. 
Conclusion: Although direct observations of behavior may still be the most 
accurate report of true practice, when this is not feasible, student 
self-report appears to be a valid measure of smoking assessment and 
counseling practices during pediatric clerkships. © 2007 Ambulatory 
Pediatric Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  communication skill
  health education
  parental smoking
  pediatrics
EMTREE MEDICAL INDEX TERMS
  accuracy
  article
  confidence interval
  controlled study
  environmental exposure
  feasibility study
  human
  medical student
  outpatient care
  parent counseling
  passive smoking
  self report
  sensitivity and specificity
  smoking cessation
  student attitude
  United States
  validation study
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
  2007129116
MEDLINE PMID
  17368415 (http://www.ncbi.nlm.nih.gov/pubmed/17368415)
PUI
  L46395188
DOI
  10.1016/j.ambp.2006.11.009
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.ambp.2006.11.009
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1336
TITLE
  Changes at Journal of Substance Abuse Treatment: Rotations on the editorial 
board and the 2007 JSAT editorial fellowship
AUTHOR NAMES
  McLellan A.T.
AUTHOR ADDRESSES
  (McLellan A.T.) Treatment Research Institute, Philadelphia, PA, United 
States.
CORRESPONDENCE ADDRESS
  A.T. McLellan, Treatment Research Institute, Philadelphia, PA, United 
States.
SOURCE
  Journal of Substance Abuse Treatment (2007) 32:2 (111-112). Date of 
Publication: March 2007
ISSN
  0740-5472
BOOK PUBLISHER
  Elsevier Inc., 360 Park Avenue South, New York, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  drug dependence treatment
  medical literature
EMTREE MEDICAL INDEX TERMS
  clinical research
  decision making
  editorial
  health services research
  policy
  priority journal
  publication
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2007083863
PUI
  L46240729
DOI
  10.1016/j.jsat.2007.01.003
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.jsat.2007.01.003
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1337
TITLE
  Two-year outcome of alcohol interventions in Swedish university halls of 
residence: A cluster randomized trial of a brief skills training program, 
twelve-step-influenced intervention, and controls
AUTHOR NAMES
  Ståhlbrandt H.
  Johnsson K.O.
  Berglund M.
AUTHOR ADDRESSES
  (Ståhlbrandt H., henrietta.stahlbrandt@med.lu.se; Johnsson K.O.; Berglund 
M.) Department of Clinical Alcohol Research, Lund University, Malmö 
University Hospital, SE-205 02 Malmö, Sweden.
(Ståhlbrandt H., henrietta.stahlbrandt@med.lu.se) Department of Clinical 
Alcohol Research, UMAS, Entrance 108, SE-205 02 Malmö, Sweden.
CORRESPONDENCE ADDRESS
  H. Ståhlbrandt, Department of Clinical Alcohol Research, UMAS, Entrance 108, 
SE-205 02 Malmö, Sweden. Email: henrietta.stahlbrandt@med.lu.se
SOURCE
  Alcoholism: Clinical and Experimental Research (2007) 31:3 (458-466). Date 
of Publication: March 2007
ISSN
  0145-6008
  1530-0277 (electronic)
BOOK PUBLISHER
  Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
  Background: High-risk alcohol consumption among university students is well 
documented. Several types of intervention have proved to be effective in 
reducing alcohol consumption. This study examines the 2-year outcome of 2 
different alcohol intervention programs at university halls of residence. 
Methods: Ninety-eight university halls of residence (with 556 students) were 
cluster randomized to 2 different intervention groups: a brief skills 
training program (BSTP) with interactive lectures and discussions, a 
twelve-step- influenced (TSI) program with didactic lectures by therapists 
trained in the 12-step approach, and a control group. All students 
completing the baseline assessment received personalized feedback by mail. 
Students responded to mailed follow-up questionnaires after 1, 2, and 3 
years, including alcohol use disorders identification test (AUDIT; years 2 
and 3), short index of problems (SIP), and estimated blood alcohol 
concentration (eBAC). Results: All groups significantly reduced their AUDIT 
scores from baseline to the second year follow-up, with no significant 
differences between the groups. Seventy-seven percent of the students 
belonged to a population with high-risk consumption, using the AUDIT cut-off 
scores of 8 and 4 for men and women, respectively. Students with high-risk 
alcohol consumption showed significant differences in AUDIT score reduction 
in favor of the BSTP compared with controls, and had a tendency to show 
better results than the TSI intervention (p=0.06). Similar trends could be 
seen using SIP and eBAC. The TSI did not differ significantly from the 
control group within the group of students with high-risk alcohol 
consumption. Conclusions: This study suggests that a BSTP is effective as an 
intervention in students with high-risk alcohol consumption. Copyright © 
2007 by the Research Society on Alcoholism.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol consumption
  alcoholism
  drinking behavior
  residency education
EMTREE MEDICAL INDEX TERMS
  adult
  alcohol blood level
  article
  cluster analysis
  controlled study
  female
  follow up
  health survey
  high risk behavior
  human
  major clinical study
  male
  outcome assessment
  priority journal
  questionnaire
  statistical significance
  Sweden
  treatment outcome
  university hospital
  university student
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
  2007082956
MEDLINE PMID
  17295731 (http://www.ncbi.nlm.nih.gov/pubmed/17295731)
PUI
  L46239279
DOI
  10.1111/j.1530-0277.2006.00327.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1530-0277.2006.00327.x
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1338
TITLE
  Substance use, health, and mental health
AUTHOR NAMES
  Sobell M.B.
  Sobell L.C.
AUTHOR ADDRESSES
  (Sobell M.B., sobellm@nova.edu; Sobell L.C.) Center for Psychological 
Studies, Nova Southeastern University, 3301 College Ave., Fort Lauderdale, 
FL 33314, United States.
CORRESPONDENCE ADDRESS
  M.B. Sobell, Center for Psychological Studies, Nova Southeastern University, 
3301 College Ave., Fort Lauderdale, FL 33314, United States. Email: 
sobellm@nova.edu
SOURCE
  Clinical Psychology: Science and Practice (2007) 14:1 (1-5). Date of 
Publication: March 2007
ISSN
  0969-5893
  1468-2850 (electronic)
BOOK PUBLISHER
  Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
  The several articles and commentaries in this Special Issue of Clinical 
Psychology: Science and Practice draw needed attention to the high 
prevalence of comorbid psychiatric and substance use disorders and how these 
disorders are related to an increase in health problems. In this 
introduction, we suggest that doctoral programs could be enhanced by 
training psychologists about the effects that substance use and abuse have 
on health and mental health problems. © 2007 American Psychological 
Association.
EMTREE DRUG INDEX TERMS
  alcohol (drug interaction)
  antiretrovirus agent (drug interaction)
  anxiolytic agent (drug combination, drug interaction, drug therapy)
  barbituric acid derivative (drug combination, drug interaction, drug 
therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  mental disease (diagnosis, drug therapy)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  alcoholism (diagnosis)
  bipolar disorder (diagnosis)
  clinical practice
  comorbidity
  depression (diagnosis)
  Diagnostic and Statistical Manual of Mental Disorders
  disease association
  disease exacerbation
  disease severity
  disease surveillance
  drug potentiation
  editorial
  education program
  health hazard
  health program
  high risk patient
  human
  medical society
  mental health care
  professional competence
  psychologic assessment
  psychologist
  risk assessment
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
  2007116240
PUI
  L46351449
DOI
  10.1111/j.1468-2850.2007.00056.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1468-2850.2007.00056.x
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1339
TITLE
  About the American College of neuropsychopharmacology
AUTHOR NAMES
  Ray O.S.
AUTHOR ADDRESSES
  (Ray O.S., oray@acnp.org) American College of Neuropsychopharmacology, 
Nashville, TN, United States.
(Ray O.S., oray@acnp.org) 545 Mainstream Drive, Nashville, TN 37228, United 
States.
CORRESPONDENCE ADDRESS
  O. S. Ray, 545 Mainstream Drive, Nashville, TN 37228, United States. Email: 
oray@acnp.org
SOURCE
  Academic Psychiatry (2007) 31:2 (122-124). Date of Publication: March/April 
2007
ISSN
  1042-9670
BOOK PUBLISHER
  American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite 1825, 
Arlington, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  behavior disorder
  drug dependence
  medical education
  medical research
  mental deficiency
EMTREE MEDICAL INDEX TERMS
  clinical practice
  drug abuse
  drug industry
  financial management
  health care organization
  health care personnel
  health program
  medical information
  medical school
  medical society
  practice guideline
  short survey
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
  Health Policy, Economics and Management (36)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2008473227
MEDLINE PMID
  17344449 (http://www.ncbi.nlm.nih.gov/pubmed/17344449)
PUI
  L352479498
DOI
  10.1176/appi.ap.31.2.122
FULL TEXT LINK
  http://dx.doi.org/10.1176/appi.ap.31.2.122
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1340
TITLE
  William Stewart Halsted: his life and contributions to surgery
AUTHOR NAMES
  Osborne M.P.
AUTHOR ADDRESSES
  (Osborne M.P., mpo2002@med.cornell.edu) Breast Service, New York 
Presbyterian Hospital, New York, NY, United States.
CORRESPONDENCE ADDRESS
  M.P. Osborne, Breast Service, New York Presbyterian Hospital, New York, NY, 
United States. Email: mpo2002@med.cornell.edu
SOURCE
  Lancet Oncology (2007) 8:3 (256-265). Date of Publication: March 2007
ISSN
  1470-2045
BOOK PUBLISHER
  Lancet Publishing Group, 650 Avenue of the Americas, New York, United 
States.
ABSTRACT
  William Stewart Halsted was a pioneer of surgery in the USA and made many 
wide-ranging contributions, including the surgical treatment of breast 
cancer. He changed the training of surgeons from a disorganised 
apprenticeship to the residency training programmes used today. Halsted's 
research developed a better understanding of surgically amenable disease and 
a multitude of new techniques and operations. Over a 40-year career, 
beginning in New York and continuing at Johns Hopkins University Hospital in 
Baltimore, he endured a terrible struggle resulting from an accidental 
addiction, acquired in the course of his research. Despite this, his legacy 
to medicine and human health is one of the greatest left by any individual 
surgeon in history and remains an inspiration today. © 2007 Elsevier Ltd. 
All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical literature
EMTREE MEDICAL INDEX TERMS
  achievement
  breast cancer (surgery)
  cancer surgery
  career
  cocaine dependence
  human
  local anesthesia
  mastectomy
  medical education
  priority journal
  review
  spinal anesthesia
  surgeon
  surgical technique
EMBASE CLASSIFICATIONS
  Surgery (9)
  Cancer (16)
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2007099238
MEDLINE PMID
  17329196 (http://www.ncbi.nlm.nih.gov/pubmed/17329196)
PUI
  L46291715
DOI
  10.1016/S1470-2045(07)70076-1
FULL TEXT LINK
  http://dx.doi.org/10.1016/S1470-2045(07)70076-1
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1341
TITLE
  The influence of structured education and clinical experience on the 
attitudes of medical students towards substance misusers
AUTHOR NAMES
  Silins E.
  Conigrave K.M.
  Rakvin C.
  Dobbins T.
  Curry K.
AUTHOR ADDRESSES
  (Silins E., e.silins@unsw.edu.au; Conigrave K.M.; Dobbins T.) School of 
Public Health, University of Sydney, Sydney, NSW, Australia.
(Conigrave K.M.) Disciplines of Medicine and Psychological Medicine, 
University of Sydney, Sydney, NSW, Australia.
(Conigrave K.M.) Drug Health Services, Sydney South West Area Health 
Service, Sydney, NSW, Australia.
(Rakvin C.) Faculty of Medicine, University of Sydney, Sydney, NSW, 
Australia.
(Curry K.) Central Clinical School, University of Sydney, Sydney, NSW, 
Australia.
(Silins E., e.silins@unsw.edu.au) National Drug and Alcohol Research Centre, 
University of NSW, Kensington, NSW 2052, Australia.
CORRESPONDENCE ADDRESS
  E. Silins, National Drug and Alcohol Research Centre, University of NSW, 
Kensington, NSW 2052, Australia. Email: e.silins@unsw.edu.au
SOURCE
  Drug and Alcohol Review (2007) 26:2 (191-200). Date of Publication: March 
2007
ISSN
  0959-5236
  1465-3362 (electronic)
BOOK PUBLISHER
  Taylor and Francis Ltd.
ABSTRACT
  Negative attitudes to patients with substance misuse disorders form a 
well-recognised barrier to the implementation of best practice. The 
influence of structured education and clinical experience on the attitudes 
of medical students towards substance misusers was investigated at an 
Australian university. First-year students were surveyed before and after 3 
weeks of drug and alcohol education and in the same year, fourth-year 
students were surveyed before and after a 9-week block. Males, older 
students and those with prior clinical experience tended to have more 
negative attitudes. Attitudes improved significantly after exposure to 
interactive learning modules which included contact with patients with 
substance dependence, including individuals in remission. The level of 
dislike of problem drinkers significantly decreased after teaching. After 
fourth-year education, students reported a greater sense of responsibility 
towards providing intervention and less anticipation of discomfort working 
with these patients. In particular, confidence and attitudes towards heroin 
users improved near the end of training after contact with illicit drug 
users in the small group or individual interview setting. By the end of drug 
and alcohol education, less than half (42%) of students reported they could 
not imagine working with substance misusers as a career. Findings support 
the provision of structured drug and alcohol education and supported 
clinical experience for every medical student if appropriate evidence-based 
treatment is to be provided. © Australasian Professional Society on Alcohol 
and Other Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction
  clinical competence
  health personnel attitude
  human relation
  medical student
  patient education
EMTREE MEDICAL INDEX TERMS
  adult
  article
  female
  human
  male
  motivation
  organization and management
  questionnaire
  statistics
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  17364855 (http://www.ncbi.nlm.nih.gov/pubmed/17364855)
PUI
  L46308749
DOI
  10.1080/09595230601184661
FULL TEXT LINK
  http://dx.doi.org/10.1080/09595230601184661
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1342
TITLE
  If you build it, they will come: Statewide practitioner interest in 
contingency management for youths
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, Charleston, SC 29451, United States.
CORRESPONDENCE ADDRESS
  S.W. Henggeler, Family Services Research Center, Department of Psychiatry 
and Behavioral Sciences, Medical University of South Carolina, Charleston, 
SC 29451, United States. Email: henggesw@musc.edu
SOURCE
  Journal of Substance Abuse Treatment (2007) 32:2 (121-131). Date of 
Publication: March 2007
ISSN
  0740-5472
BOOK PUBLISHER
  Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
  Addressing the science-service gap, we examined in this study the 
amenability of a large heterogeneous sample of community-based therapists in 
the state mental health and substance abuse treatment sectors to learn about 
an evidence-based practice (EBP) for adolescent substance abuse (i.e., 
contingency management [CM]) when such learning was supported 
administratively and logistically. Leadership in most (44 of 50) public 
sector agencies supported practitioner recruitment, and 432 of 543 eligible 
practitioners subsequently attended a 1-day workshop in CM. Workshop 
attendance was predicted by organizational factors but not by practitioner 
demographic characteristics, professional background, attitudes toward EBPs, 
or service sector. Moreover, the primary reason for workshop attendance was 
to improve services for adolescent clients; the primary barriers to 
attendance, for those who did not attend, were practical in nature and not 
due to theoretical incompatibility. The findings demonstrate a considerable 
amount of interest practitioners showed in both the substance abuse and 
mental health sectors in learning about an EBP. © 2007 Elsevier Inc. All 
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  child health care
  community care
  drug dependence treatment
  mental health service
EMTREE MEDICAL INDEX TERMS
  adult
  article
  child behavior
  demography
  evidence based practice
  female
  human
  learning
  male
  medical profession
  organization and management
  physician
  priority journal
  statistical analysis
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
  2007083851
MEDLINE PMID
  17306721 (http://www.ncbi.nlm.nih.gov/pubmed/17306721)
PUI
  L46240717
DOI
  10.1016/j.jsat.2006.07.006
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.jsat.2006.07.006
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1343
TITLE
  Effects of practitioner education, practitioner payment and reimbursement of 
patients' drug costs on smoking cessation in primary care: A cluster 
randomised trial
AUTHOR NAMES
  Twardella D.
  Brenner H.
AUTHOR ADDRESSES
  (Twardella D.; Brenner H., h.brenner@dkfz-heidelberg.de) Division of 
Clinical Epidemiology and Aging Research, German Cancer Research Center, 
Bergheimer Str 20, D-69115 Heidelberg, Germany.
(Brenner H., h.brenner@dkfz-heidelberg.de) Department of Epidemiology, 
German Center for Research on Ageing, Heidelberg, Germany.
CORRESPONDENCE ADDRESS
  H. Brenner, Division of Clinical Epidemiology and Aging Research, German 
Cancer Research Center, Bergheimer Str 20, D-69115 Heidelberg, Germany. 
Email: h.brenner@dkfz-heidelberg.de
SOURCE
  Tobacco Control (2007) 16:1 (15-21). Date of Publication: February 2007
ISSN
  0964-4563
BOOK PUBLISHER
  BMJ Publishing Group
ABSTRACT
  Objective: To evaluate new strategies to enhance the promotion of smoking 
cessation in general practice. Design: Cluster randomised trial, 2×2 
factorial design. Setting: 82 medical practices in Germany, including 94 
general practitioners. Participants: 577 patients who smoked at least 10 
cigarettes per day (irrespective of their intention to stop smoking) and 
were aged 36-75 years. Interventions: Provision of a 2-h physician group 
training in smoking cessation methods and direct physician payments for 
every participant not smoking 12 months after recruitment (TI, 
training+incentive); provision of the same training and direct participant 
reimbursements for pharmacy costs associated with nicotine replacement 
therapy or bupropion treatment (TM, training+medication). Main outcome 
measure: Self-reported smoking abstinence obtained at 12 months follow-up 
and validated by serum cotinine. Results: In intention-to-treat analysis, 
smoking abstinence at 12 months follow-up was 3% (2/74), 3% (5/144), 12% 
(17/140) and 15% (32/219) in the usual care, and interventions TI, TM and 
TI+TM, respectively. Applying a mixed logistic regression model, no effect 
was identified for intervention TI (odds ratio (OR) 1.26, 95% confidence 
interval (CI) 0.65 to 2.43), but intervention TM strongly increased the odds 
of cessation (OR 4.77, 95% CI 2.03 to 11.22). Conclusion: Providing 
cost-free effective drugs to patients along with improved training 
opportunities for general practitioners could be an effective measure to 
achieve successful promotion of smoking cessation in general practice.
EMTREE DRUG INDEX TERMS
  cotinine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health care delivery
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  blood
  clinical trial
  cluster analysis
  controlled clinical trial
  controlled study
  economics
  education
  female
  general practice
  general practitioner
  Germany
  health care cost
  human
  male
  methodology
  middle aged
  multicenter study
  primary health care
  randomized controlled trial
  self disclosure
  statistical model
  statistics
CAS REGISTRY NUMBERS
  cotinine (486-56-6)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  17297068 (http://www.ncbi.nlm.nih.gov/pubmed/17297068)
PUI
  L46353702
DOI
  10.1136/tc.2006.016253
FULL TEXT LINK
  http://dx.doi.org/10.1136/tc.2006.016253
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1344
TITLE
  Experiences of patients requiring strong opioid drugs for chronic non-cancer 
pain: A patient-initiated study
AUTHOR NAMES
  Blake S.
  Ruel B.
  Seamark C.
  Seamark D.
AUTHOR ADDRESSES
  (Blake S.; Ruel B.; Seamark C.; Seamark D., cjseamark@doctors.org.uk) The 
Honiton Group Practice, The Surgery, Marlpits Lane, Honiton EX14 2NY, United 
Kingdom.
CORRESPONDENCE ADDRESS
  D. Seamark, The Honiton Group Practice, The Surgery, Marlpits Lane, Honiton 
EX14 2NY, United Kingdom. Email: cjseamark@doctors.org.uk
SOURCE
  British Journal of General Practice (2007) 57:535 (101-109). Date of 
Publication: February 2007
ISSN
  0960-1643
BOOK PUBLISHER
  Royal College of General Practitioners, 14 Princes Gate, London, United 
Kingdom.
ABSTRACT
  Background: Chronic non-cancer pain is an increasing problem in health care. 
This study was initiated by a patient wanting to discover more about the 
experiences of other patients requiring strong opioid analgesia for such 
pain. Aim: To determine the attitudes and experiences of patients receiving 
long-term strong opioid medication for chronic non-cancer pain in primary 
care. Design of study: Qualitative study using interpretative 
phenomenological analysis. Setting: A semi-rural general practice in 
southwest England. Method: The study data came from a focus group and 10 
individual patient interviews. A patient researcher was involved in the 
design, conduct, and analysis of the project. Results: The impact of pain 
affected participants in every aspect of their daily lives. Attitudes to 
strong opioid medication were both positive and negative. Concerns about 
starting medication usually centred on fears of addiction, being seen as an 
addict, or that the patients may have a more serious condition than they had 
previously thought. However, these fears were tempered by an appreciation of 
the benefits that strong opioids brought in terms of pain relief and 
consequent gains in a nearer-to-normal existence. The data did not produce 
any evidence of addictive behaviour or of tolerance despite these initial 
fears. Patients adopted a trade off approach, balancing pain relief with 
medication side effects, accepting more pain for a reduction in sedation and 
nausea. All patients described coping strategies they developed themselves 
and learned from outside influences, such as pain clinic courses and support 
from the GP. There was realism that total pain relief was not possible, but 
that a balance could be struck. Conclusion: Chronic non-cancer pain is 
accociated with high levels of distress and psychosocial impairment. 
Patients in this study appreciated the benefits of strong opioid medication, 
having come to terms with fears of addiction and learned coping strategies. 
These findings should encourage GPs to consider strong opioid medication for 
patients with severe chronic pain in line with published evidence-based 
guidelines. © British Journal of General Practice 2007.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  narcotic analgesic agent (adverse drug reaction, drug therapy)
EMTREE DRUG INDEX TERMS
  anticonvulsive agent (drug combination, drug therapy)
  antiemetic agent (drug combination, drug therapy)
  buprenorphine (drug combination, drug therapy, sublingual drug 
administration)
  durogesic dtrans
  fentanyl (drug combination, drug therapy, transdermal drug administration)
  laxative (drug therapy)
  morphine (adverse drug reaction, drug combination, drug therapy)
  morphine sulfate (drug therapy)
  morphine sulfate
  nonsteroid antiinflammatory agent (drug combination, drug therapy)
  serotonin uptake inhibitor (drug combination, drug therapy)
  tricyclic antidepressant agent (drug combination, drug therapy)
  unclassified drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  chronic pain (drug therapy)
  patient attitude
EMTREE MEDICAL INDEX TERMS
  adjuvant therapy
  adult
  aged
  article
  backache (drug therapy)
  clinical article
  cold sensation
  complex regional pain syndrome (drug therapy)
  constipation (drug therapy, side effect)
  controlled study
  coping behavior
  disease severity
  distress syndrome
  female
  general practitioner
  heat sensation
  hot flush (side effect)
  human
  information processing
  interview
  long term care
  male
  mental disease (side effect)
  multiple sclerosis (drug therapy)
  nausea (side effect)
  opiate addiction
  personal experience
  primary medical care
  qualitative research
  sedation
  side effect (side effect)
  sweating
  United Kingdom
  vertebral canal stenosis (drug therapy)
DRUG TRADE NAMES
  durogesic dtrans  Janssen Cilag

  mst continus  Napp

  sevredol  Napp

  temgesic  Schering Plough

  zomorph  Link

DRUG MANUFACTURERS
  Janssen Cilag
  Link
  Napp
  Schering Plough
CAS REGISTRY NUMBERS
  buprenorphine (52485-79-7, 53152-21-9)
  fentanyl (437-38-7)
  morphine (52-26-6, 57-27-2)
  morphine sulfate (23095-84-3, 35764-55-7, 64-31-3)
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
  2007084699
MEDLINE PMID
  17263926 (http://www.ncbi.nlm.nih.gov/pubmed/17263926)
PUI
  L46242534
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1345
TITLE
  Lights, camera, action: Using film to teach the ACGME competencies
AUTHOR NAMES
  Alexander M.
  Pavlov A.
  Lenahan P.
AUTHOR ADDRESSES
  (Alexander M., matthew.alexander@carolinashealthcare.org) Department of 
Family Medicine, Carolinas Medical Center, Charlotte, NC, United States.
(Pavlov A.) Family Medicine Residency Program, Pomona Valley Hospital 
Medical Center, Pomona, CA, United States.
(Lenahan P.) Behavioral Science, University of California, Irvine, CA, 
United States.
(Alexander M., matthew.alexander@carolinashealthcare.org) Carolinas Medical 
Center, Eastland Family Practice Center, 5516 Central Avenue, Charlotte, NC 
28212, United States.
CORRESPONDENCE ADDRESS
  M. Alexander, Carolinas Medical Center, Eastland Family Practice Center, 
5516 Central Avenue, Charlotte, NC 28212, United States. Email: 
matthew.alexander@carolinashealthcare.org
SOURCE
  Family Medicine (2007) 39:1 (20-23). Date of Publication: 2007
ISSN
  0742-3225
BOOK PUBLISHER
  Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism
  attention deficit disorder
  depression
  family violence
  medical education
  medical practice
EMTREE MEDICAL INDEX TERMS
  chronic disease
  communication skill
  curriculum
  Diagnostic and Statistical Manual of Mental Disorders
  health care
  health care personnel
  health care system
  homosexuality
  human
  hyperkinesia
  learning
  medical assessment
  medical literature
  mental disease
  mortality
  patient care
  review
  screening test
  social environment
  social psychology
  spiritual care
EMBASE CLASSIFICATIONS
  General Pathology and Pathological Anatomy (5)
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2007015586
MEDLINE PMID
  17186442 (http://www.ncbi.nlm.nih.gov/pubmed/17186442)
PUI
  L46045502
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1346
TITLE
  Addressing nicotine dependence in psychodynamic psychotherapy: Perspectives 
from residency training
AUTHOR NAMES
  Prochaska J.J.
  Fromont S.C.
  Banys P.
  Eisendrath S.J.
  Horowitz M.J.
  Jacobs M.H.
  Hall S.M.
AUTHOR ADDRESSES
  (Prochaska J.J., JProchaska@lppi.ucsf.edu; Fromont S.C.; Banys P.; 
Eisendrath S.J.; Horowitz M.J.; Jacobs M.H.; Hall S.M.) Department of 
Psychiatry, University of California, San Francisco, CA, United States.
(Fromont S.C.) Alta Bates Summit Medical Center, Berkeley, CA, United 
States.
(Banys P.) San Francisco Veterans Administration Medical Center, CA, United 
States.
(Prochaska J.J., JProchaska@lppi.ucsf.edu) TRC 0984, 401 Parnassus Avenue, 
San Francisco, CA 94143-0984, United States.
CORRESPONDENCE ADDRESS
  J. J. Prochaska, TRC 0984, 401 Parnassus Avenue, San Francisco, CA 
94143-0984, United States. Email: JProchaska@lppi.ucsf.edu
SOURCE
  Academic Psychiatry (2007) 31:1 (8-14). Date of Publication: 
January/February 2007
ISSN
  1042-9670
BOOK PUBLISHER
  American Psychiatric Publishing Inc., 1000 Wilson Blvd, Suite 1825, 
Arlington, United States.
ABSTRACT
  Objective: According to APA treatment recommendations, psychiatrists should 
assess and intervene in tobacco use with all of their patients who smoke. 
The ease with which this occurs may vary by treatment model. This study 
examined perspectives in residency training to identify a framework for 
addressing nicotine dependence within psychodynamic psychotherapy. Method: 
The authors collected data from a focus group of psychiatry residents and 
interviews with psychiatry residency faculty with expertise in psychodynamic 
psychotherapy. The transcribed interviews were analyzed for key themes and 
synthesized. Results: Though the residents reported hesitancy to address 
patients' tobacco use, specifically in psychodynamic psychotherapy, the 
consensus from the expert faculty consultants was that tobacco interventions 
can and should be incorporated. The faculty provided suggestions, consistent 
with a psychodynamic formulation, for assessing patients' tobacco use and 
their interest in quitting, providing cessation treatment and/or referrals, 
and following up with patients to address relapse. Conclusions: The findings 
provide a useful framework, consistent with a psychodynamic model, for 
assessing and treating tobacco use with patients. Additional training and 
supervision likely are needed to increase residents' confidence and comfort 
with implementing these strategies. Copyright © 2007 Academic Psychiatry.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  psychodynamics
  psychotherapy
  residency education
  tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
  article
  clinical practice
  female
  follow up
  human
  information processing
  interview
  male
  patient attitude
  resident
  smoking cessation
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
  2008472923
MEDLINE PMID
  17242046 (http://www.ncbi.nlm.nih.gov/pubmed/17242046)
PUI
  L352478911
DOI
  10.1176/appi.ap.31.1.8
FULL TEXT LINK
  http://dx.doi.org/10.1176/appi.ap.31.1.8
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1347
TITLE
  Tobacco training and educating primary care professionals in Bahrain
AUTHOR NAMES
  Fadhil I.
  Al Musawi M.
AUTHOR ADDRESSES
  (Fadhil I.) Public Health Directorate, Ministry of Health, Arabian Gulf 
University, Bahrain.
(Al Musawi M.) Diseases Control Section, Public Health Directorate, Ministry 
of Health, Bahrain.
CORRESPONDENCE ADDRESS
  I. Fadhil, Public Health Directorate, Ministry of Health, Arabian Gulf 
University, Bahrain.
SOURCE
  Journal of the Bahrain Medical Society (2007) 19:1 (23-27). Date of 
Publication: January 2007
ISSN
  1015-6321
BOOK PUBLISHER
  Bahrain Medical Society, P.O. Box 26136, Manama, Bahrain.
ABSTRACT
  Tobacco use has been well identified as the primary preventable cause of 
premature deaths and disability, yet results from previous surveys shows 
that educational curriculum of health professionals don't address this topic 
adequately. Objectives: to assess primary care professionals knowledge, 
perception and attitude related to selected tobacco use and effect items. 
Method : responses to self administered questionnaire by primary care 
professionals. Results: Hundred fifty primary care professionals 
participated in the study, 24.7% of them are current smokers and 10% 
ex-smokers. Inadequacy in tobacco education curriculum was noted . In 
particular for nature of tobacco use addiction and management of tobacco 
dependence . Only 12% of local graduate and 16% of overseas graduate 
professionals had received formal training on smoking cessation 
interventions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  continuing education
  health care personnel
  professional knowledge
  smoking
  tobacco dependence
EMTREE MEDICAL INDEX TERMS
  adult
  article
  attitude to health
  controlled study
  female
  general practitioner
  health education
  human
  human experiment
  lifestyle
  male
  normal human
  nurse
  physician
  physician attitude
  questionnaire
  smoking cessation
  social worker
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
EMBASE ACCESSION NUMBER
  2008238923
PUI
  L351682628
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1348
TITLE
  Medical students' attitudes toward pregnant women with substance use 
disorders
AUTHOR NAMES
  Ramirez-Cacho W.A.
  Strickland L.
  Beraun C.
  Meng C.
  Rayburn W.F.
AUTHOR ADDRESSES
  (Ramirez-Cacho W.A., wrayburn@salud.unm.edu; Strickland L.; Beraun C.; Meng 
C.; Rayburn W.F.) Department of Obstetrics and Gynecology, School of 
Medicine, University of New Mexico, Albuquerque, NM, United States.
CORRESPONDENCE ADDRESS
  W.A. Ramirez-Cacho, Department of Obstetrics and Gynecology, School of 
Medicine, University of New Mexico, Albuquerque, NM, United States. Email: 
wrayburn@salud.unm.edu
SOURCE
  American Journal of Obstetrics and Gynecology (2007) 196:1 (86.e1-86.e5). 
Date of Publication: January 2007
ISSN
  0002-9378
BOOK PUBLISHER
  Mosby Inc., 11830 Westline Industrial Drive, St. Louis, United States.
ABSTRACT
  Objective: The objective of this study was to determine whether medical 
students' attendance at a clinic designed for pregnant substance users would 
yield changes in their attitudes toward the special needs of this 
population. Study design: This prospective study involved 104 consecutive 
third-year students rotating on our obstetrics-gynecology clerkship. 
Students were assigned to attend either a half day prenatal clinic designed 
specifically for women with substance use disorders during the first 4 weeks 
(study group) or during the second 4 weeks (control group). Each answered a 
confidential 24-question survey (using a 5-point scale from "strongly agree" 
to "strongly disagree"), dealing with comfort levels and attitudes, at the 
beginning and midway points of the 8-week clerkship. Student t tests were 
used for comparisons of averaged scores. Results: At the beginning of the 
clerkship, no differences were found between the study (n = 52) and control 
groups (n = 52) in their responses to the survey. Regardless of gender, 
students who attended the clinic reported they became more comfortable in 
talking with patients about their substance use (P < .001) and more 
nonjudgmental in treating these patients (P < .02). Compared with before the 
clerkship, the control group became less comfortable in talking with these 
patients about their habits (P < .01), less aware about the prevalence of 
substance abuse during pregnancy (P < .02), and less aware about the 
efficacy of counselors (P < .05). Conclusion: Medical students became more 
comfortable and better informed about pregnant women with substance use 
disorders after attending a clinic dedicated toward this population's 
special needs. © 2007 Mosby, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  pregnancy
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  clinical education
  controlled study
  female
  human
  human experiment
  male
  medical student
  normal human
  prevalence
  priority journal
  prospective study
  student attitude
  Student t test
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
  2007037409
MEDLINE PMID
  17240247 (http://www.ncbi.nlm.nih.gov/pubmed/17240247)
PUI
  L46107362
DOI
  10.1016/j.ajog.2006.06.092
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.ajog.2006.06.092
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1349
TITLE
  Dual diagnosis in Spain
AUTHOR NAMES
  Gual A.
AUTHOR ADDRESSES
  (Gual A., tgual@clinic.ub.es) Alcohol Unit, Neurosciences Institute, 
Hospital Clinic, Barcelona, Spain.
(Gual A., tgual@clinic.ub.es) Alcohol Unit, Neurosciences Institute, 
Hospital Clinic, Villarroel 170, 08036 Barcelona, Spain.
CORRESPONDENCE ADDRESS
  A. Gual, Alcohol Unit, Neurosciences Institute, Hospital Clinic, Villarroel 
170, 08036 Barcelona, Spain. Email: tgual@clinic.ub.es
SOURCE
  Drug and Alcohol Review (2007) 26:1 (65-71). Date of Publication: January 
2007
ISSN
  0959-5236
  1465-3362 (electronic)
BOOK PUBLISHER
  Taylor and Francis Ltd.
ABSTRACT
  Our aim is to describe the current situation regarding the diagnosis and 
treatment of addiction in a variety of settings in Spain. Four-hundred and 
twenty-seven physicians known to treat addicted patients in non-private 
settings were recruited and agreed to participate. Each physician provided 
clinical and anonymous information on the first 6 consecutive patients who 
attended on a scheduled day. A total of 2361 patients were interviewed 
(92.1%) and data were obtained concerning gender, age, work, educational 
level, civil status, addiction diagnosis, type of treatment and psychiatric 
comorbidity. Seven-hundred and ninety-eight out of 2361 addicts (33.8%) 
presented with a dual diagnosis. Depression was the most prevalent disorder 
(21.6%), followed by anxiety disorders (11.7%). Comorbidity was found to be 
related to age, female gender, divorce and widowhood, and higher educational 
levels. Alcoholics who abused other drugs showed the highest rates of 
comorbidity (48.5%), while opiate addicts were at the lower end of the 
spectrum (27.4%). No differences were found related to the treatment 
setting, the doctor's medical specialty, or the geographical area. Finally, 
doctors tended to perceive that dual diagnosis was related to a worse 
psychiatric prognosis but not to higher relapse rates. Antidepressants were 
the most commonly prescribed drugs (62.4% of co-morbid patients) and 
anticraving agents were prescribed equally to comorbid and non-comorbid 
patients. Within the limitations of a descriptive study, our data show that 
comorbidity is a common clinical problem in patients who access addiction 
treatment. Affective and anxiety disorders are the most common comorbid 
diseases, and comorbidity rates seem to be unrelated to regional 
differences, medical settings or doctor's professional background. Dual 
diagnosis patients thus account for one third of the clinical workload of 
addiction specialists in Spain. © Australasian Professional Society on 
Alcohol and Other Drugs.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (diagnosis, epidemiology, rehabilitation)
  alcoholism (diagnosis, epidemiology, rehabilitation)
  mental disease (diagnosis, epidemiology, rehabilitation)
EMTREE MEDICAL INDEX TERMS
  adult
  anxiety disorder (diagnosis, epidemiology, rehabilitation)
  comorbidity
  cross-sectional study
  depression (diagnosis, epidemiology, rehabilitation)
  female
  human
  male
  middle aged
  patient referral
  prognosis
  psychiatric diagnosis
  recurrent disease
  review
  risk factor
  socioeconomics
  Spain
  statistics
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  17364838 (http://www.ncbi.nlm.nih.gov/pubmed/17364838)
PUI
  L46300554
DOI
  10.1080/09595230601037000
FULL TEXT LINK
  http://dx.doi.org/10.1080/09595230601037000
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1350
TITLE
  Academic health center management of chronic diseases through knowledge 
networks: Project ECHO
AUTHOR NAMES
  Arora S.
  Geppert C.M.A.
  Kalishman S.
  Dion D.
  Pullara F.
  Bjeletich B.
  Simpson G.
  Alverson D.C.
  Moore L.B.
  Kuhl D.
  Scaletti J.V.
AUTHOR ADDRESSES
  (Arora S., SArora@salud.unm.edu) Department of Medicine, University of New 
Mexico, School of Medicine, Albuquerque, NM, United States.
(Geppert C.M.A.) Psychiatry and Ethics, New Mexico Veterans Affairs Health 
Care System, United States.
(Geppert C.M.A.) Department of Psychiatry, University of New Mexico, School 
of Medicine, Albuquerque, NM, United States.
(Kalishman S.; Dion D.) Office of Program Evaluation, Education and 
Research, University of New Mexico, School of Medicine, Albuquerque, NM, 
United States.
(Pullara F.) New Mexico Corrections Department, Santa Fe, NM, United States.
(Bjeletich B.) Health Centers of Northern New Mexico, Espanola, NM, United 
States.
(Simpson G.) Infectious Diseases, New Mexico Department of Health, Santa Fe, 
NM, United States.
(Alverson D.C.) Department of Pediatrics and Regents', Center for Telehealth 
and Cybermedicine Research, University of New Mexico Health Sciences Center, 
Albuquerque, NM, United States.
(Moore L.B.; Kuhl D.) Indian Health Service, Santa Fe, NM, United States.
(Scaletti J.V.) University of New Mexico Health Sciences Center, 
Albuquerque, NM, United States.
(Arora S., SArora@salud.unm.edu) MSC10 5550, Ambulatory Care Center, 1 
University of New Mexico, Albuquerque, NM 87131-0001, United States.
CORRESPONDENCE ADDRESS
  S. Arora, MSC10 5550, Ambulatory Care Center, 1 University of New Mexico, 
Albuquerque, NM 87131-0001, United States. Email: SArora@salud.unm.edu
SOURCE
  Academic Medicine (2007) 82:2 (154-160). Date of Publication: February 2007
ISSN
  1040-2446
BOOK PUBLISHER
  Lippincott Williams and Wilkins, kathiest.clai@apta.org
ABSTRACT
  The authors describe an innovative academic health center (AHC)-led program 
of health care delivery and clinical education for the management of 
complex, common, and chronic diseases in underserved areas, using hepatitis 
C virus (HCV) as a model. The program, based at the University of New Mexico 
School of Medicine, represents a paradigm shift in thinking and funding for 
the threefold mission of AHCs, moving from traditional fee-for-service 
models to public health funding of knowledge networks. This program, Project 
Extension for Community Health care Outcomes (ECHO), involves a partnership 
of academic medicine, public health offices, corrections departments, and 
rural community clinics dedicated to providing best practices and 
protocol-driven health care in rural areas. Telemedicine and Internet 
connections enable specialists in the program to comanage patients with 
complex diseases, using case-based knowledge networks and learning loops. 
Project ECHO partners (nurse practitioners, primary care physicians, 
physician assistants, and pharmacists) present HCV-positive patients during 
weekly two-hour telemedicine clinics using a standardized, case-based format 
that includes discussion of history, physical examination, test results, 
treatment complications, and psychiatric, medical, and substance abuse 
issues. In these case-based learning clinics, partners rapidly gain deep 
domain expertise in HCV as they collaborate with university specialists in 
hepatology, infectious disease, psychiatry, and substance abuse in 
comanaging their patients. Systematic monitoring of treatment outcomes is an 
integral aspect of the project. The authors believe this methodology will be 
generalizable to other complex and chronic conditions in a wide variety of 
underserved areas to improve disease outcomes, and it offers an opportunity 
for AHCs to enhance and expand their traditional mission of teaching, 
patient care, and research. © 2007 Association of American Medical Colleges.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  chronic disease (disease management)
  health care management
  health center
  network learning
EMTREE MEDICAL INDEX TERMS
  article
  clinical education
  education program
  funding
  health care delivery
  hepatitis C
  Internet
  medical research
  medical specialist
  nurse practitioner
  patient care
  pharmacist
  physical examination
  physician
  physician assistant
  priority journal
  psychiatry
  public health
  public health service
  rural health care
  substance abuse
  teaching
  telemedicine
  treatment outcome
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
  2007067161
MEDLINE PMID
  17264693 (http://www.ncbi.nlm.nih.gov/pubmed/17264693)
PUI
  L46192998
DOI
  10.1097/ACM.0b013e31802d8f68
FULL TEXT LINK
  http://dx.doi.org/10.1097/ACM.0b013e31802d8f68
COPYRIGHT
  Copyright 2017 Elsevier B.V., All rights reserved.

RECORD 1351
TITLE
  Consequence of body packing of illicit drugs
AUTHOR NAMES
  Hassanian-Moghaddam H.
  Abolmasoumi Z.
AUTHOR ADDRESSES
  (Hassanian-Moghaddam H., hassanian@sbmu.ac.ir) Department of Clinical 
Toxicology and Forensic Medicine, Shaheed Beheshti University of Medical 
Sciences, Tehran, Iran.
(Abolmasoumi Z.) Forensic Medicine Organization of Iran, Tehran, Iran.
CORRESPONDENCE ADDRESS
  H. Hassanian-Moghaddam, Loghman Poison Center, Department of Clinical 
Toxicology and Forensic Medicine, Shaheed Beheshti University of Medical 
Sciences, Tehran, Iran. Email: hassanian@sbmu.ac.ir
SOURCE
  Archives of Iranian Medicine (2007) 10:1 (20-23). Date of Publication: 
January 2007
ISSN
  1029-2977
BOOK PUBLISHER
  Academy of Medical Sciences of I.R. Iran, P.O. Box 19395.4655, Pasdaran. 
Av., Tehran, Iran.
ABSTRACT
  Background: During the last decade, increased rates of drug traffic have led 
the smugglers to use various methods. One of these methods of illicit drug 
smuggling is body packing. Smuggling by intra-abdominal concealment is 
called "body packing". In this research, mortality rate was investigated due 
to body packing in Tehran. Methods: A descriptive study (case series) was 
designed on all corpses referred to the Forensic Medicine Organization of 
Tehran between April 1999 - December 2000. Demographic data such as sex, 
age, marital status, addiction, job, education level, type of opioid and the 
weight, number of packets, and results of blood and urine morphine tests by 
thin-layer chromatographic method were investigated. Results: Continental 
system of law is used in Iran and 0.06% of the referred corpses to Forensic 
Medicine Organization of Tehran were body packers. There were 12 cases, all 
of them were men. The mean age of body packers was 43 years (range 20-62). 
The minimum weight of the packets was 20 g and the maximum weight was 1400 g 
(mean = 501 g). The minimum number of the packets was one and the maximum 
number of the packets was 48. Twenty five percent of the corps were 
putrefied and one corpse was mummified. None of the body packers had 
academic education nor were employed. Nine of them lived in cities. Twenty 
five percent of them were intravenous addicts. The corpses were found mostly 
in terminals (17%), roads (58%), and cities (25%). Conclusion: Hospital 
physicians may neglect this type of gastrointestinal foreign body if they 
are not aware of the body packer syndrome. Body packing should be suspected 
in anyone with signs of drug-induced toxic effects aftera recent arrival on 
city terminals or when there is no history of recreational drug use.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  illicit drug (drug concentration)
EMTREE DRUG INDEX TERMS
  morphine (drug concentration)
  opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  drug traffic
EMTREE MEDICAL INDEX TERMS
  adult
  age
  article
  autopsy
  awareness
  clinical article
  demography
  drug blood level
  drug dependence
  drug urine level
  educational status
  employment
  foreign body
  forensic medicine
  gastrointestinal tract
  human
  intravenous drug abuse
  Iran
  law
  male
  marriage
  mortality
  packaging
  preservation
  thin layer chromatography
  unemployment
CAS REGISTRY NUMBERS
  morphine (52-26-6, 57-27-2)
  opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
  Drug Literature Index (37)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
  Gastroenterology (48)
  Forensic Science Abstracts (49)
  Toxicology (52)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2007065782
MEDLINE PMID
  17198448 (http://www.ncbi.nlm.nih.gov/pubmed/17198448)
PUI
  L46188959
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1352
TITLE
  Overcoming policy and financing barriers to integrated buprenorphine and HIV 
primary care
AUTHOR NAMES
  Schackman B.R.
  Merrill J.O.
  McCarty D.
  Levi J.
  Lubinski C.
AUTHOR ADDRESSES
  (Schackman B.R., brs2006@med.cornell.edu) Department of Public Health, Weill 
Medical College of Cornell University, New York, NY, United States.
(Merrill J.O.) Department of Medicine and the Alcohol and Drug Abuse 
Institute, University of Washington, Seattle, WA, United States.
(McCarty D.) Department of Public Health and Preventive Medicine, Oregon 
Health and Science University, Portland, OR, United States.
(Levi J.) Department of Health Policy, George Washington University, 
Washington, DC, United States.
(Lubinski C.) HIV Medicine Association, Alexandria, VA, United States.
(Schackman B.R., brs2006@med.cornell.edu) Div. of Outcomes and Effectiveness 
Research, Dept. of Public Health, Weill Medical College of Cornell 
University, 411 E. 69th St., New York, NY 10021, United States.
CORRESPONDENCE ADDRESS
  B.R. Schackman, Div. of Outcomes and Effectiveness Research, Dept. of Public 
Health, Weill Medical College of Cornell University, 411 E. 69th St., New 
York, NY 10021, United States. Email: brs2006@med.cornell.edu
SOURCE
  Clinical Infectious Diseases (2006) 43:SUPPL. 4 (S247-S253). Date of 
Publication: 15 Dec 2006
ISSN
  1058-4838
BOOK PUBLISHER
  University of Chicago Press, 1427 E. 60th Street, Chicago, United States.
ABSTRACT
  Treatment for substance abuse and human immunodeficiency virus (HIV) 
infection historically have come from different providers, often in separate 
locations, and have been reimbursed through separate funding streams. We 
describe policy and financing challenges faced by health care providers 
seeking to integrate buprenorphine, a new treatment for opioid dependence, 
into HIV primary care. Regulatory challenges include licensing and training 
restrictions imposed by the Drug Addiction Treatment Act of 2000 and 
confidentiality regulations for alcohol and drug treatment records. 
Potential responses include the development of local training programs and 
electronic medical records. Addressing the complexity of funding sources for 
integrated care will require administrative support, up-front investments, 
and federal and state leadership. A policy and financing research agenda 
should address evidence gaps in the rationales for regulatory restrictions 
and should include cost-effectiveness studies that quantify the "value for 
money" of investments in integrated care to improve health outcomes for 
HIV-infected patients with opioid dependence. © 2006 by the Infectious 
Diseases Society of America. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  anti human immunodeficiency virus agent (drug therapy, pharmacoeconomics)
  buprenorphine (drug therapy, pharmacoeconomics)
  methadone (drug therapy, pharmacoeconomics)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health care policy
  Human immunodeficiency virus infection (disease management, drug therapy, 
epidemiology)
  integrated health care system
  opiate addiction (disease management, drug therapy, epidemiology)
EMTREE MEDICAL INDEX TERMS
  confidentiality
  cost effectiveness analysis
  electronic medical record
  financial management
  human
  investment
  leadership
  licensing
  medicaid
  medicare
  outcomes research
  priority journal
  reimbursement
  review
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
  Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
  Immunology, Serology and Transplantation (26)
  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
  2006608223
MEDLINE PMID
  17109311 (http://www.ncbi.nlm.nih.gov/pubmed/17109311)
PUI
  L44901892
DOI
  10.1086/508190
FULL TEXT LINK
  http://dx.doi.org/10.1086/508190
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1353
TITLE
  Interdisciplinary benefits in Project MAINSTREAM: A promising health 
professions educational model to address global substance abuse
AUTHOR NAMES
  Madden T.E.
  Graham A.V.
  Lala S.
  Straussner A.
  Saunders L.A.
  Schoener E.
  Henry R.
  Marcus M.T.
  Brown R.L.
AUTHOR ADDRESSES
  (Madden T.E.) School of Dentistry, Oregon Health and Science University, 
Portland, OR, United States.
(Madden T.E.) University of Otago, Otago, New Zealand.
(Graham A.V.) Department of Family Medicine, Psychiatry and 
Epidemiology/Biostatistics, Case Western Reserve University School of 
Medicine, Cleveland, OH, United States.
(Lala S.; Straussner A.) Post-Master Certificate Program in the Clinical 
Approaches to Addictions, New York University School of Social Work, New 
York, NY, United States.
(Saunders L.A.; Brown R.L.) Department of Family Medicine, University of 
Wisconsin-Madison, Madison, WI, United States.
(Schoener E.) Department of Pharmacology, Psychiatry and Community Medicine, 
Wayne State University, Detroit, MI, United States.
(Henry R.) College of Human Medicine, Michigan State University, East 
Lansing, MI, United States.
(Marcus M.T.) Center for Substance Abuse Education, Prevention, and 
Research, School of Nursing, University of Texas Health Science Center, 
Houston, TX, United States.
CORRESPONDENCE ADDRESS
  T.E. Madden, School of Dentistry, Oregon Health and Science University, 
Portland, OR, United States.
SOURCE
  Journal of Interprofessional Care (2006) 20:6 (655-664). Date of 
Publication: December 2006
  Insights into Interprofessional Education, Book Series Title:
ISSN
  1356-1820
  1469-9567 (electronic)
BOOK PUBLISHER
  Informa Healthcare, 69-77 Paul Street, London, United Kingdom.
ABSTRACT
  Our purpose was to evaluate the interdisciplinary aspects of Project 
MAINSTREAM, a faculty development program that trained 39 competitively 
selected health professional tutors in substance abuse education. Mid-career 
faculty fellows (tutors) from 14 different health professions across the US 
dedicated 20% of their academic time for two years to Project MAINSTREAM. 
Teams of three fellows carried out curricular enhancement and 
service-learning field project requirements in mentored Interdisciplinary 
Faculty Learning Groups (IFLGs). Formative and summative evaluations were 
conducted via written questionnaires and confidential telephone interviews. 
The importance of interdisciplinary education was rated positively (mean of 
3.57 on 1-5 scale). Using 18 parameters, fellows preferred interdisciplinary 
over single disciplinary teaching (means ranged from 3.40-4.86), and 
reported high levels of benefit from their interdisciplinary collaborations 
(means ranged from 3.53-4.56). Fellows reported that interdisciplinary 
educational collaborations were feasible (3.31) at their home institutions. 
The majority (63%) said that their trainees, colleagues, supervisors and 
institutions valued interdisciplinary training either "highly" or 
"somewhat", but 22% did not value it. The fellows identified scheduling 
conflicts (3.46), and lack of faculty rewards (3.46) such as pay or credit 
toward promotion, as two barriers that they encountered.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  interdisciplinary education
  medical education
  professional practice
  substance abuse
EMTREE MEDICAL INDEX TERMS
  alcoholism
  article
  career
  cigarette smoking
  competition
  confidentiality
  curriculum
  drug abuse
  drug dependence
  education program
  feasibility study
  interview
  questionnaire
  rating scale
  teaching
  telephone
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
  2007110122
MEDLINE PMID
  17095443 (http://www.ncbi.nlm.nih.gov/pubmed/17095443)
PUI
  L46332025
DOI
  10.1080/13561820600893890
FULL TEXT LINK
  http://dx.doi.org/10.1080/13561820600893890
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1354
TITLE
  The phenomenon of spreading smoking cigarettes among the first year course 
students in the Medical Academy
ORIGINAL (NON-ENGLISH) TITLE
  Rozpowszechnienie palenia papierosów wśród studentów I roku Akademii 
Medycznej.
AUTHOR NAMES
  Bielawska A.
  Kmieciak M.
  Jedrasiak L.
  Walkowiak I.
  Baczyk G.
AUTHOR ADDRESSES
  (Bielawska A.; Kmieciak M.; Jedrasiak L.; Walkowiak I.; Baczyk G.) Pracownia 
Praktyki Pielegniarskiej, Katedra Pielegniarstwa, Akademia Medyczna w 
Poznaniu.
CORRESPONDENCE ADDRESS
  A. Bielawska, Pracownia Praktyki Pielegniarskiej, Katedra Pielegniarstwa, 
Akademia Medyczna w Poznaniu.
SOURCE
  Przegla̧d lekarski (2006) 63:10 (1031-1037). Date of Publication: 2006
ISSN
  0033-2240
ABSTRACT
  The World Health Organization declared the addiction of tobacco smoking as a 
separate disease unit requiring adequate recognition and treatment. In the 
International Classification of Diseases, it has been registered with F17 as 
mental and behavioral disorders caused by tobacco smoking. As some research 
shows, an estimated 4 million people die every year (about 11 thousand a 
day), because of smoking-related illnesses and the number has been expected 
to rise until 10 million in 2030. The health service workers such as nurses 
and midwives play a huge part in establishing pro-health attitudes. They are 
expected to participate in campaigns promoting a tobacco-free lifestyle. It 
is important that the persons mentioned were non-smokers, otherwise the 
information regarding the negative effects will be unconvincing. The main 
goal of the study was to estimate the phenomenon of spreading smoking 
cigarettes among the first year course students in the Medical Academy, and 
accomplishing their knowledge and awareness about threats resulting from 
tobacco smoking. All information was collected from the poll questionnaire, 
which was filled in by each person independently. The group (n = 100) 
consisted of 50 interviewed females (n = 50) and 50 interviewed males (n = 
50) at the age between 18 and 20. The poll questions were carried among the 
first year course students in the Medical Academy, in May and June 2006. 
They were guaranteed anonymity. The results subdued to statistic analysis 
showed no statistic dependence between the gender of the interviewed and 
tobacco smoking. The basic study questions referred to the number of young 
people who have already experienced smoking, and to the intensity degree of 
the experience. The study aimed also in identifying factors influencing the 
popularity of the phenomenon in question. The research touched such 
questions as conviction about damage caused by smoking, the source of 
information, causes and effects of smoking, about the environment of the 
interviewed people (family members, friends--whether they are smokers or 
non-smokers). Other questions concerned the time of the first experience 
with smoking- whether it was childhood, puberty or adolescence time, the 
interviewee's smoking preventive activities in their future work place and 
their opinion about themselves as non-smokers. All the questions were 
subdued to quantitative measurement due to estimation of all interviewed 
population.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  attitude to health
  indoor air pollution (drug analysis)
  medical student
  smoking (epidemiology, prevention)
  tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
  addiction (epidemiology)
  adolescent
  adult
  age distribution
  article
  comorbidity
  female
  health personnel attitude
  human
  male
  Poland (epidemiology)
  prevalence
  questionnaire
  risk factor
  sex ratio
  smoking cessation
  statistics
LANGUAGE OF ARTICLE
  Polish
MEDLINE PMID
  17288209 (http://www.ncbi.nlm.nih.gov/pubmed/17288209)
PUI
  L46459153
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1355
TITLE
  Impact of practitioner's training in the management of alcohol dependence: a 
quasi-experimental 18-month follow-up study.
AUTHOR NAMES
  Malet L.
  Reynaud M.
  Llorca P.M.
  Falissard B.
AUTHOR ADDRESSES
  (Malet L.; Reynaud M.; Llorca P.M.; Falissard B.) CHU Clermont-Ferrand, 
Clermont-Ferrand, F-63000, France; Inserm, U669, Paris, F-75014, France.
CORRESPONDENCE ADDRESS
  L. Malet, CHU Clermont-Ferrand, Clermont-Ferrand, F-63000, France; Inserm, 
U669, Paris, F-75014, France. Email: lmalet@chu-clermontferrand.fr
SOURCE
  Substance abuse treatment, prevention, and policy (2006) 1 (18). Date of 
Publication: 2006
ISSN
  1747-597X (electronic)
ABSTRACT
  BACKGROUND: In many European countries, medical education on alcohol remains 
inadequate in terms of both quantity and quality. The expansion of GP 
training and care protocols would improve the management and outcome of 
alcoholic patients. Our purpose was to assess the impact of a multifaceted 
intervention by trained GPs in the management of alcohol-dependent patients. 
RESULTS AND DISCUSSION: Trained GPs proved better i) in the attempt at 
abstinence, with 67% patients becoming sober vs. 47% in a comparison sample 
and ii) in repeat attempt at abstinence in the event of relapse, with an 
average 2.99 vs. 1.31 attempts per patient. There were no differences in 
terms of i) relapses, which involved about three in four patients, and ii) 
prolonged abstinence, which averaged two months. Overall, patients managed 
by trained GPs remained abstinent 103 days during the 18-month follow-up 
period vs 68 days for the comparison sample (p = 0.016). METHODS: This 
18-month follow-up study had a quasi-experimental design with 24 volunteer 
trained GPs and a comparison sample of a representative sample of 24 GPs. 
All GPs included their own already existing DSM-IV alcohol-dependent 
patients. Patients with depression or anxiety comorbidities were included. 
Participants were 126 patients in the trained sample and 122 in the 
comparison sample. The two patient samples were evenly-balanced, averaging 
47 years old and 80% males. In the trained sample, consultations were 
scheduled and management (medication, biological workup) was protocolized, 
whereas the comparison sample representing standard practice had no 
obligations. CONCLUSION: Medical education can sharply improve the 
management of alcohol-dependent patients and short-term outcome. Trained GPs 
lead more patients to attempt abstinence and more often than in standard 
practice. However, a strict medical approach remains limited in the 
maintenance of medium-term abstinence (over two months), providing a strong 
argument for multidisciplinary management of alcohol-dependent patients.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism (diagnosis, prevention, therapy)
  clinical protocol
  general practitioner
  medical education
EMTREE MEDICAL INDEX TERMS
  article
  case control study
  education
  female
  follow up
  France
  hospitalization
  human
  male
  methodology
  middle aged
  recurrent disease
  treatment outcome
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16842620 (http://www.ncbi.nlm.nih.gov/pubmed/16842620)
PUI
  L45023695
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1356
TITLE
  Problems in tobacco smoking in opinion of VI year of medical students
ORIGINAL (NON-ENGLISH) TITLE
  Problematyka nikotynizmu w opinii studentów VI roku medycyny.
AUTHOR NAMES
  Anand J.S.
  Chodorowski Z.
  Hajduk A.
  Ciechanowicz R.
  Waldman W.
  Wiergowski M.
AUTHOR ADDRESSES
  (Anand J.S.; Chodorowski Z.; Hajduk A.; Ciechanowicz R.; Waldman W.; 
Wiergowski M.) I Klinika Chorób Wewnetrznych i Ostrych Zatruć Akademii 
Medycznej w Gdańsku.
CORRESPONDENCE ADDRESS
  J.S. Anand, I Klinika Chorób Wewnetrznych i Ostrych Zatruć Akademii 
Medycznej w Gdańsku. Email: jsanand@amedec.amg.gda.pl
SOURCE
  Przegla̧d lekarski (2006) 63:10 (1052-1053). Date of Publication: 2006
ISSN
  0033-2240
ABSTRACT
  The aim of our study was the evaluation of tobacco smoking among students of 
VI year of Medical University of Gdańsk. Anonymous questionnaire was done 
among one hundred and ten students including 70 women and 40 men in the age 
from 23 to 29 (24.82 +/- 1.03) years. Conclusions: 1. There were 12.7% of 
daily smoking students including 8.6% women and 15% men. 2. Almost 79% 
volunteers ineffectively attempted to give up smoking within last year. 3. 
The smoking students abused alcohol (with high likelihood) and used 
recreational drugs twice more than nonsmoking colleagues. 4. Almost all 
volunteers (96.4%) want to use smoking cessation intervention in their 
patients. 5. Above 75% students declared to broaden their knowledge about 
diagnostic and smoking cessation therapy.
EMTREE DRUG INDEX TERMS
  street drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (epidemiology)
  attitude to health
  medical education
  medical student
  smoking (epidemiology, prevention)
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  adult
  article
  drinking behavior (epidemiology)
  female
  health education
  human
  male
  Poland (epidemiology)
  psychological aspect
  questionnaire
  statistics
LANGUAGE OF ARTICLE
  Polish
MEDLINE PMID
  17288214 (http://www.ncbi.nlm.nih.gov/pubmed/17288214)
PUI
  L46459158
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1357
TITLE
  Alcohol use among physicians in a medical school in Nepal
AUTHOR NAMES
  Kumar S.
  Pokharel B.
  Nagesh S.
  Yadav B.K.
AUTHOR ADDRESSES
  (Kumar S., sanjay131@yahoo.com) Dept. of Community Medicine, Indira Gandhi 
Institute of Medical Sciences, Patna, India.
(Pokharel B.; Nagesh S.; Yadav B.K.) Dept. of Community Medicine, B.P. 
Koirala Institute of Health Sciences, Dharan, Nepal.
CORRESPONDENCE ADDRESS
  S. Kumar, Dept. of Community Medicine, Indira Gandhi Institute of Medical 
Sciences, Patna, India. Email: sanjay131@yahoo.com
SOURCE
  Kathmandu University Medical Journal (2006) 4:16 (460-464). Date of 
Publication: 2006
ISSN
  1812-2027
  4812-2078 (electronic)
BOOK PUBLISHER
  Kathmandu University, Sinamangal, P. O. Box 21266, Katmandu, Nepal.
ABSTRACT
  Objective: The objective of the study was to know about the use of alcohol 
among physicians and factors that were related to it. Methods: This was a 
cross sectional study conducted among the physicians in a medical school of 
eastern Nepal. A semi structured questionnaire was used to collect 
information. Results: There were 55 subjects in the study. Half of them were 
between 35-45 years age group and one fourth among them were female. There 
were more than 88% physicians consuming alcohol for more than 10 years. One 
third used to preferred whisky as their favorites drink. Use of alcohol 
among them was due to peer pressure and to become a social human being. Most 
of them drink alcohol occasionally with an average amount 30-60ml in a 
sitting and usually in the evening. Most of the time, they use alcohol 
either in parties or at home. Conclusion: Alcohol use in Nepal is very much 
prevalent. The use of alcohol is socially accepted in many communities. Uses 
of alcohol by physicians have direct effect on their health as well as the 
health of many people because they are role model for many people. They are 
also in direct contact with the patients. Steps to council the physicians 
may reduce the consumption of alcohol.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol consumption
  medical school
  physician
EMTREE MEDICAL INDEX TERMS
  adult
  article
  counseling
  female
  human
  male
  Nepal
  normal human
  peer pressure
  social aspect
  whiskey
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2008174323
MEDLINE PMID
  18603954 (http://www.ncbi.nlm.nih.gov/pubmed/18603954)
PUI
  L351507102
COPYRIGHT
  Copyright 2010 Elsevier B.V., All rights reserved.

RECORD 1358
TITLE
  Medical education and treatment of addictive disorders.
AUTHOR NAMES
  O'Brien C.P.
AUTHOR ADDRESSES
  (O'Brien C.P.)
CORRESPONDENCE ADDRESS
  C.P. O'Brien,
SOURCE
  MedGenMed : Medscape general medicine (2006) 8:1 (21). Date of Publication: 
2006
ISSN
  1531-0132 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (drug therapy)
  medical education
EMTREE MEDICAL INDEX TERMS
  editorial
  human
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16915151 (http://www.ncbi.nlm.nih.gov/pubmed/16915151)
PUI
  L45005370
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1359
TITLE
  Tobacco smoking among the first-year medical students
ORIGINAL (NON-ENGLISH) TITLE
  Postawy wobec palenia tytoniu wśród studentów pierwszego roku medycyny
AUTHOR NAMES
  Siemińska A.
  Jassem J.M.
  Uherek M.
  Wilanowski T.
  Nowak R.
  Jassem E.
AUTHOR ADDRESSES
  (Siemińska A.; Jassem E.) Klinika Alergologii Akademii Medycznej W Gdańsku, 
.
(Siemińska A.; Jassem J.M.; Uherek M.; Wilanowski T.; Nowak R.; Jassem E.) 
Akademii Medycznej W Gdańsku, .
(Jassem J.M.; Uherek M.; Wilanowski T.; Nowak R.) Studenckie Koło Naukowe 
Przy Klinice Alergologii Akademii Medycznej W Gdańsku, .
(Siemińska A.) Klinika Alergologii Akademii Medycznej W Gdańsku, ul. Dȩbinki 
7, 80-952 Gdańsk.
CORRESPONDENCE ADDRESS
  A. Siemińska, Klinika Alergologii Akademii Medycznej W Gdańsku, .
SOURCE
  Pneumonologia i Alergologia Polska (2006) 74:4 (377-382). Date of 
Publication: 2006
ISSN
  0867-7077
BOOK PUBLISHER
  Instytut Gruzlicy i Chorob Pluc
ABSTRACT
  The studies have shown that despite studying medicine the rate of tobacco 
smokers among students is still high. Moreover, in Poland the incidence of 
smoking is increasing among the youngsters. The study was designed to assess 
the rate of smokers among the first-year students of two consecutive courses 
at the Medical University of Gdańsk and define their attitudes towards 
tobacco smoking. The voluntary, multiple-choice questionnaires were 
distributed among 412 students. The rate of response was 100%. Twenty one 
percent of responders were current smokers (17% females and 28% men), 
whereas 7% declared previous smoking. There was no correlation between 
incidence of smoking among students and their parents (p = 0.11). 61% of 
smokers declared the will to give up their habit and of those 94% were aware 
of the negative impact of cigarettes on their health. In the group which did 
not declare the will to quit smoking only 75% knew what the impact of 
cigarettes on their health was; p = 0.02. Only 23% of smokers considered 
anti-nicotine therapy effective. Almost a half of smokers considered 
nicotine replacement therapy ineffective for them in quitting cigarette 
smoking. Conclusion: The rate of smokers among the first-year medical 
students is lower than in general population, but it is still relatively 
high. However more than a half of smokers wants to give up their habit. Of 
those who are not willing to, 25% is not aware of the cigarettes' impact on 
their health. These results call for further anti-nicotine actions.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health education
  indoor air pollution
  medical student
  smoking (epidemiology, prevention)
  tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
  adult
  article
  attitude to health
  female
  human
  male
  Poland (epidemiology)
  prevalence
  psychological aspect
  questionnaire
  sex ratio
  socioeconomics
  statistics
  university
LANGUAGE OF ARTICLE
  Polish
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  17427146 (http://www.ncbi.nlm.nih.gov/pubmed/17427146)
PUI
  L46535142
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1360
TITLE
  Training primary care clinicians in maintenance care for moderated alcohol 
use
AUTHOR NAMES
  Friedmann P.D.
  Rose J.
  Hayaki J.
  Ramsey S.
  Charuvastra A.
  Dubé C.
  Herman D.
  Stein M.D.
AUTHOR ADDRESSES
  (Friedmann P.D., pfriedmann@lifespan.org) Program to Integrate Psychosocial 
and Health Services, Research Service, Providence Veterans Affairs Medical 
Center, Providence, RI, United States.
(Friedmann P.D., pfriedmann@lifespan.org; Rose J.; Hayaki J.; Ramsey S.; 
Charuvastra A.; Herman D.; Stein M.D.) Departments of Medicine and Community 
Health, Brown Medical School, Rhode Island Hospital, Providence, RI, United 
States.
(Hayaki J.) Department of Psychology, St. Olaf College, Northfield, MN, 
United States.
(Dubé C.) Institute for Community Health Promotion, Brown Medical School, 
Providence, RI, United States.
(Friedmann P.D., pfriedmann@lifespan.org) Rhode Island Hospital, Brown 
Medical School, 593 Eddy Street, Providence, RI 02903, United States.
CORRESPONDENCE ADDRESS
  P.D. Friedmann, Rhode Island Hospital, Brown Medical School, 593 Eddy 
Street, Providence, RI 02903, United States. Email: pfriedmann@lifespan.org
SOURCE
  Journal of General Internal Medicine (2006) 21:12 (1269-1275). Date of 
Publication: December 2006
ISSN
  0884-8734
  1525-1497 (electronic)
BOOK PUBLISHER
  Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
  OBJECTIVE: To evaluate whether training primary care clinicians in 
maintenance care for patients who have changed their drinking influences 
practice behavior. DESIGN: We randomized 15 physician and 3 mid-level 
clinicians in 2 primary care offices in a 2:1 design. The 12 intervention 
clinicians received a total of 2 1/4 hours of training in the maintenance 
care of alcohol problems in remission, a booster session, study materials 
and chart-based prompts at eligible patients' visits. Six controls provided 
usual care. Screening forms in the waiting rooms identified eligible 
patients, defined as those who endorsed: 1 or more items on the CAGE 
questionnaire or that they had an alcohol problem in the past; that they 
have "made a change in their drinking and are trying to keep it that way"; 
and that they drank <15 (men) or <10 (women) drinks per week in the past 
month. Exit interviews with patients evaluated the clinician's actions 
during the visit. RESULTS: Of the 164 patients, 62% saw intervention 
clinicians. Compared with patients of control clinicians, intervention 
patients were more likely to report that their clinician asked about their 
alcohol history (odds ratio, 2.8; 95% confidence interval, 1.3, 5.8). 
Intervention clinicians who asked about the alcohol history were more likely 
to assess prior and planned alcohol treatment, assist through offers for 
prescriptions and treatment referral, and receive higher satisfaction 
ratings for the visit. CONCLUSIONS: Systemic prompts and training in the 
maintenance care of alcohol use disorders in remission might increase 
primary care clinicians' inquiries about the alcohol history as well as 
appropriate assessment and intervention after an initial inquiry. © 2006 by 
the Society of General Internal Medicine. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism
  medical education
EMTREE MEDICAL INDEX TERMS
  adult
  alcohol consumption
  article
  clinical practice
  controlled study
  female
  human
  major clinical study
  male
  normal human
  physician
  physician attitude
  primary health care
  questionnaire
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006534635
MEDLINE PMID
  16965560 (http://www.ncbi.nlm.nih.gov/pubmed/16965560)
PUI
  L44665335
DOI
  10.1111/j.1525-1497.2006.00611.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1525-1497.2006.00611.x
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1361
TITLE
  Psychiatric management of the hepatitis C patients
AUTHOR NAMES
  Rifai M.A.
  Indest D.
  Loftis J.
  Hauser P.
AUTHOR ADDRESSES
  (Rifai M.A., Muhamad.Rifai@va.gov) Northwest Hepatitis C Resource Center, 
Portland VA Medical Center, Behavioral Health and Clinical Neurosciences 
Division, PO Box 1034, Portland, OR 97239, United States.
(Indest D.; Loftis J.; Hauser P.)
CORRESPONDENCE ADDRESS
  M.A. Rifai, Northwest Hepatitis C Resource Center, Portland VA Medical 
Center, Behavioral Health and Clinical Neurosciences Division, PO Box 1034, 
Portland, OR 97239, United States. Email: Muhamad.Rifai@va.gov
SOURCE
  Current Treatment Options in Gastroenterology (2006) 9:6 (508-519). Date of 
Publication: December 2006
ISSN
  1092-8472
BOOK PUBLISHER
  Current Science Ltd, 34-42 Cleveland Street, London, United Kingdom.
ABSTRACT
  Patients with hepatitis C virus (HCV) infection have a higher prevalence of 
psychiatric illness compared with the general US population, and the 
prevalence of HCV infection in patients with severe mental illness ranges 
between 8% and 19%, which is four to nine times that of the general US 
population (1.8%). Given the association between HCV infection and 
psychiatric illness, gastroenterologists are on the front line of 
identifying comorbid psychiatric and substance use disorders and conducting 
a psychosocial pretreatment risk-benefit assessment for HCV infection. The 
use of interferon-α (IFN)-based therapies in combination with ribavirin 
(RBV) to eradicate HCV has been associated with frequent neuropsychiatric 
adverse effects (eg, affective, anxiety, cognitive, and psychotic symptoms) 
that compromise the management of both HCV patients with and those without a 
preexisting history of psychiatric illness. Consequently, 
gastroenterologists have been reluctant to engage patients with HCV and 
comorbid psychiatric illness in antiviral treatment due to concerns about 
exacerbating or precipitating neuropsychiatric symptoms. Despite the 
clinical challenge that HCV treatment of patients with comorbid HCV and 
psychiatric illness presents, recent research indicates that HCV treatments 
can be safely administered to patients with psychiatric illness provided 
that there is a comprehensive pretreatment assessment, a risk-benefit 
analysis, and ongoing follow-up of neuropsychiatric symptoms during 
antiviral therapy. The process of pretreatment assessment involves screening 
patients for psychiatric and substance use disorders, educating patients 
about the treatment process, and addressing available psychosocial support. 
Most psychotropic medications (antidepressants, mood stabilizers, 
antipsychotics, and neuroleptics) are thought to be safe to use in the 
management of patients with HCV and psychiatric illness and for the 
management of IFN- and RBV-induced neuropsychiatric adverse effects. 
Nonetheless, the prophylactic use of psychotropic medications to prevent 
IFN-and RBV-induced neuropsychiatric adverse effects remains a controversial 
topic. The use of IFN and RBV in patients with HCV and severe mental illness 
can be done safely with expert psychiatric follow-up. In this review, we 
discuss the process of pretreatment assessment of patients with HCV and 
psychiatric illness and specifically address IFN- and RBV-induced depression 
in patients receiving HCV treatment. Copyright © 2006 by Current Science 
Inc.
EMTREE DRUG INDEX TERMS
  alpha interferon (adverse drug reaction, drug therapy)
  amfebutamone (adverse drug reaction, drug dose, drug therapy)
  amitriptyline (drug dose, drug therapy)
  aripiprazole (drug dose, drug therapy)
  carbamazepine (adverse drug reaction, drug therapy)
  citalopram (clinical trial, drug dose, drug therapy)
  clozapine (adverse drug reaction, drug dose, drug therapy)
  disulfiram (adverse drug reaction, drug dose, drug therapy)
  duloxetine (drug dose, drug therapy)
  escitalopram (clinical trial, drug dose, drug therapy)
  fluoxetine (drug dose, drug therapy)
  gabapentin (drug dose, drug therapy, pharmacokinetics)
  haloperidol (drug dose, drug therapy)
  lamotrigine (adverse drug reaction, drug dose, drug therapy)
  lithium carbonate (drug dose, drug therapy, pharmacokinetics)
  mirtazapine (adverse drug reaction, drug dose, drug therapy)
  naltrexone (adverse drug reaction, drug dose, drug therapy)
  nefazodone (adverse drug reaction, drug dose, drug therapy)
  olanzapine (adverse drug reaction, drug dose, drug therapy)
  oxcarbazepine (adverse drug reaction, drug therapy)
  paroxetine (adverse drug reaction, clinical trial, drug dose, drug therapy)
  quetiapine (drug dose, drug therapy)
  ribavirin (adverse drug reaction, drug therapy)
  risperidone (adverse drug reaction, drug dose, drug therapy)
  sertraline (drug dose, drug therapy)
  unindexed drug
  valproate semisodium (drug dose, drug therapy)
  valproic acid (drug dose, drug therapy)
  venlafaxine (drug dose, drug therapy)
  ziprasidone (adverse drug reaction, drug dose, drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  hepatitis C (drug therapy)
  mental disease (diagnosis, disease management, drug therapy, epidemiology, 
etiology, prevention, side effect, therapy)
  mental health care
EMTREE MEDICAL INDEX TERMS
  agranulocytosis (side effect)
  alcoholism
  anemia (side effect)
  anhedonia
  anxiety disorder (drug therapy, side effect)
  apathy
  bone marrow suppression (side effect)
  cardiotoxicity (side effect)
  clinical trial
  cognitive defect (drug therapy, side effect)
  comorbidity
  concentration loss (side effect)
  confusion (side effect)
  depression (drug therapy, side effect)
  diabetes mellitus (side effect)
  disease association
  disease exacerbation (side effect)
  drug dose regimen
  drug excretion
  drug indication
  drug safety
  drug withdrawal
  fatigue (side effect)
  follow up
  Hepatitis C virus
  human
  hypersomnia (side effect)
  irritability
  liver toxicity (side effect)
  medical assessment
  medical specialist
  metabolic disorder (side effect)
  mood disorder (drug therapy, side effect)
  nausea (side effect)
  neutropenia (side effect)
  nonhuman
  pain (side effect)
  patient assessment
  patient care planning
  patient compliance
  patient education
  prevalence
  primary prevention
  psychologic assessment
  psychomotor retardation (side effect)
  psychosis (drug therapy, side effect)
  psychosocial care
  psychotherapy
  retina hemorrhage (side effect)
  review
  risk assessment
  risk benefit analysis
  risk factor
  seizure (side effect)
  side effect (side effect)
  social security
  Stevens Johnson syndrome (side effect)
  substance abuse
  thyroid disease (side effect)
  urinary excretion
CAS REGISTRY NUMBERS
  amfebutamone (31677-93-7, 34911-55-2)
  amitriptyline (50-48-6, 549-18-8)
  aripiprazole (129722-12-9)
  carbamazepine (298-46-4, 8047-84-5)
  citalopram (59729-33-8)
  clozapine (5786-21-0)
  disulfiram (97-77-8)
  duloxetine (116539-59-4, 136434-34-9)
  escitalopram (128196-01-0, 219861-08-2)
  fluoxetine (54910-89-3, 56296-78-7, 59333-67-4)
  gabapentin (60142-96-3)
  haloperidol (52-86-8)
  lamotrigine (84057-84-1)
  lithium carbonate (554-13-2)
  mirtazapine (61337-67-5)
  naltrexone (16590-41-3, 16676-29-2)
  nefazodone (82752-99-6, 83366-66-9)
  olanzapine (132539-06-1)
  oxcarbazepine (28721-07-5)
  paroxetine (61869-08-7)
  quetiapine (111974-72-2)
  ribavirin (36791-04-5)
  risperidone (106266-06-2)
  sertraline (79617-96-2)
  valproate semisodium (76584-70-8)
  valproic acid (1069-66-5, 99-66-1)
  venlafaxine (93413-69-5)
  ziprasidone (118289-78-4, 122883-93-6, 138982-67-9, 199191-69-0)
EMBASE CLASSIFICATIONS
  Microbiology: Bacteriology, Mycology, Parasitology and Virology (4)
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
  Drug Literature Index (37)
  Adverse Reactions Titles (38)
  Gastroenterology (48)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006577789
PUI
  L44803672
DOI
  10.1007/s11938-006-0007-6
FULL TEXT LINK
  http://dx.doi.org/10.1007/s11938-006-0007-6
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1362
TITLE
  Family physicians and youth tobacco-free education: Outcomes of the colorado 
Tar Wars program
AUTHOR NAMES
  Cain J.J.
  Dickinson W.P.
  Fernald D.
  Bublitz C.
  Dickinson L.M.
  West D.
AUTHOR ADDRESSES
  (Cain J.J., cain.jeffrey@tchden.org; Dickinson W.P.; Fernald D.; Bublitz C.; 
Dickinson L.M.; West D.) Department of Family Medicine, University of 
Colorado Health Sciences Center, Denver, CO, United States.
(Cain J.J., cain.jeffrey@tchden.org) Department of Family Medicine, 
Children's Hospital, Denver, CO, United States.
(Cain J.J., cain.jeffrey@tchden.org) University of Colorado School of 
Medicine, Health Sciences Center, Department of Family Medicine, 12474 E. 
19th Avenue, Aurora, CO 80045-0508, United States.
CORRESPONDENCE ADDRESS
  J.J. Cain, University of Colorado School of Medicine, Health Sciences 
Center, Department of Family Medicine, 12474 E. 19th Avenue, Aurora, CO 
80045-0508, United States. Email: cain.jeffrey@tchden.org
SOURCE
  Journal of the American Board of Family Medicine (2006) 19:6 (579-589). Date 
of Publication: November/December 2006
ISSN
  1557-2625
  1558-7118 (electronic)
BOOK PUBLISHER
  American Board of Family Medicine, 2228 Young Drive, Lexington, United 
States.
ABSTRACT
  Background: Tar Wars is a national school-based tobacco-free education 
program operated by the American Academy of Family Physicians. The Tar Wars 
lesson uses an interactive 45-min session taught by volunteer family 
physicians in 4th- and 5th-grade classrooms and focuses on the short-term 
image-based consequences of tobacco use. In this study, we evaluated the 
effectiveness of the Tar Wars program in Colorado with both quantitative and 
qualitative measures. Methods: Students participating in the quantitative 
evaluation were tested before and after a Tar Wars teaching session using a 
14-question test covering the short-term and image-based consequences of 
tobacco use, cost of smoking, tobacco advertising, and social norms of 
tobacco use. Qualitative evaluation of the program included guided telephone 
interviews and focus groups with participating students, teachers, and 
presenters. Results: Quantitative evaluation showed statistically 
significant improvement in correct responses for the 14 questions measured 
with an average increase in correct responses from 8.95 to 10.23. Three 
areas recommended by the Centers for Disease Control (CDC) for youth tobacco 
prevention showed greater change in correct responses, including cost of 
smoking, truth of tobacco advertising, and peer norms of tobacco use. 
Qualitative evaluation found that the overall message of the session was 
well received, that previously known tobacco information was reinforced by 
its presentation in a novel format, and that new information learned 
included cost of smoking, truth of tobacco advertising, and peer norms of 
tobacco use. Conclusions: The Tar Wars lesson plan is effective in 
increasing students' understanding about the short-term consequences of 
tobacco use, cost of tobacco use, truth of tobacco advertising, and peer 
norms. Tar Wars meets the CDC guidelines as one component of effective 
comprehensive youth tobacco prevention.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  general practice
  health promotion
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  article
  controlled study
  demography
  general practitioner
  health program
  human
  outcome assessment
  questionnaire
  smoking cessation program
  tobacco
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006555901
MEDLINE PMID
  17090791 (http://www.ncbi.nlm.nih.gov/pubmed/17090791)
PUI
  L44736813
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1363
TITLE
  Medical school selection: Screening for dysfunctional tendencies
AUTHOR NAMES
  Knights J.A.
  Kennedy B.J.
AUTHOR ADDRESSES
  (Knights J.A., Janice.Knights@jcu.edu.au; Kennedy B.J.) James Cook 
University, QLD, Australia.
(Knights J.A., Janice.Knights@jcu.edu.au) School of Psychology, James Cook 
University, Townsville, QLD 4810, Australia.
CORRESPONDENCE ADDRESS
  J.A. Knights, School of Psychology, James Cook University, Townsville, QLD 
4810, Australia. Email: Janice.Knights@jcu.edu.au
SOURCE
  Medical Education (2006) 40:11 (1058-1064). Date of Publication: November 
2006
ISSN
  0308-0110
  1365-2923 (electronic)
BOOK PUBLISHER
  Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
  Aim: One of the aims of medical selection is to deselect students who have 
personal characteristics that would impact negatively on their ability to 
interact with patients, supervisors and peers and impede their ability to 
cope with the stress of medical training. The arduous requirements of the 
formal curriculum, the customs and rituals of the socialisation process and 
the mistreatment and abuse reportedly experienced by students all contribute 
to stress, mental illness, suicide, lowered self-confidence in clinical 
ability, decreased ability to learn and alcohol and substance abuse. There 
has been little research on the effectiveness of the selection interview in 
deselecting students with negative personal characteristics. Our research 
profiles the dysfunctional interpersonal tendencies of students already 
selected into a medical programme through the process of academic merit, 
application and interview. Methods: During 2001 and 2002, 159 students 
enrolled in an Australian undergraduate medical programme completed the 
Hogan Development Survey (HDS), which is a self-report measure of 
dysfunctional personality characteristics that inhibit the development of 
working relationships with others. Results: The HDS identified negative 
personality characteristics in medical students that were not detected in 
the selection interview. Conclusions: The presence of patterns of 
dysfunctional behaviour in medical training has implications for the 
selection, teaching and pastoral care of medical students. The HDS has the 
potential to identify negative personal characteristics that are hard to 
detect during a selection interview, and may be a valuable adjunct to the 
interview. © 2006 Blackwell Publishing Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical student
  personality test
  school admission
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  alcohol abuse
  article
  Australia
  curriculum
  diagnostic value
  female
  health survey
  Hogan Development Survey
  human
  interview
  major clinical study
  male
  personality disorder (diagnosis)
  psychologic assessment
  racism
  self evaluation
  self report
  sexual harassment
  stress
  substance abuse
  suicidal behavior (disease management, epidemiology)
  training
  work capacity
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
  2006514360
MEDLINE PMID
  17054614 (http://www.ncbi.nlm.nih.gov/pubmed/17054614)
PUI
  L44600565
DOI
  10.1111/j.1365-2929.2006.02609.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1365-2929.2006.02609.x
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1364
TITLE
  Tobacco smoking among medical students of the University of Milano, Italy
ORIGINAL (NON-ENGLISH) TITLE
  Indagine conoscitiva sull'abitudine al fumo tra gli studenti di medicina e 
chirurgia dell'Università degli studi di Milano.
AUTHOR NAMES
  Rea B.
  Tortorano A.M.
AUTHOR ADDRESSES
  (Rea B.; Tortorano A.M.) Dipartimento di Sanità Pubblica, Microbiologia, 
Virologia, Sezione Sanitd Pubblica, Universita degli Studi di Milano.
CORRESPONDENCE ADDRESS
  B. Rea, Dipartimento di Sanità Pubblica, Microbiologia, Virologia, Sezione 
Sanitd Pubblica, Universita degli Studi di Milano.
SOURCE
  Annali di igiene : medicina preventiva e di comunità (2006) 18:6 (559-563). 
Date of Publication: 2006 Nov-Dec
ISSN
  1120-9135
ABSTRACT
  In order to evaluate smoking habits among the future medical class an 
anonymous questionnaire about tobacco smoking was submitted to 822 students 
of the University of Milano in six academic years, from 1998/99 to 2003/04. 
A total of 184 students (22.4%) were smoker 463 (56.3%) had never smoked and 
161 (19.6%) had previously smoked. More than half of these last had quit 
smoking during the university years. Smoking habits resulted influenced by 
the habits in the family (parents and brothers) and among the friends. 
Anti-smoking campaigns among medical students are needed taking into account 
their future role in health promotion and in prevention of tobacco smoking 
and its consequences.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health promotion
  medical student
  smoking (adverse drug reaction, epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
  adult
  article
  female
  human
  Italy (epidemiology)
  male
  middle aged
  prevalence
  questionnaire
  retrospective study
  smoking cessation
  statistics
  university
LANGUAGE OF ARTICLE
  Italian
MEDLINE PMID
  17228612 (http://www.ncbi.nlm.nih.gov/pubmed/17228612)
PUI
  L46249411
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1365
TITLE
  Educational half day: An innovative way to incorporate substance abuse 
curriculum into residency training
AUTHOR NAMES
  Nigwekar S.U.
  Morse D.S.
AUTHOR ADDRESSES
  (Nigwekar S.U.) Internal Medicine, Rochester General Hospital, Rochester, 
NY, United States.
(Morse D.S.) Internal Medicine, University of Rochester School of Medicine, 
Rochester General Hospital, Rochester, NY, United States.
(Nigwekar S.U.) Department of Internal Medicine, Rochester General Hospital, 
1425 Portland Avenue, Rochester, NY 14621, United States.
CORRESPONDENCE ADDRESS
  S.U. Nigwekar, Department of Internal Medicine, Rochester General Hospital, 
1425 Portland Avenue, Rochester, NY 14621, United States.
SOURCE
  Substance Abuse (2006) 27:3 (1-3). Date of Publication: 23 Oct 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Internal medicine residents often come across substance use disorder (SUD) 
issues; however not all residency programs have curricula to educate 
residents on management of these issues. We hereby describe a curricular 
action plan incorporating an innovative method of Educational Half Day (EHD) 
to address SUD issues in small group settings. We believe that EHD is an 
effective way of addressing substance abuse issues in the residency 
curriculum and it has the potential to change the way residents manage their 
patients with SUD. © 2006 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  residency education
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  curriculum
  drug dependence treatment
  learning
  motivation
  screening test
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
  2006577134
MEDLINE PMID
  17135174 (http://www.ncbi.nlm.nih.gov/pubmed/17135174)
PUI
  L44800475
DOI
  10.1300/J465v27n03_01
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v27n03_01
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1366
TITLE
  Teaching internal medicine resident physicians about alcoholics anonymous: A 
pilot study of an educational intervention
AUTHOR NAMES
  Rose A.J.
  Stein M.R.
  Arnsten J.H.
  Saitz R.
AUTHOR ADDRESSES
  (Rose A.J., adamrose@bu.edu) Section of General Internal Medicine, Boston 
University School of Medicine, Boston Veterans Administration Medical 
Center, Boston, MA, United States.
(Stein M.R.; Arnsten J.H.) Division of General Internal Medicine, Albert 
Einstein College of Medicine, Bronx, NY, United States.
(Saitz R.) Section of General Internal Medicine, Boston University School of 
Medicine, Boston Medical Center, Boston, MA, United States.
(Saitz R.) Department of Epidemiology, Boston University School of Public 
Health, Boston, MA, United States.
(Rose A.J., adamrose@bu.edu) Section of General Internal Medicine, Boston 
Medical Center, 91 East Concord Street, Boston, MA 02118-2644, United 
States.
CORRESPONDENCE ADDRESS
  A.J. Rose, Section of General Internal Medicine, Boston Medical Center, 91 
East Concord Street, Boston, MA 02118-2644, United States. Email: 
adamrose@bu.edu
SOURCE
  Substance Abuse (2006) 27:3 (5-11). Date of Publication: 23 Oct 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Greater physician confidence in treating alcoholism is associated with a 
higher frequency of referring alcoholic patients for treatment, but many 
physicians have limited experience with Alcoholics Anonymous. We implemented 
a brief, didactic and experiential educational intervention about AA and 
evaluated its effect on knowledge and attitudes, using a before-after 
repeated measures study design. Thirty-six first-year internal medicine 
resident physicians received an educational intervention, which consisted of 
a 45-minute lecture about AA, a visit to an AA meeting, and a 30-minute 
debriefing session the next day. Residents' knowledge and attitudes were 
assessed by a brief written anonymous survey before and after the 
educational intervention. Residents reported increases in self-perceived 
knowledge about AA and had more favorable attitudes towards AA after the 
intervention. Our pilot study shows that a brief, didactic and experiential 
course can improve physician knowledge and attitudes about AA, and holds 
promise for improving physician interface with this commonly used 
intervention. © 2006 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholics anonymous
  residency education
EMTREE MEDICAL INDEX TERMS
  alcoholism
  article
  clinical competence
  learning
  medical education
  patient referral
  physician attitude
  resident
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
  2006577135
MEDLINE PMID
  17135175 (http://www.ncbi.nlm.nih.gov/pubmed/17135175)
PUI
  L44800476
DOI
  10.1300/J465v27n03_02
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v27n03_02
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1367
TITLE
  Training HIV physicians to prescribe buprenorphine for opioid dependence
AUTHOR NAMES
  Sullivan L.E.
  Tetrault J.
  Bangalore D.
  Fiellin D.A.
AUTHOR ADDRESSES
  (Sullivan L.E., lynn.sullivan@yale.edu; Tetrault J.; Bangalore D.; Fiellin 
D.A.) Department of Internal Medicine, Yale University School of Medicine, 
New Haven, CT, United States.
(Sullivan L.E., lynn.sullivan@yale.edu) Yale University School of Medicine, 
333 Cedar Street, New Haven, CT 06520-8025, United States.
CORRESPONDENCE ADDRESS
  L.E. Sullivan, Yale University School of Medicine, 333 Cedar Street, New 
Haven, CT 06520-8025, United States. Email: lynn.sullivan@yale.edu
SOURCE
  Substance Abuse (2006) 27:3 (13-18). Date of Publication: 23 Oct 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Few HIV physicians are trained to provide buprenorphine treatment. We 
conducted a cross-sectional survey to assess the impact of an eight-hour 
course on the treatment of opioid dependence on HIV physicians' preparedness 
to prescribe buprenorphine. 113 of 257 trained physicians (44%) provided HIV 
care. Post-course, the majority of both HIV physicians and non-HIV 
physicians (66% vs. 67%, P = .8) planned to pursue a registration to 
prescribe buprenorphine. The most common reason for not planning to do so 
was lack of experience (9% vs. 15%, P = .19). 52 of the 113 (46%) HIV 
physicians had concerns about prescribing buprenorphine. 30 of the 52 (58%) 
indicated that interactions between buprenorphine and HAART was their 
primary concern. Following training, most physicians feel prepared and plan 
to obtain a registration to prescribe buprenorphine. HIV physicians' 
concerns regarding interactions between buprenorphine and HAART need to be 
addressed in future training efforts. © 2006 by The Haworth Press, Inc. All 
rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  buprenorphine
  opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  Human immunodeficiency virus infection
  opiate addiction
  prescription
EMTREE MEDICAL INDEX TERMS
  clinical competence
  drug dependence treatment
  highly active antiretroviral therapy
  medical education
  physician attitude
  review
  training
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)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006577136
MEDLINE PMID
  17135176 (http://www.ncbi.nlm.nih.gov/pubmed/17135176)
PUI
  L44800477
DOI
  10.1300/J465v27n03_03
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v27n03_03
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1368
TITLE
  An educational campaign to increase chiropractic intern advising roles on 
patient smoking cessation
AUTHOR NAMES
  Evans Jr. M.W.
  Hawk C.
  Strasser S.M.
AUTHOR ADDRESSES
  (Evans Jr. M.W., wevans@parkercc.edu) Parker College of Chiropractic 
Research Institute, 2500 Walnut Hill Lane, Dallas, TX 75229, United States.
(Hawk C., cheryl.hawk@cleveland.edu) Cleveland Chiropractic College, 6401 
Rockhill Road, Kansas City, MO 64131, United States.
(Strasser S.M., strasser@bama.ua.edu) Adjunct Faculty, The University of 
Alabama Health Sciences Department, 214 East Annex, Box 870311, Tuscaloosa, 
AL 35487-0311, United States.
CORRESPONDENCE ADDRESS
  M.W. Evans Jr., Parker College of Chiropractic Research Institute, 2500 
Walnut Hill Lane, Dallas, TX 75229, United States. Email: 
wevans@parkercc.edu
SOURCE
  Chiropractic and Osteopathy (2006) 14 Article Number: 24. Date of 
Publication: 12 Oct 2006
ISSN
  1746-1340
BOOK PUBLISHER
  BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom.
ABSTRACT
  Background: Tobacco use, particularly smoking, is the most preventable cause 
of death in the United States. More than 400,000 premature deaths are 
associated with its use and the health care costs are in the billions. All 
health care provider groups should be concerned with patients who continue 
to smoke and use tobacco. The US Preventive Services Taskforce and Health 
People 2010 guidelines encourage providers to counsel smokers on cessation. 
Current studies, though limited regarding chiropractic advising practices 
indicate a low engagement rate when it comes to providing cessation 
information. Objective: To test a campaign regarding initial impact aimed at 
increasing chiropractic interns advising on cessation and delivery of 
information to smokers on cessation. Discussion: Chiropractic interns do 
engage patients on smoking status and can be encouraged to provide more 
cessation messages and information to patients. The initial impact 
assessment of this campaign increased the provision of information to 
patients by about 25%. The prevalence of smoking among chiropractic 
patients, particularly at teaching clinics may be lower than the national 
averages. Conclusion: Chiropractic interns can and should be encouraged to 
advise smokers about cessation. A systematic method of intake information on 
smoking status is needed and a standardized education protocol for 
chiropractic colleges is needed. Chiropractic colleges should assess the 
adequacy of their advising roles and implement changes to increase cessation 
messages to their patients as soon as possible. © 2006 Evans et al; licensee 
BioMed Central Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  chiropractic practice
  health promotion
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  chiropractic student
  female
  health care delivery
  health survey
  human
  information dissemination
  major clinical study
  male
  patient counseling
  patient education
  priority journal
  sex difference
  smoking
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006558301
PUI
  L44741728
DOI
  10.1186/1746-1340-14-24
FULL TEXT LINK
  http://dx.doi.org/10.1186/1746-1340-14-24
COPYRIGHT
  Copyright 2010 Elsevier B.V., All rights reserved.

RECORD 1369
TITLE
  "Should I give you my smoking lecture now or later?" Characterizing 
emergency physician smoking discussions and cessation counseling.
AUTHOR NAMES
  Vokes N.I.
  Bailey J.M.
  Rhodes K.V.
AUTHOR ADDRESSES
  (Vokes N.I.; Bailey J.M.; Rhodes K.V.) Williams College, Williamstown, MA, 
USA.
CORRESPONDENCE ADDRESS
  N.I. Vokes, Williams College, Williamstown, MA, USA.
SOURCE
  Annals of emergency medicine (2006) 48:4 (406-414, 414.e1-4147). Date of 
Publication: Oct 2006
ISSN
  1097-6760 (electronic)
ABSTRACT
  STUDY OBJECTIVE: We determine frequency and manner in which emergency 
physicians address smoking with their patients. METHODS: This was a 
descriptive secondary analysis of 871 audiotapes of physician-patient 
interactions collected during a trial assessing the effect of computer-based 
health risk assessment on emergency physician-patient communication. 
Consenting nonemergency female patients, ages 18 to 65 years, were enrolled 
from 2 socioeconomically diverse academic emergency department (EDs) for 
audiotaping of the ED visit. All audio files with any mention of smoking 
were independently coded with an in-depth structured coding form to 
characterize the nature of smoking-related discussions. Logistic regression 
was used to determine factors associated with emergency physician screening 
and discussion of tobacco exposure with women patients. RESULTS: Overall, 
484 of 871 (56%) participants were verbally screened for smoking, with 156 
of 484 (32%) disclosing current smoking, with similar incidence at both 
sites. Tobacco screening was higher (odds ratio 2.2; 95% confidence interval 
1.3 to 3.5), whereas rates of smoking-related discussions were lower (odds 
ratio 0.41; 95% confidence interval 0.17 to 0.98) at the urban site. At both 
sites, physicians tended to screen and discuss smoking when patients 
presented with a health condition that could be aggravated by smoking. Only 
56% of discussions with current smokers contained advice to quit, 16% 
included assessment of readiness to quit, and a minority (13%) included a 
referral. Physician empathy/encouragement was associated with patients' 
detailing quit attempts. CONCLUSION: Emergency physicians were likely to 
gather information about smoking but not to counsel or advise patients to 
quit. These results raise the question of whether emergency medicine 
resident training should include additional emphasis on smoking cessation 
counseling and motivational interviewing techniques.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  community hospital
  directive counseling
  doctor patient relation
  emergency health service
  emergency medicine
  patient education
  physician attitude
  smoking (adverse drug reaction, epidemiology, prevention)
  smoking cessation
  university hospital
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  aged
  anamnesis
  article
  child
  clinical trial
  comparative study
  controlled clinical trial
  domestic violence
  empathy
  female
  health care quality
  human
  legal aspect
  methodology
  middle aged
  multicenter study
  organization and management
  patient referral
  physician
  population
  psychological aspect
  questionnaire
  randomized controlled trial
  risk assessment
  socioeconomics
  statistics
  urban population
  videorecording
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16997676 (http://www.ncbi.nlm.nih.gov/pubmed/16997676)
PUI
  L44588930
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1370
TITLE
  Provision of smoking cessation counseling by general practitioners assisted 
by training and screening procedure
AUTHOR NAMES
  Ulbricht S.
  Meyer C.
  Schumann A.
  Rumpf H.-J.
  Hapke U.
  John U.
AUTHOR ADDRESSES
  (Ulbricht S., ulbricht@uni-greifswald.de; Meyer C.; Schumann A.; Hapke U.; 
John U.) Institute of Epidemiology and Social Medicine, University of 
Greifswald, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany.
(Rumpf H.-J.) University of Lübeck, Department of Psychiatry and 
Psychotherapy, Research Group S:TEP (Substance abuse: Treatment, 
Epidemiology and Prevention), Lübeck, Germany.
CORRESPONDENCE ADDRESS
  S. Ulbricht, Institute of Epidemiology and Social Medicine, University of 
Greifswald, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany. Email: 
ulbricht@uni-greifswald.de
SOURCE
  Patient Education and Counseling (2006) 63:1-2 (232-238). Date of 
Publication: October 2006
ISSN
  0738-3991
BOOK PUBLISHER
  Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
  Objective: To examine which counseling behavior among GPs can be achieved 
after counseling training when organizational support is provided. Methods: 
A random sample of 39 general practices was drawn, 34 took part. GPs 
received a pre-study assessment followed by a training session for smoking 
counseling. All patients showing up during a period of 1 week were asked 
about smoking status. Current smokers, aged 18-70 years were eligible (N = 
551), 81.8% participated. A documentation sheet, filled in by a study nurse 
transferred smoking-related information about patient to the GP. GPs were 
advised to fill in a post-counseling assessment for every patient. A 
post-study assessment with the GPs was conducted. Results: Frequent barriers 
for smoking counseling were lack of time and the assumption that patients 
were not motivated to quit. The GP's documented smoking counseling in 96.0%. 
The patients (87.8%) could be thoroughly counseled. Younger age of the GP, a 
high number of patients and the contemplation stage quitting smoking were 
predictors for realizing counseling. 79.3% of the GPs assessed the procedure 
to be practicable. Conclusions: Smoking counseling in the general practice 
is feasible. Practice implication: Involving staff in the screening 
procedure may support counseling activity of the GP. © 2005 Elsevier Ireland 
Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  female
  general practitioner
  human
  major clinical study
  male
  motivation
  patient assessment
  patient counseling
  priority journal
  training
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006429739
MEDLINE PMID
  16531000 (http://www.ncbi.nlm.nih.gov/pubmed/16531000)
PUI
  L44331553
DOI
  10.1016/j.pec.2005.11.005
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.pec.2005.11.005
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1371
TITLE
  Retrospective study of clozapine use in Ile-de-France
ORIGINAL (NON-ENGLISH) TITLE
  Étude rétrospective sur l'utilisation de la clozapine en Île-de-France
AUTHOR NAMES
  Hiltgen S.
  Mantelet S.
  Pinabel F.
  Enjaume F.
AUTHOR ADDRESSES
  (Hiltgen S.) Hôpital Maison-Blanche-Avron, Service du Dr. Monduit de 
Caussade, 129, rue d'Avron, 75020 Paris, France.
(Mantelet S.) Psychiatre, 6, avenue des Gobelins, 75005 Paris, France.
(Pinabel F.) Psychiatre, 6, rue Valentin-Haüy, 75015 Paris, France.
(Enjaume F.) Praticien Hospitalier, Service du Dr. Hoang, CHU Avicenne, 125, 
rue de Stalingrad, 93009 Bobigny Cedex, France.
CORRESPONDENCE ADDRESS
  S. Hiltgen, Hôpital Maison-Blanche-Avron, Service du Dr. Monduit de 
Caussade, 129, rue d'Avron, 75020 Paris, France.
SOURCE
  Encephale (2006) 32:5 I (688-696). Date of Publication: October 2006
ISSN
  0013-7006
BOOK PUBLISHER
  Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex, 
France.
ABSTRACT
  Introduction. Clozapine, synthesized in the sixties, is an atypical 
antipsychotic drug whose history has been marked by its haematological 
toxicity. The purpose of this study was, ten years after it had been 
replaced at French psychiatrists' disposal, to gather data on the 
prescription modalities of clozapine, assess whether some factors could 
affect its efficacy, and describe the population of schizophrenic patients 
concerned. Methodology. Psychiatrists in the Paris region were asked to 
answer a questionnaire about their patients treated with clozapine. The 
information collected was about socio-demographic data, history of 
psychiatric disorder and the way clozapine was used. It was a retrospective 
study concerning 98 patients. Results. Subjects were 57 men and 41 women, 
with a mean age of 38 years. The majority of patients came from metropolitan 
France. Patients suffered from various clinical subtypes of schizophrenia, 
as assessed according to DSM IV criteria. Predominant symptomatology during 
lifetime was most often auditory hallucinations (41%). Mean duration of 
lifetime neuroleptic treatment was 10.3 years and breaks in follow-up were 
rare. Mean number of hospitalisations was 6.9 and a little less than half of 
the patients had been committed involuntarily. Lastly, 38% of patients had 
attempted suicide at least once and 35% had expressed hetero-agressive 
behavior. Main indication of clozapine was resistant schizophrenia (88.5% of 
patients) and mean duration of treatment was 2 years and 4 months. Treatment 
efficacy was assessed as good or medium in 77.9% of patients, at mean doses 
(322 mg per day) in keeping with data from the literature. Tolerance was 
considered on the whole as satisfactory by half of the clinicians. Among the 
98 patients of the study, 21.6% had stopped taking clozapine. The reasons 
for withdrawal were : inefficacy (6.2%), granulopenia (5.2%), epilepsy (1%) 
and 8.2% for various reasons (half of these cases being non-compliance with 
treatment). The study of the 5 cases of granulopenia showed that 3 patients 
had another associated psychotropic medication : 1 patient received only 
clozapine as monotherapy, 1 data was missing. Two thirds of all patients 
were receiving another psychotropic drug in association with clozapine, 
mainly benzodiazepines (18.4%), antidepressants (15.3%) or mood stabilizers 
(7.1%). The « therapeutic efficacy » variable was compared with some 
variables in order to isolate factors possibly associated with a better 
efficacy of clozapine or, on the contrary, with a population of patients 
poorly responding to treatment. However, no statistically significant 
difference appeared according to the variables studied, such as gender or 
lifetime duration of neuroleptic treatment. Moreover, there was no 
statistically significant difference in efficacy according to schizophrenia 
subtype, main symptomatology during the course of illness or substance 
abuse. We studied whether any factor could affect the occurrence of 
granulopenia. No statistically significant difference was found. The mean 
age of patients having stopped the treatment because of granulopenia was 
higher than in the group with other reasons for interruption, but did not 
reach statistical significance. A trend also appeared towards female 
predominance (60% of women in the granulopenia group) and 3/4 of patients 
who had stopped their treatment because of agranulocytosis received another 
psychotropic drug in association with clozapine. Conclusion. As expected, 
the main indication for prescribing clozapine was resistant schizophrenia, 
but contrary to data from the international literature, the efficacy profile 
was the same whatever the clinical subtype of schizophrenia. The tolerance 
to clozapine was considered on the whole as satisfactory, but the high 
proportion of granulopenias leading to treatment withdrawal (5.2% of 
patients) confirms the need to remain cautious and stresses the importance 
of regular haematological monitoring. Furthermore, the study of the 
prescription modalities of clozapine shows that contrary to the guidelines, 
clozapine is often associated with other psychotropic drugs. In this study, 
it is striking to note that 75% of granulopenias occured in a coprescription 
situation.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  clozapine (adverse drug reaction, drug combination, drug therapy)
EMTREE DRUG INDEX TERMS
  antidepressant agent (drug combination, drug therapy)
  benzodiazepine derivative (drug combination, drug therapy)
  mood stabilizer (drug combination, drug therapy)
  neuroleptic agent (drug therapy)
EMTREE MEDICAL INDEX TERMS
  adult
  agranulocytosis (side effect)
  article
  auditory hallucination
  controlled study
  demography
  Diagnostic and Statistical Manual of Mental Disorders
  drug efficacy
  drug tolerability
  drug use
  drug withdrawal
  epilepsy (side effect)
  female
  follow up
  France
  hospitalization
  human
  lifespan
  major clinical study
  male
  medical literature
  mental disease
  mental patient
  patient assessment
  patient compliance
  patient monitoring
  prescription
  psychiatrist
  questionnaire
  retrospective study
  schizophrenia (drug therapy)
  sex difference
  statistical significance
  suicide attempt
  symptomatology
  therapy effect
  treatment duration
  treatment indication
CAS REGISTRY NUMBERS
  clozapine (5786-21-0)
EMBASE CLASSIFICATIONS
  Psychiatry (32)
  Drug Literature Index (37)
  Adverse Reactions Titles (38)
LANGUAGE OF ARTICLE
  French
LANGUAGE OF SUMMARY
  English, French
EMBASE ACCESSION NUMBER
  2006555548
MEDLINE PMID
  17099592 (http://www.ncbi.nlm.nih.gov/pubmed/17099592)
PUI
  L44736013
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1372
TITLE
  Referal rates into inpatient alcohol rehabilitation treatment after 
comprehensive detoxification
ORIGINAL (NON-ENGLISH) TITLE
  Vermittlungsquoten in die stationäre alkoholentwöhnungsbehandlung nach 
qualifiziertem entzug
AUTHOR NAMES
  Span R.
  Conrad H.
  Richter G.
AUTHOR ADDRESSES
  (Span R.; Conrad H.; Richter G., gudrun.richter@krankenhaus-angermuende.de) 
Krankenhaus Angermünde, Fachabteilung für Psychiatrie, Psychotherapie und 
Psychosomatik, .
(Richter G., gudrun.richter@krankenhaus-angermuende.de) Krankenhaus 
Angermünde, Rudolf-Breitscheid-Str. 37, 16278 Angermünde, Germany.
CORRESPONDENCE ADDRESS
  G. Richter, Krankenhaus Angermünde, Rudolf-Breitscheid-Str. 37, 16278 
Angermünde, Germany. Email: gudrun.richter@krankenhaus-angermuende.de
SOURCE
  Sucht (2006) 52:5 (327-333). Date of Publication: Oct 2006
ISSN
  0939-5911
ABSTRACT
  Aims: Description of mediation rates to in-patient alcohol rehabilitation 
treatment (ART) after professional alcohol withdrawal treatment (AWT) in a 
special ward of a general hospital. Our results are compared with other 
mediation rates published in the German language. Method: The study covers 
all alcohol dependent persons (n = 194) who went in for an in-patient 
treatment during the study period (May-December 2004). Out of these, n = 89 
participated in an AWT (46%), The data were collected from the Psychiatric 
Basic Documentation (BADO), supplemented by an addiction-medical module. 
Results: 29% of all AWT patients decided to participate in an ART. We 
subdivided the group of AWT patients into two groups: Patients with and 
without ART indication. 44% of the AWT patients with ART indication went for 
an ART. Conclusions: From the addiction-medical viewpoint, the mediation 
rates are to be differentiated by subgroups. A subsequent ART is not 
indicated for all our AWT patients. The results are interpreted on the 
background of specific regional, structural and clinical features.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism (rehabilitation)
EMTREE MEDICAL INDEX TERMS
  alcohol rehabilitation
  alcohol withdrawal syndrome
  article
  clinical article
  clinical feature
  controlled study
  detoxification
  general hospital
  hospital patient
  human
  mental disease
  treatment withdrawal
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
  2006566400
PUI
  L44767443
DOI
  10.1463/2006.05.06
FULL TEXT LINK
  http://dx.doi.org/10.1463/2006.05.06
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1373
TITLE
  Addressing substance abuse in medical school curricula [8]
AUTHOR NAMES
  Prozialeck W.C.
AUTHOR ADDRESSES
  (Prozialeck W.C.) Department of Pharmacology, Midwestern University/Chicago 
College of Osteopathic Medicine, Downers Grove, IL, United States.
CORRESPONDENCE ADDRESS
  W.C. Prozialeck, Department of Pharmacology, Midwestern University/Chicago 
College of Osteopathic Medicine, Downers Grove, IL, United States.
SOURCE
  Journal of the American Osteopathic Association (2006) 106:7 (425-426). Date 
of Publication: 2006
ISSN
  0098-6151
  0098-6151 (electronic)
BOOK PUBLISHER
  American Osteopathic Association, 142 East Ontario Street, Chicago, United 
States.
EMTREE DRUG INDEX TERMS
  alcohol
  cannabis
  central stimulant agent
  cocaine
  nicotine
  opiate
  phencyclidine
  psychedelic agent
  sedative agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  alcohol abuse
  drug dependence
  drug tolerance
  education program
  ethics
  health care personnel
  human
  inhalant abuse
  interdisciplinary education
  legal aspect
  letter
  medical education
  medical information
  medical school
  medical student
  osteopathic medicine
  physician
  social aspect
  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)
  nicotine (54-11-5)
  opiate (53663-61-9, 8002-76-4, 8008-60-4)
  phencyclidine (77-10-1, 956-90-1)
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2006401098
MEDLINE PMID
  16912344 (http://www.ncbi.nlm.nih.gov/pubmed/16912344)
PUI
  L44259827
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1374
TITLE
  Response [9]
AUTHOR NAMES
  Wyatt S.A.
AUTHOR ADDRESSES
  (Wyatt S.A.) Stonington Institute, North Stonington, CT, United States.
CORRESPONDENCE ADDRESS
  S.A. Wyatt, Stonington Institute, North Stonington, CT, United States.
SOURCE
  Journal of the American Osteopathic Association (2006) 106:7 (426). Date of 
Publication: 2006
ISSN
  0098-6151
  0098-6151 (electronic)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  substance abuse
EMTREE MEDICAL INDEX TERMS
  education program
  human
  letter
  medical profession
  medical school
  medical student
  neurobiology
  osteopathic medicine
  physician
  professional competence
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2006401099
PUI
  L44259828
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1375
TITLE
  Project MAINSTREAM's first fellowship cohort: Pilot test of a national 
dissemination model to enhance substance abuse curriculum at health 
professions schools
AUTHOR NAMES
  Brown R.L.
  Marcus M.T.
  Lala S.
  Straussner A.
  Graham A.V.
  Madden T.
  Schoener E.
  Henry R.
AUTHOR ADDRESSES
  (Brown R.L., rlbrown@wisc.edu; Marcus M.T.; Straussner A.; Graham A.V.; 
Madden T.; Schoener E.; Henry R.) Association for Medical Education and 
Research in Substance Abuse, US Health Resources and Services 
Administration, .
(Brown R.L., rlbrown@wisc.edu) Department of Family Medicine, University of 
Wisconsin, 310 North Midvale Boulevard, Madison, WI 53705, United States.
(Lala S.)
CORRESPONDENCE ADDRESS
  R.L. Brown, Department of Family Medicine, University of Wisconsin, 310 
North Midvale Boulevard, Madison, WI 53705, United States. Email: 
rlbrown@wisc.edu
SOURCE
  Health Education Journal (2006) 65:3 (252-266). Date of Publication: 
September 2006
ISSN
  0017-8969
BOOK PUBLISHER
  SAGE Publications Ltd, 55 City Road, London, United Kingdom.
ABSTRACT
  Objective: Generalist health professional training on substance abuse 
prevention is patchy. This study assessed the effects of Project MAINSTREAM, 
a national interdisciplinary faculty development fellowship program, whose 
principal objective was to enhance curriculum on basic substance abuse 
services at health professions training institutions. Five interdisciplinary 
teams of three health professions' faculty were selected as fellows. This 
study assessed changes in curriculum, training, fellows' knowledge, and 
fellows' academic productivity in substance abuse. Design: Pre- and 
post-program surveys and interviews were administered. Setting: Fellows were 
located in five cities in the USA. Method: The two-year, part-time training 
program featured training meetings, on-site and distance mentoring, and 
internet-based instructional materials. Principal learning activities 
consisted of developing independent projects in curriculum enhancement and 
prevention services delivery. Results: Fellows implemented 45 distinct 
curricula, providing 19,000 hours of new instruction to over 5000 trainees. 
Over 80 per cent of the training occurred as required curricular 
experiences. Fellows' academic accomplishments included five peer-reviewed 
publications, seven additional submitted papers, 78 presentations, and 23 
awards or appointments. Fellows' knowledge increased significantly. 
Conclusions: Project MAINSTREAM shows promise as a national model for 
enhancing health professional training on substance abuse. copyright © SAGE 
2006.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  substance abuse
EMTREE MEDICAL INDEX TERMS
  adult
  article
  cohort analysis
  curriculum
  female
  health care delivery
  health care personnel
  health practitioner
  health service
  health survey
  human
  Internet
  male
  medical school
  peer review
  pilot study
  priority journal
  United States
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006464164
PUI
  L44426691
DOI
  10.1177/0017896906067776
FULL TEXT LINK
  http://dx.doi.org/10.1177/0017896906067776
COPYRIGHT
  Copyright 2010 Elsevier B.V., All rights reserved.

RECORD 1376
TITLE
  Training in tobacco treatments in psychiatry: a national survey of 
psychiatry residency training directors.
AUTHOR NAMES
  Prochaska J.J.
  Fromont S.C.
  Louie A.K.
  Jacobs M.H.
  Hall S.M.
AUTHOR ADDRESSES
  (Prochaska J.J.; Fromont S.C.; Louie A.K.; Jacobs M.H.; Hall S.M.) 
Department of Psychiatry, University of California, San Francisco, CA 94143, 
USA.
CORRESPONDENCE ADDRESS
  J.J. Prochaska, Department of Psychiatry, University of California, San 
Francisco, CA 94143, USA. Email: JProchaska@LPPI.UCSF.EDU
SOURCE
  Academic psychiatry : the journal of the American Association of Directors 
of Psychiatric Residency Training and the Association for Academic 
Psychiatry (2006) 30:5 (372-378). Date of Publication: 2006 Sep-Oct
ISSN
  1042-9670
ABSTRACT
  OBJECTIVE: Nicotine dependence is the most prevalent substance abuse 
disorder among adult psychiatric patients and is a leading cause of death 
and disability. This study examines training in tobacco treatment in 
psychiatry residency programs across the United States. METHOD: The authors 
recruited training directors to complete a survey of their program's 
curriculum related to tobacco treatment, attitudes related to treating 
tobacco in psychiatry, and perceptions of residents' skills for addressing 
nicotine dependence in psychiatric patients. RESULTS: Respondents were 
representative of the national pool. Half of the programs provided training 
in tobacco treatments for a median duration of 1 hour. Content areas covered 
varied greatly. Programs with tobacco-related training expressed more 
favorable attitudes toward addressing tobacco in psychiatry and were more 
likely to report confidence in their residents' skills for treating nicotine 
dependence. Programs without tobacco training reported a lack of faculty 
expertise on tobacco treatments. Most training directors reported moderate 
to high interest in evaluating a model tobacco curriculum for psychiatry and 
stated they would dedicate an average of 4 hours of curriculum time. 
CONCLUSIONS: The findings demonstrate the need for and interest in a model 
tobacco treatment curriculum for psychiatry residency training. Training 
psychiatrists offers the potential of delivering treatment to one of the 
largest remaining groups of smokers: patients with mental disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  education
  information processing
  medical education
  psychiatry
  teaching
  tobacco dependence (therapy)
EMTREE MEDICAL INDEX TERMS
  adult
  article
  curriculum
  female
  human
  male
  manpower
  methodology
  standard
  United States
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  17021144 (http://www.ncbi.nlm.nih.gov/pubmed/17021144)
PUI
  L44989961
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1377
TITLE
  Smoking Cessation Treatment by Primary Care Physicians. An Update and Call 
for Training
AUTHOR NAMES
  Schnoll R.A.
  Rukstalis M.
  Wileyto E.P.
  Shields A.E.
AUTHOR ADDRESSES
  (Schnoll R.A., schnoll@mail.med.upenn.edu; Wileyto E.P.) Transdisciplinary 
Tobacco Use Research Center, Department of Psychiatry, University of 
Pennsylvania, Philadelphia, PA, United States.
(Rukstalis M.) Geisinger Health System, Danville, PA, United States.
(Shields A.E.) Harvard University, Massachusetts General Hospital, Institute 
for Health Policy Research, Boston, MA, United States.
CORRESPONDENCE ADDRESS
  R.A. Schnoll, Transdisciplinary Tobacco Use Research Center, Department of 
Psychiatry, University of Pennsylvania, Philadelphia, PA, United States. 
Email: schnoll@mail.med.upenn.edu
SOURCE
  American Journal of Preventive Medicine (2006) 31:3 (233-239). Date of 
Publication: September 2006
ISSN
  0749-3797
BOOK PUBLISHER
  Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
  Background: Public health and government organizations have invested 
considerably to increase physician adherence to smoking-cessation practice 
guidelines. Methods: A random sample of 2000 U.S. primary care physicians 
was ascertained from the American Medical Association (AMA) in 2002. 
Respondents (n =1120, 62.3%) provided self-reported data about individual 
and practice characteristics and smoking-cessation practices. Data were 
analyzed in 2005. Results: Most primary care physicians (75%) advised 
cessation, 64% recommended nicotine patches, 67% recommended bupropion, 32% 
recommended nicotine gum, 10% referred to cessation experts, and 26% 
referred to cessation programs "often or always." Advising cessation was 
related to being older, having a faculty appointment, having trained staff 
for smoking counseling, and having confidence to counsel patients about 
smoking. Physicians who were internists, younger, and those with greater 
confidence to counsel patients about smoking recommended nicotine 
replacement more often. Prescribing bupropion was less common among older 
physicians, in the Northeast, with trained staff available for counseling, 
and with a greater proportion of minority or Medicaid patients. Prescribing 
bupropion was more common among AMA-member physicians and physicians with 
greater confidence to counsel patients about smoking. Providing a referral 
to an outside expert or program was more common among female physicians, and 
physicians in the Northeast or West, with larger clinical practices, and 
with trained staff for cessation counseling. Conclusions: Current physician 
self-reported practices for smoking cessation suggest opportunity for 
improvement. Targeted efforts to educate and support subsets of primary care 
physicians may improve physician adherence and smoking outcomes. © 2006 
American Journal of Preventive Medicine.
EMTREE DRUG INDEX TERMS
  amfebutamone
  nicotine gum
  nicotine patch
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  smoking cessation program
EMTREE MEDICAL INDEX TERMS
  adult
  article
  counseling
  data analysis
  female
  human
  male
  medicaid
  medical society
  medical staff
  nicotine replacement therapy
  physician
  practice guideline
  prescription
  primary medical care
  self report
  smoking
CAS REGISTRY NUMBERS
  amfebutamone (31677-93-7, 34911-55-2)
  nicotine gum (96055-45-7)
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
EMBASE ACCESSION NUMBER
  2006374902
MEDLINE PMID
  16905034 (http://www.ncbi.nlm.nih.gov/pubmed/16905034)
PUI
  L44176297
DOI
  10.1016/j.amepre.2006.05.001
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.amepre.2006.05.001
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1378
TITLE
  Pediatric residency training on tobacco: Review and critique of the 
literature
AUTHOR NAMES
  Hymowitz N.
AUTHOR ADDRESSES
  (Hymowitz N., hymowitz@umd-nj.edu)
(Hymowitz N., hymowitz@umd-nj.edu) Department of Psychiatry, University of 
Medicine and Dentistry of New Jersey, New Jersey Medical School, Newark, NJ, 
United States.
(Hymowitz N., hymowitz@umd-nj.edu) Department of Psychiatry, University of 
Medicine and Dentistry of New Jersey, New Jersey Medical School, 183 S. 
Orange Ave., 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 S. Orange Ave., Newark, NJ 
07103, United States. Email: hymowitz@umd-nj.edu
SOURCE
  Journal of the National Medical Association (2006) 98:9 (1489-1497). Date of 
Publication: September 2006
ISSN
  0027-9684
BOOK PUBLISHER
  National Medical Association, 1012 Tenth Street NW, Washington, United 
States.
ABSTRACT
  Objective: To review and critique the research literature on training 
pediatric residents to address tobacco. Methods: A Medline search was 
conducted to identify studies that specifically addressed pediatric 
residency training on tobacco, and Google Scholar was used to identity 
articles in which the referenced study was cited. Results: Eight studies 
that specifically addressed training pediatric residents to intervene on 
tobacco were identified. Most used active as well as passive approaches to 
training. Baseline data underscored the importance of training future 
pediatricians to address tobacco. Although the studies differed in size, 
scope and rigor, they showed that training pediatric residents to address 
tobacco enhanced residents' ability and likelihood to address tobacco. 
Conclusion: The review documents the importance and value of training 
pediatric residents to address tobacco, provides suggestions for future 
research and underscores the need to incorporate training on tobacco into 
pediatric residency training curriculum.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  pediatrics
  residency education
  smoking cessation
  tobacco
EMTREE MEDICAL INDEX TERMS
  clinical research
  health hazard
  human
  Medline
  patient counseling
  priority journal
  review
  self report
  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
  2006460576
MEDLINE PMID
  17019917 (http://www.ncbi.nlm.nih.gov/pubmed/17019917)
PUI
  L44413915
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1379
TITLE
  Effects of a distance learning program on physicians' opioid- and 
benzodiazepine-prescribing skills.
AUTHOR NAMES
  Midmer D.
  Kahan M.
  Marlow B.
AUTHOR ADDRESSES
  (Midmer D.; Kahan M.; Marlow B.) Faculty of Medicine, Department of Family 
and Community Medicine, University of Toronto, Toronto, Ontario.
CORRESPONDENCE ADDRESS
  D. Midmer, Faculty of Medicine, Department of Family and Community Medicine, 
University of Toronto, Toronto, Ontario. Email: deana.midmer@utoronto.ca
SOURCE
  The Journal of continuing education in the health professions (2006) 26:4 
(294-301). Date of Publication: 2006 Fall
ISSN
  0894-1912
ABSTRACT
  INTRODUCTION: Opioid misuse is common among patients with chronic 
nonmalignant pain. There is a pressing need for physicians to increase their 
confidence and competence in managing these patients. METHODS: A randomized 
controlled trial of family physicians (N = 88) attending 1 of 4 continuing 
medical education events helped to determine the effectiveness of e-mail 
case discussions in changing physician behavior. Before random assignment, 
participants completed a pretest and attended a 3-hour didactic session on 
prescribing opioids and benzodiazepines. The intervention group participated 
in 10 weeks of e-mail case discussions, with designated participants 
responding to questions on cases. An addictions physician facilitated the 
discussion. Several months after the e-mail discussion, participants took 
part in a mock telephone consultation; a blinded researcher posing as a 
medical colleague asked for advice about 2 cases involving opioid and 
benzodiazepine prescribing. Using a checklist, the researcher recorded the 
questions asked and advice given by the physician. RESULTS: On post-testing, 
both groups expressed greater optimism about treatment outcomes and were 
more likely to report using a treatment contract and providing advice about 
sleep hygiene. There were no significant differences between pretesting and 
post-testing between the groups on the survey. During the telephone 
consultation, the intervention group asked significantly more questions and 
offered more advice than the control group (odds ratio for question items, 
1.27 [p = .03]; advice items, 1.33 [p = .01). DISCUSSION: Facilitated by 
electronic mail and a medical expert, case discussion is an effective means 
of improving physician performance. Telephone consultation holds promise as 
a method for evaluating physicians' assessment and management skills.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  benzodiazepine derivative (drug therapy)
  narcotic analgesic agent (drug therapy)
EMTREE DRUG INDEX TERMS
  benzodiazepine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  clinical competence
  clinical practice
  education
  prescription
EMTREE MEDICAL INDEX TERMS
  adult
  article
  Canada
  e-mail
  female
  health care quality
  health personnel attitude
  human
  male
CAS REGISTRY NUMBERS
  benzodiazepine (12794-10-4)
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  17163499 (http://www.ncbi.nlm.nih.gov/pubmed/17163499)
PUI
  L45006112
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1380
TITLE
  Perspectives of college students and their primary health care providers on 
substance abuse screening and intervention
AUTHOR NAMES
  Baldwin J.A.
  Johnson R.M.
  Gotz N.K.
  Wayment H.A.
  Elwell K.
AUTHOR ADDRESSES
  (Baldwin J.A., jbaldwin@hsc.usf.edu) Department of Community and Family 
Health, College of Public Health, University of South Florida, Tampa, FL, 
United States.
(Johnson R.M.) Department of Public Health, University of Alaska-Anchorage, 
Anchorage, AK, United States.
(Johnson R.M.) Department of Health Sciences, University of 
Alaska-Anchorage, Anchorage, AK, United States.
(Gotz N.K.)
(Wayment H.A.) Department of Psychology, Northern Arizona University, 
Flagstaff, AZ, United States.
(Baldwin J.A., jbaldwin@hsc.usf.edu) Department of Community and Family 
Health, College of Public Health, University of South Florida, 13201 Bruce 
B. Downs Blvd, Tampa, FL 33612, United States.
(Elwell K.)
CORRESPONDENCE ADDRESS
  J.A. Baldwin, Department of Community and Family Health, College of Public 
Health, University of South Florida, 13201 Bruce B. Downs Blvd, Tampa, FL 
33612, United States. Email: jbaldwin@hsc.usf.edu
SOURCE
  Journal of American College Health (2006) 55:2 (115-119). Date of 
Publication: September/October 2006
ISSN
  0744-8481
BOOK PUBLISHER
  Heldref Publications
ABSTRACT
  The authors conducted a needs assessment among students and health-care 
providers of a southwestern university health center with the goal of 
developing health-care-provider training addressing substance-abuse 
screening and intervention. They collected data from focus groups of 
undergraduate students and structured interviews and questionnaires with 
health-care providers. They identified gaps in provider and student 
perspectives on the extent of substance abuse on campus and the perceived 
roles of health-care providers and patients in screening and conducting 
interventions for substance abuse. These findings suggest that training for 
college health-care providers regarding substance-abuse brief screening and 
intervention should emphasize confidentiality of student medical records, 
the importance of nonjudgmental attitudes toward students, and the role of 
the provider as one who is competent and appropriate to address substance 
abuse. Such training should also educate providers about the types of 
substances students are using. Copyright © 2006 Heldref Publications.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  general practitioner
  health service
  student
  substance abuse
  university
EMTREE MEDICAL INDEX TERMS
  addiction (diagnosis)
  attitude
  confidentiality
  doctor patient relation
  human
  needs assessment
  organization and management
  psychological aspect
  review
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  17017308 (http://www.ncbi.nlm.nih.gov/pubmed/17017308)
PUI
  L44484433
DOI
  10.3200/JACH.55.2.115-120
FULL TEXT LINK
  http://dx.doi.org/10.3200/JACH.55.2.115-120
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1381
TITLE
  Substance Misuse and Substance-Related Disorders in Forensic Psychiatry
AUTHOR NAMES
  Gendel M.H.
AUTHOR ADDRESSES
  (Gendel M.H., mhgendel@aol.com) University of Colorado Health Sciences 
Center, 3300 East First Avenue, Suite 590, Denver, CO 80206, United States.
CORRESPONDENCE ADDRESS
  M.H. Gendel, University of Colorado Health Sciences Center, 3300 East First 
Avenue, Suite 590, Denver, CO 80206, United States. Email: mhgendel@aol.com
SOURCE
  Psychiatric Clinics of North America (2006) 29:3 (649-673). Date of 
Publication: September 2006
ISSN
  0193-953X
BOOK PUBLISHER
  W.B. Saunders, Independence Square West, Philadelphia, United States.
ABSTRACT
  There is a broad range of substance-related problems that arise for the 
forensic psychiatrist. For many, what is most challenging about addressing 
these issues are the complex behavioral, biological, clinical, and social 
phenomena involved. Substance- related illnesses are on the cutting edge of 
brain research. Substance-related behavior that brings individuals to the 
attention of forensic psychiatrists involves a wide spectrum of substance 
use patterns, but even substance misuse may have profound and relevant 
effects, forensically. The social forces that mold our laws and attitudes 
toward addictive drug use are at work in almost every forensic context. 
Substance-related issues provide a rich medium for the application of 
forensic psychiatric principles and practice. As in all of forensic 
psychiatric work, the psychiatrist should be familiar with each forensic 
context in which addiction issues arise. 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 clinical reasoning will carry them. Comfort and 
effectiveness with addiction issues requires willingness to continually 
educate oneself about this rapidly changing field, and familiarity with 
one's own attitudes and beliefs regarding addictive illness. © 2006 Elsevier 
Inc. All rights reserved.
EMTREE DRUG INDEX TERMS
  acamprosate (drug therapy)
  buprenorphine (drug therapy)
  disulfiram (drug therapy)
  levacetylmethadol (drug therapy)
  methadone (drug therapy)
  naloxone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  drug dependence (drug therapy, therapy)
  forensic psychiatry
  mental disease (diagnosis, etiology)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  alcoholism (drug therapy)
  behavior
  behavior disorder (diagnosis)
  behavior therapy
  biology
  child abuse
  civil rights
  clinical assessment
  clinical practice
  cognitive therapy
  competence
  compulsion
  criminal law
  custodial care
  Diagnostic and Statistical Manual of Mental Disorders
  diagnostic procedure
  family therapy
  fetus outcome
  human
  legal aspect
  legal liability
  medical education
  medical ethics
  medical research
  mental deficiency
  neurology
  opiate addiction (drug therapy)
  physician attitude
  pregnancy
  priority journal
  prison
  professional competence
  professional secrecy
  psychiatrist
  responsibility
  review
  self concept
  social aspect
  treatment outcome
CAS REGISTRY NUMBERS
  acamprosate (77337-73-6)
  buprenorphine (52485-79-7, 53152-21-9)
  disulfiram (97-77-8)
  levacetylmethadol (34433-66-4)
  methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
  naloxone (357-08-4, 465-65-6)
EMBASE CLASSIFICATIONS
  General Pathology and Pathological Anatomy (5)
  Psychiatry (32)
  Drug Literature Index (37)
  Forensic Science Abstracts (49)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2006374451
MEDLINE PMID
  16904504 (http://www.ncbi.nlm.nih.gov/pubmed/16904504)
PUI
  L44175608
DOI
  10.1016/j.psc.2006.04.010
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.psc.2006.04.010
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1382
TITLE
  Cocaine abuse in Vienna and European cities - A multi-center study
ORIGINAL (NON-ENGLISH) TITLE
  Kokainmissbrauch in Wien und in Europäischen metropolen - Eine 
multizentrische studie
AUTHOR NAMES
  Bäwert A.
  Primus N.
  Jagsch R.
  Eder H.
  Zanki M.
  Thau K.
  Fischer G.
AUTHOR ADDRESSES
  (Bäwert A., andjela.baewert@meduniwien.ac.at; Primus N.; Jagsch R.; Zanki 
M.; Thau K.; Fischer G.) Universitätsklinik für Psychiatrie, Medizinische 
Universität Wien, Wien, Austria.
(Eder H.) Universitätsklinik für Neuropsychiatrie des Kindes- und 
Jugendalters, Medizinische Universität Wien, Wien, Austria.
(Bäwert A., andjela.baewert@meduniwien.ac.at) Universitätsklinik für 
Psychiatrie, Medizinische Universität Wien, Währinger Gürtel 18-20, 1090 
Wien, Austria.
CORRESPONDENCE ADDRESS
  A. Bäwert, Universitätsklinik für Psychiatrie, Medizinische Universität 
Wien, Währinger Gürtel 18-20, 1090 Wien, Austria. Email: 
andjela.baewert@meduniwien.ac.at
SOURCE
  Wiener Klinische Wochenschrift (2006) 118:17-18 (521-530). Date of 
Publication: September 2006
ISSN
  0043-5325
BOOK PUBLISHER
  Springer Wien, Sachsenplatz 4-6, P.O. Box 89, Vienna, Austria.
ABSTRACT
  Introduction: As cocaine consumption seems to have increased over the last 
decades, the EU has funded this multi-center, cross-sectional survey to 
investigate cocaine consumption in three different target groups. The study 
was conducted by the Addiction Clinic, Department of Psychiatry, Medical 
University Vienna and other nine European cities. Methods: Data were 
collected by structured face-to-face interviews. The sample was composed of 
211 cocaine abusers out of three target groups: (1) treatment group 
undergoing opioid maintenance therapy, (2) marginalized scene group and (3) 
integrated party group. Sociodemographic data such as age, education, 
employment, monthly expenses on cocaine/crack, data on consumption patterns, 
physical and mental health and personal needs regarding cocaine consumption 
were evaluated. Urine toxicology results for cocaine in the treatment group 
completed the analysis. Results: The marginalized scene group was the oldest 
with a mean age of 29.35 years, with the highest unemployment rate (mean 
25.11 days) and the longest duration of cocaine consumption (mean 5.80 
years). They had the highest cocaine consumption pattern with a mean of 
22.32 days within the last month. On average 1969 Euros/months was spent for 
their addiction. The treatment group had the lowest school education with a 
mean of 10.36 years, but showed a sufficient insight in their cocaine 
problem. However, the party group (with the lowest mean age, 25.64 years) 
highly underestimated their drug problem, the mean amount of money they 
spent for their addiction was 588.99 Euro/months. Structured urine 
toxicology between 1996 and 2002 in patients undergoing opioid maintenance 
therapy ("treatment group") revealed a significant increase of concomitant 
cocaine consumption (1996: 33.1%; 2002: 40.2%; p = 0.044). Discussion: The 
European trend of increased cocaine use could also be observed in Vienna. 
One of the greatest barriers for establishing adequate treatment settings 
for this target group is the difficulty to reach this population. In 
addition, multiple substance abuse seems to be one of the predominating 
patterns of cocaine consumption and this aspect should be integrated within 
treatment (in the treatment and scene groups additional heroin and 
benzodiapzepines abuse is observed, in the party group intensive alcohol 
consumption). The Viennese results are in line with those of the other 
European cities; however, it could not be confirmed that consumption of 
crack cocaine and binge play a similarly significant role as in cities such 
as Hamburg or London. © Springer-Verlag 2006.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  cocaine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  cocaine dependence (epidemiology, therapy)
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  article
  Austria
  disease duration
  disease severity
  drug dependence treatment
  education
  employment
  Europe
  health status
  human
  maintenance therapy
  major clinical study
  mental health
  socioeconomics
  structured interview
  substance abuse
  toxicology
CAS REGISTRY NUMBERS
  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
  German
LANGUAGE OF SUMMARY
  English, German
EMBASE ACCESSION NUMBER
  2006509574
MEDLINE PMID
  17009064 (http://www.ncbi.nlm.nih.gov/pubmed/17009064)
PUI
  L44579744
DOI
  10.1007/s00508-006-0661-7
FULL TEXT LINK
  http://dx.doi.org/10.1007/s00508-006-0661-7
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1383
TITLE
  Physician use of opioid contracts varies with training
AUTHOR NAMES
  DeBenedette V.
AUTHOR ADDRESSES
  (DeBenedette V.)
CORRESPONDENCE ADDRESS
  V. DeBenedette, NY, United States.
SOURCE
  Drug Topics (2006) 150:15. Date of Publication: 7 Aug 2006
ISSN
  0012-6616
BOOK PUBLISHER
  Advanstar Communications, One Park Avenue, New York, United States.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  opiate
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  contract
  medical education
  physician
EMTREE MEDICAL INDEX TERMS
  alcohol abuse
  drug abuse
  human
  pain
  pharmacy
  prescription
  primary medical care
  resident
  risk
  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)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2007576271
PUI
  L350169121
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1384
TITLE
  Improving medical student performance in smoking health promotion: Effect of 
a vertically integrated curriculum
AUTHOR NAMES
  Sawyer S.M.
  Cooke R.
  Conn J.
  Marks M.K.
  Roseby R.
  Cerritelli B.
AUTHOR ADDRESSES
  (Sawyer S.M.; Cooke R.; Marks M.K.; Roseby R.; Cerritelli B.) Royal 
Children's Hospital, Parkville, VIC, Australia.
(Sawyer S.M.; Conn J.; Marks M.K.) The University of Melbourne, Melbourne, 
VIC, Australia.
CORRESPONDENCE ADDRESS
  S.M. Sawyer, Royal Children's Hospital, Parkville, VIC, Australia.
SOURCE
  Medical Teacher (2006) 28:5 (135-138). Date of Publication: August 2006
ISSN
  0142-159X
  1466-187X (electronic)
BOOK PUBLISHER
  Taylor and Francis Ltd., 4 Park Square, Milton Park, Abingdon, Oxfordshire, 
United Kingdom.
ABSTRACT
  The majority of medical schools have curricula that address the health 
effects of smoking. However, there are many gaps in smoking education, 
especially in relationship to vertical integration. The authors aimed to 
determine whether medical students would better address adolescent smoking 
within a vertically integrated curriculum in comparison with the previous 
traditional curriculum. They studied two groups of fifth-year students; one 
group received a specific smoking intervention. Each group consisted of the 
entire cohort of students within the Child and Adolescent Health rotation of 
a newly designed medical curriculum. Two groups of students from the 
previous traditional undergraduate curriculum were available for direct 
comparison, one of which had received the same teaching on adolescent 
smoking. An objective structured clinical examination station was used to 
measure adolescent smoking enquiry. Intervention students in the new 
curriculum were more likely to enquire about smoking in the objective 
structured clinical examination than students who did not receive the 
intervention (p<0.005). New curriculum students performed better than 
students from the previous curriculum, whether or not they had received the 
smoking intervention (p<0.001). This study suggests that integrated 
undergraduate teaching can improve student clinical behaviours with regard 
to opportunistic smoking enquiry in adolescents.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  cigarette smoking
  education program
  health promotion
  medical education
  professional competence
EMTREE MEDICAL INDEX TERMS
  article
  child behavior
  clinical examination
  controlled study
  curriculum
  medical student
  patient education
  professional knowledge
  student attitude
  teaching
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006470792
MEDLINE PMID
  16973447 (http://www.ncbi.nlm.nih.gov/pubmed/16973447)
PUI
  L44446610
DOI
  10.1080/01421590600726615
FULL TEXT LINK
  http://dx.doi.org/10.1080/01421590600726615
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1385
TITLE
  Complementary medicine for alcohol dependence in Italian services: A mail 
questionnaire
AUTHOR NAMES
  Bardazzi G.
  Merluzzi J.-A.
  Voller F.
  Fontana A.
  Abenavoli L.
  Leggio L.
  Addolorato G.
AUTHOR ADDRESSES
  (Bardazzi G., gabriele.bardazzi@asf.toscana.it; Merluzzi J.-A.; Voller F.; 
Fontana A.; Abenavoli L.; Leggio L.; Addolorato G.) Centro Diurno 
Alcologico, UFM C, Azienda Sanitaria Fiorentina, Via Lorenzo il Magnifico, 
104, 50127 Firenze, Italy.
CORRESPONDENCE ADDRESS
  G. Bardazzi, Centro Diurno Alcologico, UFM C, Azienda Sanitaria Fiorentina, 
Via Lorenzo il Magnifico, 104, 50127 Firenze, Italy. Email: 
gabriele.bardazzi@asf.toscana.it
SOURCE
  Complementary Therapies in Clinical Practice (2006) 12:3 (216-221). Date of 
Publication: August 2006
ISSN
  1744-3881
BOOK PUBLISHER
  Churchill Livingstone
ABSTRACT
  It is well known that Complementary Medicine (CM) is extensively used in 
western countries for the treatment of many afflictions. CM has been 
recently promoted in addiction treatment. To evaluate CM use in alcohol 
dependence we planned a mail questionnaire for Italian alcohol services. We 
sent out 612 questionnaires. Health services that were unable to respond to 
the questionnaire within a 20-day limit period were contacted by phone and 
if we obtained agreement to participate in the study the questionnaire was 
sent by fax. We obtained 312 (51.82%) completed questionnaires. Only 16.50% 
of Italian services use CM for alcohol dependence treatment and acupuncture 
is utilized more frequently than other methods (phytotherapy, homeopathy, 
etc.). In Italian alcohol services CM is identified as an instrument 
incorporated into traditional alcohol treatments (self-help groups, drug 
treatment, etc.) and not an alternative method. In fact, health services 
that use it as a principal method of treatment were a rare event in our 
study (1%). CM plays an integrated role with traditional forms of alcohol 
treatment in Italian alcohol services and this utilization could be useful 
to reduce drop-outs and improve alcohol treatment compliance. © 2006 
Elsevier Ltd. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism (epidemiology, prevention, therapy)
  alternative medicine
  attitude to health
  drug dependence treatment
  health education
EMTREE MEDICAL INDEX TERMS
  article
  human
  Italy (epidemiology)
  organization and management
  primary health care
  questionnaire
  statistics
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  16835034 (http://www.ncbi.nlm.nih.gov/pubmed/16835034)
PUI
  L44009821
DOI
  10.1016/j.ctcp.2005.12.003
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.ctcp.2005.12.003
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1386
TITLE
  Teaching about substance abuse with objective structured clinical exams
AUTHOR NAMES
  Parish S.J.
  Ramaswamy M.
  Stein M.R.
  Kachur E.K.
  Arnsten J.H.
AUTHOR ADDRESSES
  (Parish S.J., sparish@montefiore.org; Stein M.R.; Arnsten J.H.) Department 
of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, 
Bronx, NY, United States.
(Ramaswamy M.; Stein M.R.; Arnsten J.H.) Department of Psychiarty and 
Behavioral Sciences, Albert Einstein College of Medicine, Montefiore Medical 
Center, Bronx, NY, United States.
(Kachur E.K.) Medical Education Development, New York, NY, United States.
(Arnsten J.H.) Department of Epidemiology and Population Health, Albert 
Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, United 
States.
(Parish S.J., sparish@montefiore.org) Centennial 3, Department of Medicine, 
Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, United 
States.
CORRESPONDENCE ADDRESS
  S.J. Parish, Centennial 3, Department of Medicine, Montefiore Medical 
Center, 111 East 210th Street, Bronx, NY 10467, United States. Email: 
sparish@montefiore.org
SOURCE
  Journal of General Internal Medicine (2006) 21:5 (453-459). Date of 
Publication: 2006
ISSN
  0884-8734
  1525-1497 (electronic)
BOOK PUBLISHER
  Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
  BACKGROUND: Although residents commonly manage substance abuse disorders, 
optimal approaches to teaching these specialized interviewing and 
intervention skills are unknown. OBJECTIVE: We developed a Substance Abuse 
Objective Structured Clinical Exam (OSCE) to teach addiction medicine 
competencies using immediate feedback. In this study we evaluated OSCE 
performance, examined associations between performance and self-assessed 
interest and competence in substance abuse, and assessed learning during the 
OSCE. DESIGN: Five-station OSCE, including different substance abuse 
disorders and readiness to change stages, administered during postgraduate 
year-3 ambulatory rotations for 2 years. PARTICIPANTS: One hundred and 
thirty-one internal and family medicine residents. MEASUREMENTS: Faculty and 
standardized patients (SPs) assessed residents' general communication, 
assessment, management, and global skills using 4-point scales. Residents 
completed a pre-OSCE survey of experience, interest and competence in 
substance abuse, and a post-OSCE survey evaluating its educational value. 
Learning during the OSCE was also assessed by measuring performance 
improvement from the first to the final OSCE station. RESULTS: Residents 
performed better (P<.001) in general communication (mean ± SD across 
stations=3.12 ± 0.35) than assessment (2.65 ± 0.32) or management (2.58 ± 
0.44), and overall ratings were lowest in the contemplative alcohol abuse 
station (2.50 ± 0.83). Performance was not associated with residents' 
self-assessed interest or competence. Perceived educational value of the 
OSCE was high, and feedback improved subsequent performance. CONCLUSIONS: 
Although internal and family medicine residents require additional training 
in specialized substance abuse skills, immediate feedback provided during an 
OSCE helped teach needed skills for assessing and managing substance abuse 
disorders.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  clinical examination
  objective structured clinical examination
  residency education
  substance abuse
  teaching hospital
EMTREE MEDICAL INDEX TERMS
  alcohol abuse
  article
  clinical practice
  family medicine
  feedback system
  human
  internal medicine
  interpersonal communication
  normal human
  patient
  patient assessment
  performance
  postgraduate education
  professional competence
  self evaluation
  skill
  standardized patient
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
  2006310953
MEDLINE PMID
  16704387 (http://www.ncbi.nlm.nih.gov/pubmed/16704387)
PUI
  L43971742
DOI
  10.1111/j.1525-1497.2006.00426.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1525-1497.2006.00426.x
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1387
TITLE
  Impact of educational outreach visits on smoking cessation activities 
performed by specialist physicians: A randomized trial
AUTHOR NAMES
  Etter J.-F.
AUTHOR ADDRESSES
  (Etter J.-F.) Institute of Social and Preventive Medicine, University of 
Geneva, 1 rue Michel-Servet, CH-1211 Geneva 4, Switzerland.
CORRESPONDENCE ADDRESS
  J.-F. Etter, Institute of Social and Preventive Medicine, University of 
Geneva, 1 rue Michel-Servet, CH-1211 Geneva 4, Switzerland.
SOURCE
  Education for Health: Change in Learning and Practice (2006) 19:2 (155-165). 
Date of Publication: July 2006
ISSN
  1357-6283
  1469-5804 (electronic)
BOOK PUBLISHER
  Network: Towards Unity for Heath, P.O. Box 616, Maastricht, Netherlands.
ABSTRACT
  Objectives: To find out whether educational visits by a nurse to specialist 
physicians improved their self-reporting of smoking cessation activities; 
whether these visits increased the percentage of physicians who were aware 
of and recommended a computer-tailored smoking cessation program and who 
participated in a training workshop on tobacco dependency treatment. 
Methods: Specialist private practice physicians (n = 523) working in Geneva, 
Switzerland were randomly assigned to either receiving (n = 261) or not 
receiving (n = 262) a single 40-minute visit by a trained nurse in 2003. The 
physicians answered a postal questionnaire 5 months after the visits 
indicating the percentage of their patients they counselled or treated for 
tobacco dependency and we recorded whether physicians took part in the 
workshop. Findings: Only half (53%) of the physicians agreed to receive a 
visit. At follow-up more physicians in the intervention group than in the 
control group were aware of the computer-tailored program (73% vs. 39%, p < 
0.001) and more physicians in the intervention group said they recommended 
the use of this program to more patients (20% vs. 10%, p = 0.009). Among 
non-smoking physicians only, the proportion of patients who were advised to 
quit smoking was higher in the intervention than in the control group (69% 
vs. 54%, p = 0.019, as reported by physicians). The intervention had no 
impact on physicians' participation in the workshop. Conclusions: Visits by 
a nurse increased the proportion of physicians who recommended to their 
patients the use of a computer-tailored smoking cessation program. Among 
non-smoking physicians only, the intervention increased the proportion of 
patients who received the advice to quit smoking, as reported by physicians. 
© 2006 Taylor & Francis.
EMTREE DRUG INDEX TERMS
  amfebutamone (drug therapy)
  nicotine (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health education
  smoking cessation program
  tobacco dependence (drug therapy, therapy)
EMTREE MEDICAL INDEX TERMS
  adult
  article
  clinical trial
  controlled clinical trial
  controlled study
  education program
  female
  follow up
  human
  major clinical study
  male
  medical education
  medical specialist
  nicotine replacement therapy
  nurse
  patient counseling
  patient education
  physician attitude
  priority journal
  private practice
  questionnaire
  randomized controlled trial
  Switzerland
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)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006333699
MEDLINE PMID
  16831798 (http://www.ncbi.nlm.nih.gov/pubmed/16831798)
PUI
  L44044103
DOI
  10.1080/13576280600742386
FULL TEXT LINK
  http://dx.doi.org/10.1080/13576280600742386
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1388
TITLE
  Global dissemination of a tobacco curriculum in medical schools
AUTHOR NAMES
  Richmond R.
  Taylor R.
AUTHOR ADDRESSES
  (Richmond R., r.richmond@unsw.edu.au; Taylor R.) Department of Public Health 
and Community Medicine, University of New South Wales, Sydney, NSW, 
Australia.
(Richmond R., r.richmond@unsw.edu.au) University of New South Wales, School 
of Public Health and Community Medicine, Sydney, NSW 2052, Australia.
CORRESPONDENCE ADDRESS
  R. Richmond, University of New South Wales, School of Public Health and 
Community Medicine, Sydney, NSW 2052, Australia. Email: 
r.richmond@unsw.edu.au
SOURCE
  International Journal of Tuberculosis and Lung Disease (2006) 10:7 
(750-755). Date of Publication: July 2006
ISSN
  1027-3719
BOOK PUBLISHER
  International Union against Tubercul. and Lung Dis., 68 boulevard 
Saint-Michel, Paris, France.
ABSTRACT
  OBJECTIVE: To identify medical schools who had received, and were using, the 
tobacco curriculum called the Smokescreen Education Programme (SEP) and to 
determine the factors related to its introduction into medical schools. 
DESIGN: This was a worldwide survey of university-based medical schools who 
had previously requested copies of the SEP. A questionnaire asking about 
receipt and use of the SEP (Q1) was mailed to 129 medical schools (response 
rate 71%). Respondents to Q1 who had received the SEP and agreed to complete 
a further questionnaire were sent Questionnaire 2 (Q2). RESULTS: 
Seventy-four per cent of medical schools who had received the SEP stated 
that they were using it. Over three quarters of medical schools that 
responded to Q2 had addressed the teaching of tobacco and related diseases 
and were using the SEP. The majority reported that the SEP had greater 
benefits over current methods of teaching about tobacco. CONCLUSIONS: 
Progress has been made in addressing the teaching of tobacco and related 
diseases in a self-selected number of medical schools worldwide. The SEP is 
a curriculum that appears to have utility across countries and cultures, 
providing the flexibility to incorporate pertinent information. © 2006 The 
Union.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  education program
EMTREE MEDICAL INDEX TERMS
  controlled study
  curriculum
  human
  human experiment
  medical school
  prevalence
  priority journal
  questionnaire
  review
  smoking cessation
  tobacco
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English, French, Spanish
EMBASE ACCESSION NUMBER
  2006329079
MEDLINE PMID
  16848336 (http://www.ncbi.nlm.nih.gov/pubmed/16848336)
PUI
  L44031388
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1389
TITLE
  Do future doctors use narcotics?
ORIGINAL (NON-ENGLISH) TITLE
  Czy przyszli lekarze siȩgaja̧ po narkotyki?
AUTHOR NAMES
  Gibas M.
  Ma̧dry E.
  Ma̧dry R.
  Adamczak-Ratajczak A.
AUTHOR ADDRESSES
  (Gibas M., magda.gibas@hipokrates.org; Ma̧dry E.; Adamczak-Ratajczak A.) 
Katedra i Zakład Fizjologii, Akademia Medyczna, Poznan, Poland.
(Ma̧dry R.) Klinika Onkologii, Akademia Medyczna, Poznan, Poland.
(Gibas M., magda.gibas@hipokrates.org) Katedra i Zakład Fizjologii, AM, ul. 
Świȩcickiego 6, 60-781 Poznań, Poland.
CORRESPONDENCE ADDRESS
  M. Gibas, Katedra i Zakład Fizjologii, AM, ul. Świȩcickiego 6, 60-781 
Poznań, Poland. Email: magda.gibas@hipokrates.org
SOURCE
  Family Medicine and Primary Care Review (2006) 8:3 (609-611). Date of 
Publication: Jul 2006
ISSN
  1734-3402
ABSTRACT
  Background. The use of narcotics is regarded to be a social problem, with 
which general practitioners frequently meet in their office. Objectives. We 
evaluated the use of narcotics by students of 2(nd) and 6(th) year of 
medicine. Material and methods. The data were collected from two student 
populations: 267 students of 2(nd) and 147 of 6(th) year of medicine. The 
anonymous questionnaire covered drug use items. Results. 34% of students use 
narcotics (students of 6(th) year more often). The most popular is 
marijuana, the second place is reserved for amphetamines. The most frequent 
purpose of narcotics use is curiosity and fun, next improved abilities of 
studying. Availability of narcotics is reported as easy or very easy. Only 
16% of students are satisfied with information on intoxicating substances 
and addiction they got from academic teachers. © Copyright by Wydawnictwo 
Continuo.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  narcotic agent
EMTREE DRUG INDEX TERMS
  amphetamine
  cannabis
EMTREE MEDICAL INDEX TERMS
  addiction
  article
  controlled study
  drug use
  futurology
  human
  major clinical study
  medical student
  physician
  population research
  questionnaire
  teacher
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
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  Polish
LANGUAGE OF SUMMARY
  English, Polish
EMBASE ACCESSION NUMBER
  2006590693
PUI
  L44850084
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1390
TITLE
  Adolescent cough medicine abuse in Hong Kong: Implications for the design of 
positive youth development programs in Hong Kong
AUTHOR NAMES
  Shek D.T.L.
  Lam C.-M.
AUTHOR ADDRESSES
  (Shek D.T.L., DANIELSHEK@CUHK.EDU.HK; Lam C.-M.) Social Welfare Practice and 
Research Centre, Department of Social Work, The Chinese University of Hong 
Kong, Shatin, Hong Kong.
CORRESPONDENCE ADDRESS
  D.T.L. Shek, Department of Social Work, The Chinese University of Hong Kong, 
Shatin, Hong Kong. Email: DANIELSHEK@CUHK.EDU.HK
SOURCE
  International Journal of Adolescent Medicine and Health (2006) 18:3 
(493-503). Date of Publication: July/September 2006
ISSN
  0334-0139
BOOK PUBLISHER
  Walter de Gruyter GmbH and Co. KG, Genthiner Str 13, Berlin, Germany.
ABSTRACT
  This study examines the phenomenon of adolescent cough medicine abuse in 
Hong Kong. Quantitative data obtained from questionnaire survey with 225 
adolescents showed that there were personal, peer, family and community 
factors influencing adolescent cough medicine abuse. Part 2 of the study 
obtained qualitative data from focus group interviews with cough medicine 
abusers (N = 8), their family members (N = 5) and service providers (N = 6). 
The accounts of the participants revealed that the primary factors 
accounting for adolescent cough medicine abuse were social pressure (peer 
and environmental influences), family (difficult relationships or harmful 
incidents), availability (ease of access), and ignorance (unaware of the 
consequence of cough medicine use and belief that cough medicine was 
non-addictive). The present findings provide useful pointers for the 
development of the positive youth development program supported by the Hong 
Kong Jockey Club Charities Trust. ©Freund Publishing House Ltd.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  antitussive agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  adolescent development
  drug dependence (etiology)
  education program
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  article
  child behavior
  controlled study
  drug abuse
  family relation
  female
  Hong Kong
  human
  information processing
  interview
  major clinical study
  male
  peer group
  peer pressure
  qualitative analysis
  quantitative analysis
  questionnaire
  risk factor
EMBASE CLASSIFICATIONS
  General Pathology and Pathological Anatomy (5)
  Pediatrics and Pediatric Surgery (7)
  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
  2006498649
MEDLINE PMID
  17068932 (http://www.ncbi.nlm.nih.gov/pubmed/17068932)
PUI
  L44541103
COPYRIGHT
  Copyright 2011 Elsevier B.V., All rights reserved.

RECORD 1391
TITLE
  Creating change agents: A national substance abuse education project
AUTHOR NAMES
  Marcus M.T.
  Brown R.L.
  Straussner S.L.A.
  Schoener E.
  Henry R.
  Graham A.V.
  Madden T.
  Saunders L.A.
AUTHOR ADDRESSES
  (Marcus M.T.; Brown R.L.; Straussner S.L.A.; Schoener E.; Henry R.; Graham 
A.V.; Madden T.; Saunders L.A.) Association for Medical Education and 
Research in Substance Abuse, 125 Whipple Street, Providence, RI 02908, 
United States.
CORRESPONDENCE ADDRESS
  M.T. Marcus, Association for Medical Education and Research in Substance 
Abuse, 125 Whipple Street, Providence, RI 02908, United States.
SOURCE
  Substance Abuse (2006) 26:3-4 (5-15). Date of Publication: 22 Jun 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Objective: This study evaluated the effects of a national interdisciplinary 
faculty development program, Project MAINSTREAM, on creating curriculum 
enhancement in health professional education. Method: Thirty-nine faculty 
completed a two-year, part-time fellowship program featuring 
interdisciplinary collaboration, mentoring, training meetings, and 
Internet-based instructional materials. The main vehicle for curricular 
change was a required collaborative education project to develop trainees' 
core competencies in substance abuse prevention services. Results: Fellows 
used a variety of approaches to implement 123 curricula and provide 66,995 
hours of training to 10,170 trainees. Ninety percent of the training hours 
occurred in required courses, a potential indication of sustainability. 
Fellows indicated that a majority of the offerings would be sustained beyond 
the fellowship. Conclusion: Project MAINSTREAM shows promise as a model for 
achieving durable curriculum change in response to the public health crisis 
associated with a workforce untrained to deliver substance abuse services. © 
2005 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health education
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  health practitioner
  human
  Internet
  medical education
  medical practice
  medical profession
  professional competence
  public health service
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
  2006368065
MEDLINE PMID
  16837406 (http://www.ncbi.nlm.nih.gov/pubmed/16837406)
PUI
  L44156061
DOI
  10.1300/J465v26n03_03
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v26n03_03
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1392
TITLE
  Utilizing a substance use attitudes, practices and knowledge survey for 
multidisciplinary curriculum development
AUTHOR NAMES
  Alexander D.
  Waters V.
  McQueen K.
  Basinger S.
AUTHOR ADDRESSES
  (Alexander D., dalexander@uh.edu) University of Houston, Graduate College of 
Social Work, 4800 Calhoun Road, Houston, TX 77204-4492, United States.
(Waters V.) Physician Assistant Program, Baylor College of Medicine, .
(McQueen K.) Section of General Internal Medicine, Baylor College of 
Medicine, Ben Taub General Hospital, .
(Basinger S.) Baylor College of Medicine, Houston, TX.
CORRESPONDENCE ADDRESS
  D. Alexander, University of Houston, Graduate College of Social Work, 4800 
Calhoun Road, Houston, TX 77204-4492, United States. Email: 
dalexander@uh.edu
SOURCE
  Substance Abuse (2006) 26:3-4 (63-66). Date of Publication: 22 Jun 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Development and administration of a substance use attitudes questionnaire to 
social work students and clinicians, physician assistant students and 
practitioners, and medical interns is described. © 2005 by The Haworth 
Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  attitude
  continuing education
  curriculum development
  health practitioner
  health service
  human
  internal medicine
  physician assistant
  questionnaire
  social work
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
  2006368076
MEDLINE PMID
  16837417 (http://www.ncbi.nlm.nih.gov/pubmed/16837417)
PUI
  L44156072
DOI
  10.1300/J465v26n03_14
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v26n03_14
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1393
TITLE
  Interdisciplinary service-learning substance abuse projects: Processes and 
outcomes
AUTHOR NAMES
  Straussner S.L.A.
  Marcus M.T.
  Brown R.L.
  Madden T.
  Graham A.V.
  Schoener E.P.
AUTHOR ADDRESSES
  (Straussner S.L.A., lala.straussner@nyu.edu) Post-Master Certificate 
Program, Clinical Approaches to Addictions, New York University School of 
Social Work, .
(Marcus M.T.) Department in Addiction Nursing, .
(Marcus M.T.) Center for Substance Abuse Education, Prevention, and 
Research, School of Nursing, University of Texas Health Science Center, 
Houston, TX, United States.
(Brown R.L.) Department of Family Medicine, University of Wisconsin, 
Madison, WI, United States.
(Madden T.) Department of Periodontology, School of Dentistry, Oregon Health 
and Science University, .
(Graham A.V.) Department of Family Medicine, Case Western Reserve 
University, School of Medicine, .
(Schoener E.P.) Department of Pharmacology, Psychiatry and Community 
Medicine, Wayne State University, .
(Straussner S.L.A., lala.straussner@nyu.edu) New York University, School of 
Social Work, 1 Washington Square North, New York, NY 10003, United States.
CORRESPONDENCE ADDRESS
  S.L.A. Straussner, New York University, School of Social Work, 1 Washington 
Square North, New York, NY 10003, United States. Email: 
lala.straussner@nyu.edu
SOURCE
  Substance Abuse (2006) 26:3-4 (17-20). Date of Publication: 22 Jun 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  The purpose of this paper is to describe the development and implementation 
of community-based, service-learning field projects by 30 health 
professional faculty fellows of Project MAINSTREAM, a faculty development 
program on substance abuse. The fellows worked together for two years in 10 
Interdisciplinary Faculty Learning Groups (IFLGs), which consisted of three 
academics of different disciplines. The ten projects are viewed within the 
context of service- learning and are based on a balance between the 
provision of services to the community and furthering the learning 
objectives of Project MAINSTREAM. © 2005 by The Haworth Press, Inc. All 
rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health service
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  community care
  health practitioner
  human
  interdisciplinary education
  outcome assessment
  primary health care
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
  2006368066
MEDLINE PMID
  16837407 (http://www.ncbi.nlm.nih.gov/pubmed/16837407)
PUI
  L44156062
DOI
  10.1300/J465v26n03_04
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v26n03_04
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1394
TITLE
  Interdisciplinary service learning and substance abuse screening in free 
clinic settings
AUTHOR NAMES
  Martin P.M.
  Pilon-Kacir C.
  Wheeler M.
AUTHOR ADDRESSES
  (Martin P.M., marti370@umn.edu; Wheeler M., wheeler.mare@mayo.edu) 
Occupational Therapy Program, University of Minnesota, 420 Delaware Street, 
S.E., Minneapolis, MN 55455, United States.
(Pilon-Kacir C., christine.pilon-kacir@winona.msus.edu) Department of 
Nursing, Winona State University, University Center Rochester, Rochester, MN 
55901, United States.
(Pilon-Kacir C., christine.pilon-kacir@winona.msus.edu) Clinical and 
Didactic Faculty, LaCrosse-Gunderson-Mayo PA Program, University of 
Wisconsin-LaCrosse, Rochester, MN 55901, United States.
CORRESPONDENCE ADDRESS
  P.M. Martin, Occupational Therapy Program, University of Minnesota, 420 
Delaware Street, S.E., Minneapolis, MN 55455, United States. Email: 
marti370@umn.edu
SOURCE
  Substance Abuse (2006) 26:3-4 (49-52). Date of Publication: 22 Jun 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Interdisciplinary groups of students learned screening tools for substance 
use and practiced skills of brief intervention while serving needs of a 
local free clinic. © 2005 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  health care personnel
  health service
  human
  interdisciplinary education
  nursing
  occupational therapy
  patient education
  physician assistant
  population
  screening
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
  2006368073
MEDLINE PMID
  16837414 (http://www.ncbi.nlm.nih.gov/pubmed/16837414)
PUI
  L44156069
DOI
  10.1300/J465v26n03_11
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v26n03_11
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1395
TITLE
  Training providers at a University Health Center in substance use screening
AUTHOR NAMES
  Eckert-Norton M.
  Baez A.
  Morrison A.
AUTHOR ADDRESSES
  (Eckert-Norton M., margaret.eckert-norton@downstate.edu) SUNY Downstate 
Medical Center, Box123, 450 Clarkson, Brooklyn, NY 11203, United States.
(Baez A.; Morrison A.)
CORRESPONDENCE ADDRESS
  M. Eckert-Norton, SUNY Downstate Medical Center, Box123, 450 Clarkson, 
Brooklyn, NY 11203, United States. Email: 
margaret.eckert-norton@downstate.edu
SOURCE
  Substance Abuse (2006) 26:3-4 (39-42). Date of Publication: 22 Jun 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  NYU MAINSTREAM fellows collaborated with a student health center. An 
objective structured clinical evaluation (OSCE) was conducted by the fellows 
for the center's personnel. © 2005 by The Haworth Press, Inc. All rights 
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  health center
  health education
  human
  medical education
  outcomes research
  screening
  training
  university student
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
  2006368071
MEDLINE PMID
  16837412 (http://www.ncbi.nlm.nih.gov/pubmed/16837412)
PUI
  L44156067
DOI
  10.1300/J465v26n03_09
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v26n03_09
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1396
TITLE
  Training school nurses: Screening and brief intervention for tobacco use
AUTHOR NAMES
  Castleman J.B.
  Novak M.A.
  Sposetti V.J.
AUTHOR ADDRESSES
  (Castleman J.B.) University of Florida, College of Nursing, Gainesville, FL, 
United States.
(Novak M.A.) University of Florida, College of Medicine, Gainesville, FL, 
United States.
(Sposetti V.J.) University of Florida, College of Dentistry, Gainesville, 
FL, United States.
CORRESPONDENCE ADDRESS
  J.B. Castleman, University of Florida, College of Nursing, Gainesville, FL, 
United States.
SOURCE
  Substance Abuse (2006) 26:3-4 (35-38). Date of Publication: 22 Jun 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  This field project focused on training school nurses to do screening and 
brief interventions for tobacco use. Needed resources were organized in a 
kit. © 2005 by The Haworth Press, Inc. All rights reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
  tobacco dependence (disease management)
EMTREE MEDICAL INDEX TERMS
  article
  health care cost
  health care personnel
  health care policy
  human
  medical student
  morbidity
  nursing student
  residency education
  school health nursing
  screening
  smoking cessation
  training
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
  2006368070
MEDLINE PMID
  16837411 (http://www.ncbi.nlm.nih.gov/pubmed/16837411)
PUI
  L44156066
DOI
  10.1300/J465v26n03_08
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v26n03_08
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1397
TITLE
  Partnering with community-based professionals to improve substance abuse 
screening and intervention for youth and young adults
AUTHOR NAMES
  Baldwin J.A.
  Johnson R.M.
  Wayment H.A.
  Callahan E.J.
AUTHOR ADDRESSES
  (Baldwin J.A., jbaldwin@hsc.usf.edu) Department of Community and Family 
Health, College of Public Health, University of South Florida, 13201 Bruce 
B. Downs Boulevard, Tampa, FL 33612, United States.
(Johnson R.M., Rhonda.Johnson@uaa.alaska.edu) Department of Health Sciences, 
University of Alaska-Anchorage, .
(Baldwin J.A., jbaldwin@hsc.usf.edu; Johnson R.M., 
Rhonda.Johnson@uaa.alaska.edu) Northern Arizona University, .
(Wayment H.A., Heidi.Wayment@nau.edu) Graduate Certificate in Substance 
Abuse Education and Prevention, Department of Psychology, Northern Arizona 
University, Flagstaff, AZ, United States.
(Callahan E.J., ejcallahan@ucdavis.edu) Department of Family and Community 
Psychology, University of California-Davis, Sacramento, CA, United States.
CORRESPONDENCE ADDRESS
  J.A. Baldwin, Department of Community and Family Health, College of Public 
Health, University of South Florida, 13201 Bruce B. Downs Boulevard, Tampa, 
FL 33612, United States. Email: jbaldwin@hsc.usf.edu
SOURCE
  Substance Abuse (2006) 26:3-4 (43-47). Date of Publication: 22 Jun 2006
ISSN
  0889-7077
  1547-0164 (electronic)
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  The paper describes the process by which a team conducted a needs assessment 
and developed training programs to address service gaps in substance abuse 
prevention for young people. © 2005 by The Haworth Press, Inc. All rights 
reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  article
  community
  follow up
  health care personnel
  human
  medical staff
  outcomes research
  public health
  school health nursing
  screening
  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
  2006368072
MEDLINE PMID
  16837413 (http://www.ncbi.nlm.nih.gov/pubmed/16837413)
PUI
  L44156068
DOI
  10.1300/J465v26n03_10
FULL TEXT LINK
  http://dx.doi.org/10.1300/J465v26n03_10
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1398
TITLE
  Substance abuse assessment and treatment: The current training and practice 
of APA Division 22 members
AUTHOR NAMES
  Cardoso E.D.S.
  Pruett S.R.
  Chan F.
  Tansey T.N.
AUTHOR ADDRESSES
  (Cardoso E.D.S., ecardoso@hunter.cuny.edu) Department of Educational 
Foundations and Counseling Programs, Hunter College, City University of New 
York, .
(Pruett S.R.) Department of Rehabilitation Counseling, University of 
Florida, .
(Chan F.) Department of Rehabilitation Psychology and Special Education, 
University of Wisconsin-Madison, .
(Tansey T.N.) Department of Counseling, Educational Psychology, and Special 
Education, Michigan State University, .
(Cardoso E.D.S., ecardoso@hunter.cuny.edu) Department of Educational 
Foundations and Counseling Programs, Hunter College, City University of New 
York, 695 Park Avenue, W1017, New York, NY 10021, United States.
CORRESPONDENCE ADDRESS
  E.D.S. Cardoso, Department of Educational Foundations and Counseling 
Programs, Hunter College, City University of New York, 695 Park Avenue, 
W1017, New York, NY 10021, United States. Email: ecardoso@hunter.cuny.edu
SOURCE
  Rehabilitation Psychology (2006) 51:2 (175-178). Date of Publication: May 
2006
ISSN
  0090-5550
ABSTRACT
  Objective: To determine the preparedness of rehabilitation psychologists to 
work with people with disabilities with primary or secondary 
substance-related problems by examining their education, training, and 
current practice. Design: Mail survey. Participants: 76 (47 men, 29 women) 
Division 22 members of the American Psychological Association. Results: 
Although 79% of respondents reported treating individuals with alcohol and 
other drug issues, over half rated their training in substance abuse 
treatment as inadequate. Referring to self-help groups and instilling 
cognitive-behavioral coping skills were common treatments. Participants 
reported a lack of preparation in substance abuse training in their graduate 
program coursework, practicum, and internship. Conclusion: Continuing 
education and changes to curriculum requirements, with linkage to existing 
certification bodies, should be considered to close the gap between training 
and practice. Copyright 2006 by the American Psychological Association.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
  training
EMTREE MEDICAL INDEX TERMS
  adult
  article
  behavior
  cognition
  coping behavior
  curriculum
  disability
  education
  female
  health survey
  human
  male
  medical education
  medical practice
  normal human
  psychologist
  rehabilitation
  self help
  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
  2006285473
PUI
  L43886860
DOI
  10.1037/0090-5550.51.2.175
FULL TEXT LINK
  http://dx.doi.org/10.1037/0090-5550.51.2.175
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1399
TITLE
  Managing opioid addiction with buprenorphine
AUTHOR NAMES
  Donaher P.A.
  Welsh C.
AUTHOR ADDRESSES
  (Donaher P.A.)
(Welsh C., cwelsh@psych.umaryland.edu) University of Maryland School of 
Medicine, Baltimore, MD, United States.
(Welsh C., cwelsh@psych.umaryland.edu) University of Maryland School of 
Medicine, Dept. of Psychiatry, Box 349, 22 S. Greene St., Baltimore, MD 
21201, United States.
(Donaher P.A.) Whitsett Center, Chestertown, MD, United States.
(Welsh C., cwelsh@psych.umaryland.edu) Department of Psychiatry, University 
of Maryland School of Medicine, Baltimore, MD, United States.
CORRESPONDENCE ADDRESS
  C. Welsh, University of Maryland School of Medicine, Dept. of Psychiatry, 
Box 349, 22 S. Greene St., Baltimore, MD 21201, United States. Email: 
cwelsh@psych.umaryland.edu
SOURCE
  American Family Physician (2006) 73:9 (1573-1578). Date of Publication: 1 
May 2006
ISSN
  0002-838X
  0002-838X (electronic)
BOOK PUBLISHER
  American Academy of Family Physicians, 11400 Tomahawk Creek Parkway, Suite 
440, Leawood, United States.
ABSTRACT
  Legislation has enabled physicians to treat opioid-dependent patients with 
an office-based maintenance program using buprenorphine, a partial mu-opioid 
receptor agonist. Clinical studies indicate buprenorphine effectively 
manages opioid addiction. Buprenorphine is more effective than placebo for 
managing opioid addiction but may not be superior to methadone if high doses 
are needed. It is comparable to lower doses of methadone, however. Treatment 
phases include induction, stabilization, and maintenance. Buprenorphine 
therapy should be initiated at the onset of withdrawal symptoms and adjusted 
to address withdrawal symptoms and cravings. Advantages of buprenorphine 
include low abuse potential and high availability for office use. 
Disadvantages include high cost and possible lack of effectiveness in 
patients who require high methadone doses. Most family physicians are 
required to complete eight hours of training before they can prescribe 
buprenorphine for opioid addiction. Copyright © 2006 American Academy of 
Family Physicians.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  buprenorphine (adverse drug reaction, clinical trial, drug combination, drug 
comparison, drug dose, drug therapy, drug toxicity, oral drug 
administration, pharmacoeconomics, pharmacokinetics, pharmacology, 
sublingual drug administration)
  mu opiate receptor agonist (adverse drug reaction, clinical trial, drug 
combination, drug comparison, drug dose, drug therapy, drug toxicity, oral 
drug administration, pharmacoeconomics, pharmacokinetics, pharmacology, 
sublingual drug administration)
EMTREE DRUG INDEX TERMS
  antifungal agent
  buprenorphine plus naloxone (drug therapy)
  carbamazepine
  clonidine (drug therapy)
  dicycloverine (drug therapy)
  hydroxyzine (drug therapy)
  ibuprofen (drug therapy)
  loperamide (drug therapy)
  macrolide
  methadone (drug comparison, drug dose, drug therapy)
  naloxone (drug combination, drug therapy, pharmacokinetics)
  opiate
  phenobarbital
  phenytoin
  placebo
  proteinase inhibitor
  rifampicin
  RNA directed DNA polymerase inhibitor
  trazodone (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  opiate addiction (drug therapy)
EMTREE MEDICAL INDEX TERMS
  abdominal cramp (drug therapy)
  agitation
  article
  clinical trial
  constipation (side effect)
  diarrhea (drug therapy)
  drug bioavailability
  drug cost
  drug dose regimen
  drug effect
  drug efficacy
  drug metabolism
  drug overdose
  general practitioner
  hepatitis B
  hepatitis C
  human
  insomnia (drug therapy)
  maintenance therapy
  myalgia (drug therapy)
  prescription
  respiration depression (side effect)
  sedation
  side effect (side effect)
  urine retention (side effect)
  withdrawal syndrome
DRUG TRADE NAMES
  atarax
  bentyl
  catapres
  desyrel
  imodium
  motrin
  rifadin
CAS REGISTRY NUMBERS
  buprenorphine (52485-79-7, 53152-21-9)
  carbamazepine (298-46-4, 8047-84-5)
  clonidine (4205-90-7, 4205-91-8, 57066-25-8)
  dicycloverine (50815-09-3, 67-92-5, 77-19-0)
  hydroxyzine (2192-20-3, 64095-02-9, 68-88-2)
  ibuprofen (15687-27-1)
  loperamide (34552-83-5, 53179-11-6)
  methadone (1095-90-5, 125-56-4, 23142-53-2, 297-88-1, 76-99-3)
  naloxone (357-08-4, 465-65-6)
  opiate (53663-61-9, 8002-76-4, 8008-60-4)
  phenobarbital (50-06-6, 57-30-7, 8028-68-0)
  phenytoin (57-41-0, 630-93-3)
  proteinase inhibitor (37205-61-1)
  rifampicin (13292-46-1)
  trazodone (19794-93-5, 25332-39-2)
EMBASE CLASSIFICATIONS
  Clinical and Experimental Pharmacology (30)
  Health Policy, Economics and Management (36)
  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
  2006258706
MEDLINE PMID
  16719249 (http://www.ncbi.nlm.nih.gov/pubmed/16719249)
PUI
  L43807052
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1400
TITLE
  Brief report: Training internists in shared decision making about chronic 
opioid treatment for noncancer pain
AUTHOR NAMES
  Sullivan M.D.
  Leigh J.
  Gaster B.
AUTHOR ADDRESSES
  (Sullivan M.D., sullimar@u.washington.edu; Leigh J.) Psychiatry and 
Behavioral Sciences, University of Washington, Seattle, WA, United States.
(Gaster B.) Internal Medicine, University of Washington, Seattle, WA, United 
States.
(Sullivan M.D., sullimar@u.washington.edu) Psychiatry and Behavioral 
Sciences, Box 356560, University of Washington, Seattle, WA 98195-6560, 
United States.
CORRESPONDENCE ADDRESS
  M.D. Sullivan, Psychiatry and Behavioral Sciences, Box 356560, University of 
Washington, Seattle, WA 98195-6560, United States. Email: 
sullimar@u.washington.edu
SOURCE
  Journal of General Internal Medicine (2006) 21:4 (360-362). Date of 
Publication: April 2006
ISSN
  0884-8734
  1525-1497 (electronic)
BOOK PUBLISHER
  Springer New York LLC, 233 Springer Street, New York, United States.
ABSTRACT
  BACKGROUND: The use of chronic opioids for noncancer pain is an increasingly 
common and difficult problem in primary care. OBJECTIVE: To test the effects 
on physicians' self-reported attitudes and behavior of a shared 
decision-making training for opioid treatment of chronic pain. DESIGN: 
Randomized-controlled trial. PARTICIPANTS: Internal Medicine residents 
(n=38) and attendings (n=7) were randomized to receive two 1-hour training 
sessions on a shared decision-making model for opioid treatment for chronic 
pain (intervention, n=22) or written educational materials (control, n=23). 
MEASUREMENTS: Questionnaires assessing physician satisfaction, physician 
patient-centeredness, opioid prescribing practices, and completion rates of 
patient treatment agreements administered 2 months before and 3 months after 
training. RESULTS: At follow-up, the intervention group reported 
significantly greater overall physician satisfaction (P=.002), including 
subscales on relationship quality (P=.03) and appropriate use of time 
(P=.02), self-reported completion rates of patient treatment agreements 
(P=.01), self-reported rates of methadone prescribing (P=.05), and 
self-reported change in care of patients with chronic pain (P=.01). 
CONCLUSIONS: Training primary care physicians in the shared decision-making 
model improves physician satisfaction in caring for patients with chronic 
pain and promotes the use of patient treatment agreements. Further research 
is necessary to determine whether this training improves patient 
satisfaction and outcomes.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  opiate (drug therapy)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  chronic pain (drug therapy)
EMTREE MEDICAL INDEX TERMS
  adult
  article
  behavior
  clinical education
  clinical supervision
  clinical trial
  controlled clinical trial
  controlled study
  doctor patient relation
  follow up
  human
  human experiment
  internal medicine
  job satisfaction
  medical decision making
  normal human
  patient care
  physician
  physician attitude
  primary medical care
  professional student relation
  randomized controlled trial
  residency education
  resident
  self report
CAS REGISTRY NUMBERS
  opiate (53663-61-9, 8002-76-4, 8008-60-4)
EMBASE CLASSIFICATIONS
  Internal Medicine (6)
  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
  2006209584
MEDLINE PMID
  16686813 (http://www.ncbi.nlm.nih.gov/pubmed/16686813)
PUI
  L43654692
DOI
  10.1111/j.1525-1497.2006.00352.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1525-1497.2006.00352.x
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1401
TITLE
  Active and passive smoking among asthmatic Missourians: Implications for 
health education
AUTHOR NAMES
  Yun S.
  Chanetsa F.
  Kelsey A.
  Zhu B.-P.
AUTHOR ADDRESSES
  (Yun S., shumei.yun@dhss.mo.gov; Kelsey A.; Zhu B.-P.) Missouri Department 
of Health, Senior Services, Division of Community and Public Health, 920 
Wildwood Dr, Jefferson City, MO 65102-0570, United States.
(Chanetsa F.) Center for Health Care Quality, Department of Health 
Management and Informatics, School of Medicine, Columbia, MO 65211-4380, 
United States.
CORRESPONDENCE ADDRESS
  S. Yun, Missouri Department of Health, Senior Services, Division of 
Community and Public Health, 920 Wildwood Dr, Jefferson City, MO 65102-0570, 
United States. Email: shumei.yun@dhss.mo.gov
SOURCE
  Preventive Medicine (2006) 42:4 (286-290). Date of Publication: April 2006
ISSN
  0091-7435
BOOK PUBLISHER
  Academic Press Inc., 6277 Sea Harbor Drive, Orlando, United States.
ABSTRACT
  Objectives.: To estimate the prevalence of smoking and exposure to 
secondhand smoke among asthmatic Missourians and to describe associated 
predisposing factors. Method.: The Missouri County-level Behavioral Risk 
Factor Survey, conducted among 15,059 non-institutionalized Missourians aged 
18 years or older using random-digit-dialed telephone interviews during 
2002-2003, was used in this study. Results.: Current smoking (28.4%) and 
regular exposure to secondhand smoke (19.9%-36.4%, depending on the setting) 
were prevalent among asthmatic Missourians. Among asthmatics, those with 
college or technical school education were less likely to be current smokers 
compared to those with less than a high school education [odds ratio 
(OR) = 0.25, 95% confidence interval (CI): 0.11, 0.57]; African Americans 
were less likely to be current smokers than white (OR = 0.24, 95% CI: 0.07, 
0.83); however, among asthmatic non-current smokers, African Americans were 
more likely to expose to secondhand smoke one or more days per week inside 
home than whites. Of the asthmatic current smokers who had visited a 
physician in the past 12 months, 30.0% were not advised by health care 
professionals to quit smoking. Conclusions.: Asthma intervention programs 
should strengthen smoking cessation components and should educate health 
care professionals about the importance of advising asthmatic patients to 
quit smoking. © 2006 The Institute For Cancer Prevention and Elsevier Inc.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  asthma
  health education
  passive smoking
EMTREE MEDICAL INDEX TERMS
  adult
  African American
  aged
  article
  college student
  confidence interval
  European American
  female
  health care personnel
  health survey
  high school
  human
  interview
  major clinical study
  male
  physician
  prevalence
  priority journal
  risk assessment
  risk factor
  smoking cessation
  technical aid
  telephone
  United States
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
  2006190115
MEDLINE PMID
  16488000 (http://www.ncbi.nlm.nih.gov/pubmed/16488000)
PUI
  L43607066
DOI
  10.1016/j.ypmed.2006.01.004
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.ypmed.2006.01.004
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1402
TITLE
  Drug services in England and Wales: A survey of treatment providers and 
their medical leads
AUTHOR NAMES
  Airey N.
  McLaren S.
AUTHOR ADDRESSES
  (Airey N., Nick.Airey@sompar.nhs.uk) Somerset Drug Service, Salmon Parade, 
Bridgwater, Somerset TA6 5PY, United Kingdom.
(McLaren S.) South Devon Drug Service, Torquay, United Kingdom.
CORRESPONDENCE ADDRESS
  N. Airey, Somerset Drug Service, Salmon Parade, Bridgwater, Somerset TA6 
5PY, United Kingdom. Email: Nick.Airey@sompar.nhs.uk
SOURCE
  Psychiatric Bulletin (2006) 30:4 (140-142). Date of Publication: Apr 2006
ISSN
  0955-6036
ABSTRACT
  Aims and method: We undertook a postal questionnaire survey of drug action 
teams in England and Wales with the aim of clarifying the nature of 
statutory specialist drug services. Results: Of 159 drug action teams, 110 
(69%) responded; 64 (58%) reported that mental health trusts exclusively 
provided their specialist drug services. Other providers were primary care 
and acute trusts, the non-statutory sector and social services.The majority 
of medical leads were psychiatrists (123 senior posts with 20% 
vacant/occupied by a locum), then general practitioners (GPs) (42) and other 
specialists (4). Clinical implications: Specialist drug services are offered 
by a range of treatment providers, with the medical lead being taken by GPs 
and other specialists in some areas. In view of the current difficulty in 
recruiting psychiatrists, we propose that alternative training pathways are 
considered for addiction specialists.
EMTREE DRUG INDEX TERMS
  neuroleptic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  mental health service
EMTREE MEDICAL INDEX TERMS
  article
  controlled study
  general practitioner
  health care personnel
  health care system
  health survey
  human
  medical practice
  medical profession
  medical specialist
  primary medical care
  professional practice
  psychiatrist
  questionnaire
  United Kingdom
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
  2006167562
PUI
  L43527555
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1403
TITLE
  Use of psychoactive drugs by health sciences undergraduate students at the 
Federal University in Amazonas, Brazil
ORIGINAL (NON-ENGLISH) TITLE
  Uso de psicotrópicos entre universitários da área da saúde da Universidade 
Federal do Amazonas, Brasil
AUTHOR NAMES
  Lucas A.C.D.S.
  Pereira Parente R.C.
  Picanço N.S.
  Conceição D.A.
  Carim Da Costa K.R.
  Dos Santos Magalhães I.R.
  Alves Siqueira J.C.
AUTHOR ADDRESSES
  (Lucas A.C.D.S., alucas@ufam.edu.br; Conceição D.A.; Carim Da Costa K.R.; 
Dos Santos Magalhães I.R.; Alves Siqueira J.C.) Faculdade de Ciências da 
Saúde, Universidade Federal do Amazonas, Manaus, Brazil.
(Pereira Parente R.C.) Instituto de Ciências Exatas, Universidade Federal do 
Amazonas, Manaus, Brazil.
(Picanço N.S.) Grupo de Pesquisa em Toxicologia, Universidade Federal do 
Amazonas, Manaus, Brazil.
(Lucas A.C.D.S., alucas@ufam.edu.br) Departamento de Análises Clínicas e 
Toxicológicas, Faculdade de Ciências da Saúde, Universidade Federal do 
Amazonas, Rua Com. Alexandre Amorim 330, Manaus, AM 69053-030, Brazil.
CORRESPONDENCE ADDRESS
  A.C.D.S. Lucas, Departamento de Análises Clínicas e Toxicológicas, Faculdade 
de Ciências da Saúde, Universidade Federal do Amazonas, Rua Com. Alexandre 
Amorim 330, Manaus, AM 69053-030, Brazil. Email: alucas@ufam.edu.br
SOURCE
  Cadernos de Saude Publica (2006) 22:3 (663-671). Date of Publication: March 
2006
ISSN
  0102-311X
  1678-4464 (electronic)
BOOK PUBLISHER
  Fundacao Oswaldo Cruz
ABSTRACT
  A survey was conducted with 521 undergraduate health sciences students from 
the Federal University in Amazonas, Manaus, Brazil. Life-time alcohol 
consumption was reported by 87.7% students, as compared to 30.7% for 
tobacco, with the latter reported more frequently by males (39.7%). The most 
common illicit drugs were solvents (11.9%), marijuana (9.4%), amphetamines 
and anxiolytics (9.2% each), cocaine (2.1%), and hallucinogens (1.2%). The 
main reason for illicit drug use was curiosity. Lifetime use of anabolic 
steroids was reported by 2.1% of the students. Alcohol abuse in the previous 
30 days was reported by 12.4% of the students. Events following drinking 
included: fights (4.7%), accidents (2.4%), classroom absenteeism (33.7%), 
and job absenteeism (11.8%). Another important finding was that 47.3% of 
students drove after drinking. Opinions on drug abuse and patterns agree 
with those from similar studies in other regions of Brazil.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  psychotropic agent
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (epidemiology, prevention)
  medical education
  medical student
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  age
  age distribution
  article
  Brazil (epidemiology)
  female
  human
  male
  prevalence
  psychological aspect
  sex difference
  sex ratio
  socioeconomics
  statistics
LANGUAGE OF ARTICLE
  Portuguese
LANGUAGE OF SUMMARY
  English, Portuguese
MEDLINE PMID
  16583110 (http://www.ncbi.nlm.nih.gov/pubmed/16583110)
PUI
  L43677888
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1404
TITLE
  Medical use, illicit use, and diversion of abusable prescription drugs
AUTHOR NAMES
  McCabe S.E.
  Teter C.J.
  Boyd C.J.
AUTHOR ADDRESSES
  (McCabe S.E., plius@umich.edu) Substance Abuse Research Center, University 
of Michigan, Ann Arbor, MI, United States.
(Boyd C.J.) Institute for Research on Women and Gender, University of 
Michigan, Ann Arbor, MI, United States.
(Boyd C.J.) Department of Nursing and Women's Studies, University of 
Michigan, Ann Arbor, MI, United States.
(Teter C.J.) Northeastern University School of Pharmacy, .
(Teter C.J.) McLean Hospital Alcohol and Drug Abuse Treatment Program, 
Boston, MA, United States.
(McCabe S.E., plius@umich.edu) Substance Abuse Research Center, University 
of Michigan, 2025 Traverwood Drive, Ann Arbor, MI 48105-2194, United States.
CORRESPONDENCE ADDRESS
  S.E. McCabe, Substance Abuse Research Center, University of Michigan, 2025 
Traverwood Drive, Ann Arbor, MI 48105-2194, United States. Email: 
plius@umich.edu
SOURCE
  Journal of American College Health (2006) 54:5 (269-278). Date of 
Publication: March/April 2006
ISSN
  0744-8481
BOOK PUBLISHER
  Heldref Publications
ABSTRACT
  The authors investigated the medical use, illicit use, and diversion of 4 
distinct classes of abusable prescription medication (sleeping medication, 
sedative or anxiety medication, stimulant medication, and pain medication) 
in a random sample of undergraduate students. In spring 2003, 9,161 
undergraduate students attending a large, public, midwestern research 
university in the United States self-administered a Web-based survey. The 
prevalence rate for illicit use within the past year was highest for pain 
medication, followed by stimulant medication, sedative or anxiety 
medication, and sleeping medication. Women generally reported higher 
past-year medical use rates. However, undergraduate men reported higher 
illicit use rates. The illicit use-medical use ratio for stimulant 
medication was the highest among the 4 classes of prescription drugs. 
Medical users of stimulants for attention deficit hyperactivity disorder 
were the most likely to be approached to divert their medication. 
Multivariate results indicated that illicit users of prescription drugs were 
more likely to use other drugs than were students who did not use 
prescription drugs illicitly. The authors provide evidence that prescription 
drug abuse is a problem among college students. Copyright © 2006 Heldref 
Publications.
EMTREE DRUG INDEX TERMS
  analgesic agent (drug administration)
  anxiolytic agent (drug administration)
  central stimulant agent (drug administration)
  hypnotic sedative agent (drug administration)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (epidemiology)
  health survey
  prescription
  student
  university
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  article
  female
  human
  Internet
  male
  prevalence
  psychological aspect
  questionnaire
  statistics
  United States (epidemiology)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  16539219 (http://www.ncbi.nlm.nih.gov/pubmed/16539219)
PUI
  L43439968
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1405
TITLE
  Putting woman-centered care into practice: A new (ANEW) approach to 
psychosocial risk assessment during pregnancy
AUTHOR NAMES
  Gunn J.
  Hegarty K.
  Nagle C.
  Forster D.
  Brown S.
  Lumley J.
AUTHOR ADDRESSES
  (Gunn J.; Hegarty K.) Department of General Practice, University of 
Melbourne, Australia.
(Nagle C.) Murdoch Childrens Research Institute, Australia.
(Forster D.) Mercy Hospital for Women, Australia.
(Brown S.; Lumley J.) Mother and Child Health Research Centre, La Trobe 
University, Melbourne, Australia.
(Gunn J.) Department of General Practice, University of Melbourne, 200 
Berkeley St, Carlton, Vic. 3053, Australia.
CORRESPONDENCE ADDRESS
  J. Gunn, Department of General Practice, University of Melbourne, 200 
Berkeley St, Carlton, Vic. 3053, Australia.
SOURCE
  Birth (2006) 33:1 (46-55). Date of Publication: March 2006
ISSN
  0730-7659
  1523-536X (electronic)
BOOK PUBLISHER
  Blackwell Publishing Inc., 350 Main Street, Malden, United States.
ABSTRACT
  Background: When antenatal care is provided, identification and management 
of challenging problems, such as depression, domestic violence, child abuse, 
and substance abuse, are absent from traditional midwifery and medical 
training. The main objective of this project was to provide an alternative 
to psychosocial risk screening in pregnancy by offering a training program 
(ANEW) in advanced communication skills and common psychosocial issues to 
midwives and doctors, with the aim of improving identification and support 
of women with psychosocial issues in pregnancy. Methods: ANEW used a 
before-and-after survey design to evaluate the effects of a 6-month 
educational intervention for health professionals. The setting for the 
project was the Mercy Hospital for Women in Melbourne, Australia. Surveys 
covered issues, such as perceived competency and comfort in dealing with 
specific psychosocial issues, self-rated communication skills, and 
open-ended questions about participants' experience of the educational 
program. Results: Educational program participants (n = 22/27) completed 
both surveys. After the educational intervention, participants were more 
likely to ask directly about domestic violence (p = 0.05), past sexual abuse 
(p = 0.05), and concerns about caring for the baby (p = 0.03). They were 
less likely to report that psychosocial issues made them feel overwhelmed (p 
= 0.01), and they reported significant gains in knowledge of psychosocial 
issues, and competence in dealing with them. Participants were highly 
positive about the experience of participating in the program. Conclusions: 
The program increased the self-reported comfort and competency of health 
professionals to identify and care for women with psychosocial issues. © 
2006, Copyright the Authors.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health program
EMTREE MEDICAL INDEX TERMS
  adult
  article
  Australia
  communication skill
  controlled study
  domestic violence
  female
  health practitioner
  health survey
  human
  human experiment
  learning
  medical education
  medical practice
  open-ended questionnaire
  pregnancy
  prenatal care
  priority journal
  psychosocial care
  risk assessment
  screening test
  sexual abuse
EMBASE CLASSIFICATIONS
  Obstetrics and Gynecology (10)
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006443049
MEDLINE PMID
  16499531 (http://www.ncbi.nlm.nih.gov/pubmed/16499531)
PUI
  L44366946
DOI
  10.1111/j.0730-7659.2006.00073.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.0730-7659.2006.00073.x
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1406
TITLE
  Feasibility of systematic screening for addictive behaviours of hospitalized 
patients
ORIGINAL (NON-ENGLISH) TITLE
  Faisabilité du dépistage systématique des comportements addictifs chez les 
patients hospitalisés
AUTHOR NAMES
  Le Faou A.-L.
  Scemama O.
AUTHOR ADDRESSES
  (Le Faou A.-L.; Scemama O.) Centre de Tabacologie, Hôpital Européen Georges 
Pompidou, 20, rue Leblanc, 75015 Paris, France.
(Le Faou A.-L.; Scemama O.) Département de Santé Publique, Faculté de 
Médecine René Descartes, 15, rue de l'Ecole de Medecine, 75270 Paris Cedex 
06, France.
(Le Faou A.-L.) INSERM Unité 537, Centre de Recherche en Économie et Gestion 
Appliquées à la Santé, .
CORRESPONDENCE ADDRESS
  A.-L. Le Faou, Département de Santé Publique, Faculté de Médecine René 
Descartes, 15, rue de l'Ecole de Medecine, 75270 Paris Cedex 06, France.
SOURCE
  Sante Publique (2006) 18:1 (7-21). Date of Publication: March 2006
ISSN
  0995-3914
BOOK PUBLISHER
  Societe Francaise de Sante Publique, 2 Avenue du Doyen J. Parisot, P.O. Box 
7, Vandoeuvre-les-Nancy, France.
ABSTRACT
  Background: The national policy against addiction led to the establishment 
of specialized units with liaison teams trained in addiction specifically to 
work with the in-patients. The aim of this study has been established within 
the context of the implementation of one of these addiction liaison units in 
a Parisian Hospital, the Georges Pompidou European Hospital (HEGP), that is 
namely to evaluate the feasibility of a systematic screening procedure 
concerning tobacco and alcohol dependence among inpatients in two of the 
hospital's specialization departments between December 6, 2001, and March 6, 
2002. Methods: Self-administered questionnaires on addictive behaviours were 
distributed to each patient admitted to the vascular health department and 
to the hypertension department. They included the Fagerström Test for 
Nicotine Dependence and the AUDIT for evaluating levels of alcohol abuse. 
Results: The response rate was 30.2% (110/364). Twenty-nine smokers were 
identified. Among them, 72.5% presented a low level of physical nicotine 
dependence. Nearly half of them (14/29) were not interested in participating 
in a smoking cessation intervention with the assistance of relevant hospital 
staff. Among eleven patients at risk of excessive alcohol abuse, only one 
accepted to be referred to a specialist. Conclusion: This study highlights 
the difficulties of the systematic screening for addictive behaviours in 
hospitalized patients. Nevertheless, the obstacles faced in terms of the 
acceptability of the screening, but the patients as well as by the hospital 
staff, do not lean against the development of this trend or oppose this type 
of approach. New methods of individual screening for addictive behaviours 
should be explored.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  alcohol
EMTREE DRUG INDEX TERMS
  nicotine
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholism
  tobacco dependence
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  feasibility study
  female
  health care policy
  high risk patient
  hospital admission
  hospital patient
  hospital personnel
  human
  major clinical study
  male
  medical specialist
  patient referral
  questionnaire
  screening
  smoking cessation
CAS REGISTRY NUMBERS
  alcohol (64-17-5)
  nicotine (54-11-5)
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  French
LANGUAGE OF SUMMARY
  English, French
EMBASE ACCESSION NUMBER
  2006178183
MEDLINE PMID
  16676710 (http://www.ncbi.nlm.nih.gov/pubmed/16676710)
PUI
  L43569410
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1407
TITLE
  Webcast video editorials - Medical education and treatment of addictive 
disorders
AUTHOR NAMES
  O'Brien C.P.
AUTHOR ADDRESSES
  (O'Brien C.P., obrien@mail.trc.upenn.edu) VAMC, MIRECC, .
(O'Brien C.P., obrien@mail.trc.upenn.edu) Department of Psychiatry, 
University of Pennsylvania, Philadelphia, PA, United States.
CORRESPONDENCE ADDRESS
  C.P. O'Brien, VAMC, MIRECC, . Email: obrien@mail.trc.upenn.edu
SOURCE
  MedGenMed Medscape General Medicine (2006) 8:1 Article Number: 21. Date of 
Publication: 2006
ISSN
  1531-0132
EMTREE DRUG INDEX TERMS
  antidepressant agent (adverse drug reaction)
  beta adrenergic receptor blocking agent (adverse drug reaction)
  drugs used in the treatment of addiction (drug therapy)
  opiate (adverse drug reaction)
  sedative agent (adverse drug reaction)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (drug therapy, therapy)
  medical education
EMTREE MEDICAL INDEX TERMS
  alcoholism (drug therapy, therapy)
  behavior disorder
  behavior therapy
  chronic disease
  drug dependence (side effect)
  drug tolerance
  editorial
  human
  medical school
  psychotherapy
  rebound
  tobacco dependence (drug therapy, therapy)
  withdrawal syndrome
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)
  Adverse Reactions Titles (38)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2006078836
PUI
  L43230351
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1408
TITLE
  Effectiveness of skills-based training using the Drink-less package to 
increase family practitioner confidence in intervening for alcohol use 
disorders
AUTHOR NAMES
  Proude E.M.
  Conigrave K.M.
  Haber P.S.
AUTHOR ADDRESSES
  (Proude E.M., elizabeth.proude@email.cs.nsw.gov.au; Conigrave K.M., 
katec@med.usyd.edu.au; Haber P.S., phaber@mail.usyd.edu.au) Drug Health 
Services, Royal Prince Alfred Hospital, Camperdown, NSW, Australia.
(Proude E.M., elizabeth.proude@email.cs.nsw.gov.au; Conigrave K.M., 
katec@med.usyd.edu.au; Haber P.S., phaber@mail.usyd.edu.au) School of Public 
Health, University of Sydney, Sydney, NSW, Australia.
(Conigrave K.M., katec@med.usyd.edu.au; Haber P.S., phaber@mail.usyd.edu.au) 
Discipline of Medicine, University of Sydney, Sydney, NSW, Australia.
(Conigrave K.M., katec@med.usyd.edu.au) Discipline of Psychological 
Medicine, University of Sydney, Sydney, NSW, Australia.
CORRESPONDENCE ADDRESS
  E.M. Proude, Drug Health Services, Royal Prince Alfred Hospital, Camperdown, 
NSW, Australia. Email: elizabeth.proude@email.cs.nsw.gov.au
SOURCE
  BMC Medical Education (2006) 6 Article Number: 8. Date of Publication: 6 Feb 
2006
ISSN
  1472-6920
  1472-6920 (electronic)
BOOK PUBLISHER
  BioMed Central Ltd., 34 - 42 Cleveland Street, London, United Kingdom.
ABSTRACT
  Background: Misuse of alcohol is second only to tobacco as a leading cause 
of preventable death in Australia. There is an opportunity in family 
practice to detect problems and intervene with people at risk of 
alcohol-related harm before complications occur. However, family 
practitioners (FPs) report low levels of confidence in managing patients 
with drinking problems. The aim of this study was to determine whether the 
interactive training session using the 'Drink-less' package led to 
improvement in FPs' self-reported level of confidence in detecting and 
providing interventions for risky alcohol consumption. Method: FPs in urban 
and rural New South Wales were invited to training sessions in their local 
area. An introductory overview preceded a practical skills- based session, 
using the Drink-less package. Participants completed before and after 
evaluation forms. Results: While 49% (CI 43 - 55) of the attending FPs 
indicated at baseline that they felt confident in identifying at-risk 
drinkers, this proportion rose to 90% (95% CI: 87 - 93) post-session, and 
they also reported increases in confidence from 36% (95% CI: 31 - 41) to 90% 
in their ability to advise patients. Urban FPs reported lower levels of 
confidence than rural FPs, both pre- and post-session. Conclusion: Training 
sessions in the Drink-less intervention resulted in increased self-reported 
confidence in detection and brief intervention for alcohol problems. Further 
research is needed to determine the duration of this effect and its 
influence on practice behaviour. © 2006 Proude et al; licensee BioMed 
Central Ltd.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol consumption
  drinking behavior
EMTREE MEDICAL INDEX TERMS
  article
  Australia
  confidence interval
  evaluation study
  general practitioner
  human
  intervention study
  medical research
  patient
  risk assessment
  rural area
  self report
  training
  urban area
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006133135
MEDLINE PMID
  16457737 (http://www.ncbi.nlm.nih.gov/pubmed/16457737)
PUI
  L43415531
DOI
  10.1186/1472-6920-6-8
FULL TEXT LINK
  http://dx.doi.org/10.1186/1472-6920-6-8
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1409
TITLE
  The Pediatric Resident Training on Tobacco Project: Interim findings
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, 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, 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, Behavioral Health Sciences Building, 183 S. Orange Ave., 
Newark, NJ 07103, United States.
CORRESPONDENCE ADDRESS
  N. Hymowitz, Department of Psychiatry, New Jersey Medical School, Behavioral 
Health Sciences Building, 183 S. Orange Ave., Newark, NJ 07103, United 
States. Email: hymowitz@umdnj.edu
SOURCE
  Journal of the National Medical Association (2006) 98:2 (190-203). Date of 
Publication: February 2006
ISSN
  0027-9684
BOOK PUBLISHER
  National Medical Association, 1012 Tenth Street NW, Washington, United 
States.
ABSTRACT
  Objectives: The Pediatric Residency Training on Tobacco Project is a 
four-year randomized prospective study of the efficacy of training pediatric 
residents to intervene on tobacco. At the start of the study (baseline), the 
pediatric residents uniformly agreed that environmental tobacco smoke (ETS) 
and tobacco use pose serious threats to the health of young people, and 
pediatricians should play a leadership role in the antismoking arena. 
However, very few went beyond advising patients and parents to modify their 
behavior by providing actual assistance, and many of them lacked necessary 
tobacco intervention skills and knowledge. We hypothesized that both 
standard training and special training programs would yield positive changes 
in intervention skills and activities, although the changes would be greater 
in residents exposed to the special training condition. In the present 
report, we present two-year outcome data from the resident tobacco surveys 
and objective structured clinical examinations (OSCEs) administered to 
independent waves of third-year residents in each experimental condition at 
baseline and year 2. Methods: Fifteen pediatric residency training programs 
in the New York/New Jersey metropolitan area were assigned randomly to 
special and standard training conditions (eight to special and seven to 
standard training). Resident tobacco surveys and OSCEs were administered to 
third-year residents at the start of the training programs (baseline) and at 
years 1 and 2 of the study. Comparisons between sequential waves of 
third-year residents with no (baseline) or two-year exposure to the training 
programs permitted assessment of changes in resident beliefs, intervention 
activities and intervention skills within each experimental condition. 
Results: By year 2, the residents associated with each training condition 
benefited from the training program, but the annual surveys and OSCEs 
revealed more significant positive changes for waves of residents in the 
special training condition. Most important, third-year residents exposed to 
the special training condition for two years were more likely than 
comparable residents in the standard training condition to reveal 
significant increases in the degree to which they provided active assistance 
for modifying smoking and ETS. Conclusions: The two-year findings from the 
pediatric tobacco project are encouraging and suggest that the special 
training program is efficacious, although aspects of the program in need of 
improvement were identified.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  tobacco smoke
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  education program
  pediatrics
  residency education
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  article
  behavior modification
  clinical examination
  human
  leadership
  priority journal
  prospective study
  skill
  tobacco
  treatment outcome
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
  2006066255
MEDLINE PMID
  16708505 (http://www.ncbi.nlm.nih.gov/pubmed/16708505)
PUI
  L43190681
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1410
TITLE
  The pneumologist facing smoking cessation: Continuing medical education 
seminar, November 5, 2005, Carcassone
ORIGINAL (NON-ENGLISH) TITLE
  Le pneumologue face à l'arrêt du tabac: Séminaire de formation médicale 
continue, 5 Novembre 2005, Carcassonne
AUTHOR NAMES
  Carré P.
AUTHOR ADDRESSES
  (Carré P.)
SOURCE
  Revue des Maladies Respiratoires (2006) 23:1 (3S106). Date of Publication: 
February 2006
ISSN
  0761-8425
BOOK PUBLISHER
  Elsevier Masson SAS, 62 rue Camille Desmoulins, Issy les Moulineaux Cedex, 
France.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  conference paper
  consultation
  France
  human
  medical literature
  medical practice
  medical society
  smoking
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  French
EMBASE ACCESSION NUMBER
  2006169829
MEDLINE PMID
  16603999 (http://www.ncbi.nlm.nih.gov/pubmed/16603999)
PUI
  L43540075
DOI
  10.1019/200530163
FULL TEXT LINK
  http://dx.doi.org/10.1019/200530163
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1411
TITLE
  Building a web-based e-learning model for preventing club drug abuse
AUTHOR NAMES
  Li Y.-C.
  Tsai W.-C.
  Huang C.-Y.
  Hu C.-M.
  Wang C.-C.
  Chen J.-L.
  Hsu C.-Y.
AUTHOR ADDRESSES
  (Li Y.-C.; Tsai W.-C.; Huang C.-Y.; Hu C.-M.; Wang C.-C.; Chen J.-L.; Hsu 
C.-Y., cyhsu@tmu.edu.tw) Taipei Medical University, Taipei, Taiwan.
CORRESPONDENCE ADDRESS
  C.-Y. Hsu, Graduate Institute of Medical Informatics, Taipei Medical 
University, Taipei, Taiwan. Email: cyhsu@tmu.edu.tw
SOURCE
  Journal on Information Technology in Healthcare (2006) 4:1 (38-48). Date of 
Publication: 1 Feb 2006
ISSN
  1479-649X
  1479-649X (electronic)
ABSTRACT
  Objective: To develop an interactive web-based e-learning tool for drug 
abuse prevention. Methods: A multimedia interactive computer model, "The 
Virtual Drug Abuse Scenasio Simulation (VDASS) Model", was developed with 
the aid of experts in drug abuse. The model is accessed via the internet and 
simulates different outcomes in response to different choices made by the 
user. The responses are designed to teach users about and enable them to 
'experience' the effects of drug abuse. In addition the model enables users 
to role play in different scenarios that help them learn effective methods 
of refusing drugs. The effectiveness of the model as a teaching tool was 
evaluated by medical students who had to answer a quiz after 30 minutes 
learning on the model. Their results were compared with 2 other groups of 
medical students - 1 group who answered the quiz after 30 minutes studying 
written material on drug abuse, and the other who answered the quiz without 
any preparation. All groups of students were also given another unannounced 
quiz, 1 week later. Results: Students who answered the quiz after using 
VDASS scored significantly higher marks than students who answered the quiz 
without any preparation, both in the initial quiz and the quiz 1 week later. 
There was however no significant difference for either quiz result between 
the VDASS groups of students and students who studied the written material. 
Conclusion: VDASS is effective for teaching people about drug abuse, but has 
not been demonstrated to be superior to paper-based learning. Although this 
may be because there is no actual difference in the 2 learning techniques, 
another possible explanation is that the study design was not appropriate to 
demonstrate the superiority of VDASS as a learning tool. The tool has the 
potential to reduce drug.abuse in night clubs, but this and any advantages 
it has a learning tool remain to be proven. © The Journal on Information 
Technology in Healthcare 2006.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  drug abuse
  Internet
  learning
EMTREE MEDICAL INDEX TERMS
  article
  computer model
  computer network
  controlled study
  health care access
  health survey
  human
  medical student
  normal human
  scoring system
  simulation
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
  2006088956
PUI
  L43264284
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1412
TITLE
  The pneumologist faced with smoking cessation: Continuing medical education 
seminar, November 5, 2005, Carcassone
ORIGINAL (NON-ENGLISH) TITLE
  Le pneumologue face à l'arrêt du tabac: Séminaire de formation médicale 
continue, 5 Novembre 2005, Carcassonne
AUTHOR NAMES
  Carré P.
AUTHOR ADDRESSES
  (Carré P.)
SOURCE
  Revue des Maladies Respiratoires (2006) 23:HS1 (3S106). Date of Publication: 
Feb 2006
ISSN
  0761-8425
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  tobacco dependence
EMTREE MEDICAL INDEX TERMS
  behavior
  consultation
  medical information
  short survey
  smoking
  smoking cessation
EMBASE CLASSIFICATIONS
  Chest Diseases, Thoracic Surgery and Tuberculosis (15)
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  French
EMBASE ACCESSION NUMBER
  2006536474
PUI
  L44670266
DOI
  rmr-02-2006-23-1-SUP1-0761-8425-101019-200530163
FULL TEXT LINK
  http://dx.doi.org/rmr-02-2006-23-1-SUP1-0761-8425-101019-200530163
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1413
TITLE
  Major social and clinical psychopathologies in Korean children and 
adolescents
AUTHOR NAMES
  Ahn D.H.
AUTHOR ADDRESSES
  (Ahn D.H., ahndh@hanyang.ac.kr) Department of Psychiatry, Hanyang University 
Hospital, Hanyang University, Seoul, South Korea.
CORRESPONDENCE ADDRESS
  D.H. Ahn, Department of Psychiatry, Hanyang University Hospital, Hanyang 
University, Seoul, South Korea. Email: ahndh@hanyang.ac.kr
SOURCE
  Psychiatry Investigation (2006) 3:1 (39-45). Date of Publication: Feb 2006
ISSN
  1738-3684
ABSTRACT
  The Korean society has dynamically changed during the last sixty years, 
bringing about many problems for children and adolescents. This review looks 
at four prevalent youth problems, including intra-familial violence and 
abuse, Internet addiction, social isolation, and excessive pressure in 
education. Analysis of several domestic articles and bibliographies shows 
that the mentioned problems may be detrimental to a child's mental health 
and hinder its normal development. Some phenomena are also closely related 
to overt clinical syndromes or psychopathologies. The Korean Medical 
Association initiated a child abuse prevention and treatment program in 
2002. Additionally, the Korean Association of Adolescent Psychiatry 
supported by Prime Ministry Youth Commission is now developing a treatment 
program and an effective network for the alleviation of Internet addiction 
in adolescents. Socially isolated adolescents (hikkigomori) and excessive 
educational pressure ("Ko-sam-pyung"} are a threat to our society due to 
their complexity and their close relation to the social value system. It is 
necessary to address these issues.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  child psychiatry
  mental disease (epidemiology)
EMTREE MEDICAL INDEX TERMS
  abuse
  family violence
  human
  internet addiction (epidemiology)
  psychosocial withdrawal
  review
  social aspect
  social isolation
EMBASE CLASSIFICATIONS
  Psychiatry (32)
  Pediatrics and Pediatric Surgery (7)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006168415
PUI
  L43532872
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1414
TITLE
  Anabolic ergogenic substance users in fitness-sports: A distinct group 
supported by the health care system
AUTHOR NAMES
  Striegel H.
  Simon P.
  Frisch S.
  Roecker K.
  Dietz K.
  Dickhuth H.-H.
  Ulrich R.
AUTHOR ADDRESSES
  (Striegel H., heiko.striegel@uni-tuebingen.de; Simon P.; Frisch S.) 
Department Sports Medicine, University of Tuebingen, Silchertraße 5, 72076 
Tuebingen, Germany.
(Simon P.) Institute of Brain Research, University of Tuebingen, 
Calwerstraße 3, 72076 Tuebingen, Germany.
(Roecker K.; Dickhuth H.-H.) Department Sports Medicine, University of 
Freiburg, Hugstetterstraße 55, 79106 Freiburg, Germany.
(Dietz K.) Department of Medical Biometry, University of Tuebingen, 
Westbahnhoftsraße 55, 72070 Tuebingen, Germany.
(Ulrich R.) Institute of Psychology, University of Tuebingen, 
Friedrichstraße 21, 72072 Tuebingen, Germany.
(Striegel H., heiko.striegel@uni-tuebingen.de) Medical Clinic and 
Policlinic, Department of Sportsmedicine, University of Tuebingen, 
Mercedesstraße 83, 70372 Stuttgart, Germany.
CORRESPONDENCE ADDRESS
  H. Striegel, Medical Clinic and Policlinic, Department of Sportsmedicine, 
University of Tuebingen, Mercedesstraße 83, 70372 Stuttgart, Germany. Email: 
heiko.striegel@uni-tuebingen.de
SOURCE
  Drug and Alcohol Dependence (2006) 81:1 (11-19). Date of Publication: 4 Jan 
2006
ISSN
  0376-8716
BOOK PUBLISHER
  Elsevier Ireland Ltd, P.O. Box 85, Limerick, Ireland.
ABSTRACT
  Background: Anabolic ergogenic substance use, in particular the use of 
anabolic androgenic steroids, is a serious problem in general. Nevertheless, 
it is subject to debate whether ergogenic substance users exhibit similar 
features as multiple substance users or whether they constitute a discrete 
group. Methods: One thousand eight hundred and two standardized, anonymous 
questionnaires were distributed among visitors of 113 fitness centers. 
Questions were asked concerning biometric parameters, social indicators, 
physical fitness, use of natural stimulants, general illicit drugs and 
ergogenic substances. With logistic regression analysis, multivariate odds 
ratios were estimated to investigate the association of anabolic ergogenic 
substance or general illicit drug use with other parameters. Results: 13.5% 
of all participants confessed to having used anabolic ergogenic substances 
at some point in time. Anabolic ergogenic substance use was positively 
related with cocaine use, training years, training frequency, negatively 
related to the level of education, alcohol intake and less frequently used 
by Germans than by non-Germans. General illicit drug use, however, was 
positively related with alcohol intake, smoking and a university degree and 
negatively with having children. In addition, anabolic ergogenic substance 
use was significantly related with the use of general illicit drugs based on 
the strong relation with the use of cocaine, which is an ergogenic substance 
itself. The health care system supplies 48.1% of the anaolic ergogenic 
substance users with their substances and 32.1% are even monitored by a 
physician. Conclusions: The results of this study strengthen the notion that 
anabolic ergogenic substance users constitute a specific body-oriented 
substance user group. Uncommon for general illicit drug use, the health care 
system is a major sponsor of anabolic ergogenic substance users. These 
findings suggest the need for alternative approaches for successful 
prevention and intervention programs. © 2005 Elsevier Ireland Ltd. All 
rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  anabolic agent
  androgen
  central stimulant agent
  clenbuterol
EMTREE DRUG INDEX TERMS
  cocaine
  illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  fitness
  health care system
  sport
  substance abuse
EMTREE MEDICAL INDEX TERMS
  adult
  alcohol consumption
  article
  biometry
  controlled study
  doping
  education
  female
  health center
  human
  logistic regression analysis
  male
  multivariate analysis
  physician
  priority journal
  questionnaire
  standardization
  training
  university
CAS REGISTRY NUMBERS
  clenbuterol (21898-19-1, 37148-27-9)
  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
  2005533495
MEDLINE PMID
  16009506 (http://www.ncbi.nlm.nih.gov/pubmed/16009506)
PUI
  L41682474
DOI
  10.1016/j.drugalcdep.2005.05.013
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.drugalcdep.2005.05.013
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1415
TITLE
  Physicians-in-training attitudes toward caring for and working with patients 
with alcohol and drug abuse diagnoses
AUTHOR NAMES
  Lindberg M.
  Vergara C.
  Wild-Wesley R.
  Gruman C.
AUTHOR ADDRESSES
  (Lindberg M., mlindbe@harthosp.org) Department of Medicine, Hartford 
Hospital, 80 Seymour Street, Hartford, CT 06102, United States.
(Vergara C.; Wild-Wesley R.; Gruman C.)
CORRESPONDENCE ADDRESS
  M. Lindberg, Department of Medicine, Hartford Hospital, 80 Seymour Street, 
Hartford, CT 06102, United States. Email: mlindbe@harthosp.org
SOURCE
  Southern Medical Journal (2006) 99:1 (28-35). Date of Publication: January 
2006
ISSN
  0038-4348
BOOK PUBLISHER
  Lippincott Williams and Wilkins, 530 Walnut Street,P O Box 327, 
Philadelphia, United States.
ABSTRACT
  Introduction: Physicians in all specialties commonly encounter patients who 
abuse alcohol or illegal drugs. Working with these patient populations can 
be challenging and potentially engender negative attitudes. This study is 
designed to identify the progression of attitudinal shifts over time of 
physicians-in-training toward caring for substance abusing patients. Methods 
and Materials: A 31-item survey was designed to capture demographic 
information of participants, attitudes toward treating patients with 
substance abuse diagnoses, previous participant education, experience in and 
comfort with diagnosing and treating substance abuse, and satisfaction 
achieved in working with this patient population. Medical students in their 
third and fourth years of education as well as residents in training, years 
one through four, were surveyed. Responses to the survey's attitudinal items 
were analyzed across years of training, looking for changes associated with 
time and experience. Results: Fifty-seven percent of eligible participants 
anonymously completed the survey. There was general agreement across all 
years of training that health care professionals should be allowed continued 
employment in their professions when in recovery from alcohol abuse (P = 
0.424) and drug abuse (P = 0.409). Across years of training there was 
agreement that patients can recuperate and provide meaningful contributions 
to society when recovering from alcohol (P = 0.847) and drug (P = 0.859) 
abuse. From medical school years through residency there were enhanced 
beliefs that alcohol-abusing patients (P = 0.027) and drug-abusing patients 
(P = 0.009) overutilize health care resources. Most trainees, despite year 
of education, believe patients who abuse alcohol (P = 0.521 and illegal 
drugs (P = 0.356) have challenging medical and social issues from which they 
can learn. There was consistency across years in the perception that 
providing care to alcohol-abusing patients (P = 0.679) and drug-abusing 
patients (P = 0.090) is repetitive and detracts from the care of others. All 
felt their training was adequate to care for alcohol (P = 0.628) and 
drug-abusing patients (P = 0.484). Satisfaction achieved in caring for 
alcohol (P = 0.017) and illegal drug-abusing patients (P = 0.015) 
consistently diminishes over years in training. Conclusions: There are 
positive as well as negative aspects for physicians-in-training to caring 
for patients with alcohol and illegal drug abuse problems. Combining 
effective education strategies with the needs of physicians at specific 
points in their education may be effective in reversing the negative trends 
seen in attitudes toward caring for patients with substance abuse problems. 
Copyright © 2006 by The Southern Medical Association.
EMTREE DRUG INDEX TERMS
  illicit drug
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol abuse
  drug abuse
  medical education
  patient care
  physician attitude
  work capacity
EMTREE MEDICAL INDEX TERMS
  adult
  demography
  employment
  experience
  female
  health practitioner
  health survey
  human
  male
  medical school
  medical student
  patient satisfaction
  perception
  residency education
  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
  2006134155
MEDLINE PMID
  16466119 (http://www.ncbi.nlm.nih.gov/pubmed/16466119)
PUI
  L43420927
DOI
  10.1097/01.smj.0000197514.83606.95
FULL TEXT LINK
  http://dx.doi.org/10.1097/01.smj.0000197514.83606.95
COPYRIGHT
  Copyright 2012 Elsevier B.V., All rights reserved.

RECORD 1416
TITLE
  A web-based smoking cessation and prevention curriculum for medical 
students: Why, how, what, and what next
AUTHOR NAMES
  Pederson L.L.
  Blumenthal D.S.
  Dever A.
  McGrady G.
AUTHOR ADDRESSES
  (Pederson L.L.; Blumenthal D.S., dblumenthal@msm.edu; McGrady G.) Morehouse 
School of Medicine, GA, United States.
(Dever A.) Mercer University, School of Medicine, GA, United States.
(Pederson L.L.; Blumenthal D.S., dblumenthal@msm.edu; McGrady G.) Morehouse 
School of Medicine, Atlanta, GA, United States.
(Dever A.) Mercer University, School of Medicine, Atlanta, GA, United 
States.
(Blumenthal D.S., dblumenthal@msm.edu) Department of Community Health and 
Preventive Medicine, Morehouse School of Medicine, 720 Westview Drive, 
Atlanta, GA 30310, United States.
CORRESPONDENCE ADDRESS
  D.S. Blumenthal, Department of Community Health and Preventive Medicine, 
Morehouse School of Medicine, 720 Westview Drive, Atlanta, GA 30310, United 
States. Email: dblumenthal@msm.edu
SOURCE
  Drug and Alcohol Review (2006) 25:1 (39-47). Date of Publication: January 
2006
ISSN
  0959-5236
  1465-3362 (electronic)
BOOK PUBLISHER
  Taylor and Francis Ltd.
ABSTRACT
  This paper summarises some major developments in medical education relating 
to the health risks of tobacco and to training in tobacco cessation and 
prevention strategies, and discusses some of the barriers to training. We 
also describe a project whose purpose was to design, implement and evaluate 
a web-based self-study tobacco curriculum for medical students to teach 
medical students to assist smokers to quit and to counsel non-smoking 
adolescents not to start smoking. This curriculum addresses some of the 
barriers, namely lack of curriculum time, lack of access to materials and 
experts, and relevance of the materials. The project was designed and 
evaluated at two medical schools in Georgia: Morehouse School of Medicine 
and Mercer University School of Medicine. A curriculum on tobacco control 
strategies and techniques designed for use in clinical settings was made 
available to first-year medical students as interactive computer-based 
tutorials. The curriculum, based on the US Public Health Service Clinical 
Guideline for Treating Tobacco Use and Dependence, was divided into two 
parts: the tutorial and practicum sections. Pre- and post-exposure measures 
were collected for the evaluation. The mean differences for correctly 
answered knowledge items in the two schools were similar: mean for Morehouse 
was +2.07 and for Mercer +1.67, indicating improvements in knowledge for 
both schools. There were statistically significant improvements in all 
categories of self-rated ability to perform six counselling skills, except 
for Mercer students for the 'Ask skill category (p = 0.069). The amount of 
exposure (measured only at Morehouse) was not related to overall change in 
scores but was associated with self-reported improvement in skill in 
assisting patients to quit smoking, confidence in counselling patients not 
interested in quitting, and confidence in counselling teens. The web-based 
curriculum successfully improved the students' self-rated counselling 
skills. Given the need and desire on the part of practitioners for training, 
the curriculum may be found useful by practising physicians and other 
health-care professionals who wish to improve their skills in smoking 
prevention and cessation.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  Internet
  medical education
  smoking (prevention)
  smoking cessation
  teaching
EMTREE MEDICAL INDEX TERMS
  adult
  article
  counseling
  curriculum
  education
  female
  health care quality
  human
  male
  patient education
  practice guideline
  United States
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  16492576 (http://www.ncbi.nlm.nih.gov/pubmed/16492576)
PUI
  L43308152
DOI
  10.1080/09595230500459503
FULL TEXT LINK
  http://dx.doi.org/10.1080/09595230500459503
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1417
TITLE
  Association for medical education and research in substance abuse
AUTHOR NAMES
  Samet J.H.
  Galanter M.
  Bridden C.
  Lewis D.C.
AUTHOR ADDRESSES
  (Samet J.H., jsamet@bu.edu; Bridden C.) Department of Medicine, Boston 
University School of Medicine, Boston Medical Center, United States.
(Samet J.H., jsamet@bu.edu) Department of Social and Behavioral Sciences, 
Boston University, School of Public Health, United States.
(Galanter M.) Department of Psychiatry, New York University, School of 
Medicine, United States.
(Lewis D.C.) Center for Alcohol and Addiction Studies, Brown University, 
United States.
(Samet J.H., jsamet@bu.edu) Department of Medicine and Public Health, Boston 
University, Schools of Medicine and Public Health, 91 E. Concord Street, 
Boston, MA 02118, United States.
CORRESPONDENCE ADDRESS
  J.H. Samet, Department of Medicine and Public Health, Boston University, 
Schools of Medicine and Public Health, 91 E. Concord Street, Boston, MA 
02118, United States. Email: jsamet@bu.edu
SOURCE
  Addiction (2006) 101:1 (10-15). Date of Publication: January 2006
ISSN
  0965-2140
  1360-0443 (electronic)
BOOK PUBLISHER
  Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
  The Association for Medical Education and Research in Substance Abuse 
(AMERSA) is a multi-disciplinary organization committed to health 
professional faculty development in substance abuse. In 1976, members of the 
Career Teachers Training Program in Alcohol and Drug Abuse, a US federally 
funded multi-disciplinary faculty development program, formed AMERSA. The 
organization grew from 59 founding members, who were primarily medical 
school faculty, to over 300 health professionals from a spectrum of 
disciplines including physicians, nurses, social workers, dentists, allied 
health professionals, psychologists and other clinical educators who are 
responsible for advancing substance abuse education. AMERSA members promote 
substance abuse education among health professionals by developing 
curricula, promulgating relevant policy and training health professional 
faculty to become excellent teachers in this field. AMERSA influences public 
policy by offering standards for improving substance abuse education. The 
organization publishes a peer-reviewed, quarterly journal, Substance Abuse, 
which emphasizes research on the education and training of health 
professions and also includes original clinical and prevention research. 
Each year, the AMERSA National Conference brings together researchers and 
health professional educators to learn about scientific advances and 
exemplary teaching approaches. In the future, AMERSA will continue to pursue 
this mission of advancing and supporting health professional faculty who 
educate students and trainees to address substance abuse in patients and 
clients. © 2006 Society for the Study of Addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  substance abuse
EMTREE MEDICAL INDEX TERMS
  alcohol abuse
  drug abuse
  health care organization
  health practitioner
  human
  medical education
  medical research
  publication
  review
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006110474
MEDLINE PMID
  16393188 (http://www.ncbi.nlm.nih.gov/pubmed/16393188)
PUI
  L43339176
DOI
  10.1111/j.1360-0443.2005.01228.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1360-0443.2005.01228.x
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1418
TITLE
  Training and evaluating tobacco-specific standardized patient instructors
AUTHOR NAMES
  Foley K.L.
  Goerge G.
  Crandall S.J.
  Walker K.H.
  Marion G.S.
  Spangler J.G.
AUTHOR ADDRESSES
  (Foley K.L., kfoley@wfubmc.edu) Department of Public Health Sciences, Wake 
Forest University, .
(Foley K.L., kfoley@wfubmc.edu; Crandall S.J.; Walker K.H.; Marion G.S.; 
Spangler J.G.) Department of Family and Community Medicine, Wake Forest 
University, .
(Goerge G.) Physician Assistant Program, George Washington University, .
(Foley K.L., kfoley@wfubmc.edu) Wake Forest University, School of Medicine, 
Department of Public Health Sciences, Medical Center Boulevard, 
Winston-Salem, NC 27157, United States.
CORRESPONDENCE ADDRESS
  K.L. Foley, Wake Forest University, School of Medicine, Department of Public 
Health Sciences, Medical Center Boulevard, Winston-Salem, NC 27157, United 
States. Email: kfoley@wfubmc.edu
SOURCE
  Family Medicine (2006) 38:1 (28-37). Date of Publication: January 2006
ISSN
  0742-3225
  0742-3225 (electronic)
BOOK PUBLISHER
  Society of Teachers of Family Medicine, Ste 540, Leawood, United States.
ABSTRACT
  Background and Objectives: A comprehensive training program to develop 
tobacco-specific standardized patient instructors (SPIs) was implemented and 
evaluated at Wake Forest University. Methods: Descriptive statistics were 
used to assess SPIs' experience with the training program and medical 
students' perceptions of the SPI-student interaction. Two standardized 
scales, used to assess student performance on counseling (Tobacco 
Intervention Risk Factor Interview Scale [TIRFIS]) and cultural competency 
(Tobacco Beliefs Management Scale-Tobacco Cultural Concerns Scale 
[TBMS-TCCS]), were tested for internal and interrater reliability and 
sensitivity to varied student performance. Costs of the program were 
measured. Results: SPIs highly rated the content, organization, and 
presenters of the training program. Medical students positively evaluated 
their experience with the SPIs. The TIRFIS and TBMS-TCCS subscales 
demonstrated good internal reliability, and inconsistencies in ratings by 
different SPIs were minimal. In addition, a range of scores on both measures 
attest to the sensitivity of the instruments to assess variations in student 
performance. Significant start-up costs are associated with developing this 
training program, although costs decline when SPIs are retained long term. 
Conclusions: The SPI training program was effective in developing a cohort 
of knowledgeable and reliable SPIs to train medical students in ways to 
improve their tobacco intervention counseling skills. Retaining SPIs long 
term should be a primary goal of implementing a cost-effective, successful 
training program.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  cohort analysis
  controlled study
  cost effectiveness analysis
  cultural competence
  experience
  faculty student relation
  female
  human
  interview
  male
  medical device
  medical student
  motivation
  patient counseling
  perception
  rating scale
  reliability
  risk assessment
  science
  scoring system
  sensitivity analysis
  standardization
  statistics
  task performance
  teacher
  tobacco
  university
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
  2006056478
MEDLINE PMID
  16378256 (http://www.ncbi.nlm.nih.gov/pubmed/16378256)
PUI
  L43161716
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1419
TITLE
  Conversation with Sheila Blume
AUTHOR ADDRESSES
  SOURCE
  Addiction (2006) 101:1 (31-39). Date of Publication: January 2006
ISSN
  0965-2140
  1360-0443 (electronic)
BOOK PUBLISHER
  Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health practitioner
  medical education
  substance abuse
EMTREE MEDICAL INDEX TERMS
  alcoholism
  human
  medical research
  medical school
  mental disease (therapy)
  neuroanatomy
  note
  psychiatric treatment
  training
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  English
EMBASE ACCESSION NUMBER
  2006110476
MEDLINE PMID
  16408381 (http://www.ncbi.nlm.nih.gov/pubmed/16408381)
PUI
  L43339178
DOI
  10.1111/j.1360-0443.2005.01261.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1360-0443.2005.01261.x
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1420
TITLE
  Effectiveness of workshop training for psychosocial addiction treatments: A 
systematic review
AUTHOR NAMES
  Walters S.T.
  Matson S.A.
  Baer J.S.
  Ziedonis D.M.
AUTHOR ADDRESSES
  (Walters S.T., scott.walters@utsouthwestern.edu; Matson S.A.) University of 
Texas, School of Public Health, Dallas, TX, United States.
(Baer J.S.) Department of Psychology, University of Washington, Seattle, WA, 
United States.
(Baer J.S.) Veterans Affairs Puget Sound Healthcare System, Seattle, WA, 
United States.
(Ziedonis D.M.) Department of Psychiatry, Robert Wood Johnson Medical 
School, University of Medicine and Dentistry of New Jersey, Piscataway, NJ, 
United States.
(Walters S.T., scott.walters@utsouthwestern.edu) University of Texas, School 
of Public Health, V-8, 5323 Harry Hines Blvd., Dallas, TX 75390-9128, United 
States.
CORRESPONDENCE ADDRESS
  S.T. Walters, University of Texas, School of Public Health, V-8, 5323 Harry 
Hines Blvd., Dallas, TX 75390-9128, United States. Email: 
scott.walters@utsouthwestern.edu
SOURCE
  Journal of Substance Abuse Treatment (2005) 29:4 (283-293). Date of 
Publication: December 2005
ISSN
  0740-5472
BOOK PUBLISHER
  Elsevier Inc., 360 Park Avenue South, New York, United States.
ABSTRACT
  Workshop training for psychosocial substance abuse treatment has been an 
important part of the transfer of evidence-based approaches into larger 
practice. Although they are widely used, training methods such as self-study 
reading, internet-based courses, and educational workshops have not 
traditionally been the focus of empirical investigations. Based on 
electronic and manual searches of the literature, we summarize 17 
evaluations of workshop training that describe the training program and the 
educational outcomes. In general, training tends to improve attendees' 
knowledge, attitudes, and confidence in working with clients who have 
substance abuse problems. Some skill improvements, when measured, are 
usually seen immediately after training but are less often maintained over a 
longer time. Extended contact, through follow-up consultation, supervision, 
or feedback, appears to be necessary for the long-term adoption of skills. 
There are also a number of institutional factors that may influence the 
extent to which providers adopt new practices. Given the popularity of this 
training format, the role of workshop training needs to be a focus of future 
evaluative research. © 2005 Elsevier Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  alcohol (drug toxicity)
  illicit drug (drug toxicity)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction (etiology, therapy)
  alcoholism (etiology, therapy)
  substance abuse
  tobacco dependence (etiology, therapy)
EMTREE MEDICAL INDEX TERMS
  behavior therapy
  cognitive therapy
  data base
  follow up
  health care personnel
  human
  literature
  medical personnel
  medical school
  medical student
  Medline
  nurse
  physician
  priority journal
  PsycINFO
  questionnaire
  review
  self report
  systematic review
  training
  videorecording
CAS REGISTRY NUMBERS
  alcohol (64-17-5)
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Biophysics, Bioengineering and Medical Instrumentation (27)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
  Toxicology (52)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2005543536
MEDLINE PMID
  16311181 (http://www.ncbi.nlm.nih.gov/pubmed/16311181)
PUI
  L41711940
DOI
  10.1016/j.jsat.2005.08.006
FULL TEXT LINK
  http://dx.doi.org/10.1016/j.jsat.2005.08.006
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1421
TITLE
  Education program about tobacco for medical students.
AUTHOR NAMES
  Florek E.
  Piekoszewski W.
AUTHOR ADDRESSES
  (Florek E.; Piekoszewski W.) Laboratory of Environmental Research, 
Department of Toxicology, University of Medical Sciences, Poznan, Poland.
CORRESPONDENCE ADDRESS
  E. Florek, Laboratory of Environmental Research, Department of Toxicology, 
University of Medical Sciences, Poznan, Poland. Email: eflorek@amp.edu.pl
SOURCE
  Przegla̧d lekarski (2005) 62:10 (1148-1150). Date of Publication: 2005
ISSN
  0033-2240
ABSTRACT
  Tobacco smoking is one of the principal causes of morbidity and mortality in 
the worldwide. By the year 2030, more than four million people per year 
worldwide will die of tobacco-related cause. No other consumer product is as 
dangerous as many people. Tobacco causes more deaths than any other 
dependence-producing substances, e.g. poor diet, alcohol, bacterial 
infections, poisoning, firearms, and illicit drugs. The morbidity and the 
mortality associated with tobacco use is caused by several toxic substances 
(e.g. nicotine, polynuclear aromatic hydrocarbons, aza-arenes, 
N-nitrosamines, aromatic amines, acrylonitrile, crotonaldehyde, vinyl 
chloride, formaldehyde, benzene, inorganic compounds). Tobacco smoking is a 
major independent risk factor for chronic obstructive pulmonary diseases 
(COPD), cancer (lung, larynx, pharynx, oesophagus, pancreas, kidney, urinary 
bladder, nasal cavity, uterine cervix), coronary heart disease (CHD) and 
reproduction. In 2004 42% of Polish man and 23% Polish women smoked. This 
publication presents a program that has been designed to educate medical 
students (fourth or fifth year) about tobacco in University of Medical 
Sciences. There are two parts in total six hours education. Part I is 
concerned with the epidemiology of smoking, the toxicology of tobacco smoke, 
the health effects of tobacco use, the process of smoking cessation, the 
treatment for smokers, and smoking prevention. Part II (workshops) deals 
with teaching medical students how to motivate patients to stop smoking. The 
second part consist of: identifying the smoker, taking a smoking history, 
evaluation of the level of dependence and assessing the smoker's readiness 
to stop smoking, motivating smokers to change, and preventing relapse. Both 
parts (theory and practical sessions), are scheduled to take three hours 
each.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical student
  patient education
  program development
  tobacco dependence (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
  human
  motivation
  Poland (epidemiology)
  review
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16521976 (http://www.ncbi.nlm.nih.gov/pubmed/16521976)
PUI
  L43790044
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1422
TITLE
  Addiction medicine--training for general practice registrars.
AUTHOR NAMES
  Jansen C.
  Grinzi P.
  Monheit B.
  Parker R.
AUTHOR ADDRESSES
  (Jansen C.; Grinzi P.; Monheit B.; Parker R.) Joint University Centre for 
Education and Training , University of Melbourne, Victoria.
CORRESPONDENCE ADDRESS
  C. Jansen, Joint University Centre for Education and Training , University 
of Melbourne, Victoria.
SOURCE
  Australian family physician (2005) 34 Suppl 1 (34-37). Date of Publication: 
Dec 2005
ISSN
  0300-8495
ABSTRACT
  INTRODUCTION: Illicit drug use is a significant problem within Australia. 
However, GPs are reluctant to treat these problems due to a perceived lack 
of knowledge and confidence. METHOD: All advanced general practice 
registrars training through the Victorian Metropolitan Alliance in 2004 
attended a 1 day pilot addiction medicine workshop, followed by completion 
of a questionnaire to assess the acceptability of the training and its 
impact on their knowledge and confidence. RESULTS: Forty-six general 
practice registrars attended the workshops with all but one (98%) completing 
the postworkshop questionnaire. More than 90% of registrars agreed that the 
material presented was relevant to their work and that they felt more 
confident dealing with addiction issues in practice. DISCUSSION: Addiction 
medicine training is relevant to the work of doctors training to become GPs 
and can increase knowledge and confidence. More extensive research is needed 
to assess whether this increase in knowledge and confidence is sustained 
over time and is translated into practice.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction
  general practice
EMTREE MEDICAL INDEX TERMS
  article
  Australia
  education
  human
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16369680 (http://www.ncbi.nlm.nih.gov/pubmed/16369680)
PUI
  L41896067
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1423
TITLE
  Mental health professionals with a specialty in anxiety disorders: 
Knowledge, training, and perceived competence in smoking cessation practices
AUTHOR NAMES
  Zvolensky M.J.
  Baker K.
  Yartz A.R.
  Gregor K.
  Leen-Feldner E.W.
  Feldner M.T.
AUTHOR ADDRESSES
  (Zvolensky M.J., Michael.Zvolensky@uvm.edu; Baker K.; Yartz A.R.; Gregor K.; 
Leen-Feldner E.W.; Feldner M.T.) University of Vermont, Burlington, VT, 
United States.
(Zvolensky M.J., Michael.Zvolensky@uvm.edu) University of Vermont, 
Department of Psychology, John Dewey Hall, 2 Colchester Avenue, Burlington, 
VT 05405-0134, United States.
CORRESPONDENCE ADDRESS
  M.J. Zvolensky, University of Vermont, Department of Psychology, John Dewey 
Hall, 2 Colchester Avenue, Burlington, VT 05405-0134, United States. Email: 
Michael.Zvolensky@uvm.edu
SOURCE
  Cognitive and Behavioral Practice (2005) 12:3 (312-318). Date of 
Publication: 2005
ISSN
  1077-7229
ABSTRACT
  Knowledge and perceived competence regarding smoking cessation was examined 
among mental health professionals who specialize in the treatment of anxiety 
disorders (n = 75). Results indicated that therapists assess smoking 
behavior in less than 30% of clients, perceive themselves as "definitely 
unprepared" to deliver smoking cessation treatment, and only a minority 
(17%) have received formal training in empirically based smoking cessation 
practices during the past 3 years. When benchmarked against primary care 
physicians, anxiety specialists illustrated deficits in "basic" 
smoking-cessation counseling practices (e.g., assess for smoking behavior). 
Anxiety specialists who had received formal training in smoking cessation in 
the past 3 years reported significantly greater levels of perceived 
preparedness in helping an anxiety-disordered patient quit and delivered a 
greater degree of evidence-based smoking cessation treatment. Implications 
of these data for the role of smoking cessation counseling in mental health 
training programs for anxiety disorders are discussed. Copyright © 2005 by 
Association for Advancement of Behavior Therapy. All rights of reproduction 
in any form reserved.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  anxiety disorder
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  article
  evidence based medicine
  health practitioner
  health program
  human
  medical specialist
  patient counseling
  priority journal
  professional competence
  psychotherapist
  smoking
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
  Psychiatry (32)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006077837
PUI
  L43227685
DOI
  10.1016/S1077-7229(05)80053-7
FULL TEXT LINK
  http://dx.doi.org/10.1016/S1077-7229(05)80053-7
COPYRIGHT
  Copyright 2007 Elsevier B.V., All rights reserved.

RECORD 1424
TITLE
  Physicians' attitude and practices in sickle cell disease pain management
AUTHOR NAMES
  Labbé E.
  Herbert D.
  Haynes J.
AUTHOR ADDRESSES
  (Labbé E.) Department of Psychology, University of South Alabama, 
Comprehensive Sickle Cell Center, Mobile, AL, United States.
(Herbert D.) Department of Statistics, University of South Alabama, 
Comprehensive Sickle Cell Center, Mobile, AL, United States.
(Haynes J.) Department of Medicine, University of South Alabama, 
Comprehensive Sickle Cell Center, Mobile, AL, United States.
(Labbé E.) Department of Psychology, University of South Alabama, Mobile, AL 
36688-0002, United States.
(Haynes J.) University of South Alabama, Comprehensive Cell Center, Mobile, 
AL 36617, United States.
(Herbert D.) Department of Statistics, University of South Alabama, Mobile, 
AL 36688, United States.
CORRESPONDENCE ADDRESS
  E. Labbé, Department of Psychology, University of South Alabama, Mobile, AL 
36688-0002, United States.
SOURCE
  Journal of Palliative Care (2005) 21:4 (246-251). Date of Publication: 
Winter 2005
ISSN
  0825-8597
BOOK PUBLISHER
  Centre for Bioethics
ABSTRACT
  Many physicians believe that patients with sickle cell disease (SCD) are 
more likely to become addicted to pain medication than are other patient 
populations. This study hypothesizes that physicians' attitudes towards 
addiction in patients with SCD affects pain management practices. The 
Physician Attitudes Survey was sent to 286 physicians at seven National 
Institutes of Health-funded university-based comprehensive sickle cell 
centres. The survey assessed demographic information; and physician's 
attitudes toward and knowledge of pain, pain treatment, and drug addiction 
and abuse. Significant Pearson product-moment correlations were found 
between attitudes towards pain and beliefs regarding addiction to prescribed 
opioids. Physicians reported varied pain management strategies, however, 
many believe that attitudes toward addiction and to patients in pain crises 
may result in undertreatment of pain. These results indicate that physicians 
might benefit from additional education regarding sickle cell disease, 
addiction to pain medication, the pharmacology of opioids, and the 
assessment and treatment of pain. © 2005 Centre for Bioethics, IRCM.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  clinical practice
  health personnel attitude
  pain (diagnosis, etiology, prevention)
  physician
  sickle cell anemia (complication)
EMTREE MEDICAL INDEX TERMS
  acute disease
  addiction (etiology, prevention)
  adult
  analgesia (adverse drug reaction)
  article
  attitude to health
  education
  fear
  female
  general practice
  hematology
  human
  male
  medical education
  medical school
  medical staff
  middle aged
  needs assessment
  organization and management
  pain assessment
  psychological aspect
  questionnaire
  United States
  utilization review
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English, French
MEDLINE PMID
  16483093 (http://www.ncbi.nlm.nih.gov/pubmed/16483093)
PUI
  L43116685
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1425
TITLE
  Substances consumption in 5th training course students of medicine: 
Evolution during three periods of five years
ORIGINAL (NON-ENGLISH) TITLE
  Consumo de substancias en estudiantes de quinto año de medicina: Evolución 
en tres lustros
AUTHOR NAMES
  Menéndez R.G.
  Rojas J.
  Barcena Y.
  Rojas R.
  Oviedo D.
  Vázquez A.
AUTHOR ADDRESSES
  (Menéndez R.G.) Servicio de Toxicomanías Rogelio Paredes, Hospital 
Psiquiátrico de La Habana, .
(Rojas J.; Barcena Y.; Rojas R.; Oviedo D.; Vázquez A.) Facultad 
Universitaria General Calixto García, .
CORRESPONDENCE ADDRESS
  R.G. Menéndez, Servicio de Toxicomanías Rogelio Paredes, Hospital 
Psiquiátrico de La Habana, .
SOURCE
  Revista del Hospital Psiquiatrico de la Habana (2005) 2:2. Date of 
Publication: 2005
ISSN
  0138-7103
  1813-6257 (electronic)
BOOK PUBLISHER
  Ministerio de Salud Publica, Aven. de la Independencia 26520, Mazorra, 
Boyeros, Habana, Cuba.
ABSTRACT
  Study carried out through an anonymous inquiry, using the same method 
applied to a figure of 91.6 % of the 5 th training course students 
(1987-1988) and to a 98.7 % of the students of the same training course 
(2001-2002), being foreingers a total of 18 % and 6.5 % respectively, 
allowed to assess the tendency regarding consumption patterns of legal 
substances, the risk to be exposed to them, and the consumption of ilegal 
substances. The people investigated placed their answers in a letter box to 
assure the anonymity. Tendencies for the increase were proved in the 
consumers of legal substances, mainly in female students and slight tendency 
to positive increase of CAGE questionnaire. The current information about 
the proposal on the consumption of illegal substances to a total of 20 % 
(male) and 15,4 % (female students, as well as the reference by a-two 
student-consumption were significant. The average of monthly cost of 
simultaneous consumers of tobacco, coffee and alcohol was 140.00 pesos. In 
spite of the very low results compared with those in the developed means, 
they expressed the importance of guide efforts to the promotion of healthy 
style of live and they are out of the hurtful toxic habits.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  substance abuse
EMTREE MEDICAL INDEX TERMS
  adult
  alcohol consumption
  article
  cigarette smoking
  coffee
  controlled study
  female
  human
  lifestyle
  male
  medical student
  questionnaire
  risk assessment
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
  2007526778
PUI
  L350020959
COPYRIGHT
  Copyright 2008 Elsevier B.V., All rights reserved.

RECORD 1426
TITLE
  Need to educate primary caregivers about the risk factor profile of 
smokeless tobacco users
AUTHOR NAMES
  Accortt N.A.
  Waterbor J.W.
  Beall C.
  Howard G.
  Brooks C.M.
AUTHOR ADDRESSES
  (Accortt N.A.) University of Alabama, Biostatistics Unit, Comprehensive 
Cancer Center, Birmingham, AL, United States.
(Waterbor J.W., h2OBor@ucb.edu; Beall C.) Department of Epidemiology, School 
of Public Health, .
(Howard G.) Department of Biostatistics, School of Public Health, .
(Brooks C.M.) School of Health Related Professions, .
(Waterbor J.W., h2OBor@ucb.edu) Department of Epidemiology, School of Public 
Health, 1665 University Boulevard, Birmingham, AL 35294, United States.
CORRESPONDENCE ADDRESS
  J.W. Waterbor, Department of Epidemiology, School of Public Health, 1665 
University Boulevard, Birmingham, AL 35294, United States. Email: 
h2OBor@ucb.edu
SOURCE
  Journal of Cancer Education (2005) 20:4 (222-228). Date of Publication: 
Winter 2005
ISSN
  0885-8195
BOOK PUBLISHER
  Routledge, 4 Park Square, Milton Park, Abingdon, Oxfordshire, United 
Kingdom.
ABSTRACT
  Background. Many cancer risk factors are correlated with one another, and 
the presence of 1 risk factor may be a marker for other unhealthy behaviors. 
In this article, we focus on smokeless tobacco (ST), a known risk factor for 
oral leukoplakia and oral cancer, and the cancer risk factors associated 
with its use. Methods. We analyzed cross-sectional data from the National 
Health and Nutrition Examination Survey (NHANES) I and the 1982-1984 NHANES 
I Epidemiologic Follow-up Study. Risk factor information was available on 
individuals 25-74 years of age, most of whom would be middle age or elderly 
today. Results. Older subjects, Black males, and those living in the 
Southern Unite States had the highest prevalence of ST use. ST use was 
associated with current smoking (odds ratio [OR], 1.3; 95% confidence 
interval [CI], 1.1-1.5), former smoking (OR, 1.6; 95% CI, 1.4-2.0), low 
fruit and vegetable intake, low SES, increased alcohol consumption (among 
nonsmoking ST users), and increased body mass index, all of which elevate 
cancer risk. Conclusion. Physicians and dentists should ask their patients 
about current or former ST use. Identification of ST users should prompt the 
physician or dentist to inquire about other chronic disease risk factors 
that the patient may have and to educate the ST using patient about ways to 
reduce their risk of cancer.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  caregiver
  health education
  leukoplakia (epidemiology, etiology, prevention)
  mouth cancer (epidemiology, etiology, prevention)
  smokeless tobacco
EMTREE MEDICAL INDEX TERMS
  adult
  age
  aged
  alcohol consumption
  article
  body mass
  cancer risk
  controlled study
  dentist
  female
  fruit
  human
  major clinical study
  male
  physician
  priority journal
  risk factor
  sex difference
  smoking
  socioeconomics
  United States
  vegetable
EMBASE CLASSIFICATIONS
  Otorhinolaryngology (11)
  Cancer (16)
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006093805
MEDLINE PMID
  16497134 (http://www.ncbi.nlm.nih.gov/pubmed/16497134)
PUI
  L43286692
DOI
  10.1207/s15430154jce2004_10
FULL TEXT LINK
  http://dx.doi.org/10.1207/s15430154jce2004_10
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1427
TITLE
  Quality assurance in patient addiction treated with drug substitution
ORIGINAL (NON-ENGLISH) TITLE
  Qualitätssicherung bei Suchtpatienten unter Drogensubstitution.
AUTHOR ADDRESSES
  SOURCE
  Krankenpflege Journal (2005) 43:7-10 (248). Date of Publication: 2005
ISSN
  0174-108X
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  alpha2b interferon (adverse drug reaction, drug administration)
  antivirus agent (adverse drug reaction, drug administration)
  buprenorphine (adverse drug reaction, drug administration)
  methadone (adverse drug reaction, drug administration)
  narcotic antagonist (adverse drug reaction, drug administration)
  ribavirin (adverse drug reaction, drug administration)
EMTREE DRUG INDEX TERMS
  peginterferon alpha2b
  peginterferon alpha2b
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health care quality
  hepatitis C (complication, rehabilitation)
  medical education
  opiate addiction (complication, rehabilitation)
EMTREE MEDICAL INDEX TERMS
  article
  comorbidity
  comparative study
  drug combination
  drug information
  drug interaction
  human
  multimedia
  nursing
  treatment outcome
  virus load
CAS REGISTRY NUMBERS
  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)
  peginterferon alpha2b (215647-85-1)
  ribavirin (36791-04-5)
LANGUAGE OF ARTICLE
  German
MEDLINE PMID
  16515317 (http://www.ncbi.nlm.nih.gov/pubmed/16515317)
PUI
  L44052392
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1428
TITLE
  Reducing the risk of drugs in schools: Illegal use and medical management
AUTHOR NAMES
  Volpert T.
  Derezinski A.
AUTHOR ADDRESSES
  (Volpert T.) Davis Wright Tremaine, LLP, Portland, OR, United States.
(Derezinski A.) Government Relations, Michigan Association of School Boards, 
Lansing, MI, United States.
CORRESPONDENCE ADDRESS
  T. Volpert, Davis Wright Tremaine, LLP, Portland, OR, United States.
SOURCE
  Journal of Law, Medicine and Ethics (2005) 33:4 SUPPL. (55-58). Date of 
Publication: Winter 2005
ISSN
  1073-1105
BOOK PUBLISHER
  American Society of Law, Medicine and Ethics
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  drug control
  public health
  public health service
  school
  substance abuse
EMTREE MEDICAL INDEX TERMS
  adolescent
  child
  conference paper
  government
  human
  legal aspect
  mandatory testing
  prescription
  United States
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16689161 (http://www.ncbi.nlm.nih.gov/pubmed/16689161)
PUI
  L43206865
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1429
TITLE
  Tobacco smoking habits among Chinese medical students and their need for 
health promotion initiatives.
AUTHOR NAMES
  Smith D.R.
  Wei N.
  Wang R.S.
AUTHOR ADDRESSES
  (Smith D.R.; Wei N.; Wang R.S.)
CORRESPONDENCE ADDRESS
  D.R. Smith,
SOURCE
  Health promotion journal of Australia : official journal of Australian 
Association of Health Promotion Professionals (2005) 16:3 (233-235). Date of 
Publication: Dec 2005
ISSN
  1036-1073
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health promotion
  medical student
  smoking (epidemiology, prevention)
EMTREE MEDICAL INDEX TERMS
  adult
  age
  China (epidemiology)
  female
  human
  letter
  male
  organization and management
  sex difference
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16375041 (http://www.ncbi.nlm.nih.gov/pubmed/16375041)
PUI
  L41864969
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1430
TITLE
  Gender-specific mortality associated with alcohol consumption in Poland in 
transition
AUTHOR NAMES
  Wojtyniak B.
  Moskalewicz J.
  Stokwiszewski J.
  Rabczenko D.
AUTHOR ADDRESSES
  (Wojtyniak B.; Stokwiszewski J.; Rabczenko D.) National Institute of 
Hygiene, Warsaw, Poland.
(Moskalewicz J., moskalew@ipin.edu.pl) Institute of Psychiatry and 
Neurology, Warsaw, Poland.
(Moskalewicz J., moskalew@ipin.edu.pl) Institute of Psychiatry and 
Neurology, Sobieskiego 9, 02-957 Warsaw, Poland.
CORRESPONDENCE ADDRESS
  J. Moskalewicz, Institute of Psychiatry and Neurology, Sobieskiego 9, 02-957 
Warsaw, Poland. Email: moskalew@ipin.edu.pl
SOURCE
  Addiction (2005) 100:12 (1779-1789). Date of Publication: December 2005
ISSN
  0965-2140
BOOK PUBLISHER
  Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
  Aims: To show the impact of rapid political and economic transitions on 
alcohol consumption and associated mortality in different socio-demographic 
segments of the Polish society, with particular focus on gender differences. 
Two causes of death associated with drinking (liver diseases and alcohol 
poisoning) are investigated. Design: Mortality time series 1986-2002 are 
analysed against consumption estimates and population drinking survey data. 
Setting: Poland 1986-2002. Participants General adult population. 
Measurement: Age-standardized annual and 3-year death rates were calculated 
for age, gender and place of residence subgroups. For education, 
age-standardized relative frequency of deaths or proportional mortality in 
four basic educational levels was calculated. Findings: Alcohol-related 
mortality shows great variability in response to substantial changes in 
alcohol consumption. Patterns of mortality and their magnitude of change 
correspond with average alcohol consumption and are therefore different for 
men and women, for different age and educational groups and in urban and 
rural areas. Level of education, however, may affect alcohol-related 
mortality more strongly than overall alcohol intake, particularly with 
regard to acute consequences of drinking. Conclusion: The Polish experience 
illustrates that the impact of rapid political and economic transitions on 
alcohol consumption and associated mortality is highly differentiated and 
specific to gender and social class. © 2005 Society for the Study of 
Addiction.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcohol consumption
EMTREE MEDICAL INDEX TERMS
  adult
  calculation
  conference paper
  controlled study
  education
  female
  frequency analysis
  gender
  human
  male
  mortality
  Poland
  rural area
  sex difference
  social class
  standardization
  urban area
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2005566614
MEDLINE PMID
  16367978 (http://www.ncbi.nlm.nih.gov/pubmed/16367978)
PUI
  L41775201
DOI
  10.1111/j.1360-0443.2005.01247.x
FULL TEXT LINK
  http://dx.doi.org/10.1111/j.1360-0443.2005.01247.x
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1431
TITLE
  Enhancing physicians' use of alcoholics anonymous: Internet-based training
AUTHOR NAMES
  Sellers B.
  Galanter M.
  Dermatis H.
  Nachbar M.
AUTHOR ADDRESSES
  (Sellers B.; Galanter M.; Dermatis H.; Nachbar M.) Division of Alcoholism 
and Drug Abuse, New York University Medical School, .
(Galanter M.) Division of Alcoholism and Drug Abuse, NYU School of Medicine, 
550 First Avenue, New York, NY 10016, United States.
CORRESPONDENCE ADDRESS
  M. Galanter, Division of Alcoholism and Drug Abuse, NYU School of Medicine, 
550 First Avenue, New York, NY 10016, United States.
SOURCE
  Journal of Addictive Diseases (2005) 24:3 (77-86). Date of Publication: 2005
ISSN
  1055-0887
BOOK PUBLISHER
  Haworth Press Inc., 10 Alice Street, Binghamton, United States.
ABSTRACT
  Introduction. Alcoholics Anonymous is not yet fully employed by the medical 
community as a means to enhance patient outcome. The purpose of this study 
was to evaluate visitors' use of an Internet course on Alcoholics Anonymous, 
and to compare how various disciplines learned about, gained access to and 
participated in the course. Methods. Demographic information was collected 
from 414 visitors to the course. Results. Sixty-four percent of the 414 
respondents received their last educational degree within the last 10 years, 
and had an interest in the topic of addiction prior to their accessing the 
site. Two hundred ninety-four (71%) of those who accessed the course 
completed it, and those who accessed it learned about it from various 
sources other than print advertisement in professional journals. Within the 
230 physician respondents, 143 (62%) were psychiatrists, 82 (78%) of whom 
learned about the Internet course via professional journal. Discussion. 
Given the need for further training among physicians in the use of 
Alcoholics Anonymous, the Internet can be utilized to make information 
available to a large number of people. Because it allows the user to access 
information outside the traditional means, the barriers to its use are 
minimal, and it has the potential to effectively convey useful clinical 
information. © 2005 by The Haworth Press, Inc. All rights reserved.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  alcohol
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  alcoholics anonymous
  alcoholism (rehabilitation)
EMTREE MEDICAL INDEX TERMS
  advertising
  article
  comparative study
  demography
  human
  Internet
  medical literature
  physician
  psychiatrist
  publication
CAS REGISTRY NUMBERS
  alcohol (64-17-5)
EMBASE CLASSIFICATIONS
  Rehabilitation and Physical Medicine (19)
  Psychiatry (32)
  Drug Dependence, Alcohol Abuse and Alcoholism (40)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2005489819
MEDLINE PMID
  16186084 (http://www.ncbi.nlm.nih.gov/pubmed/16186084)
PUI
  L41542395
DOI
  10.1300/J069v24n03_06
FULL TEXT LINK
  http://dx.doi.org/10.1300/J069v24n03_06
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1432
TITLE
  Is stress management training a useful addition to physician advice and 
nicotine replacement therapy during smoking cessation in women? Results of a 
randomized trial
AUTHOR NAMES
  D'Angelo M.E.S.
  Reid R.D.
  Hotz S.
  Irvine J.
  Segal R.J.
  Blanchard C.M.
  Pipe A.
AUTHOR ADDRESSES
  (D'Angelo M.E.S., mslovinec@ottawaheart.ca; Reid R.D.; Pipe A.) Prevention 
and Rehabilitation Centre, University of Ottawa Heart Institute, Ottawa, 
Ont., Canada.
(Hotz S.) Department of Epidemiology and Community Medicine, University of 
Ottawa, Ottawa, Ont., Canada.
(Irvine J.) Psychology Department, York University, Toronto, Ont., Canada.
(Segal R.J.) General Division, Ottawa Regional Cancer Centre, Ottawa, Ont., 
Canada.
(Blanchard C.M.) School of Human Kinetics, University of Ottawa, Ottawa, 
Ont., Canada.
(D'Angelo M.E.S., mslovinec@ottawaheart.ca) Prevention and Rehabilitation 
Centre, University of Ottawa Heart Institute, 40 Ruskin Street, Ottawa, Ont. 
K1Y 4W7, Canada.
CORRESPONDENCE ADDRESS
  M.E.S. D'Angelo, Prevention and Rehabilitation Centre, University of Ottawa 
Heart Institute, 40 Ruskin Street, Ottawa, Ont. K1Y 4W7, Canada. Email: 
mslovinec@ottawaheart.ca
SOURCE
  American Journal of Health Promotion (2005) 20:2 (127-134). Date of 
Publication: November/December 2005
ISSN
  0890-1171
BOOK PUBLISHER
  American Journal of Health Promotion, 1120 Chester Avenue, Suite 470, 
Cleveland, United States.
ABSTRACT
  Purpose. To determine whether a stress management (SM) program could improve 
cessation rates when added to usual care (UC) among women attempting to quit 
smoking. Design. Randomized controlled trial conducted during a 12-month 
period. Setting. Smoking cessation clinics located within two tertiary care 
centers in Ottawa, Ontario. Subjects. A total of 332 women smokers 19 years 
or older who smoked 10 or more cigarettes per day were recruited via 
advertisements. Intervention. Either UC (physician advice and nicotine 
replacement therapy) or UC plus an eight-session group SM training program 
(coping skills development relevant to smoking-specific and generic 
stressors). Measures. Point prevalence abstinence 2 and 12 months after 
study intake. A secondary outcome of interest was change in perceived stress 
during the intervention period. Results. On an intent-to-treat basis, the 
addition of SM to UC had no incremental effect on 2- or 12-month abstinence 
rates. Abstinence rates at 2 months were 26.2% vs. 31.7% in the UC and SM 
groups, respectively (p = .59). At 12 months, the rates were 18.5% vs. 20.7% 
(p = .86). When quit rates were compared including only participants who 
demonstrated adequate adherence to the intervention protocol, there was a 
significant difference between the UC and SM groups at 2 months (34.9% vs. 
48.7%; adjusted odds ratio, 1.88; 95% confidence interval, 1.04-3.42; p = 
.04) but not at 12 months (23.0% vs. 28.2%; adjusted odds ratio, 1.24; 95% 
confidence interval, .64-2.41; p = .53). There was a significant reduction 
in perceived stress from preintervention to postintervention; however, this 
decrease was not moderated by group assignment. Conclusion. The addition of 
SM in our setting neither increased abstinence rates nor reduced perceived 
stress over and above UC in women motivated to quit smoking. Poor attendance 
at the SM intervention undermined its effectiveness. Copyright © 2005 by 
American Journal of Health Promotion, Inc.
EMTREE DRUG INDEX TERMS (MAJOR FOCUS)
  nicotine (clinical trial)
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health program
  nicotine replacement therapy
  smoking cessation
  stress management training
EMTREE MEDICAL INDEX TERMS
  adult
  aged
  article
  clinical trial
  confidence interval
  controlled clinical trial
  controlled study
  female
  follow up
  geographic distribution
  human
  major clinical study
  patient compliance
  perception
  physician
  randomized controlled trial
  smoking
  statistical significance
  stress
  training
  treatment outcome
CAS REGISTRY NUMBERS
  nicotine (54-11-5)
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
  2005507650
MEDLINE PMID
  16295704 (http://www.ncbi.nlm.nih.gov/pubmed/16295704)
PUI
  L41597358
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1433
TITLE
  Survey of the Council of Residents of the Italian Society of Hygiene (SItI) 
on the smoking habits of physicians training in Hygiene and Preventive 
Medicine
ORIGINAL (NON-ENGLISH) TITLE
  Indagine della Consulta degli Specializzandi SItI sul fumo di sigaretta tra 
i medici in formazione nelle scuole di specializzazione in Igiene e Medicina 
Preventiva: uno studio trasversale
AUTHOR NAMES
  Lazzarino A.I.
  Colzani E.
  Perata E.
AUTHOR ADDRESSES
  (Lazzarino A.I.; Colzani E.; Perata E.) Scuola di Specializzazione in Igiene 
e Medicina Preventiva - II Facoltà di Medicina e Chirurgia - Università di 
Roma "La Sapienza". Dipartimento di Scienze di Sanità Pubblica "G. 
Sanarelli" - Sezione "Sant'Andrea"
SOURCE
  Igiene e sanità pubblica (2005) 61:6 (601-608). Date of Publication: 1 Nov 
2005
ISSN
  0019-1639
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  questionnaire
  smoking
EMTREE MEDICAL INDEX TERMS
  habit
  human
  hygiene
  physician
  prevention and control
LANGUAGE OF ARTICLE
  Italian
LANGUAGE OF SUMMARY
  English
MEDLINE PMID
  17206241 (http://www.ncbi.nlm.nih.gov/pubmed/17206241)
PUI
  L611748013
COPYRIGHT
  Copyright 2016 Medline is the source for the citation and abstract of this 
record.

RECORD 1434
TITLE
  Teaching smoking cessation knowledge to second-year undergraduates
AUTHOR NAMES
  Cleland J.
  Lee G.
  Friend J.
  Osman L.
AUTHOR ADDRESSES
  (Cleland J., jen.cleland@abdn.ac.uk) Department of General Practice and 
Primary Care, University of Aberdeen, Westburn Road, Aberdeen AB25 2AY, 
United Kingdom.
(Lee G.) Health Promotions, NHS Grampian, Aberdeen, United Kingdom.
(Friend J.) Department of Public Health, University of Aberdeen, Westburn 
Road, Aberdeen AB25 2AY, United Kingdom.
(Osman L.) Chest Clinic, Aberdeen Royal Infirmary, Grampian Universities 
Hospital Trust, Aberdeen, United Kingdom.
CORRESPONDENCE ADDRESS
  J. Cleland, Department of General Practice and Primary Care, University of 
Aberdeen, Foresterhill Health Centre, Westburn Road, Aberdeen AB25 2AY, 
United Kingdom. Email: jen.cleland@abdn.ac.uk
SOURCE
  Medical Teacher (2005) 27:7 (655-657). Date of Publication: 1 Nov 2005
ISSN
  0142-159X
  1466-187X (electronic)
BOOK PUBLISHER
  Taylor and Francis Ltd., 4 Park Square, Milton Park, Abingdon, Oxfordshire, 
United Kingdom.
ABSTRACT
  Positive smoking cessation knowledge changes can be achieved through 
teaching. It is not known if, or how, increases in knowledge will contribute 
to actual interventions in practice. It is suggested that interventions to 
support medical undergraduates to develop the knowledge and skills required 
to support patients effectively in stopping smoking need to be part of an 
integrated programme of teaching clinical knowledge, communication and 
clinical skills, coupled with opportunities to practise in simulated 
situations. © 2005 Taylor & Francis.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  smoking cessation
EMTREE MEDICAL INDEX TERMS
  article
  clinical practice
  controlled study
  education program
  human
  interpersonal communication
  learning
  medical student
  simulation
  skill
  teaching
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006043054
MEDLINE PMID
  16332563 (http://www.ncbi.nlm.nih.gov/pubmed/16332563)
PUI
  L43123664
DOI
  10.1080/01421590500069991
FULL TEXT LINK
  http://dx.doi.org/10.1080/01421590500069991
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1435
TITLE
  Tobacco use among medical students in Orissa
AUTHOR NAMES
  Ramakrishna G.S.
  Sankara Sarma P.
  Thankappan K.R.
AUTHOR ADDRESSES
  (Ramakrishna G.S.; Sankara Sarma P.; Thankappan K.R., thank@sctimst.ac.in) 
Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal 
Institute for Medical Sciences and Technology, Thiruvananthapuram 695011 
Kerala, India.
CORRESPONDENCE ADDRESS
  K.R. Thankappan, Achutha Menon Centre for Health Science Studies, Sree 
Chitra Tirunal Institute for Medical Sciences and Technology, 
Thiruvananthapuram 695011 Kerala, India. Email: thank@sctimst.ac.in
SOURCE
  National Medical Journal of India (2005) 18:6 (285-289). Date of 
Publication: November/December 2005
ISSN
  0970-258X
BOOK PUBLISHER
  All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
ABSTRACT
  Background. Tobacco use is the most important cause of preventable 
morbidity, disability and premature mortality. There is a lack of adequate 
and reliable data on tobacco use among medical students and their perceived 
role as future doctors in tobacco control. We aimed to find out factors 
associated with tobacco use among medical students and their perceived role 
in tobacco control as future doctors. Methods. A cross-sectional study was 
conducted among 1189 undergraduate medical students (68.5% men, median age: 
21 years, age range: 17-27 years) in all 3 medical colleges of Orissa. 
Information on tobacco use, associated factors and their perceived role in 
tobacco control as future doctors was collected using a pre-tested anonymous 
questionnaire. Bivariate and multivariate analyses were done among the men 
respondents to find out associations between current tobacco use and 
predictor variables. Results. The prevalence of current tobacco use was 8.7% 
(95% CI: 7.1-10.3); men: 12.4%, women: 0.8%. Among 286 ever users, 34% 
started using tobacco after joining medical college. Students with a higher 
personal monthly expenditure and with a family history of tobacco use were 
more likely to be current users. Third-year students were 3.2-times more 
likely to be current tobacco users (OR: 3.21; CI: 1.43-7.19) compared to 
first-year students. Students who reported own tobacco use as not very 
harmful were 4.7-times more likely to be current users compared with those 
who reported otherwise (OR: 4.7; CI: 2.64-8.37). Compared to non-users, 
current tobacco users were less likely (p=0.026) to assess tobacco use in 
their patients and were less likely (p=0.012) to advise patients against 
tobacco use. Conclusion. Steps should be initiated early in medical colleges 
to prevent tobacco use, particularly among men students and those with a 
family history of tobacco use. © The National Medical Journal of India 2005.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  medical education
  smoking
EMTREE MEDICAL INDEX TERMS
  adolescent
  adult
  article
  confidence interval
  controlled study
  family history
  female
  human
  India
  male
  medical school
  medical student
  multivariate analysis
  physician attitude
  predictor variable
  prevalence
  questionnaire
  sex difference
EMBASE CLASSIFICATIONS
  Public Health, Social Medicine and Epidemiology (17)
LANGUAGE OF ARTICLE
  English
LANGUAGE OF SUMMARY
  English
EMBASE ACCESSION NUMBER
  2006078953
MEDLINE PMID
  16483025 (http://www.ncbi.nlm.nih.gov/pubmed/16483025)
PUI
  L43230594
COPYRIGHT
  Copyright 2009 Elsevier B.V., All rights reserved.

RECORD 1436
TITLE
  Beny J. Primm, MD: pioneer physician, educator, and advocate for people with 
addictions and HIV/AIDS.
AUTHOR NAMES
  Primm A.B.
  Brown L.S.
AUTHOR ADDRESSES
  (Primm A.B.; Brown L.S.) American Psychiatric Association, Arlington, VA, 
USA.
CORRESPONDENCE ADDRESS
  A.B. Primm, American Psychiatric Association, Arlington, VA, USA.
SOURCE
  Journal of health care for the poor and underserved (2005) 16:4 Suppl B 
(6-8). Date of Publication: Nov 2005
ISSN
  1049-2089
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  addiction
  Human immunodeficiency virus infection
  patient advocacy
EMTREE MEDICAL INDEX TERMS
  article
  history
  human
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16327103 (http://www.ncbi.nlm.nih.gov/pubmed/16327103)
PUI
  L41859440
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1437
TITLE
  Sowing the seeds of hope: providing regional behavioral health supports to 
the agricultural population.
AUTHOR NAMES
  Rosmann M.R.
AUTHOR ADDRESSES
  (Rosmann M.R.) AgriWellness Inc, Harlan, Iowa 51537, USA.
CORRESPONDENCE ADDRESS
  M.R. Rosmann, AgriWellness Inc, Harlan, Iowa 51537, USA. Email: 
info@agriwellness.org
SOURCE
  Journal of agricultural safety and health (2005) 11:4 (431-439). Date of 
Publication: Nov 2005
ISSN
  1074-7583
ABSTRACT
  In 1999, project leaders from seven states (i.e., Iowa, Kansas, Minnesota, 
Nebraska, North Dakota, South Dakota, and Wisconsin) began to share ideas 
and resources for providing behavioral health assistance (i.e., mental 
health counseling and addictions services) to stressed farmers, ranchers, 
farm workers, and their families. The seven states are among those most 
impacted by the farm crisis of the 1980s and again by low commodity prices 
and disasters such as droughts and floods in the 1990s. Project leaders 
conferred in monthly telephone conference calls and by 2001 began meeting in 
semi-annual face-to-face meetings to formally agree on a mission, program 
components, and management structure. Administrative functions were 
transferred from the Wisconsin Office of Rural Health and Wisconsin Primary 
Healthcare Association, to AgriWellness, Inc., a regional nonprofit 
corporation founded to provide technical assistance, grant writing, training 
of service providers, and other administrative supports. The Sowing the 
Seeds of Hope program has become a model for the provision of behavioral 
health supports for the agricultural population, including development of 
farm stress telephone hotlines, provision of confidential and affordable 
outpatient mental health and substance abuse counseling, training of 
professional providers in agricultural behavioral health, training of 
indigenous farm and rural residents as outreach workers who can respond to 
disasters of all types, and weekend educational retreats for farm residents. 
The program has achieved economy of scale by sharing expertise across state 
boundaries and the formation of a regional administrative structure. Yet, 
many challenges exist, the greatest of which is obtaining ongoing permanent 
support for the increasing numbers of uninsured and underinsured people 
involved in agriculture.
EMTREE MEDICAL INDEX TERMS (MAJOR FOCUS)
  health
  mental health service
  rural health care
EMTREE MEDICAL INDEX TERMS
  article
  counseling
  health care quality
  health insurance
  human
  mental health
  organization and management
  statistics
  United States
LANGUAGE OF ARTICLE
  English
MEDLINE PMID
  16381164 (http://www.ncbi.nlm.nih.gov/pubmed/16381164)
PUI
  L41854557
COPYRIGHT
  MEDLINE® is the source for the citation and abstract of this record.

RECORD 1438
TITLE
  The alcohol use disorders identification test (AUDIT) as a screening tool 
for excessive drinking in primary care: Reliability and validity of a french 
version
AUTHOR NAMES
  Gache P.
  Michaud P.
  Landry U.
  Accietto C.
  Arfaoui S.
  Wenger O.
  Daeppen J.-B.
AUTHOR ADDRESSES
  (Gache P., pascal.gache@hcuge.ch; Accietto C.; Wenger O.) Alcohology Unit, 
Department of Community Medicine, Hôpitaux Universitaires de Genève, 
Switzerland.
(Michaud P.; Arfaoui S.) Programme 'Boire Moins c'Est Mieux', National 
Association for Prevention of Alcoholism, Paris, France.
(Landry U.; Daeppen J.-B.) Centre for Treatment in Alcohology, Centre 
Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
(Gache P., pascal.gache@hcuge.ch) Unité d'Alcoologie, Département de 
Médecine Communautaire, Hôpitaux Universitaires de Genève, Rue Micheli du 
Crest 24, 1211 Genève 14, Sweden.
CORRESPONDENCE ADDRESS
  P. Gache, Unité d'Alcoologie, Département de Médecine Communautaire, 
Hôpitaux Universitaires de Genève, Rue Micheli du Crest 24, 1211 Genève 14, 
Sweden. Email: pascal.gache@hcuge.ch
SOURCE
  Alcoholism: Clinical and Experimental Research (2005) 29:11 (2001-2007). 
Date of Publication: November 2005
ISSN
  0145-6008
BOOK PUBLISHER
  Blackwell Publishing Ltd, 9600 Garsington Road, Oxford, United Kingdom.
ABSTRACT
  Background: Excessive drinking is a major problem in Western countries. 
AUDIT (Alcohol Use Disorders Identification Test) is a 10-item questionnaire 
developed as a transcultural screening tool to detect excessive alcohol 
consumption and dependence in primary health care settings Objectives: The 
aim of the study is to validate a French version of the Alcohol Use 
Disorders Identification Test (AUDIT) Methods: We conducted a validation 
cross-sectional study in three French-speaking areas (Paris, Geneva and 
Lausanne). We examined psychometric properties of AUDIT as its internal 
consistency, and its capacity to correctly diagnose alcohol abuse or 
dependence as defined by DSM-IV and to detect hazardous drinking (defined as 
alcohol intake >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.