<1. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28831278 TI - Opioid Prescribing Practices and Training Needs of Quebec Family Physicians for Chronic Noncancer Pain. SO - Pain Research & Management. 2017:1365910, 2017. AS - Pain Res Manag. 2017:1365910, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roy E AU - Cote RJ AU - Hamel D AU - Dube PA AU - Langlois E AU - Labesse ME AU - Thibault C AU - Boulanger A AI - Hamel, Denis; ORCID: https://orcid.org/0000-0001-9403-791X AI - Labesse, Maud Emmanuelle; ORCID: https://orcid.org/0000-0002-2345-7252 AI - Boulanger, Aline; ORCID: https://orcid.org/0000-0002-7979-7408 FA - Roy, Elise FA - Cote, Richard J FA - Hamel, Denis FA - Dube, Pierre-Andre FA - Langlois, Eric FA - Labesse, Maud Emmanuelle FA - Thibault, Christiane FA - Boulanger, Aline IN - Roy, Elise. Faculte de Medecine et des Sciences de la Sante, Universite de Sherbrooke, Campus de Longueuil, 150 place Charles-Le Moyne, Room 200, Longueuil, QC, Canada J4K 0A8. IN - Cote, Richard J. Direction des Risques Biologiques et de la Sante au Travail, Institut National de Sante Publique du Quebec, 190 Cremazie Est., Montreal, QC, Canada H2P 1E2. IN - Hamel, Denis. Bureau d'Information et d'Etudes en Sante des Populations, Institut National de Sante Publique du Quebec, 945 avenue Wolfe, Quebec City, QC, Canada G1B5 5V3. IN - Dube, Pierre-Andre. Direction de la Sante Environnementale et de la Toxicologie, Institut National de Sante Publique du Quebec, 945 avenue Wolfe, Quebec City, QC, Canada G1B5 5V3. IN - Langlois, Eric. Direction de la Sante Environnementale et de la Toxicologie, Institut National de Sante Publique du Quebec, 190 Cremazie Est., Montreal, QC, Canada H2P 1E2. IN - Labesse, Maud Emmanuelle. Direction de la Sante Environnementale et de la Toxicologie, Institut National de Sante Publique du Quebec, 190 Cremazie Est., Montreal, QC, Canada H2P 1E2. IN - Thibault, Christiane. Direction de la Sante Environnementale et de la Toxicologie, Institut National de Sante Publique du Quebec, 190 Cremazie Est., Montreal, QC, Canada H2P 1E2. IN - Boulanger, Aline. Clinique Antidouleur du Centre Hospitalier de l'Universite de Montreal, 1560 rue Sherbrooke Est., Montreal, QC, Canada H2L 4M1. NJ - Pain research & management VO - 2017 PG - 1365910 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9612504 IO - Pain Res Manag SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Chronic Pain/dt [Drug Therapy] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Pain Management MH - Physicians, Family/ed [Education] MH - *Physicians, Family MH - *Practice Patterns, Physicians' MH - Quebec MH - Surveys and Questionnaires AB - AIM: To examine medical practices and training needs of Quebec family physicians with respect to pain management and opioid prescription for chronic noncancer pain (CNCP). AB - METHODOLOGY: An online survey was carried out in 2016. AB - 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 the main 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 syndromes were rated as a top priority for further training. AB - CONCLUSIONS: This study provides insights into Quebec 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. RN - 0 (Analgesics, Opioid) ES - 1918-1523 IL - 1203-6765 DO - https://dx.doi.org/10.1155/2017/1365910 PT - Journal Article ID - 10.1155/2017/1365910 [doi] ID - PMC5555017 [pmc] PP - ppublish PH - 2017/01/13 [received] PH - 2017/05/02 [revised] PH - 2017/05/24 [accepted] LG - English EP - 20170731 DP - 2017 EZ - 2017/08/24 06:00 DA - 2018/05/12 06:00 DT - 2017/08/24 06:00 YR - 2017 ED - 20180511 RD - 20180511 UP - 20180514 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28831278 <2. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27412179 TI - The impact of an HIV/AIDS adult integrated health program on leaving hospital against medical advice among HIV-positive people who use illicit drugs. SO - Journal of Public Health. 39(2):e33-e39, 2017 Jun 01. AS - J Public Health (Oxf). 39(2):e33-e39, 2017 Jun 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ti L AU - Milloy MJ AU - Turje RB AU - Montaner J AU - Wood E AU - Kerr T FA - Ti, Lianping FA - Milloy, M-J FA - Turje, Rosalind Baltzer FA - Montaner, Julio FA - Wood, Evan FA - Kerr, Thomas IN - Ti, Lianping. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6. IN - Ti, Lianping. Department of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada V5Z 1M9. IN - Milloy, M-J. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6. IN - Milloy, M-J. Department of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada V5Z 1M9. IN - Turje, Rosalind Baltzer. Dr. Peter AIDS Foundation, 1110 Comox Street, Vancouver, BC, CanadaV6E 1K5. IN - Montaner, Julio. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6. IN - Montaner, Julio. Department of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada V5Z 1M9. IN - Wood, Evan. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6. IN - Wood, Evan. Department of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada V5Z 1M9. IN - Kerr, Thomas. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 1081 Burrard Street, Vancouver, BC, Canada V6Z 1Y6. IN - Kerr, Thomas. Department of Medicine, University of British Columbia, 2775 Laurel Street, Vancouver, BC, Canada V5Z 1M9. NJ - Journal of public health (Oxford, England) VO - 39 IP - 2 PG - e33-e39 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101188638 IO - J Public Health (Oxf) SB - Index Medicus CP - England MH - *Acquired Immunodeficiency Syndrome/px [Psychology] MH - Adult MH - Cohort Studies MH - *Drug Users/ed [Education] MH - *Drug Users/px [Psychology] MH - Female MH - *HIV Infections/px [Psychology] MH - Humans MH - Male MH - Middle Aged MH - *Patient Discharge/sn [Statistics & Numerical Data] MH - *Patient Education as Topic MH - *Substance-Related Disorders/px [Psychology] KW - HIV; discharge against medical advice; hospital; people who use illicit drugs AB - Background: Leaving hospital against medical advice (AMA) is a major source of avoidable morbidity, mortality and healthcare expenditure. The objective of this study was to assess the impact of an innovative HIV/AIDS adult integrated health program on leaving hospital AMA among HIV-positive people who use illicit drugs (PWUD). AB - Methods: Using generalized estimating equations, we examined the relationship between being a participant of the Dr. Peter Centre (DPC), a specialty HIV/AIDS-focused adult integrated health program, and leaving hospital AMA among a cohort of HIV-positive PWUD patients. AB - Results: Between July 2005 and July 2011, 181 HIV-positive PWUD who experienced >=1 hospitalization were recruited into the study. Of the 406 hospital admissions among these individuals, 73 (39.9%) participants left the hospital AMA. In a multivariable model adjusted for confounders, being a participant of the DPC was independently associated with lower odds of leaving hospital AMA (adjusted odds ratio = 0.42; 95% confidence interval: 0.19-0.89). AB - Conclusions: Our findings suggest that the provision of a broad range of clinical, harm reduction and support services through an innovative HIV/AIDS-focused adult integrated health program operating in proximity to a hospital may curb the rate at which individuals leave hospital prematurely. Copyright © The Author 2016. Published by Oxford University Press on behalf of Faculty of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. ES - 1741-3850 IL - 1741-3842 DO - https://dx.doi.org/10.1093/pubmed/fdw057 PT - Journal Article ID - fdw057 [pii] ID - 10.1093/pubmed/fdw057 [doi] ID - PMC5896585 [pmc] PP - ppublish GI - No: R01 DA036307 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U01 DA021525 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2017 Jun 01 PQ - 2018/06/01 EZ - 2016/07/15 06:00 DA - 2018/05/04 06:00 DT - 2016/07/15 06:00 YR - 2017 ED - 20180503 RD - 20180503 UP - 20180504 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27412179 <3. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28594601 TI - A parenting education program for women in treatment for opioid-use disorder at an outpatient medical practice. SO - Social Work in Health Care. 56(7):649-665, 2017 Aug. AS - Soc Work Health Care. 56(7):649-665, 2017 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahn LS PhD AU - Mendel WE Msw PhD AU - Fallin KL Msw AU - Borngraber EA Msw AU - Nochajski TH PhD AU - Rea WE Mba Lmsw AU - Blondell RD Md FA - Kahn, Linda S PhD FA - Mendel, Whitney E Msw PhD FA - Fallin, Kyla L Msw FA - Borngraber, Elizabeth A Msw FA - Nochajski, Thomas H PhD FA - Rea, William E Mba Lmsw FA - Blondell, Richard D Md IN - Kahn, Linda S PhD. a Department of Family Medicine , Primary Care Research Institute, University at Buffalo , Buffalo , NY , USA. IN - Mendel, Whitney E Msw PhD. b Master of Public Health Program, Daemen College , Amherst , NY , USA. IN - Fallin, Kyla L Msw. c School of Social Work , University at Buffalo , Amherst , NY , USA. IN - Borngraber, Elizabeth A Msw. c School of Social Work , University at Buffalo , Amherst , NY , USA. IN - Nochajski, Thomas H PhD. c School of Social Work , University at Buffalo , Amherst , NY , USA. IN - Rea, William E Mba Lmsw. d Center for Development of Human Services , Institute for Community Health Promotion , Rochester , NY , USA. IN - Blondell, Richard D Md. a Department of Family Medicine , Primary Care Research Institute, University at Buffalo , Buffalo , NY , USA. NJ - Social work in health care VO - 56 IP - 7 PG - 649-665 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - u95, 7603729 IO - Soc Work Health Care SB - Index Medicus CP - United States MH - Adult MH - *Ambulatory Care Facilities MH - *Education, Nonprofessional/mt [Methods] MH - Female MH - Humans MH - Mothers MH - *Opioid-Related Disorders/th [Therapy] MH - Pregnancy MH - *Pregnancy Complications/th [Therapy] KW - Education; maternal; opioid-use disorder; pregnancy and parenting AB - 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. ES - 1541-034X IL - 0098-1389 DO - https://dx.doi.org/10.1080/00981389.2017.1327470 PT - Journal Article ID - 10.1080/00981389.2017.1327470 [doi] PP - ppublish LG - English EP - 20170608 DP - 2017 Aug EZ - 2017/06/09 06:00 DA - 2018/04/27 06:00 DT - 2017/06/09 06:00 YR - 2017 ED - 20180426 RD - 20180426 UP - 20180427 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28594601 <4. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28281909 TI - Positive association of personal distress with testosterone in opiate-addicted patients. SO - Journal of Addictive Diseases. 36(3):167-174, 2017 Jul-Sep. AS - J Addict Dis. 36(3):167-174, 2017 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stange K AU - Kruger M AU - Janke E AU - Lichtinghagen R AU - Bleich S AU - Hillemacher T AU - Heberlein A AI - Stange, Katrin; ORCID: http://orcid.org/0000-0002-2771-9627 AI - Janke, Eva; ORCID: http://orcid.org/0000-0002-5671-1990 FA - Stange, Katrin FA - Kruger, Mathias FA - Janke, Eva FA - Lichtinghagen, Ralf FA - Bleich, Stefan FA - Hillemacher, Thomas FA - Heberlein, Annemarie IN - Stange, Katrin. a Center for Addiction Research (CARe) , Department of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School , Germany. IN - Kruger, Mathias. b Department of Psychology , University of Bonn , Germany. IN - Janke, Eva. a Center for Addiction Research (CARe) , Department of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School , Germany. IN - Lichtinghagen, Ralf. c Institute for Clinical Chemistry , Hanover Medical School , Germany. IN - Bleich, Stefan. a Center for Addiction Research (CARe) , Department of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School , Germany. IN - Hillemacher, Thomas. a Center for Addiction Research (CARe) , Department of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School , Germany. IN - Heberlein, Annemarie. a Center for Addiction Research (CARe) , Department of Psychiatry, Social Psychiatry and Psychotherapy, Hanover Medical School , Germany. NJ - Journal of addictive diseases VO - 36 IP - 3 PG - 167-174 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Adult MH - Biomarkers/an [Analysis] MH - Cognition MH - Cross-Sectional Studies MH - *Empathy MH - Factor Analysis, Statistical MH - Germany MH - Humans MH - Male MH - Middle Aged MH - *Opioid-Related Disorders/pp [Physiopathology] MH - *Opioid-Related Disorders/px [Psychology] MH - Psychiatric Status Rating Scales MH - Saliva MH - Schools, Medical MH - *Stress, Physiological MH - *Stress, Psychological/px [Psychology] MH - *Testosterone/an [Analysis] KW - Testosterone; empathy; opiate addiction; personal distress AB - Clinical studies report that substance addictions are associated with sociocognitive impairments. Regarding opiate-addicted patients, the few existing studies point to deficits in empathic abilities. Previous research suggests that testosterone might be a relevant biomarker of these impairments. The authors aimed to investigate whether opiate-addicted patients show specific impairments in emotional (empathic concern, personal distress) and cognitive empathy compared to healthy controls. Furthermore, the authors aimed to assess possible associations of testosterone levels with impaired empathic abilities in the patients' group. In this cross-sectional study, 27 opiate-addicted, diacetylmorphine-maintained patients (21 males, age mean 41.67 years, standard deviation 8.814) and 31 healthy controls (23 males, age mean 40.77 years, standard deviation 8.401) matched in age, sex, and educational level were examined. Cognitive and emotional empathy were measured via the German version of the Interpersonal Reactivity Index and salivary testosterone levels were assessed. The authors found higher personal distress scores (p < 0.01, d = 0.817) and higher testosterone (p < 0.001, d = 1.093) in the patients' group compared to controls. Moreover, a positive correlation was found between testosterone and personal distress among the patients' group (r = 0.399, p < 0.05). Opiate-addicted patients show specific impairments in emotional empathy, namely higher personal distress, which has clinical implications regarding social cognition rehabilitation and relapse prevention. The current data point toward testosterone as a possible biomarker for these sociocognitive impairments and suggest that high personal distress and high testosterone during withdrawal are possible markers for severe opiate addiction. RN - 0 (Biomarkers) RN - 3XMK78S47O (Testosterone) ES - 1545-0848 IL - 1055-0887 DO - https://dx.doi.org/10.1080/10550887.2017.1303980 PT - Comparative Study PT - Journal Article ID - 10.1080/10550887.2017.1303980 [doi] PP - ppublish LG - English EP - 20170310 DP - 2017 Jul-Sep EZ - 2017/03/11 06:00 DA - 2018/04/26 06:00 DT - 2017/03/11 06:00 YR - 2017 ED - 20180425 RD - 20180425 UP - 20180426 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28281909 <5. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29072119 TI - Prevalence, perceptions, and consequences of substance use in medical students. SO - Medical Education Online. 22(1):1392824, 2017. AS - Med. educ. online. 22(1):1392824, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ayala EE AU - Roseman D AU - Winseman JS AU - Mason HRC AI - Ayala, Erin E; ORCID: http://orcid.org/0000-0001-6640-2131 FA - Ayala, Erin E FA - Roseman, Destiny FA - Winseman, Jeffrey S FA - Mason, Hyacinth R C IN - Ayala, Erin E. a Department of Counseling Psychology , St. Mary's University of Minnesota , Minneapolis , MN , USA. IN - Roseman, Destiny. b Department of Medical Education , Albany Medical College , Albany , NY , USA. IN - Winseman, Jeffrey S. c Department of Psychiatry , Albany Medical Center , Albany , NY , USA. IN - Mason, Hyacinth R C. d Department of Medical Education , Albany Medical College , Albany , NY , USA. NJ - Medical education online VO - 22 IP - 1 PG - 1392824 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9806550 IO - Med Educ Online SB - Index Medicus CP - United States MH - Adult MH - Cross-Sectional Studies MH - Female MH - Health Policy MH - Health Surveys MH - Humans MH - Male MH - Middle Aged MH - Perception MH - Prevalence MH - Schools, Medical/og [Organization & Administration] MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - United States/ep [Epidemiology] MH - Young Adult KW - Medical students; alcohol; health; medical education; substance use AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1087-2981 IL - 1087-2981 DO - https://dx.doi.org/10.1080/10872981.2017.1392824 PT - Journal Article ID - 10.1080/10872981.2017.1392824 [doi] ID - PMC5678442 [pmc] PP - ppublish LG - English DP - 2017 EZ - 2017/10/27 06:00 DA - 2018/04/17 06:00 DT - 2017/10/27 06:00 YR - 2017 ED - 20180416 RD - 20180416 UP - 20180417 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=29072119 <6. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29199396 TI - Educational intervention for physicians to address the risk of opioid abuse. SO - Journal of Opioid Management. 13(5):303-313, 2017 Sep/Oct. AS - J Opioid Manag. 13(5):303-313, 2017 Sep/Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pasquale MK AU - Sheer RL AU - Mardekian J AU - Masters ET AU - Patel NC AU - Hurwitch AR AU - Weber JJ AU - Jorga A AU - Roland CL FA - Pasquale, Margaret K FA - Sheer, Richard L FA - Mardekian, Jack FA - Masters, Elizabeth T FA - Patel, Nick C FA - Hurwitch, Amy R FA - Weber, Jennifer J FA - Jorga, Anamaria FA - Roland, Carl L IN - Pasquale, Margaret K. Research Manager, Comprehensive Health Insights, Inc., Louisville, Kentucky. IN - Sheer, Richard L. Principal Researcher, Comprehensive Health Insights, Inc., Louisville, Kentucky. IN - Mardekian, Jack. Senior Director, Statistics, Pfizer Inc., New York, New York. IN - Masters, Elizabeth T. Director, Outcomes & Evidence, Pfizer Inc., New York, New York. IN - Patel, Nick C. Research Manager, Comprehensive Health Insights, Inc., Louisville, Kentucky. IN - Hurwitch, Amy R. Program Manager, Adverse Events IN - Pharmacy Patient Safety Programs Humana Pharmacy Solutions, Louisville, Kentucky. IN - Weber, Jennifer J. Managing Pharmacist, Pharmacy Patient Safety Programs Humana Pharmacy Solutions, Louisville, Kentucky. IN - Jorga, Anamaria. Medical Director, US Medical Affairs, Pfizer Inc., New York, New York. IN - Roland, Carl L. Senior Director, Global Innovative Pharma Business Clinical Sciences and Outcomes and Evidence Pfizer Inc., Durham, North Carolina. NJ - Journal of opioid management VO - 13 IP - 5 PG - 303-313 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - Administrative Claims, Healthcare MH - Aged MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Chronic Pain/di [Diagnosis] MH - *Chronic Pain/dt [Drug Therapy] MH - Chronic Pain/px [Psychology] MH - Drug Prescriptions MH - Drug Users/px [Psychology] MH - *Education, Medical, Continuing/mt [Methods] MH - Female MH - Humans MH - *Inservice Training/mt [Methods] MH - Logistic Models MH - Male MH - Medicare MH - Middle Aged MH - Multivariate Analysis MH - Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/et [Etiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Opioid-Related Disorders/px [Psychology] MH - *Pain Management/ae [Adverse Effects] MH - *Pain Management/mt [Methods] MH - *Physicians/px [Psychology] MH - Pilot Projects MH - Practice Patterns, Physicians' MH - Risk Assessment MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Time Factors MH - Treatment Outcome MH - United States AB - OBJECTIVE: To evaluate the impact of a pilot intervention for physicians to support their treatment of patients at risk for opioid abuse. AB - 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 opioid-prescribing physicians. Patient-physician clusters were randomly assigned to one of four interventions using factorial design. AB - 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. AB - 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. AB - 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). AB - 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. RN - 0 (Analgesics, Opioid) IS - 1551-7489 IL - 1551-7489 DI - jom.2017.0399 DO - https://dx.doi.org/10.5055/jom.2017.0399 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - jom.2017.0399 [pii] ID - 10.5055/jom.2017.0399 [doi] PP - ppublish LG - English DP - 2017 Sep/Oct EZ - 2017/12/05 06:00 DA - 2017/12/05 06:00 DT - 2017/12/05 06:00 YR - 2017 ED - 20180410 RD - 20180410 UP - 20180411 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=29199396 <7. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29175430 TI - Medical Students' Acquisition of Adolescent Interview Skills after Coached Role Play. SO - Journal of Pediatric & Adolescent Gynecology. 31(2):102-106, 2018 Apr. AS - J Pediatr Adolesc Gynecol. 31(2):102-106, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaul P AU - Fisher JH AU - Hanson JL FA - Kaul, Paritosh FA - Fisher, Jennifer H FA - Hanson, Janice L IN - Kaul, Paritosh. Section of Adolescent Medicine, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado. Electronic address: paritosh.kaul@childrenscolorado.org. IN - Fisher, Jennifer H. University of Colorado Anschutz Medical Campus, College of Nursing, Aurora, Colorado. IN - Hanson, Janice L. Department of Pediatrics, University of Colorado School of Medicine, Children's Hospital Colorado, Aurora, Colorado. NJ - Journal of pediatric and adolescent gynecology VO - 31 IP - 2 PG - 102-106 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cmf, 9610774 IO - J Pediatr Adolesc Gynecol SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Medicine/ed [Education] MH - Clinical Competence MH - *Education, Medical/mt [Methods] MH - Female MH - Humans MH - Male MH - Retrospective Studies MH - *Role Playing MH - Students, Medical KW - Adolescent medicine education; Coached role play; HEADS interview; Medical education AB - 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. AB - 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). AB - 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. Copyright © 2017 North American Society for Pediatric and Adolescent Gynecology. Published by Elsevier Inc. All rights reserved. ES - 1873-4332 IL - 1083-3188 DI - S1083-3188(17)30509-0 DO - https://dx.doi.org/10.1016/j.jpag.2017.11.003 PT - Journal Article ID - S1083-3188(17)30509-0 [pii] ID - 10.1016/j.jpag.2017.11.003 [doi] PP - ppublish PH - 2017/07/28 [received] PH - 2017/11/07 [revised] PH - 2017/11/11 [accepted] LG - English EP - 20171123 DP - 2018 Apr EZ - 2017/11/28 06:00 DA - 2018/04/10 06:00 DT - 2017/11/28 06:00 YR - 2018 ED - 20180409 RD - 20180409 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=29175430 <8. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28605889 TI - Assessment of Tobacco Habits, Attitudes, and Education Among Medical Students in the United States and Italy: A Cross-sectional Survey. SO - Journal of Preventive Medicine & Public Health / Yebang Uihakhoe Chi. 50(3):177-187, 2017. AS - J Prev Med Pub Health. 50(3):177-187, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Armstrong GW AU - Veronese G AU - George PF AU - Montroni I AU - Ugolini G FA - Armstrong, Grayson W FA - Veronese, Giacomo FA - George, Paul F FA - Montroni, Isacco FA - Ugolini, Giampaolo IN - Armstrong, Grayson W. Massachusetts Eye and Ear Infirmary/Harvard Medical School, Boston, MA, USA. IN - Veronese, Giacomo. Massachusetts Eye and Ear Infirmary/Harvard Medical School, Boston, MA, USA. IN - George, Paul F. Massachusetts Eye and Ear Infirmary/Harvard Medical School, Boston, MA, USA. IN - Montroni, Isacco. Massachusetts Eye and Ear Infirmary/Harvard Medical School, Boston, MA, USA. IN - Ugolini, Giampaolo. Massachusetts Eye and Ear Infirmary/Harvard Medical School, Boston, MA, USA. NJ - Journal of preventive medicine and public health = Yebang Uihakhoe chi VO - 50 IP - 3 PG - 177-187 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101242972 IO - J Prev Med Public Health SB - Index Medicus CP - Korea (South) MH - Adult MH - Age Factors MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Curriculum MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Italy/ep [Epidemiology] MH - Male MH - Prevalence MH - Sex Factors MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation/mt [Methods] MH - *Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - Young Adult KW - Medical education; Medical student; Smoking; Tobacco use cessation AB - 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. AB - 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. AB - 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 regarding 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. AB - 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. ES - 2233-4521 IL - 1975-8375 DO - https://dx.doi.org/10.3961/jpmph.15.061 PT - Journal Article ID - jpmph.15.061 [pii] ID - 10.3961/jpmph.15.061 [doi] ID - PMC5495685 [pmc] PP - ppublish PH - 2015/11/10 [received] PH - 2017/04/03 [accepted] LG - English DP - 2017 EZ - 2017/06/14 06:00 DA - 2018/04/10 06:00 DT - 2017/06/14 06:00 YR - 2017 ED - 20180409 RD - 20180409 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28605889 <9. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28559120 TI - The emerging role of lawyers as addiction 'quasi-experts'. SO - International Journal of Drug Policy. 44:183-191, 2017 Jun. AS - Int J Drug Policy. 44:183-191, 2017 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seear K FA - Seear, Kate IN - Seear, Kate. Faculty of Law, Monash University, Clayton, Victoria 3800, Australia; Social Studies of Addiction Concepts Research Program, National Drug Research Institute, Faculty of Health Sciences, Fitzroy Campus, Victoria 3065, Australia. Electronic address: Kate.Seear@monash.edu. NJ - The International journal on drug policy VO - 44 PG - 183-191 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 IO - Int. J. Drug Policy SB - Index Medicus CP - Netherlands MH - Australia MH - Canada MH - Female MH - Humans MH - *Jurisprudence MH - *Lawyers MH - Male MH - Qualitative Research MH - *Substance-Related Disorders KW - Addiction; Expertise; Jasanoff; Latour; Law; Lynch; Veridiction AB - 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. Copyright © 2017 Elsevier B.V. All rights reserved. ES - 1873-4758 IL - 0955-3959 DI - S0955-3959(17)30112-3 DO - https://dx.doi.org/10.1016/j.drugpo.2017.05.008 PT - Journal Article ID - S0955-3959(17)30112-3 [pii] ID - 10.1016/j.drugpo.2017.05.008 [doi] PP - ppublish PH - 2017/01/05 [received] PH - 2017/04/18 [revised] PH - 2017/05/02 [accepted] LG - English EP - 20170527 DP - 2017 Jun EZ - 2017/06/01 06:00 DA - 2018/04/10 06:00 DT - 2017/06/01 06:00 YR - 2017 ED - 20180409 RD - 20180409 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28559120 <10. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28559120 TI - The emerging role of lawyers as addiction 'quasi-experts'. SO - International Journal of Drug Policy. 44:183-191, 2017 06. AS - Int J Drug Policy. 44:183-191, 2017 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seear K FA - Seear, Kate IN - Seear, Kate. Faculty of Law, Monash University, Clayton, Victoria 3800, Australia; Social Studies of Addiction Concepts Research Program, National Drug Research Institute, Faculty of Health Sciences, Fitzroy Campus, Victoria 3065, Australia. Electronic address: Kate.Seear@monash.edu. NJ - The International journal on drug policy VO - 44 PG - 183-191 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 IO - Int. J. Drug Policy SB - Index Medicus CP - Netherlands MH - Australia MH - Canada MH - Female MH - Humans MH - *Jurisprudence MH - *Lawyers MH - Male MH - Qualitative Research MH - *Substance-Related Disorders KW - *Addiction; *Expertise; *Jasanoff; *Latour; *Law; *Lynch; *Veridiction AB - 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. Copyright © 2017 Elsevier B.V. All rights reserved. ES - 1873-4758 IL - 0955-3959 DI - S0955-3959(17)30112-3 DO - https://dx.doi.org/10.1016/j.drugpo.2017.05.008 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0955-3959(17)30112-3 [pii] ID - 10.1016/j.drugpo.2017.05.008 [doi] PP - ppublish PH - 2017/01/05 [received] PH - 2017/04/18 [revised] PH - 2017/05/02 [accepted] LG - English EP - 20170527 DP - 2017 06 EZ - 2017/06/01 06:00 DA - 2018/04/10 06:00 DT - 2017/06/01 06:00 YR - 2017 ED - 20180409 RD - 20180424 UP - 20180424 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28559120 <11. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29086651 TI - Combatting Massachusetts's Opioid Epidemic: Reducing the Social Stigma of Addiction Through Increased Access to Voluntary Treatment Services and Expansion of Mandatory Clinician Education Programs. SO - American Journal of Law & Medicine. 42(4):835-857, 2016 Nov. AS - Am J Law Med. 42(4):835-857, 2016 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pearlman J FA - Pearlman, Julie IN - Pearlman, Julie. J.D. candidate, Boston University School of Law, 2017; B.A. Political Science, University of Rochester, 2012. NJ - American journal of law & medicine VO - 42 IP - 4 PG - 835-857 PI - Journal available in: Print PI - Citation processed from: Print JC - 3ip, 7509572 IO - Am J Law Med SB - Index Medicus CP - United States MH - Analgesics, Opioid MH - Drug Prescriptions MH - *Education, Medical, Continuing MH - *Health Services Accessibility MH - Humans MH - Massachusetts MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Prescription Drug Misuse/pc [Prevention & Control] MH - Social Stigma MH - *Substance Abuse Treatment Centers RN - 0 (Analgesics, Opioid) IS - 0098-8588 IL - 0098-8588 DO - https://dx.doi.org/10.1177/0098858817701962 PT - Journal Article ID - 10.1177/0098858817701962 [doi] PP - ppublish LG - English DP - 2016 Nov EZ - 2017/11/01 06:00 DA - 2018/03/16 06:00 DT - 2017/11/01 06:00 YR - 2016 ED - 20180315 RD - 20180315 UP - 20180316 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=29086651 <12. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28486076 TI - Medical providers' knowledge and concerns about opioid overdose education and take-home naloxone rescue kits within Veterans Affairs health care medical treatment settings. SO - Substance Abuse. 38(2):135-140, 2017 Apr-Jun. AS - Subst Abus. 38(2):135-140, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Winograd RP AU - Davis CS AU - Niculete M AU - Oliva E AU - Martielli RP FA - Winograd, Rachel P FA - Davis, Corey S FA - Niculete, Maria FA - Oliva, Elizabeth FA - Martielli, Richard P IN - Winograd, Rachel P. a VA St. Louis Health Care System , St. Louis , Missouri , USA. IN - Winograd, Rachel P. b Missouri Institute of Mental Health, University of Missouri , St. Louis , Missouri , USA. IN - Davis, Corey S. c Network for Public Health Law , Los Angeles , California , USA. IN - Niculete, Maria. e VA Connecticut Healthcare System , West Haven , Connecticut , USA. IN - Niculete, Maria. f Department of Psychiatry , Yale School of Medicine , New Haven , Connecticut , USA. IN - Oliva, Elizabeth. d VA Palo Alto Health Care System , Menlo Park , California , USA. IN - Martielli, Richard P. a VA St. Louis Health Care System , St. Louis , Missouri , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 135-140 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Ambulatory Care Facilities MH - *Analgesics, Opioid/to [Toxicity] MH - *Drug Overdose/pc [Prevention & Control] MH - Education, Medical, Continuing MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - *Physicians/px [Psychology] MH - United States MH - United States Department of Veterans Affairs KW - Naloxone; OEND; opioid; overdose education; primary care; risk compensation AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1303424 PT - Journal Article ID - 10.1080/08897077.2017.1303424 [doi] PP - ppublish LG - English DP - 2017 Apr-Jun EZ - 2017/05/10 06:00 DA - 2018/03/10 06:00 DT - 2017/05/10 06:00 YR - 2017 ED - 20180309 RD - 20180309 UP - 20180312 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28486076 <13. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28418816 TI - Safe and competent opioid prescribing education: Increasing dissemination with a train-the-trainer program. SO - Substance Abuse. 38(2):168-176, 2017 Apr-Jun. AS - Subst Abus. 38(2):168-176, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zisblatt L AU - Hayes SM AU - Lazure P AU - Hardesty I AU - White JL AU - Alford DP FA - Zisblatt, Lara FA - Hayes, Sean M FA - Lazure, Patrice FA - Hardesty, Ilana FA - White, Julie L FA - Alford, Daniel P IN - Zisblatt, Lara. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - Hayes, Sean M. b AXDEV Group , Brossard , Quebec , Canada. IN - Lazure, Patrice. b AXDEV Group , Brossard , Quebec , Canada. IN - Hardesty, Ilana. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - White, Julie L. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - Alford, Daniel P. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - Alford, Daniel P. c Section of General Internal Medicine , Boston Medical Center , Boston , Massachusetts , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 168-176 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Advanced Practice Nursing/ed [Education] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Education MH - *Education, Medical, Continuing MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Pain/dt [Drug Therapy] MH - Physician Assistants/ed [Education] MH - Physicians MH - Program Evaluation MH - *Teacher Training/mt [Methods] KW - Chronic pain; continuing education; opioid medications; train-the-trainer programs AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1275927 PT - Journal Article ID - 10.1080/08897077.2016.1275927 [doi] PP - ppublish LG - English DP - 2017 Apr-Jun EZ - 2017/04/19 06:00 DA - 2018/03/10 06:00 DT - 2017/04/19 06:00 YR - 2017 ED - 20180309 RD - 20180309 UP - 20180312 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28418816 <14. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28418777 TI - ER/LA opioid REMS and accredited education: Survey results provide insight into clinical roles, educational needs, and learner preferences. SO - Substance Abuse. 38(2):145-149, 2017 Apr-Jun. AS - Subst Abus. 38(2):145-149, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kear C AU - McKeithen T AU - Robertson S FA - Kear, Cynthia FA - McKeithen, Tom FA - Robertson, Sheila IN - Kear, Cynthia. a California Academy of Family Physicians , San Francisco , California , USA. IN - McKeithen, Tom. b Healthcare Performance Consulting , Statesboro , Georgia , USA. IN - Robertson, Sheila. c Forefront Collaborative , Carmel , Indiana , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 145-149 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Clinical Competence MH - Delayed-Action Preparations/tu [Therapeutic Use] MH - *Education, Medical, Continuing MH - Humans MH - Licensure/sn [Statistics & Numerical Data] MH - Pain/dt [Drug Therapy] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - Opioid; REMS, ER/LA opioids; analgesics; continuing medical education; opioids AB - BACKGROUND: The Collaborative for REMS (Risk Evaluation and Mitigation Strategy) Education (CO*RE) includes 13 organizations that provide REMS Program Companies (RPC) grant-supported accredited education on extended-release and long-acting (ER/LA) opioid therapy. This report summarizes results of a survey designed to investigate the impact of participant criteria and to better understand the roles and preferences of continuing medical education/continuing education (CME/CE) participants. AB - METHODS: In April 2015, the authors made an online survey available to an estimated 10,000 clinicians who had completed a CO*RE CME/CE activity since 2013. The purpose of the survey was to (1) examine possible reasons learners may underreport prescribing status, (2) investigate ways in which learners engage in nonprescribing roles relevant to reducing adverse patient outcomes, and (3) determine the acceptability of a potential test-based learning tool that allows participants with mastery to test out in lieu of participating in 2- to 3-hour education. AB - RESULTS: Findings revealed that there was little confusion or reluctance by learners to answer questions about Drug Enforcement Administration (DEA) licensing and whether they prescribed opioids in the past year. REMS "prescriber" education covers opioid management responsibilities that are distributed among team members who play critical nonprescribing roles in reducing serious adverse outcomes from both ER/LA and immediate-release (IR) opioids. Seventy-three percent of study participants would favor a test-based learning tool should future circumstances warrant it. AB - CONCLUSION: The authors concluded the likelihood of underreporting is small, but there is an opportunity to clarify license and prescribing questions; opioid management responsibilities are distributed among nonprescribing team members who play roles in reducing adverse outcomes from both ER/LA and IR opioids, who would therefore benefit from REMS education; and clinicians favor a test-based learning tool, should future circumstances warrant it. These findings could have implications for planning future ER/LA opioid REMS curriculum and for setting and interpreting training goals for the US Food and Drug Administration's (FDA) ER/LA opioid REMS program. RN - 0 (Analgesics, Opioid) RN - 0 (Delayed-Action Preparations) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1303422 PT - Journal Article ID - 10.1080/08897077.2017.1303422 [doi] PP - ppublish LG - English DP - 2017 Apr-Jun EZ - 2017/04/19 06:00 DA - 2018/03/10 06:00 DT - 2017/04/19 06:00 YR - 2017 ED - 20180309 RD - 20180309 UP - 20180312 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28418777 <15. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28394732 TI - Impact of a brief addiction medicine training experience on knowledge self-assessment among medical learners. SO - Substance Abuse. 38(2):141-144, 2017 Apr-Jun. AS - Subst Abus. 38(2):141-144, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klimas J AU - Ahamad K AU - Fairgrieve C AU - McLean M AU - Mead A AU - Nolan S AU - Wood E FA - Klimas, Jan FA - Ahamad, Keith FA - Fairgrieve, Christoper FA - McLean, Mark FA - Mead, Annabel FA - Nolan, Seonaid FA - Wood, Evan IN - Klimas, Jan. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Klimas, Jan. c Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Klimas, Jan. d School of Medicine , University College Dublin, Coombe Healthcare Centre , Dolphins Barn , Dublin , Ireland. IN - Ahamad, Keith. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Ahamad, Keith. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Fairgrieve, Christoper. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Fairgrieve, Christoper. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - McLean, Mark. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - McLean, Mark. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Mead, Annabel. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Mead, Annabel. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Nolan, Seonaid. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Nolan, Seonaid. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Wood, Evan. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Wood, Evan. c Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada. NJ - Substance abuse VO - 38 IP - 2 PG - 141-144 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Addiction Medicine/ed [Education] MH - Adult MH - *Education, Medical, Continuing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - Self-Assessment KW - Medical education; program evaluation; prospective studies; substance-related disorders AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1296055 PT - Journal Article ID - 10.1080/08897077.2017.1296055 [doi] ID - PMC5783636 [pmc] ID - NIHMS934681 [mid] PP - ppublish GI - No: R25 DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20170221 DP - 2017 Apr-Jun PQ - 2018/04/01 EZ - 2017/04/11 06:00 DA - 2018/03/10 06:00 DT - 2017/04/11 06:00 YR - 2017 ED - 20180309 RD - 20180309 UP - 20180312 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28394732 <16. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28394733 TI - Training internal medicine residents to manage chronic pain and prescription opioid misuse. SO - Substance Abuse. 38(2):200-204, 2017 Apr-Jun. AS - Subst Abus. 38(2):200-204, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruff AL AU - Alford DP AU - Butler R AU - Isaacson JH FA - Ruff, Allison L FA - Alford, Daniel P FA - Butler, Robert FA - Isaacson, J Henry IN - Ruff, Allison L. a University of Michigan Medical School , Ann Arbor , Michigan , USA. IN - Alford, Daniel P. b Boston University School of Medicine, Boston Medical Center , Boston , Massachusetts , USA. IN - Butler, Robert. c Cleveland Clinic Foundation , Cleveland , Ohio , USA. IN - Isaacson, J Henry. c Cleveland Clinic Foundation , Cleveland , Ohio , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 200-204 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Pain/dt [Drug Therapy] MH - Curriculum MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - *Prescription Drug Misuse/pc [Prevention & Control] KW - Chronic pain; educations; opioid misuse; residency AB - BACKGROUND: Residents feel unprepared to care for patients with chronic pain on long-term opioids who exhibit signs of prescription opioid misuse. AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1296526 PT - Journal Article ID - 10.1080/08897077.2017.1296526 [doi] PP - ppublish LG - English EP - 20170410 DP - 2017 Apr-Jun EZ - 2017/04/11 06:00 DA - 2018/03/10 06:00 DT - 2017/04/11 06:00 YR - 2017 ED - 20180309 RD - 20180309 UP - 20180312 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28394733 <17. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28328306 TI - Integration and Evaluation of Substance Abuse Research Education Training (SARET) into a Master of Social Work program. SO - Substance Abuse. 38(2):150-156, 2017 Apr-Jun. AS - Subst Abus. 38(2):150-156, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tuchman E AU - Hanley K AU - Naegle M AU - More F AU - Bereket S AU - Gourevitch MN FA - Tuchman, Ellen FA - Hanley, Kathleen FA - Naegle, Madeline FA - More, Frederick FA - Bereket, Sewit FA - Gourevitch, Marc N IN - Tuchman, Ellen. a New York University Silver School of Social Work , New York , New York , USA. IN - Hanley, Kathleen. b Department of Medicine , New York University School of Medicine , New York , New York , USA. IN - Naegle, Madeline. c New York University Meyers College of Nursing , New York , New York , USA. IN - More, Frederick. d Department of Epidemiology & Health Promotion, Department of Pediatric Dentistry , New York University College of Dentistry , New York , New York , USA. IN - Bereket, Sewit. e Department of Population Health , New York University School of Medicine , New York , New York , USA. IN - Gourevitch, Marc N. e Department of Population Health , New York University School of Medicine , New York , New York , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 150-156 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Curriculum MH - *Education, Medical, Graduate MH - Female MH - Focus Groups MH - Humans MH - Male MH - *Program Development MH - *Program Evaluation MH - *Research/ed [Education] MH - *Social Work/ed [Education] MH - *Substance-Related Disorders KW - Education; research; social work; substance abuse; training AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1291465 PT - Journal Article ID - 10.1080/08897077.2017.1291465 [doi] PP - ppublish LG - English EP - 20170208 DP - 2017 Apr-Jun EZ - 2017/03/23 06:00 DA - 2018/03/10 06:00 DT - 2017/03/23 06:00 YR - 2017 ED - 20180309 RD - 20180309 UP - 20180312 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28328306 <18. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28027016 TI - Opioid overdose prevention training with naloxone, an adjunct to basic life support training for first-year medical students. SO - Substance Abuse. 38(2):123-128, 2017 Apr-Jun. AS - Subst Abus. 38(2):123-128, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berland N AU - Fox A AU - Tofighi B AU - Hanley K FA - Berland, Noah FA - Fox, Aaron FA - Tofighi, Babak FA - Hanley, Kathleen IN - Berland, Noah. a New York University School of Medicine , New York , New York , USA. IN - Fox, Aaron. b Department of Medicine , Division of General Internal Medicine , Albert Einstein College of Medicine , Bronx , New York , USA. IN - Tofighi, Babak. c Department of Population Health , New York University School of Medicine , New York , New York , USA. IN - Hanley, Kathleen. d Department of Medicine , New York University School of Medicine , New York , New York , USA. IN - Hanley, Kathleen. e Primary Care Residency Program, New York University School of Medicine , New York , New York , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 123-128 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Analgesics, Opioid/to [Toxicity] MH - *Drug Overdose/pc [Prevention & Control] MH - *Education, Medical, Undergraduate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - Program Evaluation/sn [Statistics & Numerical Data] MH - *Students, Medical/px [Psychology] MH - Young Adult KW - BLS; CPR; Opioid overdose; bystander naloxone; medical education; naloxone; opioid overdose prevention AB - 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. AB - 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). AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1275925 PT - Journal Article ID - 10.1080/08897077.2016.1275925 [doi] PP - ppublish LG - English EP - 20161227 DP - 2017 Apr-Jun EZ - 2016/12/28 06:00 DA - 2018/03/10 06:00 DT - 2016/12/28 06:00 YR - 2017 ED - 20180309 RD - 20180309 UP - 20180312 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28027016 <19. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28027016 TI - Opioid overdose prevention training with naloxone, an adjunct to basic life support training for first-year medical students. SO - Substance Abuse. 38(2):123-128, 2017 Apr-Jun. AS - Subst Abus. 38(2):123-128, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berland N AU - Fox A AU - Tofighi B AU - Hanley K FA - Berland, Noah FA - Fox, Aaron FA - Tofighi, Babak FA - Hanley, Kathleen IN - Berland, Noah. a New York University School of Medicine , New York , New York , USA. IN - Fox, Aaron. b Department of Medicine , Division of General Internal Medicine , Albert Einstein College of Medicine , Bronx , New York , USA. IN - Tofighi, Babak. c Department of Population Health , New York University School of Medicine , New York , New York , USA. IN - Hanley, Kathleen. d Department of Medicine , New York University School of Medicine , New York , New York , USA. IN - Hanley, Kathleen. e Primary Care Residency Program, New York University School of Medicine , New York , New York , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 123-128 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Analgesics, Opioid/to [Toxicity] MH - *Drug Overdose/pc [Prevention & Control] MH - *Education, Medical, Undergraduate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - Program Evaluation/sn [Statistics & Numerical Data] MH - *Students, Medical/px [Psychology] MH - Young Adult KW - *BLS; *CPR; *Opioid overdose; *bystander naloxone; *medical education; *naloxone; *opioid overdose prevention AB - 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. AB - 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). AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1275925 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2016.1275925 [doi] ID - PMC5920678 [pmc] ID - NIHMS958502 [mid] PP - ppublish GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20161227 DP - 2017 Apr-Jun EZ - 2016/12/28 06:00 DA - 2018/03/10 06:00 DT - 2016/12/28 06:00 YR - 2017 ED - 20180309 RD - 20180429 UP - 20180430 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28027016 <20. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28486076 TI - Medical providers' knowledge and concerns about opioid overdose education and take-home naloxone rescue kits within Veterans Affairs health care medical treatment settings. SO - Substance Abuse. 38(2):135-140, 2017 Apr-Jun. AS - Subst Abus. 38(2):135-140, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Winograd RP AU - Davis CS AU - Niculete M AU - Oliva E AU - Martielli RP FA - Winograd, Rachel P FA - Davis, Corey S FA - Niculete, Maria FA - Oliva, Elizabeth FA - Martielli, Richard P IN - Winograd, Rachel P. a VA St. Louis Health Care System , St. Louis , Missouri , USA. IN - Winograd, Rachel P. b Missouri Institute of Mental Health, University of Missouri , St. Louis , Missouri , USA. IN - Davis, Corey S. c Network for Public Health Law , Los Angeles , California , USA. IN - Niculete, Maria. e VA Connecticut Healthcare System , West Haven , Connecticut , USA. IN - Niculete, Maria. f Department of Psychiatry , Yale School of Medicine , New Haven , Connecticut , USA. IN - Oliva, Elizabeth. d VA Palo Alto Health Care System , Menlo Park , California , USA. IN - Martielli, Richard P. a VA St. Louis Health Care System , St. Louis , Missouri , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 135-140 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Ambulatory Care Facilities MH - *Analgesics, Opioid/to [Toxicity] MH - *Drug Overdose/pc [Prevention & Control] MH - Education, Medical, Continuing MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - *Physicians/px [Psychology] MH - United States MH - United States Department of Veterans Affairs KW - *Naloxone; *OEND; *opioid; *overdose education; *primary care; *risk compensation AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1303424 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 10.1080/08897077.2017.1303424 [doi] PP - ppublish LG - English DP - 2017 Apr-Jun EZ - 2017/05/10 06:00 DA - 2018/03/10 06:00 DT - 2017/05/10 06:00 YR - 2017 ED - 20180309 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28486076 <21. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28418816 TI - Safe and competent opioid prescribing education: Increasing dissemination with a train-the-trainer program. SO - Substance Abuse. 38(2):168-176, 2017 Apr-Jun. AS - Subst Abus. 38(2):168-176, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zisblatt L AU - Hayes SM AU - Lazure P AU - Hardesty I AU - White JL AU - Alford DP FA - Zisblatt, Lara FA - Hayes, Sean M FA - Lazure, Patrice FA - Hardesty, Ilana FA - White, Julie L FA - Alford, Daniel P IN - Zisblatt, Lara. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - Hayes, Sean M. b AXDEV Group , Brossard , Quebec , Canada. IN - Lazure, Patrice. b AXDEV Group , Brossard , Quebec , Canada. IN - Hardesty, Ilana. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - White, Julie L. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - Alford, Daniel P. a The Barry M. Manuel Office of Continuing Medical Education , Boston University School of Medicine , Boston , Massachusetts , USA. IN - Alford, Daniel P. c Section of General Internal Medicine , Boston Medical Center , Boston , Massachusetts , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 168-176 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Advanced Practice Nursing/ed [Education] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Education MH - *Education, Medical, Continuing MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Pain/dt [Drug Therapy] MH - Physician Assistants/ed [Education] MH - Physicians MH - Program Evaluation MH - *Teacher Training/mt [Methods] KW - *Chronic pain; *continuing education; *opioid medications; *train-the-trainer programs AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1275927 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2016.1275927 [doi] PP - ppublish LG - English DP - 2017 Apr-Jun EZ - 2017/04/19 06:00 DA - 2018/03/10 06:00 DT - 2017/04/19 06:00 YR - 2017 ED - 20180309 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28418816 <22. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28418777 TI - ER/LA opioid REMS and accredited education: Survey results provide insight into clinical roles, educational needs, and learner preferences. SO - Substance Abuse. 38(2):145-149, 2017 Apr-Jun. AS - Subst Abus. 38(2):145-149, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kear C AU - McKeithen T AU - Robertson S FA - Kear, Cynthia FA - McKeithen, Tom FA - Robertson, Sheila IN - Kear, Cynthia. a California Academy of Family Physicians , San Francisco , California , USA. IN - McKeithen, Tom. b Healthcare Performance Consulting , Statesboro , Georgia , USA. IN - Robertson, Sheila. c Forefront Collaborative , Carmel , Indiana , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 145-149 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Clinical Competence MH - Delayed-Action Preparations/tu [Therapeutic Use] MH - *Education, Medical, Continuing MH - Humans MH - Licensure/sn [Statistics & Numerical Data] MH - Pain/dt [Drug Therapy] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - *Opioid; *REMS, ER/LA opioids; *analgesics; *continuing medical education; *opioids AB - BACKGROUND: The Collaborative for REMS (Risk Evaluation and Mitigation Strategy) Education (CO*RE) includes 13 organizations that provide REMS Program Companies (RPC) grant-supported accredited education on extended-release and long-acting (ER/LA) opioid therapy. This report summarizes results of a survey designed to investigate the impact of participant criteria and to better understand the roles and preferences of continuing medical education/continuing education (CME/CE) participants. AB - METHODS: In April 2015, the authors made an online survey available to an estimated 10,000 clinicians who had completed a CO*RE CME/CE activity since 2013. The purpose of the survey was to (1) examine possible reasons learners may underreport prescribing status, (2) investigate ways in which learners engage in nonprescribing roles relevant to reducing adverse patient outcomes, and (3) determine the acceptability of a potential test-based learning tool that allows participants with mastery to test out in lieu of participating in 2- to 3-hour education. AB - RESULTS: Findings revealed that there was little confusion or reluctance by learners to answer questions about Drug Enforcement Administration (DEA) licensing and whether they prescribed opioids in the past year. REMS "prescriber" education covers opioid management responsibilities that are distributed among team members who play critical nonprescribing roles in reducing serious adverse outcomes from both ER/LA and immediate-release (IR) opioids. Seventy-three percent of study participants would favor a test-based learning tool should future circumstances warrant it. AB - CONCLUSION: The authors concluded the likelihood of underreporting is small, but there is an opportunity to clarify license and prescribing questions; opioid management responsibilities are distributed among nonprescribing team members who play roles in reducing adverse outcomes from both ER/LA and IR opioids, who would therefore benefit from REMS education; and clinicians favor a test-based learning tool, should future circumstances warrant it. These findings could have implications for planning future ER/LA opioid REMS curriculum and for setting and interpreting training goals for the US Food and Drug Administration's (FDA) ER/LA opioid REMS program. RN - 0 (Analgesics, Opioid) RN - 0 (Delayed-Action Preparations) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1303422 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2017.1303422 [doi] PP - ppublish LG - English DP - 2017 Apr-Jun EZ - 2017/04/19 06:00 DA - 2018/03/10 06:00 DT - 2017/04/19 06:00 YR - 2017 ED - 20180309 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28418777 <23. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28394732 TI - Impact of a brief addiction medicine training experience on knowledge self-assessment among medical learners. SO - Substance Abuse. 38(2):141-144, 2017 Apr-Jun. AS - Subst Abus. 38(2):141-144, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klimas J AU - Ahamad K AU - Fairgrieve C AU - McLean M AU - Mead A AU - Nolan S AU - Wood E FA - Klimas, Jan FA - Ahamad, Keith FA - Fairgrieve, Christoper FA - McLean, Mark FA - Mead, Annabel FA - Nolan, Seonaid FA - Wood, Evan IN - Klimas, Jan. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Klimas, Jan. c Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Klimas, Jan. d School of Medicine , University College Dublin, Coombe Healthcare Centre , Dolphins Barn , Dublin , Ireland. IN - Ahamad, Keith. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Ahamad, Keith. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Fairgrieve, Christoper. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Fairgrieve, Christoper. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - McLean, Mark. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - McLean, Mark. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Mead, Annabel. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Mead, Annabel. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Nolan, Seonaid. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Nolan, Seonaid. b Department of Family Medicine , University of British Columbia , Vancouver , British Columbia , Canada. IN - Wood, Evan. a British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Wood, Evan. c Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada. NJ - Substance abuse VO - 38 IP - 2 PG - 141-144 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Addiction Medicine/ed [Education] MH - Adult MH - *Education, Medical, Continuing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - Self-Assessment KW - *Medical education; *program evaluation; *prospective studies; *substance-related disorders AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1296055 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2017.1296055 [doi] ID - PMC5783636 [pmc] ID - NIHMS934681 [mid] PP - ppublish GI - No: R25 DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20170221 DP - 2017 Apr-Jun EZ - 2017/04/11 06:00 DA - 2018/03/10 06:00 DT - 2017/04/11 06:00 YR - 2017 ED - 20180309 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28394732 <24. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28394733 TI - Training internal medicine residents to manage chronic pain and prescription opioid misuse. SO - Substance Abuse. 38(2):200-204, 2017 Apr-Jun. AS - Subst Abus. 38(2):200-204, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruff AL AU - Alford DP AU - Butler R AU - Isaacson JH FA - Ruff, Allison L FA - Alford, Daniel P FA - Butler, Robert FA - Isaacson, J Henry IN - Ruff, Allison L. a University of Michigan Medical School , Ann Arbor , Michigan , USA. IN - Alford, Daniel P. b Boston University School of Medicine, Boston Medical Center , Boston , Massachusetts , USA. IN - Butler, Robert. c Cleveland Clinic Foundation , Cleveland , Ohio , USA. IN - Isaacson, J Henry. c Cleveland Clinic Foundation , Cleveland , Ohio , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 200-204 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Pain/dt [Drug Therapy] MH - Curriculum MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - *Prescription Drug Misuse/pc [Prevention & Control] KW - *Chronic pain; *educations; *opioid misuse; *residency AB - BACKGROUND: Residents feel unprepared to care for patients with chronic pain on long-term opioids who exhibit signs of prescription opioid misuse. AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1296526 PT - Journal Article ID - 10.1080/08897077.2017.1296526 [doi] PP - ppublish LG - English EP - 20170410 DP - 2017 Apr-Jun EZ - 2017/04/11 06:00 DA - 2018/03/10 06:00 DT - 2017/04/11 06:00 YR - 2017 ED - 20180309 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28394733 <25. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28328306 TI - Integration and Evaluation of Substance Abuse Research Education Training (SARET) into a Master of Social Work program. SO - Substance Abuse. 38(2):150-156, 2017 Apr-Jun. AS - Subst Abus. 38(2):150-156, 2017 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tuchman E AU - Hanley K AU - Naegle M AU - More F AU - Bereket S AU - Gourevitch MN FA - Tuchman, Ellen FA - Hanley, Kathleen FA - Naegle, Madeline FA - More, Frederick FA - Bereket, Sewit FA - Gourevitch, Marc N IN - Tuchman, Ellen. a New York University Silver School of Social Work , New York , New York , USA. IN - Hanley, Kathleen. b Department of Medicine , New York University School of Medicine , New York , New York , USA. IN - Naegle, Madeline. c New York University Meyers College of Nursing , New York , New York , USA. IN - More, Frederick. d Department of Epidemiology & Health Promotion, Department of Pediatric Dentistry , New York University College of Dentistry , New York , New York , USA. IN - Bereket, Sewit. e Department of Population Health , New York University School of Medicine , New York , New York , USA. IN - Gourevitch, Marc N. e Department of Population Health , New York University School of Medicine , New York , New York , USA. NJ - Substance abuse VO - 38 IP - 2 PG - 150-156 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Curriculum MH - *Education, Medical, Graduate MH - Female MH - Focus Groups MH - Humans MH - Male MH - *Program Development MH - *Program Evaluation MH - *Research/ed [Education] MH - *Social Work/ed [Education] MH - *Substance-Related Disorders KW - *Education; *research; *social work; *substance abuse; *training AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1291465 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2017.1291465 [doi] PP - ppublish GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20170208 DP - 2017 Apr-Jun EZ - 2017/03/23 06:00 DA - 2018/03/10 06:00 DT - 2017/03/23 06:00 YR - 2017 ED - 20180309 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28328306 <26. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27987253 TI - Treatment and risk factors of Internet use disorders. [Review] SO - Psychiatry & Clinical Neurosciences. 71(7):492-505, 2017 Jul. AS - Psychiatry Clin Neurosci. 71(7):492-505, 2017 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nakayama H AU - Mihara S AU - Higuchi S FA - Nakayama, Hideki FA - Mihara, Satoko FA - Higuchi, Susumu IN - Nakayama, Hideki. National Hospital Organization Kurihama Medical and Addiction Center, Yokosuka, Japan. IN - Mihara, Satoko. National Hospital Organization Kurihama Medical and Addiction Center, Yokosuka, Japan. IN - Higuchi, Susumu. National Hospital Organization Kurihama Medical and Addiction Center, Yokosuka, Japan. NJ - Psychiatry and clinical neurosciences VO - 71 IP - 7 PG - 492-505 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cfs, 9513551 IO - Psychiatry Clin. Neurosci. SB - Index Medicus CP - Australia MH - Antidepressive Agents/tu [Therapeutic Use] MH - Behavior, Addictive/dt [Drug Therapy] MH - Behavior, Addictive/pc [Prevention & Control] MH - *Behavior, Addictive/px [Psychology] MH - *Behavior, Addictive/th [Therapy] MH - Central Nervous System Stimulants/tu [Therapeutic Use] MH - Education, Medical MH - Humans MH - *Internet MH - Psychotherapy MH - Risk Factors MH - *Video Games/ae [Adverse Effects] MH - *Video Games/px [Psychology] KW - Internet gaming disorder; Internet use disorders; Internet addiction; risk factors; treatment camp AB - Recently, many young people have developed Internet use disorders (IUD) as a result of the proliferation of Internet-enabled devices, leading to serious health and social problems worldwide. On occasion, medical and educational institutions, governments, and other groups have sought to take preventive action or treat IUD. In many cases, the preferred treatment for IUD is to set recommendations for appropriate Internet use. Reportedly, psychosocial therapies (including cognitive behavioral therapy, family therapy, and compound therapy) for IUD and pharmacotherapies (including antidepressant drugs and psychostimulants) for comorbid psychiatric or development disorders have been effective at reducing the degree and symptoms of IUD. In some countries, treatment camps have been developed for adolescents with IUD, and preventive education (including lectures and group discussions) has been provided for general adolescents. Such efforts have been effective at reducing the average degree of IUD severity. Some future IUD risk factors (e.g. being male, suffering from attention-deficit hyperactivity disorder, and exhibiting deteriorating psychiatric symptoms) have begun to be identified. However, clinical studies, treatment, and preventive actions are insufficient for treating IUD and standard treatments and preventive systems have yet to be established. Educational and medical institutions, government, families, and others must take greater action and cooperate more effectively in order to treat or prevent IUD. Copyright © 2016 The Authors. Psychiatry and Clinical Neurosciences © 2016 Japanese Society of Psychiatry and Neurology. RN - 0 (Antidepressive Agents) RN - 0 (Central Nervous System Stimulants) ES - 1440-1819 IL - 1323-1316 DO - https://dx.doi.org/10.1111/pcn.12493 PT - Journal Article PT - Review ID - 10.1111/pcn.12493 [doi] PP - ppublish PH - 2016/08/24 [received] PH - 2016/12/08 [revised] PH - 2016/12/09 [accepted] LG - English EP - 20170210 DP - 2017 Jul EZ - 2016/12/18 06:00 DA - 2018/02/20 06:00 DT - 2016/12/18 06:00 YR - 2017 ED - 20180219 RD - 20180219 UP - 20180220 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27987253 <27. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27897470 TI - Faculty development efforts to promote screening, brief intervention, and referral to treatment (SBIRT) in an internal medicine faculty-resident practice. SO - Substance Abuse. 38(1):31-34, 2017 Jan-Mar. AS - Subst Abus. 38(1):31-34, 2017 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stone A AU - Wamsley M AU - O'Sullivan P AU - Satterfield J AU - Satre DD AU - Julian K FA - Stone, Alanna FA - Wamsley, Maria FA - O'Sullivan, Patricia FA - Satterfield, Jason FA - Satre, Derek D FA - Julian, Katherine IN - Stone, Alanna. a Division of General Medicine and Geriatrics, Department of Medicine , Emory University , Atlanta , Georgia , USA. IN - Wamsley, Maria. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. IN - O'Sullivan, Patricia. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. IN - Satterfield, Jason. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. IN - Satre, Derek D. c Department of Psychiatry , University of California , San Francisco, San Francisco , California , USA. IN - Satre, Derek D. d Division of Research , Kaiser Permanente Northern California Region , Oakland , California , USA. IN - Julian, Katherine. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. NJ - Substance abuse VO - 38 IP - 1 PG - 31-34 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Clinical Competence MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Medical, Graduate MH - *Faculty/px [Psychology] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Psychotherapy, Brief MH - Referral and Consultation MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders KW - Faculty development; SBIRT; medical education; substance-related disorder AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1264533 PT - Journal Article ID - 10.1080/08897077.2016.1264533 [doi] PP - ppublish LG - English EP - 20161129 DP - 2017 Jan-Mar EZ - 2016/11/30 06:00 DA - 2018/02/14 06:00 DT - 2016/11/30 06:00 YR - 2017 ED - 20180213 RD - 20180213 UP - 20180214 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27897470 <28. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27163655 TI - Education for the mind and the heart? Changing residents' attitudes about addressing unhealthy alcohol use. SO - Substance Abuse. 38(1):40-42, 2017 Jan-Mar. AS - Subst Abus. 38(1):40-42, 2017 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitchell MA AU - Broyles LM AU - Pringle JL AU - Kraemer KL AU - Childers JW AU - Buranosky RA AU - Gordon AJ FA - Mitchell, Michael A FA - Broyles, Lauren M FA - Pringle, Janice L FA - Kraemer, Kevin L FA - Childers, Julie W FA - Buranosky, Raquel A FA - Gordon, Adam J IN - Mitchell, Michael A. a Advanced Fellowship VA Interdisciplinary Addiction Program for Education and Research (VIPER), VA Pittsburgh Healthcare System , Department of Veterans Affairs , Pittsburgh , Pennsylvania , USA. IN - Mitchell, Michael A. b Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. b Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. c VISN 4 Mental Illness Research, Education, and Clinical Center, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. e Center for Research on Healthcare, University of Pittsburgh , Pittsburgh , Pennsylvania , USA. IN - Pringle, Janice L. f Program Evaluation and Research Unit, University of Pittsburgh School of Pharmacy , Pittsburgh , Pennsylvania , USA. IN - Kraemer, Kevin L. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Kraemer, Kevin L. e Center for Research on Healthcare, University of Pittsburgh , Pittsburgh , Pennsylvania , USA. IN - Childers, Julie W. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Buranosky, Raquel A. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. a Advanced Fellowship VA Interdisciplinary Addiction Program for Education and Research (VIPER), VA Pittsburgh Healthcare System , Department of Veterans Affairs , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. b Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. c VISN 4 Mental Illness Research, Education, and Clinical Center, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. e Center for Research on Healthcare, University of Pittsburgh , Pittsburgh , Pennsylvania , USA. NJ - Substance abuse VO - 38 IP - 1 PG - 40-42 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - *Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - Education, Medical, Graduate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Psychotherapy, Brief MH - Referral and Consultation MH - Young Adult KW - Attitude; counseling; education; internship and residency; professional role; screening; unhealthy alcohol use AB - BACKGROUND: Screening and brief intervention counseling for unhealthy alcohol use are among the top 10 recommended clinical preventive services for US adults. Although federally funded training programs in alcohol screening, brief intervention, and referral to treatment (SBIRT) have focused on increasing physicians' professional readiness to address drinking with their patients, programs typically focus on knowledge and skill acquisition, with less attention to attitudinal change. The purpose of this study was to assess the impact of a multicomponent SBIRT training program on changes in internal medical residents' professional readiness for working with patients with unhealthy alcohol use. AB - METHODS: Between 2011 and 2013, first-year internal medicine residents (n = 80) at a large academic medical center participated in a 16-hour SBIRT training program, consisting of two 3-hour didactic sessions, online modules, and a half-day clinical experience, during the Ambulatory Care month of the residency training year. Residents completed a modified Alcohol and Problems Perceptions Questionnaire (AAPPQ) at the beginning and end of the residency year to assess changes in professional readiness to work with adults with unhealthy alcohol use across 6 domains: Role Adequacy, Role Legitimacy, Role Support, Motivation, Task-Specific Self-esteem, and Satisfaction. Wilcoxon signed-rank tests were used to evaluate changes in the 6 AAPPQ subscale scores over time. AB - RESULTS: Residents reported significant increases in Role Adequacy (alcohol-related knowledge/skills; pre: 34 and post: 39.5; P < .0001) and Role Support (professional support; pre: 16 and post: 18; P = .005) scores. No significant differences in the remaining AAPPQ subscales were detected. AB - CONCLUSIONS: Residents in the SBIRT training program indicated improvements in knowledge, skills, and professional role support but not in motivation, task-specific self-esteem, or satisfaction for working with patients with unhealthy alcohol use. Explicit curricular attention to these domains may be required to facilitate SBIRT skills application and sustained practice change. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1185076 PT - Journal Article ID - 10.1080/08897077.2016.1185076 [doi] PP - ppublish LG - English EP - 20160510 DP - 2017 Jan-Mar EZ - 2016/05/11 06:00 DA - 2018/02/14 06:00 DT - 2016/05/11 06:00 YR - 2017 ED - 20180213 RD - 20180213 UP - 20180214 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27163655 <29. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27897470 TI - Faculty development efforts to promote screening, brief intervention, and referral to treatment (SBIRT) in an internal medicine faculty-resident practice. SO - Substance Abuse. 38(1):31-34, 2017 Jan-Mar. AS - Subst Abus. 38(1):31-34, 2017 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stone A AU - Wamsley M AU - O'Sullivan P AU - Satterfield J AU - Satre DD AU - Julian K FA - Stone, Alanna FA - Wamsley, Maria FA - O'Sullivan, Patricia FA - Satterfield, Jason FA - Satre, Derek D FA - Julian, Katherine IN - Stone, Alanna. a Division of General Medicine and Geriatrics, Department of Medicine , Emory University , Atlanta , Georgia , USA. IN - Wamsley, Maria. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. IN - O'Sullivan, Patricia. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. IN - Satterfield, Jason. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. IN - Satre, Derek D. c Department of Psychiatry , University of California , San Francisco, San Francisco , California , USA. IN - Satre, Derek D. d Division of Research , Kaiser Permanente Northern California Region , Oakland , California , USA. IN - Julian, Katherine. b Division of General Internal Medicine, Department of Medicine , University of California , San Francisco, San Francisco , California , USA. NJ - Substance abuse VO - 38 IP - 1 PG - 31-34 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Clinical Competence MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Medical, Graduate MH - *Faculty/px [Psychology] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Psychotherapy, Brief MH - Referral and Consultation MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders KW - *Faculty development; *SBIRT; *medical education; *substance-related disorder AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1264533 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2016.1264533 [doi] PP - ppublish LG - English EP - 20161129 DP - 2017 Jan-Mar EZ - 2016/11/30 06:00 DA - 2018/02/14 06:00 DT - 2016/11/30 06:00 YR - 2017 ED - 20180213 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27897470 <30. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27163655 TI - Education for the mind and the heart? Changing residents' attitudes about addressing unhealthy alcohol use. SO - Substance Abuse. 38(1):40-42, 2017 Jan-Mar. AS - Subst Abus. 38(1):40-42, 2017 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitchell MA AU - Broyles LM AU - Pringle JL AU - Kraemer KL AU - Childers JW AU - Buranosky RA AU - Gordon AJ FA - Mitchell, Michael A FA - Broyles, Lauren M FA - Pringle, Janice L FA - Kraemer, Kevin L FA - Childers, Julie W FA - Buranosky, Raquel A FA - Gordon, Adam J IN - Mitchell, Michael A. a Advanced Fellowship VA Interdisciplinary Addiction Program for Education and Research (VIPER), VA Pittsburgh Healthcare System , Department of Veterans Affairs , Pittsburgh , Pennsylvania , USA. IN - Mitchell, Michael A. b Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. b Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. c VISN 4 Mental Illness Research, Education, and Clinical Center, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Broyles, Lauren M. e Center for Research on Healthcare, University of Pittsburgh , Pittsburgh , Pennsylvania , USA. IN - Pringle, Janice L. f Program Evaluation and Research Unit, University of Pittsburgh School of Pharmacy , Pittsburgh , Pennsylvania , USA. IN - Kraemer, Kevin L. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Kraemer, Kevin L. e Center for Research on Healthcare, University of Pittsburgh , Pittsburgh , Pennsylvania , USA. IN - Childers, Julie W. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Buranosky, Raquel A. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. a Advanced Fellowship VA Interdisciplinary Addiction Program for Education and Research (VIPER), VA Pittsburgh Healthcare System , Department of Veterans Affairs , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. b Center for Health Equity Research and Promotion, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. c VISN 4 Mental Illness Research, Education, and Clinical Center, VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. d Division of General Internal Medicine, Department of Medicine , University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. e Center for Research on Healthcare, University of Pittsburgh , Pittsburgh , Pennsylvania , USA. NJ - Substance abuse VO - 38 IP - 1 PG - 40-42 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - *Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - Education, Medical, Graduate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Psychotherapy, Brief MH - Referral and Consultation MH - Young Adult KW - *Attitude; *counseling; *education; *internship and residency; *professional role; *screening; *unhealthy alcohol use AB - BACKGROUND: Screening and brief intervention counseling for unhealthy alcohol use are among the top 10 recommended clinical preventive services for US adults. Although federally funded training programs in alcohol screening, brief intervention, and referral to treatment (SBIRT) have focused on increasing physicians' professional readiness to address drinking with their patients, programs typically focus on knowledge and skill acquisition, with less attention to attitudinal change. The purpose of this study was to assess the impact of a multicomponent SBIRT training program on changes in internal medical residents' professional readiness for working with patients with unhealthy alcohol use. AB - METHODS: Between 2011 and 2013, first-year internal medicine residents (n = 80) at a large academic medical center participated in a 16-hour SBIRT training program, consisting of two 3-hour didactic sessions, online modules, and a half-day clinical experience, during the Ambulatory Care month of the residency training year. Residents completed a modified Alcohol and Problems Perceptions Questionnaire (AAPPQ) at the beginning and end of the residency year to assess changes in professional readiness to work with adults with unhealthy alcohol use across 6 domains: Role Adequacy, Role Legitimacy, Role Support, Motivation, Task-Specific Self-esteem, and Satisfaction. Wilcoxon signed-rank tests were used to evaluate changes in the 6 AAPPQ subscale scores over time. AB - RESULTS: Residents reported significant increases in Role Adequacy (alcohol-related knowledge/skills; pre: 34 and post: 39.5; P < .0001) and Role Support (professional support; pre: 16 and post: 18; P = .005) scores. No significant differences in the remaining AAPPQ subscales were detected. AB - CONCLUSIONS: Residents in the SBIRT training program indicated improvements in knowledge, skills, and professional role support but not in motivation, task-specific self-esteem, or satisfaction for working with patients with unhealthy alcohol use. Explicit curricular attention to these domains may be required to facilitate SBIRT skills application and sustained practice change. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2016.1185076 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 10.1080/08897077.2016.1185076 [doi] PP - ppublish LG - English EP - 20160510 DP - 2017 Jan-Mar EZ - 2016/05/11 06:00 DA - 2018/02/14 06:00 DT - 2016/05/11 06:00 YR - 2017 ED - 20180213 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27163655 <31. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27488225 TI - Shifting blame: Buprenorphine prescribers, addiction treatment, and prescription monitoring in middle-class America. SO - Transcultural Psychiatry. 53(4):465-87, 2016 Aug. AS - TRANSCULT PSYCHIATRY. 53(4):465-87, 2016 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mendoza S AU - Rivera-Cabrero AS AU - Hansen H FA - Mendoza, Sonia FA - Rivera-Cabrero, Allyssa S FA - Hansen, Helena IN - Mendoza, Sonia. New York University sonia.mendoza@nyumc.org. IN - Rivera-Cabrero, Allyssa S. New York University. IN - Hansen, Helena. New York University. NJ - Transcultural psychiatry VO - 53 IP - 4 PG - 465-87 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9708119 IO - Transcult Psychiatry SB - Index Medicus CP - England MH - *Buprenorphine/tu [Therapeutic Use] MH - Humans MH - Interviews as Topic MH - New York City MH - Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Practice Patterns, Physicians' MH - Prescription Drug Monitoring Programs MH - Social Class KW - buprenorphine; opioid maintenance treatment; prescription monitoring programs AB - 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. Copyright © The Author(s) 2016. RN - 40D3SCR4GZ (Buprenorphine) ES - 1461-7471 IL - 1363-4615 DO - https://dx.doi.org/10.1177/1363461516660884 PT - Journal Article PT - Multicenter Study ID - 1363461516660884 [pii] ID - 10.1177/1363461516660884 [doi] ID - PMC5540139 [pmc] ID - NIHMS839281 [mid] PP - ppublish GI - No: K01 DA032674 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20160803 DP - 2016 Aug EZ - 2016/08/05 06:00 DA - 2018/02/07 06:00 DT - 2016/08/05 06:00 YR - 2016 ED - 20180206 RD - 20180206 UP - 20180207 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27488225 <32. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27488225 TI - Shifting blame: Buprenorphine prescribers, addiction treatment, and prescription monitoring in middle-class America. SO - Transcultural Psychiatry. 53(4):465-87, 2016 08. AS - TRANSCULT PSYCHIATRY. 53(4):465-87, 2016 08. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mendoza S AU - Rivera-Cabrero AS AU - Hansen H FA - Mendoza, Sonia FA - Rivera-Cabrero, Allyssa S FA - Hansen, Helena IN - Mendoza, Sonia. New York University sonia.mendoza@nyumc.org. IN - Rivera-Cabrero, Allyssa S. New York University. IN - Hansen, Helena. New York University. NJ - Transcultural psychiatry VO - 53 IP - 4 PG - 465-87 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9708119 IO - Transcult Psychiatry SB - Index Medicus CP - England MH - *Buprenorphine/tu [Therapeutic Use] MH - Humans MH - Interviews as Topic MH - New York City MH - Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Practice Patterns, Physicians' MH - Prescription Drug Monitoring Programs MH - Social Class KW - *buprenorphine; *opioid maintenance treatment; *prescription monitoring programs AB - 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. Copyright © The Author(s) 2016. RN - 40D3SCR4GZ (Buprenorphine) ES - 1461-7471 IL - 1363-4615 DO - https://dx.doi.org/10.1177/1363461516660884 PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural ID - 1363461516660884 [pii] ID - 10.1177/1363461516660884 [doi] ID - PMC5540139 [pmc] ID - NIHMS839281 [mid] PP - ppublish GI - No: K01 DA032674 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20160803 DP - 2016 08 EZ - 2016/08/05 06:00 DA - 2018/02/07 06:00 DT - 2016/08/05 06:00 YR - 2016 ED - 20180206 RD - 20180306 UP - 20180306 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27488225 <33. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27285389 TI - Alcohol use in an academic medical school environment: A UC San Diego Healer Education Assessment and Referral (HEAR) Report. SO - Annals of Clinical Psychiatry. 28(2):85-94, 2016 May. AS - Ann Clin Psychiatry. 28(2):85-94, 2016 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martinez S AU - Tal I AU - Norcross W AU - Newton IG AU - Downs N AU - Seay K AU - McGuire T AU - Kirby B AU - Chidley B AU - Tiamson-Kassab M AU - Lee D AU - Hadley A AU - Doran N AU - Jong P AU - Lee K AU - Moutier C AU - Norman M AU - Zisook S FA - Martinez, Stephanie FA - Tal, Ilanit FA - Norcross, William FA - Newton, Isabel Gala FA - Downs, Nancy FA - Seay, Kathryn FA - McGuire, Tara FA - Kirby, Brittany FA - Chidley, Brittany FA - Tiamson-Kassab, Maria FA - Lee, Daniel FA - Hadley, Allison FA - Doran, Neal FA - Jong, Pam FA - Lee, Kelly FA - Moutier, Christine FA - Norman, Marc FA - Zisook, Sidney IN - Martinez, Stephanie. University of Nevada, Las Vegas, NV, USA. NJ - Annals of clinical psychiatry : official journal of the American Academy of Clinical Psychiatrists VO - 28 IP - 2 PG - 85-94 PI - Journal available in: Print PI - Citation processed from: Internet JC - buo, 8911021 IO - Ann Clin Psychiatry SB - Index Medicus CP - United States MH - *Academic Medical Centers/og [Organization & Administration] MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - California/ep [Epidemiology] MH - Depression/ep [Epidemiology] MH - Depression/px [Psychology] MH - Faculty, Medical/px [Psychology] MH - Female MH - Humans MH - Internship and Residency MH - Male MH - *Referral and Consultation MH - Risk Assessment MH - Social Stigma MH - Students, Medical/px [Psychology] MH - Suicidal Ideation MH - Surveys and Questionnaires AB - BACKGROUND: Medical students and physicians in training and in practice are at risk for excessive alcohol use and abuse, potentially impacting the affected individuals as well as their family members, trainees, and patients. However, several roadblocks to care, including stigma, often keep them from seeking treatment. AB - METHODS: We analyzed data from anonymous questionnaires completed by medical students, house staff, and faculty from 2009 to 2014 as part of a depression awareness and suicide prevention program at a state-supported medical school in the United States. The authors explored associations between self-reported "drinking too much" and depression, suicidal ideation, substance use, intense affective states, and mental health treatment. AB - RESULTS: Approximately one-fifth of the respondents reported "drinking too much." "Drinking too much" was associated with more severe depression and impairment, past suicide attempts and current suicidal ideation, intense affective states, and other substance use. Those who were "drinking too much" were more likely than others to accept referrals for mental health treatment through the anonymous interactive screening program, suggesting that this program may be effective in skirting the stigma barrier for accessing mental health care for this at-risk population. AB - CONCLUSIONS: The self-reported prevalence of "drinking too much" among medical students, house staff, and faculty is high and associated with negative mental health outcomes. Targeted, anonymous screenings may identify at-risk individuals and provide mental health care referrals to those in need. ES - 1547-3325 IL - 1040-1237 PT - Journal Article ID - acp_2802b [pii] PP - ppublish LG - English DP - 2016 May EZ - 2016/06/11 06:00 DA - 2018/02/06 06:00 DT - 2016/06/11 06:00 YR - 2016 ED - 20180205 RD - 20180205 UP - 20180206 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27285389 <34. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28927448 TI - Barriers and facilitators to implementing addiction medicine fellowships: a qualitative study with fellows, medical students, residents and preceptors. SO - Addiction Science & Clinical Practice. 12(1):21, 2017 09 20. AS - Addict Sci Clin Pract. 12(1):21, 2017 09 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klimas J AU - Small W AU - Ahamad K AU - Cullen W AU - Mead A AU - Rieb L AU - Wood E AU - McNeil R AI - Klimas, J; ORCID: https://orcid.org/0000-0002-5179-0052 FA - Klimas, J FA - Small, W FA - Ahamad, K FA - Cullen, W FA - Mead, A FA - Rieb, L FA - Wood, E FA - McNeil, R IN - Klimas, J. 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. IN - Klimas, J. School of Medicine, Coombe Healthcare Centre, University College Dublin, Dolphins Barn, Dublin 8, Ireland. IN - Small, W. 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. IN - Small, W. Faculty of Health Sciences, Simon Fraser University, Blusson Hall, 8888 University Drive, Burnaby, BC, V5A 1S6, Canada. IN - Ahamad, K. 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. IN - Ahamad, K. Department of Family Practice, University of British Columbia, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. IN - Ahamad, K. Department of Family and Community Medicine, St. Paul's Hospital, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. IN - Cullen, W. School of Medicine, Coombe Healthcare Centre, University College Dublin, Dolphins Barn, Dublin 8, Ireland. IN - Mead, A. 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. IN - Mead, A. Department of Family Practice, University of British Columbia, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. IN - Mead, A. Department of Family and Community Medicine, St. Paul's Hospital, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. IN - Rieb, L. 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. IN - Rieb, L. Department of Family Practice, University of British Columbia, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. IN - Rieb, L. Department of Family and Community Medicine, St. Paul's Hospital, 1081 Burrard St., Vancouver, BC, V6Z 1Y6, Canada. IN - Wood, E. 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. IN - Wood, E. School of Medicine, Coombe Healthcare Centre, University College Dublin, Dolphins Barn, Dublin 8, Ireland. IN - McNeil, R. 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. rmcneil@cfenet.ubc.ca. NJ - Addiction science & clinical practice VO - 12 IP - 1 PG - 21 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101316917 IO - Addict Sci Clin Pract SB - Index Medicus CP - England MH - *Attitude of Health Personnel MH - *Behavior, Addictive/th [Therapy] MH - Canada MH - *Clinical Competence MH - *Fellowships and Scholarships/og [Organization & Administration] MH - Health Services Needs and Demand MH - Humans MH - Specialization MH - *Substance-Related Disorders/th [Therapy] KW - *Addiction; *Medical education; *Qualitative research; *Substance-related disorders AB - 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. AB - 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. AB - 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. AB - 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. ES - 1940-0640 IL - 1940-0632 DO - https://dx.doi.org/10.1186/s13722-017-0086-9 PT - Journal Article ID - 10.1186/s13722-017-0086-9 [doi] ID - 10.1186/s13722-017-0086-9 [pii] ID - PMC5606021 [pmc] PP - epublish PH - 2017/04/19 [received] PH - 2017/07/10 [accepted] GI - No: R01 DA033147 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: MOP-81171 Organization: *CIHR* Country: Canada LG - English EP - 20170920 DP - 2017 09 20 EZ - 2017/09/21 06:00 DA - 2018/02/02 06:00 DT - 2017/09/21 06:00 YR - 2017 ED - 20180201 RD - 20180201 UP - 20180202 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28927448 <35. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27247178 TI - The Unique Needs of Homeless Youths With Mental Illness: Baseline Findings From a Housing First Trial. SO - Psychiatric Services. 67(10):1083-1090, 2016 Oct 01. AS - Psychiatr Serv. 67(10):1083-1090, 2016 Oct 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kozloff N AU - Stergiopoulos V AU - Adair CE AU - Cheung AH AU - Misir V AU - Townley G AU - Bourque J AU - Krausz M AU - Goering P FA - Kozloff, Nicole FA - Stergiopoulos, Vicky FA - Adair, Carol E FA - Cheung, Amy H FA - Misir, Vachan FA - Townley, Greg FA - Bourque, Jimmy FA - Krausz, Michael FA - Goering, Paula IN - Kozloff, Nicole. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Stergiopoulos, Vicky. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Adair, Carol E. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Cheung, Amy H. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Misir, Vachan. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Townley, Greg. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Bourque, Jimmy. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Krausz, Michael. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. IN - Goering, Paula. Dr. Kozloff is with the Department of Psychiatry, University of Toronto, Toronto, Ontario, Canada ( e-mail: n.kozloff@mail.utoronto.ca ). Dr. Stergiopoulos is with the Department of Psychiatry, and Mr. Misir is with the Centre for Research on Inner City Health, Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto. Dr. Adair is with the Department of Psychiatry and Community Health Sciences, University of Calgary, Calgary, Alberta, Canada. Dr. Cheung is with the Department of Psychiatry, Sunnybrook Health Sciences Center, Toronto. Dr. Townley is with the Department of Psychology, Portland State University, Portland, Oregon. Dr. Bourque is with the Department of Education, Universite de Moncton, Moncton, Ontario. Dr. Krausz is with the Department of Psychiatry, University of British Columbia, Vancouver, British Columbia, Canada. Dr. Goering is with the Centre for Addiction and Mental Health, Toronto. NJ - Psychiatric services (Washington, D.C.) VO - 67 IP - 10 PG - 1083-1090 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9502838, b8t IO - Psychiatr Serv SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Canada/ep [Epidemiology] MH - Female MH - *Homeless Youth/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - *Needs Assessment/sn [Statistics & Numerical Data] MH - Public Housing MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1557-9700 IL - 1075-2730 PT - Journal Article PT - Randomized Controlled Trial ID - 10.1176/appi.ps.201500461 [doi] PP - ppublish LG - English EP - 20160601 DP - 2016 Oct 01 EZ - 2016/06/02 06:00 DA - 2018/02/01 06:00 DT - 2016/06/02 06:00 YR - 2016 ED - 20180131 RD - 20180131 UP - 20180201 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27247178 <36. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28557959 TI - How to Deliver a More Persuasive Message Regarding Addiction as a Medical Disorder. SO - Journal of Addiction Medicine. 11(3):174-175, 2017 May/Jun. AS - J Addict Med. 11(3):174-175, 2017 May/Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Humphreys K FA - Humphreys, Keith IN - Humphreys, Keith. Veterans Affairs and Stanford University Medical Centers, Menlo Park, CA. NJ - Journal of addiction medicine VO - 11 IP - 3 PG - 174-175 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101306759 IO - J Addict Med SB - Index Medicus CP - United States MH - *Attitude to Health MH - *Behavior, Addictive/px [Psychology] MH - Behavior, Addictive/th [Therapy] MH - Chronic Disease MH - Crime/px [Psychology] MH - Empathy MH - *Health Education MH - Humans MH - *Patient Advocacy MH - *Professional Role MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - Violence/px [Psychology] AB - : 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. ES - 1935-3227 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0000000000000306 PT - Journal Article ID - 10.1097/ADM.0000000000000306 [doi] ID - 01271255-201706000-00002 [pii] PP - ppublish LG - English DP - 2017 May/Jun EZ - 2017/05/31 06:00 DA - 2018/01/27 06:00 DT - 2017/05/31 06:00 YR - 2017 ED - 20180126 RD - 20180126 UP - 20180129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28557959 <37. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28557958 TI - Appropriate Use of Drug Testing in Clinical Addiction Medicine. SO - Journal of Addiction Medicine. 11(3):163-173, 2017 May/Jun. AS - J Addict Med. 11(3):163-173, 2017 May/Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jarvis M AU - Williams J AU - Hurford M AU - Lindsay D AU - Lincoln P AU - Giles L AU - Luongo P AU - Safarian T FA - Jarvis, Margaret FA - Williams, Jessica FA - Hurford, Matthew FA - Lindsay, Dawn FA - Lincoln, Piper FA - Giles, Leila FA - Luongo, Peter FA - Safarian, Taleen IN - Jarvis, Margaret. American Society of Addiction Medicine, Rockville, MD (MJ, TS); Institute for Research, Education and Training in Addiction (JW, DL, P Lincoln, LG, P Luongo); and Community Care Behavioral Health Organization, Pittsburgh, PA (MH). NJ - Journal of addiction medicine VO - 11 IP - 3 PG - 163-173 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101306759 IO - J Addict Med SB - Index Medicus CP - United States MH - *Addiction Medicine/mt [Methods] MH - Clinical Competence MH - Humans MH - Professional-Patient Relations MH - *Substance Abuse Detection/mt [Methods] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] AB - : Biological drug testing is a tool that provides information about an individual's recent substance use. Like any tool, its value depends on using it correctly; that is, on selecting the right test for the right person at the right time. This document is intended to clarify appropriate clinical use of drug testing in addiction medicine and aid providers in their decisions about drug testing for the identification, diagnosis, treatment, and recovery of patients with, or at risk for, addiction. The RAND Corporation (RAND)/University of California, Los Angeles (UCLA) Appropriateness Method (RAM) process for combining scientific evidence with the collective judgment of experts was used to identify appropriate clinical practices and highlight areas where research is needed. Although consensus panels and expert groups have offered guidance on the use of drug testing for patients with addiction, very few addressed considerations for patients across settings and in different levels of care. This document will focus primarily on patients in addiction treatment and recovery, where drug testing is used to assess patients for a substance use disorder, monitor the effectiveness of a treatment plan, and support recovery. Inasmuch as the scope includes the recognition of addiction, which often occurs in general healthcare settings, selected special populations at risk for addiction visiting these settings are briefly included. ES - 1935-3227 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0000000000000323 PT - Consensus Development Conference PT - Journal Article PT - Practice Guideline ID - 10.1097/ADM.0000000000000323 [doi] ID - 01271255-201706000-00001 [pii] PP - ppublish LG - English DP - 2017 May/Jun EZ - 2017/05/31 06:00 DA - 2018/01/27 06:00 DT - 2017/05/31 06:00 YR - 2017 ED - 20180126 RD - 20180202 UP - 20180202 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28557958 <38. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27739258 TI - Physicians' Knowledge of and Attitudes Toward Use of Opioids in Long-Term Care Facilities. SO - Pain Practice. 17(5):625-632, 2017 Jun. AS - Pain pract.. 17(5):625-632, 2017 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffioen C AU - Willems EG AU - Kouwenhoven SM AU - Caljouw MAA AU - Achterberg WP FA - Griffioen, Charlotte FA - Willems, Eva G FA - Kouwenhoven, Sanne M FA - Caljouw, Monique A A FA - Achterberg, Wilco P IN - Griffioen, Charlotte. Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands. IN - Willems, Eva G. Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands. IN - Kouwenhoven, Sanne M. Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands. IN - Caljouw, Monique A A. Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands. IN - Achterberg, Wilco P. Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands. NJ - Pain practice : the official journal of World Institute of Pain VO - 17 IP - 5 PG - 625-632 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101130835 IO - Pain Pract SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Female MH - Geriatrics/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Long-Term Care MH - Male MH - Middle Aged MH - Netherlands MH - *Pain/dt [Drug Therapy] MH - *Pain Management/mt [Methods] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires KW - barriers; long-term care facilities; opioids; pain AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2016 World Institute of Pain. RN - 0 (Analgesics, Opioid) ES - 1533-2500 IL - 1530-7085 DO - https://dx.doi.org/10.1111/papr.12492 PT - Journal Article ID - 10.1111/papr.12492 [doi] PP - ppublish PH - 2015/12/18 [received] PH - 2016/05/13 [revised] PH - 2016/06/21 [accepted] LG - English EP - 20161014 DP - 2017 Jun EZ - 2016/10/16 06:00 DA - 2018/01/24 06:00 DT - 2016/10/15 06:00 YR - 2017 ED - 20180123 RD - 20180123 UP - 20180124 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27739258 <39. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27061892 TI - Tobacco Cessation Training for Complementary and Alternative Medicine Practitioners: Results of a Practice-Based Trial. SO - American Journal of Preventive Medicine. 51(2):e35-e44, 2016 Aug. AS - Am J Prev Med. 51(2):e35-e44, 2016 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Muramoto ML AU - Gordon JS AU - Bell ML AU - Nichter M AU - Floden L AU - Howerter A AU - Ritenbaugh CK FA - Muramoto, Myra L FA - Gordon, Judith S FA - Bell, Melanie L FA - Nichter, Mark FA - Floden, Lysbeth FA - Howerter, Amy FA - Ritenbaugh, Cheryl K IN - Muramoto, Myra L. Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona. Electronic address: myram@email.arizona.edu. IN - Gordon, Judith S. Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona. IN - Bell, Melanie L. Department of Epidemiology and Biostatistics, Mel and Enid Zuckerman College of Public Health, University of Arizona, Tucson, Arizona. IN - Nichter, Mark. Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona; School of Anthropology, College of Social and Behavioral Sciences, University of Arizona, Tucson, Arizona. IN - Floden, Lysbeth. Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona. IN - Howerter, Amy. Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona. IN - Ritenbaugh, Cheryl K. Department of Family and Community Medicine, College of Medicine, University of Arizona, Tucson, Arizona. NJ - American journal of preventive medicine VO - 51 IP - 2 PG - e35-e44 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - Arizona MH - *Complementary Therapies MH - *Education, Continuing MH - Female MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - Practice Guidelines as Topic MH - Surveys and Questionnaires MH - *Tobacco Use Cessation/mt [Methods] AB - 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. AB - STUDY DESIGN: Single-arm intervention. Data were collected in 2010-2014 and analyzed in 2015. AB - SETTING/PARTICIPANTS: Private practices of 30 chiropractors, 27 acupuncturists, 42 massage therapists (N=99), in metropolitan Tucson, Arizona. AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2016. Published by Elsevier Inc. ES - 1873-2607 IL - 0749-3797 DI - S0749-3797(16)00097-0 DO - https://dx.doi.org/10.1016/j.amepre.2016.02.017 PT - Journal Article ID - S0749-3797(16)00097-0 [pii] ID - 10.1016/j.amepre.2016.02.017 [doi] PP - ppublish PH - 2015/09/19 [received] PH - 2016/01/19 [revised] PH - 2016/02/09 [accepted] GI - No: R01 CA137375 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20160406 DP - 2016 Aug EZ - 2016/04/12 06:00 DA - 2018/01/24 06:00 DT - 2016/04/11 06:00 YR - 2016 ED - 20180123 RD - 20180123 UP - 20180124 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27061892 <40. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29049105 TI - Themed Issue on the Opioid Epidemic: What Have We Learned? Where Do We Go From Here?. SO - Anesthesia & Analgesia. 125(5):1435-1437, 2017 11. AS - Anesth Analg. 125(5):1435-1437, 2017 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benzon HT AU - Anderson TA FA - Benzon, Honorio T FA - Anderson, T Anthony IN - Benzon, Honorio T. From the *Department of Anesthesiology, Northwestern University Feinberg School of Medicine, Chicago, Illinois; and +Stanford University School of Medicine, Stanford, California. NJ - Anesthesia and analgesia VO - 125 IP - 5 PG - 1435-1437 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Anesthesiologists/st [Standards] MH - Anesthesiologists/td [Trends] MH - *Drug Prescriptions/st [Standards] MH - *Epidemics MH - Humans MH - Learning MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/th [Therapy] RN - 0 (Analgesics, Opioid) ES - 1526-7598 IL - 0003-2999 DO - https://dx.doi.org/10.1213/ANE.0000000000002537 PT - Editorial ID - 10.1213/ANE.0000000000002537 [doi] ID - 00000539-201711000-00005 [pii] PP - ppublish LG - English DP - 2017 11 EZ - 2017/10/20 06:00 DA - 2018/01/18 06:00 DT - 2017/10/20 06:00 YR - 2017 ED - 20180117 RD - 20180117 UP - 20180118 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=29049105 <41. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26571289 TI - The impact of knowledge on attitudes of emergency department staff towards patients with substance related presentations: a quantitative systematic review protocol. [Review] SO - JBI Database Of Systematic Reviews And Implementation Reports. 13(10):133-45, 2015 Oct. AS - JBI Database System Rev Implement Rep. 13(10):133-45, 2015 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clarke DE AU - Gonzalez M AU - Pereira A AU - Boyce-Gaudreau K AU - Waldman C AU - Demczuk L FA - Clarke, Diana E FA - Gonzalez, Miriam FA - Pereira, Asha FA - Boyce-Gaudreau, Krystal FA - Waldman, Celeste FA - Demczuk, Lisa IN - Clarke, Diana E. 1College of Nursing, Faculty of Health Sciences University of Manitoba, Canada2Manitoba Centre for Nursing and Health Research, University of Manitoba, Canada3Health Sciences Centre, Winnipeg, Canada4College of Nursing, Red River College, Canada5Elizabeth Dafoe Library, University of Manitoba, Canada. NJ - JBI database of systematic reviews and implementation reports VO - 13 IP - 10 PG - 133-45 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101648258 IO - JBI Database System Rev Implement Rep SB - Index Medicus CP - Australia MH - Adult MH - *Attitude of Health Personnel MH - Clinical Protocols MH - Emergency Service, Hospital MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Personnel, Hospital/px [Psychology] MH - *Professional Role/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] MH - Workplace/px [Psychology] MH - Young Adult AB - CENTER CONDUCTING THE REVIEW: University of Manitoba and Queens Joanna Briggs Collaboration for Patient Safety: a Collaborating Center of the Joanna Briggs Institute AB - 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 [DDPPQ], the Short Alcohol and Alcohol Problems Perception Questionnaire [SAAPPQ], 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? AB - BACKGROUND: Substance-related emergency department (ED) visits are common worldwide. Estimates of cases with alcohol involvement presenting to the ED range from 6% to 45%. Research conducted in the UK and Australia suggests that presentations related to illicit drug use are common and have increased in recent years.In 2012, an estimated six million Canadians met the criteria for substance use disorder; alcohol was the most common substance of abuse followed by cannabis and other drugs. The relationship between substance use and physical injury is well documented. The risk of mortality is increased by the side effects of substances on users involved in accidents and trauma. Not surprisingly, substance-related ED visits have been on the rise. Although only 3 to 10% of overall visits are typically related to a primary entrance complaint of drug or alcohol use or abuse, studies estimate that up to 35% of ED visits may be directly or indirectly substance related. These reasons may range from injury resulting from accidents or violence to substance-related illnesses.Health care providers (i.e., typically medical and nursing staff) have often perceived substance using patients as a challenging group to manage and as adding to the workload of already busy staff. The challenges of providing care to this patient population may be attributed to: (1) the chaotic ED environment, (2) health care providers' lack of knowledge, experience or skill in identifying and addressing substance misuse, (3) health care providers' lack of support structures such as sufficient time, staff and resources in working with this population, (4) health care providers' negative attitudes towards this patient population, (5) unpleasant tasks (i.e. intoxicated patients who urinate on themselves) associated with care delivery to this patient population, (6) patients' aggressive or violent behavior, and (7) patients' lack of motivation to change.Health care providers' attitudes towards patients with substance use problems have been found to affect health care delivery. This is of concern given the research findings that suggest they generally hold negative attitudes towards this patient population. For instance, in their study of nurses' attitudes towards patients who use illicit drugs, Ford, Bammer and Becker found that only 15% of nurses gained satisfaction from caring for these patients and only 30% were motivated to care for this patient group. Researchers who have examined substance using patients' experiences accessing health care also point to the suboptimal attitudes of health care providers towards this patient population. In the Neale, Tompkins and Sheard study of the barriers encountered by injecting drug users when accessing health and social care services, injecting drug users reported that they were often treated poorly or differently from other patients (i.e. sent home prematurely, not given appropriate aftercare or discharge), and made them feel not worthy of receiving help. Although the evidence relating to health care providers' attitudes toward substance using patients comes primarily from studies conducted in mental health or primary care settings, researchers who have examined ED staff attitudes towards this patient population paint a similar picture. For instance, Camilli & Martin's review of ED nurses' attitudes toward intoxicated and psychiatric patients suggests that nurses are often frustrated when it comes to these patients as they are time consuming and offer repeat business to the ED. An ethnographic study of care delivery in an ED also points to the negative attitudes of ED staff towards this patient group. Henderson, Stacey and Dohan found that ED providers had interactions with substance using patients that may be considered excluding, rejecting or de-valuing, that is, in observations and interviews, providers often spoke of this patient population as abusing the system, overusing system resources, and not caring about their own health care. Other negative attitudes of ED staff towards substance using patients found in the literature pertain to: (1) being reluctant to ask patients about substance use, (2) believing little can be done in EDs to help these patients, (2) feeling angry or professionally dissatisfied when treating this patient group, (4) lacking a sense of responsibility for referring to specialist treatment, and (5) believing patients lack motivation to change following interaction with medical staff.Although there is considerable evidence that indicates health care providers hold negative attitudes towards substance using patients, there are also some studies that have found positive attitudes towards this patient population. For instance, in their study of physician attitudes toward injecting drug users, Ding et al. found that seeing more injecting drug users was associated with more positive attitudes towards this patient population. Similarly, Kelleher & Cotter's descriptive study of ED doctors' and nurses' knowledge and attitudes concerning substance use found that the ED doctors and nurses who participated in the study had positive attitudes with regards to working with substance using patients. In the majority of these studies, however, positive attitudes were reported when health care providers were professionals working in addiction services, had more experience caring for this patient population, or had more personal contact with substance using patients. But does knowledge about substance use impact attitudes towards patients with substance-related presentations?Providing education or experience-based exercises may impact positively on attitudes towards substance using patients. Brief educational interventions, typically, informational sessions, either didactic or online, about alcohol and other drugs and how to assess and work with individuals using them, have been shown to have a positive impact on students' attitudes, knowledge and confidence relating to substance use and substance users. Whether ED staff attitudes towards patients with substance-related presentations are similarly impacted by the knowledge acquired through educational interventions remains unknown. A full systematic review of the literature will answer this question. A systematic review that examines the impact of knowledge on attitudes of ED staff will inform the design of educational strategies with emergency department staff to improve attitudes towards this patient population.To confirm that no other systematic review has been published on this topic, a preliminary literature search was conducted. The following databases were searched and no current or planned review was found related to this topic: JBI Database of Systematic Reviews and Implementation Reports, Cochrane Database of Systematic Reviews, PROSPERO, CINAHL, PubMed, and Scopus. Grey literature was also searched; however, no systematic review addressing the impact of knowledge on attitudes of ED staff towards patients with substance-related presentations was located. ES - 2202-4433 IL - 2202-4433 DO - https://dx.doi.org/10.11124/jbisrir-2015-2203 PT - Journal Article PT - Review ID - 10.11124/jbisrir-2015-2203 [doi] PP - ppublish LG - English DP - 2015 Oct EZ - 2015/11/17 06:00 DA - 2015/11/17 06:01 DT - 2015/11/17 06:00 YR - 2015 ED - 20180117 RD - 20180117 UP - 20180118 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=26571289 <42. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28975330 TI - A Great Gift. SO - Annals of Internal Medicine. 167(6):444, 2017 Sep 19. AS - Ann Intern Med. 167(6):444, 2017 Sep 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Molitor JA FA - Molitor, Jerry A IN - Molitor, Jerry A. From University of Minnesota, Minneapolis, Minnesota. NJ - Annals of internal medicine VO - 167 IP - 6 PG - 444 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/px [Psychology] MH - Humans MH - *Internal Medicine/ed [Education] MH - Internship and Residency MH - Physician-Patient Relations MH - *Physicians/px [Psychology] ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/M16-2739 PT - Journal Article PT - Personal Narratives PT - Video-Audio Media ID - 2654012 [pii] ID - 10.7326/M16-2739 [doi] PP - ppublish LG - English DP - 2017 Sep 19 EZ - 2017/10/05 06:00 DA - 2018/01/09 06:00 DT - 2017/10/05 06:00 YR - 2017 ED - 20180108 RD - 20180108 UP - 20180109 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28975330 <43. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27957661 TI - "It's been an Experience, a Life Learning Experience": A Qualitative Study of Hospitalized Patients with Substance Use Disorders. SO - Journal of General Internal Medicine. 32(3):296-303, 2017 Mar. AS - J Gen Intern Med. 32(3):296-303, 2017 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Velez CM AU - Nicolaidis C AU - Korthuis PT AU - Englander H FA - Velez, Christine M FA - Nicolaidis, Christina FA - Korthuis, P Todd FA - Englander, Honora IN - Velez, Christine M. Clinical Integration, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. IN - Velez, Christine M. School of Social Work, Portland State University, Portland, OR, USA. IN - Nicolaidis, Christina. School of Social Work, Portland State University, Portland, OR, USA. IN - Nicolaidis, Christina. Division of General Internal Medicine, Oregon Health & Science University, Portland, OR, USA. IN - Korthuis, P Todd. Division of General Internal Medicine, Oregon Health & Science University, Portland, OR, USA. IN - Englander, Honora. Clinical Integration, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. englandh@ohsu.edu. IN - Englander, Honora. Division of Hospital Medicine, Oregon Health & Science University, Portland, OR, USA. englandh@ohsu.edu. NJ - Journal of general internal medicine VO - 32 IP - 3 PG - 296-303 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - Academic Medical Centers MH - Adult MH - Female MH - *Hospitalization MH - Humans MH - Male MH - Middle Aged MH - *Patient Acceptance of Health Care/px [Psychology] MH - Professional-Patient Relations MH - Qualitative Research MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] KW - health reform; hospital; motivation; opioid-related disorders; qualitative research; substance-related disorders AB - 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. AB - OBJECTIVE: To explore the experiences of hospitalized adults with SUD and to better understand patient and system level factors impacting readiness for change. AB - DESIGN: We performed a qualitative study using individual interviews. The study was nested within a larger mixed-methods needs assessment. AB - 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. AB - APPROACH: We conducted a thematic analysis, using an inductive approach at a semantic level. AB - 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. AB - 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. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-016-3919-4 PT - Journal Article ID - 10.1007/s11606-016-3919-4 [doi] ID - 10.1007/s11606-016-3919-4 [pii] ID - PMC5331007 [pmc] PP - ppublish PH - 2016/06/27 [received] PH - 2016/10/26 [accepted] PH - 2016/10/13 [revised] GI - No: UG1 DA015815 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20161212 DP - 2017 Mar PQ - 2018/03/01 EZ - 2016/12/14 06:00 DA - 2018/01/09 06:00 DT - 2016/12/14 06:00 YR - 2017 ED - 20180108 RD - 20180108 UP - 20180109 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27957661 <44. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27957661 TI - "It's been an Experience, a Life Learning Experience": A Qualitative Study of Hospitalized Patients with Substance Use Disorders. SO - Journal of General Internal Medicine. 32(3):296-303, 2017 Mar. AS - J Gen Intern Med. 32(3):296-303, 2017 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Velez CM AU - Nicolaidis C AU - Korthuis PT AU - Englander H FA - Velez, Christine M FA - Nicolaidis, Christina FA - Korthuis, P Todd FA - Englander, Honora IN - Velez, Christine M. Clinical Integration, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. IN - Velez, Christine M. School of Social Work, Portland State University, Portland, OR, USA. IN - Nicolaidis, Christina. School of Social Work, Portland State University, Portland, OR, USA. IN - Nicolaidis, Christina. Division of General Internal Medicine, Oregon Health & Science University, Portland, OR, USA. IN - Korthuis, P Todd. Division of General Internal Medicine, Oregon Health & Science University, Portland, OR, USA. IN - Englander, Honora. Clinical Integration, Oregon Health & Science University, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA. englandh@ohsu.edu. IN - Englander, Honora. Division of Hospital Medicine, Oregon Health & Science University, Portland, OR, USA. englandh@ohsu.edu. NJ - Journal of general internal medicine VO - 32 IP - 3 PG - 296-303 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - Academic Medical Centers MH - Adult MH - Female MH - *Hospitalization MH - Humans MH - Male MH - Middle Aged MH - *Patient Acceptance of Health Care/px [Psychology] MH - Professional-Patient Relations MH - Qualitative Research MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] KW - health reform; hospital; motivation; opioid-related disorders; qualitative research; substance-related disorders AB - 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. AB - OBJECTIVE: To explore the experiences of hospitalized adults with SUD and to better understand patient and system level factors impacting readiness for change. AB - DESIGN: We performed a qualitative study using individual interviews. The study was nested within a larger mixed-methods needs assessment. AB - 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. AB - APPROACH: We conducted a thematic analysis, using an inductive approach at a semantic level. AB - 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. AB - 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. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-016-3919-4 PT - Journal Article ID - 10.1007/s11606-016-3919-4 [doi] ID - 10.1007/s11606-016-3919-4 [pii] ID - PMC5331007 [pmc] PP - ppublish PH - 2016/06/27 [received] PH - 2016/10/26 [accepted] PH - 2016/10/13 [revised] GI - No: UG1 DA015815 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20161212 DP - 2017 Mar EZ - 2016/12/14 06:00 DA - 2018/01/09 06:00 DT - 2016/12/14 06:00 YR - 2017 ED - 20180108 RD - 20180301 UP - 20180301 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27957661 <45. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26308425 TI - Multispecialty screening, brief intervention, and referral to treatment (SBIRT) training in an academic medical center: Resident training experience across specialties. SO - Substance Abuse. 37(2):356-63, 2016 Apr-Jun. AS - Subst Abus. 37(2):356-63, 2016 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clemence AJ AU - Balkoski VI AU - Schaefer BM AU - Lee M AU - Bromley N AU - Maisonneuve IM AU - Hamilton CJ AU - Lukowitsky MR AU - Poston J AU - Hall S AU - Pieterse P AU - Antonikowski A AU - Glick SD FA - Clemence, A Jill FA - Balkoski, Victoria I FA - Schaefer, Bianca M FA - Lee, Minsun FA - Bromley, Nicole FA - Maisonneuve, Isabelle M FA - Hamilton, Christopher J FA - Lukowitsky, Mark R FA - Poston, John FA - Hall, Schekeva FA - Pieterse, Portia FA - Antonikowski, Angela FA - Glick, Stanley D IN - Clemence, A Jill. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Balkoski, Victoria I. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Schaefer, Bianca M. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Lee, Minsun. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Bromley, Nicole. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Maisonneuve, Isabelle M. b Center for Neuropharmacology and Neuroscience, Albany Medical College , Albany , New York , USA. IN - Hamilton, Christopher J. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Lukowitsky, Mark R. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Poston, John. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Hall, Schekeva. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Pieterse, Portia. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Antonikowski, Angela. c Department of Pediatrics , Albany Medical College , Albany , New York , USA. IN - Glick, Stanley D. b Center for Neuropharmacology and Neuroscience, Albany Medical College , Albany , New York , USA. NJ - Substance abuse VO - 37 IP - 2 PG - 356-63 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Academic Medical Centers MH - Clinical Competence MH - Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Medicine MH - Program Evaluation MH - Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] KW - *Brief intervention; *SBIRT training; *residents; *substance use disorders AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2015.1082953 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2015.1082953 [doi] PP - ppublish LG - English DP - 2016 Apr-Jun EZ - 2015/08/27 06:00 DA - 2018/01/09 06:00 DT - 2015/08/27 06:00 YR - 2016 ED - 20180108 RD - 20180202 UP - 20180205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26308425 <46. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26176589 TI - Residents' experience of screening, brief intervention, and referral to treatment (SBIRT) as a clinical tool following practical application: A mixed-methods study. SO - Substance Abuse. 37(2):306-14, 2016 Apr-Jun. AS - Subst Abus. 37(2):306-14, 2016 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clemence AJ AU - Balkoski VI AU - Lee M AU - Poston J AU - Schaefer BM AU - Maisonneuve IM AU - Bromley N AU - Lukowitsky M AU - Pieterse P AU - Antonikowski A AU - Hamilton CJ AU - Hall S AU - Glick SD FA - Clemence, A Jill FA - Balkoski, Victoria I FA - Lee, Minsun FA - Poston, John FA - Schaefer, Bianca M FA - Maisonneuve, Isabelle M FA - Bromley, Nicole FA - Lukowitsky, Mark FA - Pieterse, Portia FA - Antonikowski, Angela FA - Hamilton, Christopher J FA - Hall, Schekeva FA - Glick, Stanley D IN - Clemence, A Jill. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Balkoski, Victoria I. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Lee, Minsun. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Poston, John. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Schaefer, Bianca M. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Maisonneuve, Isabelle M. b Center for Neuropharmacology and Neuroscience, Albany Medical College , Albany , New York , USA. IN - Bromley, Nicole. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Lukowitsky, Mark. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Pieterse, Portia. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Antonikowski, Angela. c Department of Pediatrics , Albany Medical College , Albany , New York , USA. IN - Hamilton, Christopher J. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Hall, Schekeva. a Department of Psychiatry , Albany Medical College , Albany , New York , USA. IN - Glick, Stanley D. b Center for Neuropharmacology and Neuroscience, Albany Medical College , Albany , New York , USA. NJ - Substance abuse VO - 37 IP - 2 PG - 306-14 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Clinical Competence MH - *Education, Medical, Graduate/mt [Methods] MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] KW - *Brief intervention; *SBIRT training; *residents; *substance use; *substance use disorder AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2015.1064850 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2015.1064850 [doi] PP - ppublish LG - English EP - 20150715 DP - 2016 Apr-Jun EZ - 2015/07/16 06:00 DA - 2018/01/09 06:00 DT - 2015/07/16 06:00 YR - 2016 ED - 20180108 RD - 20180202 UP - 20180205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26176589 <47. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28537951 TI - An Interprofessional Course on Substance Use Disorders for Health Professions Students. SO - Academic Medicine. 92(12):1704-1708, 2017 Dec. AS - Acad Med. 92(12):1704-1708, 2017 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Muzyk AJ AU - Tew C AU - Thomas-Fannin A AU - Dayal S AU - Maeda R AU - Schramm-Sapyta N AU - Andolsek KM AU - Holmer S FA - Muzyk, Andrew J FA - Tew, Chris FA - Thomas-Fannin, Allie FA - Dayal, Sanjai FA - Maeda, Reina FA - Schramm-Sapyta, Nicole FA - Andolsek, Kathryn M FA - Holmer, Shelley IN - Muzyk, Andrew 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. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 92 IP - 12 PG - 1704-1708 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Clinical Clerkship MH - *Curriculum MH - Humans MH - *Interprofessional Relations MH - *Psychiatry/ed [Education] MH - Retrospective Studies MH - *Students, Medical MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - United States AB - 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. AB - 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). AB - 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. AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0000000000001766 PT - Journal Article ID - 10.1097/ACM.0000000000001766 [doi] PP - ppublish LG - English DP - 2017 Dec EZ - 2017/05/26 06:00 DA - 2018/01/04 06:00 DT - 2017/05/25 06:00 YR - 2017 ED - 20180103 RD - 20180103 UP - 20180104 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28537951 <48. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28394437 TI - Access to treatment for opioid use disorders: Medical student preparation. SO - American Journal on Addictions. 26(4):316-318, 2017 Jun. AS - Am J Addict. 26(4):316-318, 2017 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCance-Katz EF AU - George P AU - Scott NA AU - Dollase R AU - Tunkel AR AU - McDonald J AI - McCance-Katz, Elinore F; ORCID: http://orcid.org/0000-0002-4296-7012 FA - McCance-Katz, Elinore F FA - George, Paul FA - Scott, Nicole Alexander FA - Dollase, Richard FA - Tunkel, Allan R FA - McDonald, James IN - McCance-Katz, Elinore F. The Warren Alpert Medical School of Brown University, Providence, Rhode Island. IN - McCance-Katz, Elinore F. Rhode Island Department of Behavioral Healthcare, Developmental Disabilities and Hospitals, Cranston, Rhode Island. IN - George, Paul. The Warren Alpert Medical School of Brown University, Providence, Rhode Island. IN - Scott, Nicole Alexander. The Warren Alpert Medical School of Brown University, Providence, Rhode Island. IN - Scott, Nicole Alexander. Rhode Island Department of Health, Providence, Rhode Island. IN - Dollase, Richard. The Warren Alpert Medical School of Brown University, Providence, Rhode Island. IN - Tunkel, Allan R. The Warren Alpert Medical School of Brown University, Providence, Rhode Island. IN - McDonald, James. Rhode Island Department of Health, Providence, Rhode Island. NJ - The American journal on addictions VO - 26 IP - 4 PG - 316-318 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Analgesics, Opioid/tu [Therapeutic Use] MH - *Buprenorphine/tu [Therapeutic Use] MH - *Education, Medical MH - *Health Services Accessibility MH - Humans MH - *Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Students, Medical AB - 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). Copyright © 2017 American Academy of Addiction Psychiatry. RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/ajad.12550 PT - Journal Article ID - 10.1111/ajad.12550 [doi] PP - ppublish PH - 2017/01/13 [received] PH - 2017/03/01 [revised] PH - 2017/03/28 [accepted] LG - English EP - 20170410 DP - 2017 Jun EZ - 2017/04/11 06:00 DA - 2018/01/02 06:00 DT - 2017/04/11 06:00 YR - 2017 ED - 20180101 RD - 20180101 UP - 20180102 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28394437 <49. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26675123 TI - Teaching residents screening, brief intervention, and referral to treatment (SBIRT) skills for alcohol use: Using chart-stimulated recall to assess curricular impact. SO - Substance Abuse. 37(3):419-426, 2016 Jul-Sep. AS - Subst Abus. 37(3):419-426, 2016 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wamsley MA AU - Steiger S AU - Julian KA AU - Gleason N AU - O'Sullivan PS AU - Guy M AU - Satterfield JM FA - Wamsley, Maria A FA - Steiger, Scott FA - Julian, Katherine A FA - Gleason, Nathaniel FA - O'Sullivan, Patricia S FA - Guy, Michelle FA - Satterfield, Jason M IN - Wamsley, Maria A. a Division of General Internal Medicine, University of California San Francisco , San Francisco , California , USA. IN - Steiger, Scott. a Division of General Internal Medicine, University of California San Francisco , San Francisco , California , USA. IN - Julian, Katherine A. a Division of General Internal Medicine, University of California San Francisco , San Francisco , California , USA. IN - Gleason, Nathaniel. a Division of General Internal Medicine, University of California San Francisco , San Francisco , California , USA. IN - O'Sullivan, Patricia S. a Division of General Internal Medicine, University of California San Francisco , San Francisco , California , USA. IN - Guy, Michelle. a Division of General Internal Medicine, University of California San Francisco , San Francisco , California , USA. IN - Satterfield, Jason M. a Division of General Internal Medicine, University of California San Francisco , San Francisco , California , USA. NJ - Substance abuse VO - 37 IP - 3 PG - 419-426 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - *Alcoholism/th [Therapy] MH - *Clinical Competence MH - Decision Support Systems, Clinical MH - *Electronic Health Records/ut [Utilization] MH - Humans MH - Internal Medicine/ed [Education] MH - *Internship and Residency MH - *Program Development MH - Program Evaluation MH - Prospective Studies MH - Referral and Consultation KW - *Alcohol use; *curriculum development and evaluation; *electronic health record AB - BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) improves identification and intervention for patients at risk for developing an alcohol use disorder (AUD). Residency curriculum is designed to teach SBIRT skills, but resources are needed to promote skill implementation. The electronic health record (EHR) can facilitate implementation through integration of decision-support tools. The authors developed electronic tools to facilitate documentation of alcohol assessment and brief intervention and to reinforce skills from an SBIRT curriculum. This prospective cohort study assessed primary care internal medicine residents' use of SBIRT skills and EHR tools in practice using chart-stimulated recall (CSR). AB - METHODS: Postgraduate year 2 and 3 residents received a 5-hour SBIRT curriculum with skills practice and instruction on SBIRT electronic tools. Participants were then given a list of their patients seen in a 1-year period who were drinking at/above the recommended limit. Trainees selected 3 patients to review with a faculty member in a CSR. Faculty used a 24-item chart checklist to assess application of SBIRT skills and electronic tool use and met with residents to complete a CSR interview. CSR interview notes were analyzed qualitatively to understand application of SBIRT skills and EHR tool use. AB - RESULTS: Eighteen of 20 residents participated in the CSR, and 5 faculty reviewed 46 patient charts. Residents documented alcohol use (84.2% of charts) and assessment of quantity/frequency of use (71.0%) but were less likely to document assessment for an AUD (34%), an appropriate plan (50.0%), or follow-up (55%). Few residents used EHR tools. Residents reported barriers in addressing alcohol use, including lack of knowledge, patient barriers, and time constraints. AB - CONCLUSIONS: More intensive training in SBIRT with opportunities for practice and feedback may be necessary for residents to consistently apply SBIRT skills in practice. EHR tools need to be better integrated into the clinic workflow in order to be useful. ES - 1547-0164 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2015.1127869 [doi] PP - ppublish LG - English EP - 20151216 DP - 2016 Jul-Sep EZ - 2015/12/18 06:00 DA - 2018/01/02 06:00 DT - 2015/12/18 06:00 YR - 2016 ED - 20180101 RD - 20180202 UP - 20180205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26675123 <50. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26569508 TI - Misprescribing controlled substances: An evaluation of a professional development program. SO - Substance Abuse. 37(3):412-418, 2016 Jul-Sep. AS - Subst Abus. 37(3):412-418, 2016 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dewey CM AU - Ghulyan MV AU - Swiggart WH FA - Dewey, Charlene M FA - Ghulyan, Marine V FA - Swiggart, William H IN - Dewey, Charlene M. a Vanderbilt University Medical Center , Nashville , Tennessee , USA. IN - Ghulyan, Marine V. a Vanderbilt University Medical Center , Nashville , Tennessee , USA. IN - Swiggart, William H. a Vanderbilt University Medical Center , Nashville , Tennessee , USA. NJ - Substance abuse VO - 37 IP - 3 PG - 412-418 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Education, Medical, Continuing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - Middle Aged MH - Program Evaluation MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/th [Therapy] KW - *Continuing medical education; *Kirkpatrick Model; *SBIRT; *controlled prescription drugs; *misprescribing; *physician; *professional development program; *program evaluation AB - 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). AB - METHODS: The authors conducted a program evaluation to assess the efficacy and impact of the PDP on physicians' knowledge and prescribing behaviors. AB - 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). AB - 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. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 10.1080/08897077.2015.1096318 [doi] PP - ppublish LG - English EP - 20151116 DP - 2016 Jul-Sep EZ - 2015/11/17 06:00 DA - 2018/01/02 06:00 DT - 2015/11/17 06:00 YR - 2016 ED - 20180101 RD - 20180202 UP - 20180205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26569508 <51. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27650244 TI - Consequences of Public Intoxication: Once Was Enough!. SO - American Journal of the Medical Sciences. 352(3):335-6, 2016 Sep. AS - Am J Med Sci. 352(3):335-6, 2016 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Feussner JR FA - Feussner, John R IN - Feussner, John R. Department of Medicine, Medical University of South Carolina, Charleston, South Carolina. Electronic address: feussner@musc.edu. NJ - The American journal of the medical sciences VO - 352 IP - 3 PG - 335-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3l2, 0370506 IO - Am. J. Med. Sci. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholic Intoxication/co [Complications] MH - *Alcoholic Intoxication/di [Diagnosis] MH - Animals MH - Birds MH - Emergency Service, Hospital MH - Fractures, Bone/co [Complications] MH - *Fractures, Bone/dg [Diagnostic Imaging] MH - Humans MH - Internship and Residency ES - 1538-2990 IL - 0002-9629 DI - S0002-9629(16)30377-9 DO - https://dx.doi.org/10.1016/j.amjms.2016.07.004 PT - Personal Narratives ID - S0002-9629(16)30377-9 [pii] ID - 10.1016/j.amjms.2016.07.004 [doi] PP - ppublish LG - English EP - 20160714 DP - 2016 Sep EZ - 2016/09/22 06:00 DA - 2017/12/19 06:00 DT - 2016/09/22 06:00 YR - 2016 ED - 20171218 RD - 20171218 UP - 20171219 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27650244 <52. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28588007 TI - A Medical Student-Delivered Smoking Prevention Program, Education Against Tobacco, for Secondary Schools in Germany: Randomized Controlled Trial. SO - Journal of Medical Internet Research. 19(6):e199, 2017 Jun 06. AS - J Med Internet Res. 19(6):e199, 2017 Jun 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brinker TJ AU - Owczarek AD AU - Seeger W AU - Groneberg DA AU - Brieske CM AU - Jansen P AU - Klode J AU - Stoffels I AU - Schadendorf D AU - Izar B AU - Fries FN AU - Hofmann FJ AI - Brinker, Titus Josef; ORCID: http://orcid.org/0000-0002-3620-5919 AI - Owczarek, Andreas Dawid; ORCID: http://orcid.org/0000-0001-6765-3557 AI - Seeger, Werner; ORCID: http://orcid.org/0000-0003-1946-0894 AI - Groneberg, David Alexander; ORCID: http://orcid.org/0000-0002-0163-0413 AI - Brieske, Christian Martin; ORCID: http://orcid.org/0000-0002-8528-6022 AI - Jansen, Philipp; ORCID: http://orcid.org/0000-0003-3139-2118 AI - Klode, Joachim; ORCID: http://orcid.org/0000-0001-9239-7014 AI - Stoffels, Ingo; ORCID: http://orcid.org/0000-0003-0111-1303 AI - Schadendorf, Dirk; ORCID: http://orcid.org/0000-0003-3524-7858 AI - Izar, Benjamin; ORCID: http://orcid.org/0000-0003-0807-4461 AI - Fries, Fabian Norbert; ORCID: http://orcid.org/0000-0002-8526-4712 AI - Hofmann, Felix Johannes; ORCID: http://orcid.org/0000-0002-5395-3652 FA - Brinker, Titus Josef FA - Owczarek, Andreas Dawid FA - Seeger, Werner FA - Groneberg, David Alexander FA - Brieske, Christian Martin FA - Jansen, Philipp FA - Klode, Joachim FA - Stoffels, Ingo FA - Schadendorf, Dirk FA - Izar, Benjamin FA - Fries, Fabian Norbert FA - Hofmann, Felix Johannes IN - Brinker, Titus Josef. 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. IN - Brinker, Titus Josef. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt am Main, Germany. IN - Brinker, Titus Josef. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Brinker, Titus Josef. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Brinker, Titus Josef. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Owczarek, Andreas Dawid. 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. IN - Seeger, Werner. 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. IN - Groneberg, David Alexander. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt am Main, Germany. IN - Brieske, Christian Martin. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Brieske, Christian Martin. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Brieske, Christian Martin. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Jansen, Philipp. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Jansen, Philipp. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Jansen, Philipp. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Klode, Joachim. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Klode, Joachim. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Klode, Joachim. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Stoffels, Ingo. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Stoffels, Ingo. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Stoffels, Ingo. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Schadendorf, Dirk. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Schadendorf, Dirk. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Schadendorf, Dirk. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Izar, Benjamin. Dana-Farber Cancer Institute, Department of Medical Oncology, Boston, MA, United States. IN - Fries, Fabian Norbert. Saarland University Medical Center and Saarland University Faculty of Medicine, Department of Ophthalmology, University of Homburg, Homburg, Germany. IN - Hofmann, Felix Johannes. 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. NJ - Journal of medical Internet research VO - 19 IP - 6 PG - e199 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100959882 IO - J. Med. Internet Res. SB - Index Medicus CP - Canada MH - Adolescent MH - Child MH - Female MH - Germany MH - Humans MH - Male MH - Prospective Studies MH - Research Design MH - *School Health Services/ut [Utilization] MH - *Schools/ut [Utilization] MH - Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention/mt [Methods] MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires MH - Tobacco KW - adolescents; medical students; school-based prevention; secondary schools; smoking cessation; tobacco prevention AB - 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. AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: The intervention appears to prevent smoking, especially in females and students with a low educational background. ES - 1438-8871 IL - 1438-8871 DO - https://dx.doi.org/10.2196/jmir.7906 PT - Journal Article PT - Randomized Controlled Trial ID - v19i6e199 [pii] ID - 10.2196/jmir.7906 [doi] ID - PMC5478798 [pmc] PP - epublish PH - 2017/04/23 [received] PH - 2017/05/23 [accepted] PH - 2017/05/15 [revised] LG - English EP - 20170606 DP - 2017 Jun 06 EZ - 2017/06/08 06:00 DA - 2017/12/15 06:00 DT - 2017/06/08 06:00 YR - 2017 ED - 20171214 RD - 20171214 UP - 20171215 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28588007 <53. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27288074 TI - Impulsivity, Stimulant Abuse, and Dopamine Receptor Signaling. [Review] SO - Advances in Pharmacology. 76:67-84, 2016. AS - Adv Pharmacol. 76:67-84, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - London ED FA - London, E D IN - London, E D. Brain Research Institute, David Geffen School of Medicine at the University of California Los Angeles, Los Angeles, CA, United States. Electronic address: elondon@mednet.ucla.edu. NJ - Advances in pharmacology (San Diego, Calif.) VO - 76 PG - 67-84 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - axi, 9015397 IO - Adv. Pharmacol. SB - Index Medicus CP - United States MH - *Amphetamine-Related Disorders/pp [Physiopathology] MH - Central Nervous System Stimulants MH - Corpus Striatum/me [Metabolism] MH - Dopamine/me [Metabolism] MH - Humans MH - *Impulsive Behavior/de [Drug Effects] MH - *Methamphetamine/ae [Adverse Effects] MH - Receptors, Dopamine D2/me [Metabolism] MH - Synaptic Transmission KW - *Addiction; *Corticostriatal; *Dopamine; *Magnetic resonance imaging; *Methamphetamine; *Positron emission tomography; *Stimulant AB - 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. Copyright © 2016 Elsevier Inc. All rights reserved. RN - 0 (Central Nervous System Stimulants) RN - 0 (Receptors, Dopamine D2) RN - 44RAL3456C (Methamphetamine) RN - VTD58H1Z2X (Dopamine) ES - 1557-8925 IL - 1054-3589 DI - S1054-3589(16)30001-1 DO - https://dx.doi.org/10.1016/bs.apha.2016.01.002 PT - Journal Article PT - Review ID - S1054-3589(16)30001-1 [pii] ID - 10.1016/bs.apha.2016.01.002 [doi] PP - ppublish LG - English EP - 20160302 DP - 2016 EZ - 2016/06/12 06:00 DA - 2017/12/15 06:00 DT - 2016/06/12 06:00 YR - 2016 ED - 20171214 RD - 20171214 UP - 20171215 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27288074 <54. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28588007 TI - A Medical Student-Delivered Smoking Prevention Program, Education Against Tobacco, for Secondary Schools in Germany: Randomized Controlled Trial. SO - Journal of Medical Internet Research. 19(6):e199, 2017 Jun 06. AS - J Med Internet Res. 19(6):e199, 2017 Jun 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brinker TJ AU - Owczarek AD AU - Seeger W AU - Groneberg DA AU - Brieske CM AU - Jansen P AU - Klode J AU - Stoffels I AU - Schadendorf D AU - Izar B AU - Fries FN AU - Hofmann FJ AI - Brinker, Titus Josef; ORCID: http://orcid.org/0000-0002-3620-5919 AI - Owczarek, Andreas Dawid; ORCID: http://orcid.org/0000-0001-6765-3557 AI - Seeger, Werner; ORCID: http://orcid.org/0000-0003-1946-0894 AI - Groneberg, David Alexander; ORCID: http://orcid.org/0000-0002-0163-0413 AI - Brieske, Christian Martin; ORCID: http://orcid.org/0000-0002-8528-6022 AI - Jansen, Philipp; ORCID: http://orcid.org/0000-0003-3139-2118 AI - Klode, Joachim; ORCID: http://orcid.org/0000-0001-9239-7014 AI - Stoffels, Ingo; ORCID: http://orcid.org/0000-0003-0111-1303 AI - Schadendorf, Dirk; ORCID: http://orcid.org/0000-0003-3524-7858 AI - Izar, Benjamin; ORCID: http://orcid.org/0000-0003-0807-4461 AI - Fries, Fabian Norbert; ORCID: http://orcid.org/0000-0002-8526-4712 AI - Hofmann, Felix Johannes; ORCID: http://orcid.org/0000-0002-5395-3652 FA - Brinker, Titus Josef FA - Owczarek, Andreas Dawid FA - Seeger, Werner FA - Groneberg, David Alexander FA - Brieske, Christian Martin FA - Jansen, Philipp FA - Klode, Joachim FA - Stoffels, Ingo FA - Schadendorf, Dirk FA - Izar, Benjamin FA - Fries, Fabian Norbert FA - Hofmann, Felix Johannes IN - Brinker, Titus Josef. 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. IN - Brinker, Titus Josef. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt am Main, Germany. IN - Brinker, Titus Josef. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Brinker, Titus Josef. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Brinker, Titus Josef. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Owczarek, Andreas Dawid. 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. IN - Seeger, Werner. 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. IN - Groneberg, David Alexander. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt am Main, Germany. IN - Brieske, Christian Martin. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Brieske, Christian Martin. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Brieske, Christian Martin. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Jansen, Philipp. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Jansen, Philipp. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Jansen, Philipp. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Klode, Joachim. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Klode, Joachim. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Klode, Joachim. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Stoffels, Ingo. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Stoffels, Ingo. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Stoffels, Ingo. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Schadendorf, Dirk. Essen University Hospital, Department of Dermatology, Venerology and Allergology, University of Duisburg-Essen, Essen, Germany. IN - Schadendorf, Dirk. West German Cancer Center, University Duisburg-Essen, Essen, Germany. IN - Schadendorf, Dirk. German Cancer Consortium (DKTK), University of Heidelberg, Heidelberg, Germany. IN - Izar, Benjamin. Dana-Farber Cancer Institute, Department of Medical Oncology, Boston, MA, United States. IN - Fries, Fabian Norbert. Saarland University Medical Center and Saarland University Faculty of Medicine, Department of Ophthalmology, University of Homburg, Homburg, Germany. IN - Hofmann, Felix Johannes. 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. NJ - Journal of medical Internet research VO - 19 IP - 6 PG - e199 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100959882 IO - J. Med. Internet Res. SB - Index Medicus CP - Canada MH - Adolescent MH - Child MH - Female MH - Germany MH - Humans MH - Male MH - Prospective Studies MH - Research Design MH - *School Health Services/ut [Utilization] MH - *Schools/ut [Utilization] MH - Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention/mt [Methods] MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires MH - Tobacco KW - adolescents; medical students; school-based prevention; secondary schools; smoking cessation; tobacco prevention AB - 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. AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: The intervention appears to prevent smoking, especially in females and students with a low educational background. Copyright ©Titus Josef Brinker, Andreas Dawid Owczarek, Werner Seeger, David Alexander Groneberg, Christian Martin Brieske, Philipp Jansen, Joachim Klode, Ingo Stoffels, Dirk Schadendorf, Benjamin Izar, Fabian Norbert Fries, Felix Johannes Hofmann. Originally published in the Journal of Medical Internet Research (http://www.jmir.org), 06.06.2017. ES - 1438-8871 IL - 1438-8871 DO - https://dx.doi.org/10.2196/jmir.7906 PT - Journal Article PT - Randomized Controlled Trial ID - v19i6e199 [pii] ID - 10.2196/jmir.7906 [doi] ID - PMC5478798 [pmc] PP - epublish PH - 2017/04/23 [received] PH - 2017/05/23 [accepted] PH - 2017/05/15 [revised] LG - English EP - 20170606 DP - 2017 Jun 06 EZ - 2017/06/08 06:00 DA - 2017/12/15 06:00 DT - 2017/06/08 06:00 YR - 2017 ED - 20171214 RD - 20180308 UP - 20180308 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28588007 <55. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27504797 TI - Exploring the association of ego defense mechanisms with problematic internet use in a Pakistani medical school. SO - Psychiatry Research. 243:463-8, 2016 Sep 30. AS - Psychiatry Res. 243:463-8, 2016 Sep 30. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waqas A AU - Rehman A AU - Malik A AU - Aftab R AU - Allah Yar A AU - Allah Yar A AU - Rai AB FA - Waqas, Ahmed FA - Rehman, Abdul FA - Malik, Aamenah FA - Aftab, Ramsha FA - Allah Yar, Aroosa FA - Allah Yar, Arooj FA - Rai, Aitzaz Bin Sultan IN - Waqas, Ahmed. CMH Lahore Medical College and Institute of Dentistry, Lahore Cantt, Pakistan. IN - Rehman, Abdul. Allama Iqbal Medical College, Lahore, Pakistan. Electronic address: abdulrehmansuleman@yahoo.com. IN - Malik, Aamenah. CMH Lahore Medical College and Institute of Dentistry, Lahore Cantt, Pakistan. IN - Aftab, Ramsha. CMH Lahore Medical College and Institute of Dentistry, Lahore Cantt, Pakistan. IN - Allah Yar, Aroosa. University of the Punjab, Lahore, Pakistan. IN - Allah Yar, Arooj. University of the Punjab, Lahore, Pakistan. IN - Rai, Aitzaz Bin Sultan. Templeton College, Oxford University, United Kingdom. NJ - Psychiatry research VO - 243 PG - 463-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - qc4, 7911385 IO - Psychiatry Res SB - Index Medicus CP - Ireland MH - Adult MH - Aggression MH - *Asian Continental Ancestry Group/px [Psychology] MH - Behavior, Addictive/ep [Epidemiology] MH - *Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - *Defense Mechanisms MH - Ego MH - Ethnic Groups MH - Female MH - Humans MH - *Internet MH - Male MH - Pakistan/ep [Epidemiology] MH - Prevalence MH - Schools, Medical MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult KW - Internet addiction; Internet addiction disorder; Internet addiction test; Medical students; Psychodynamics AB - The present study was designed to analyze association between problematic internet use and use of ego defense mechanisms in medical students. This cross-sectional study was undertaken at CMH Lahore Medical College (CMH LMC) in Lahore, Pakistan from 1st March, 2015 to 30th May, 2015. 522 medical and dental students were included in the study. The questionnaire consisted of three sections: a) demographic characteristics of respondent b) the Defense Style Questionnaire-40 (DSQ-40) and c) the Internet Addiction Test (IAT). All data were analyzed in SPSS v20. Chi square, Independent sample t test and One Way ANOVA were run to analyze association of different variables with scores on IAT. Multiple regression analysis was used to delineate ego defenses as predictors of problematic internet use. A total of 32 (6.1%) students reported severe problems with internet usage. Males had higher scores on IAT i.e had more problematic use of internet. Scores on internet addiction test (IAT) were negatively associated with sublimation and positively associated with projection, denial, autistic fantasy, passive aggression and displacement. There was a high prevalence of problematic use of internet among medical and dental students. It had significant associations with several defense mechanisms. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. ES - 1872-7123 IL - 0165-1781 DI - S0165-1781(16)30131-7 DO - https://dx.doi.org/10.1016/j.psychres.2016.07.021 PT - Journal Article ID - S0165-1781(16)30131-7 [pii] ID - 10.1016/j.psychres.2016.07.021 [doi] PP - ppublish PH - 2016/01/24 [received] PH - 2016/03/29 [revised] PH - 2016/07/10 [accepted] LG - English EP - 20160711 DP - 2016 Sep 30 EZ - 2016/08/10 06:00 DA - 2017/12/09 06:00 DT - 2016/08/10 06:00 YR - 2016 ED - 20171208 RD - 20171208 UP - 20171211 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27504797 <56. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27504797 TI - Exploring the association of ego defense mechanisms with problematic internet use in a Pakistani medical school. SO - Psychiatry Research. 243:463-8, 2016 09 30. AS - Psychiatry Res. 243:463-8, 2016 09 30. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waqas A AU - Rehman A AU - Malik A AU - Aftab R AU - Allah Yar A AU - Allah Yar A AU - Rai AB FA - Waqas, Ahmed FA - Rehman, Abdul FA - Malik, Aamenah FA - Aftab, Ramsha FA - Allah Yar, Aroosa FA - Allah Yar, Arooj FA - Rai, Aitzaz Bin Sultan IN - Waqas, Ahmed. CMH Lahore Medical College and Institute of Dentistry, Lahore Cantt, Pakistan. IN - Rehman, Abdul. Allama Iqbal Medical College, Lahore, Pakistan. Electronic address: abdulrehmansuleman@yahoo.com. IN - Malik, Aamenah. CMH Lahore Medical College and Institute of Dentistry, Lahore Cantt, Pakistan. IN - Aftab, Ramsha. CMH Lahore Medical College and Institute of Dentistry, Lahore Cantt, Pakistan. IN - Allah Yar, Aroosa. University of the Punjab, Lahore, Pakistan. IN - Allah Yar, Arooj. University of the Punjab, Lahore, Pakistan. IN - Rai, Aitzaz Bin Sultan. Templeton College, Oxford University, United Kingdom. NJ - Psychiatry research VO - 243 PG - 463-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - qc4, 7911385 IO - Psychiatry Res SB - Index Medicus CP - Ireland MH - Adult MH - Aggression MH - *Asian Continental Ancestry Group/px [Psychology] MH - Behavior, Addictive/ep [Epidemiology] MH - *Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - *Defense Mechanisms MH - Ego MH - Ethnic Groups MH - Female MH - Humans MH - *Internet MH - Male MH - Pakistan/ep [Epidemiology] MH - Prevalence MH - Schools, Medical MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult KW - *Internet addiction; *Internet addiction disorder; *Internet addiction test; *Medical students; *Psychodynamics AB - The present study was designed to analyze association between problematic internet use and use of ego defense mechanisms in medical students. This cross-sectional study was undertaken at CMH Lahore Medical College (CMH LMC) in Lahore, Pakistan from 1st March, 2015 to 30th May, 2015. 522 medical and dental students were included in the study. The questionnaire consisted of three sections: a) demographic characteristics of respondent b) the Defense Style Questionnaire-40 (DSQ-40) and c) the Internet Addiction Test (IAT). All data were analyzed in SPSS v20. Chi square, Independent sample t test and One Way ANOVA were run to analyze association of different variables with scores on IAT. Multiple regression analysis was used to delineate ego defenses as predictors of problematic internet use. A total of 32 (6.1%) students reported severe problems with internet usage. Males had higher scores on IAT i.e had more problematic use of internet. Scores on internet addiction test (IAT) were negatively associated with sublimation and positively associated with projection, denial, autistic fantasy, passive aggression and displacement. There was a high prevalence of problematic use of internet among medical and dental students. It had significant associations with several defense mechanisms. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. ES - 1872-7123 IL - 0165-1781 DI - S0165-1781(16)30131-7 DO - https://dx.doi.org/10.1016/j.psychres.2016.07.021 PT - Journal Article ID - S0165-1781(16)30131-7 [pii] ID - 10.1016/j.psychres.2016.07.021 [doi] PP - ppublish PH - 2016/01/24 [received] PH - 2016/03/29 [revised] PH - 2016/07/10 [accepted] LG - English EP - 20160711 DP - 2016 09 30 EZ - 2016/08/10 06:00 DA - 2017/12/09 06:00 DT - 2016/08/10 06:00 YR - 2016 ED - 20171208 RD - 20180416 UP - 20180416 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27504797 <57. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28347350 TI - The association between age of onset of opioid use and comorbidity among opioid dependent patients receiving methadone maintenance therapy. SO - Addiction Science & Clinical Practice. 12(1):9, 2017 03 28. AS - Addict Sci Clin Pract. 12(1):9, 2017 03 28. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naji L AU - Dennis BB AU - Bawor M AU - Varenbut M AU - Daiter J AU - Plater C AU - Pare G AU - Marsh DC AU - Worster A AU - Desai D AU - MacKillop J AU - Thabane L AU - Samaan Z FA - Naji, Leen FA - Dennis, Brittany Burns FA - Bawor, Monica FA - Varenbut, Michael FA - Daiter, Jeff FA - Plater, Carolyn FA - Pare, Guillaume FA - Marsh, David C FA - Worster, Andrew FA - Desai, Dipika FA - MacKillop, James FA - Thabane, Lehana FA - Samaan, Zainab IN - Naji, Leen. Michael Degroote School of Medicine, McMaster University, Hamilton, Canada. IN - Dennis, Brittany Burns. St. George's University of London, London, UK. IN - Dennis, Brittany Burns. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada. IN - Bawor, Monica. St. George's University of London, London, UK. IN - Varenbut, Michael. Canadian Addiction Treatment Centres, Richmond Hill, Canada. IN - Daiter, Jeff. Canadian Addiction Treatment Centres, Richmond Hill, Canada. IN - Plater, Carolyn. Canadian Addiction Treatment Centres, Richmond Hill, Canada. IN - Pare, Guillaume. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada. IN - Marsh, David C. Canadian Addiction Treatment Centres, Richmond Hill, Canada. IN - Marsh, David C. Northern Ontario School of Medicine, Sudbury, ON, Canada. IN - Worster, Andrew. Canadian Addiction Treatment Centres, Richmond Hill, Canada. IN - Worster, Andrew. Department of Medicine, Hamilton General Hospital, Hamilton, Canada. IN - Desai, Dipika. Population Genomic Program, Chanchalani Research Centre, McMaster University, Hamilton, Canada. IN - MacKillop, James. Peter Boris Centre for Addictions Research, Hamilton, Canada. IN - MacKillop, James. Department of Psychiatry and Behavioural Neuroscience, McMaster University, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada. IN - Thabane, Lehana. Departments of Pediatrics and Anesthesia, McMaster University, Hamilton, Canada. IN - Thabane, Lehana. Centre for Evaluation of Medicine, St Joseph's Healthcare, Hamilton, Canada. IN - Thabane, Lehana. Biostatistics Unit, Father Sean O'Sullivan Research Centre, St Joseph's Healthcare, Hamilton, Canada. IN - Samaan, Zainab. Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Canada. samaanz@mcmaster.ca. IN - Samaan, Zainab. Population Genomic Program, Chanchalani Research Centre, McMaster University, Hamilton, Canada. samaanz@mcmaster.ca. IN - Samaan, Zainab. Peter Boris Centre for Addictions Research, Hamilton, Canada. samaanz@mcmaster.ca. IN - Samaan, Zainab. Department of Psychiatry and Behavioural Neuroscience, McMaster University, 100 West 5th Street, Hamilton, ON, L8N 3K7, Canada. samaanz@mcmaster.ca. NJ - Addiction science & clinical practice VO - 12 IP - 1 PG - 9 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101316917 IO - Addict Sci Clin Pract SB - Index Medicus CP - England MH - Adult MH - Age of Onset MH - Analgesics, Opioid/ae [Adverse Effects] MH - Comorbidity MH - Female MH - *Health Status MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - *Opiate Substitution Treatment/sn [Statistics & Numerical Data] MH - Opioid-Related Disorders/dt [Drug Therapy] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Young Adult KW - *Methadone; *Opioid substitution treatment; *Opioid use disorder; *Risk prediction; *Substance use AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - UC6VBE7V1Z (Methadone) ES - 1940-0640 IL - 1940-0632 DO - https://dx.doi.org/10.1186/s13722-017-0074-0 PT - Journal Article ID - 10.1186/s13722-017-0074-0 [doi] ID - 10.1186/s13722-017-0074-0 [pii] ID - PMC5369183 [pmc] PP - epublish PH - 2016/08/18 [received] PH - 2017/03/04 [accepted] GI - No: 126639 Organization: *CIHR* Country: Canada LG - English EP - 20170328 DP - 2017 03 28 EZ - 2017/03/30 06:00 DA - 2017/11/29 06:00 DT - 2017/03/29 06:00 YR - 2017 ED - 20171128 RD - 20171128 UP - 20171129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28347350 <58. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28288678 TI - Mobile technology intervention to improve care coordination between HIV and substance use treatment providers: development, training, and evaluation protocol. SO - Addiction Science & Clinical Practice. 12(1):8, 2017 03 14. AS - Addict Sci Clin Pract. 12(1):8, 2017 03 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Claborn K AU - Becker S AU - Ramsey S AU - Rich J AU - Friedmann PD FA - Claborn, Kasey FA - Becker, Sara FA - Ramsey, Susan FA - Rich, Josiah FA - Friedmann, Peter D IN - Claborn, Kasey. Department of Medicine, Division of General Internal Medicine, Rhode Island Hospital, 111 Plain Street, Providence, RI, 02903, USA. kasey_claborn@brown.edu. IN - Claborn, Kasey. The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. kasey_claborn@brown.edu. IN - Becker, Sara. The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. IN - Becker, Sara. Center for Alcohol and Addiction Studies, Brown University School of Public Health, 121 South Main Street, Box G-121-5, Providence, RI, 02912, USA. IN - Ramsey, Susan. Department of Medicine, Division of General Internal Medicine, Rhode Island Hospital, 111 Plain Street, Providence, RI, 02903, USA. IN - Ramsey, Susan. The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. IN - Rich, Josiah. The Warren Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. IN - Rich, Josiah. Miriam Hospital, Providence, RI, 02906, USA. IN - Friedmann, Peter D. Office of Research, Department of Medicine, University of Massachusetts - Baystate and Baystate Health, Springfield, MA, USA. NJ - Addiction science & clinical practice VO - 12 IP - 1 PG - 8 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101316917 IO - Addict Sci Clin Pract SB - Index Medicus CP - England MH - Clinical Protocols MH - Female MH - *HIV Infections/th [Therapy] MH - Humans MH - *Inservice Training/og [Organization & Administration] MH - Male MH - Organizational Innovation MH - Patient Care Management MH - *Patient-Centered Care/og [Organization & Administration] MH - Primary Health Care/og [Organization & Administration] MH - *Substance-Related Disorders/th [Therapy] MH - *Telemedicine/ut [Utilization] KW - *Addiction; *Communication; *HIV; *Mobile technology; *Treatment providers AB - 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. AB - 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. AB - 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. AB - TRIAL REGISTRATION: NCT02906215. ES - 1940-0640 IL - 1940-0632 DO - https://dx.doi.org/10.1186/s13722-017-0073-1 PT - Journal Article ID - 10.1186/s13722-017-0073-1 [doi] ID - 10.1186/s13722-017-0073-1 [pii] ID - PMC5348772 [pmc] PP - epublish PH - 2016/11/05 [received] PH - 2017/02/09 [accepted] SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT02906215 SL - https://clinicaltrials.gov/search/term=NCT02906215 GI - No: K23 DA039037 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: L30 DA038220 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R34 DA041237 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20170314 DP - 2017 03 14 EZ - 2017/03/16 06:00 DA - 2017/11/29 06:00 DT - 2017/03/15 06:00 YR - 2017 ED - 20171128 RD - 20171128 UP - 20171129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28288678 <59. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27973746 TI - Maintenance of certification: How performance in practice changes improve tobacco cessation in addiction psychiatrists' practice. SO - American Journal on Addictions. 26(1):34-41, 2017 Jan. AS - Am J Addict. 26(1):34-41, 2017 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ford JH 2nd AU - Oliver KA AU - Giles M AU - Cates-Wessel K AU - Krahn D AU - Levin FR AU - MOC Addiction Psychiatry FA - Ford, James H 2nd FA - Oliver, Karen A FA - Giles, Miriam FA - Cates-Wessel, Kathryn FA - Krahn, Dean FA - Levin, Frances R FA - MOC Addiction Psychiatry IN - Ford, James H 2nd. University of Wisconsin-Madison, Madison, Wisconsin. IN - Oliver, Karen A. American Academy of Addiction Psychiatry, Providence, Rhode Island. IN - Giles, Miriam. American Academy of Addiction Psychiatry, Providence, Rhode Island. IN - Cates-Wessel, Kathryn. American Academy of Addiction Psychiatry, Providence, Rhode Island. IN - Krahn, Dean. University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. IN - Krahn, Dean. Department of Veteran Affairs, VAMC - Madison, Madison, Wisconsin. IN - Levin, Frances R. Columbia University, New York, New York. IN - Levin, Frances R. New York State Psychiatric Institute, New York, New York. NJ - The American journal on addictions VO - 26 IP - 1 PG - 34-41 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - *Certification MH - Clinical Competence MH - *Education, Medical, Continuing MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Psychiatry/ed [Education] MH - *Quality Improvement MH - Specialty Boards MH - *Tobacco Use Cessation MH - United States AB - 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). AB - 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. AB - 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. AB - CONCLUSIONS: The current findings suggest that addiction psychiatrists can leverage the MOC process to improve clinical care. AB - 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). Copyright © 2016 American Academy of Addiction Psychiatry. ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/ajad.12480 PT - Journal Article ID - 10.1111/ajad.12480 [doi] ID - PMC5584050 [pmc] ID - NIHMS897009 [mid] PP - ppublish PH - 2016/05/24 [received] PH - 2016/11/08 [revised] PH - 2016/12/05 [accepted] GI - No: K24 DA029647 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R18 HS021962 Organization: (HS) *AHRQ HHS* Country: United States LG - English EP - 20161214 DP - 2017 Jan EZ - 2016/12/16 06:00 DA - 2017/11/29 06:00 DT - 2016/12/16 06:00 YR - 2017 ED - 20171127 RD - 20171128 UP - 20171129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=27973746 <60. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27749984 TI - Changes in psychiatry residents' attitudes towards individuals with substance use disorders over the course of residency training. SO - American Journal on Addictions. 26(1):75-79, 2017 Jan. AS - Am J Addict. 26(1):75-79, 2017 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Avery J AU - Han BH AU - Zerbo E AU - Wu G AU - Mauer E AU - Avery J AU - Ross S AU - Penzner JB FA - Avery, Jonathan FA - Han, Bernadine H FA - Zerbo, Erin FA - Wu, Guojiao FA - Mauer, Elizabeth FA - Avery, Joseph FA - Ross, Stephen FA - Penzner, Julie B IN - Avery, Jonathan. Weill Cornell Medical College, New York, New York. IN - Han, Bernadine H. Weill Cornell Medical College, New York, New York. IN - Zerbo, Erin. Rutgers New Jersey Medical School, Newark, New Jersey. IN - Wu, Guojiao. Weill Cornell Medical College, New York, New York. IN - Mauer, Elizabeth. Weill Cornell Medical College, New York, New York. IN - Avery, Joseph. Princeton University, Princeton, NJ. IN - Ross, Stephen. NYU School of Medicine, New York, New York. IN - Penzner, Julie B. Weill Cornell Medical College, New York, New York. NJ - The American journal on addictions VO - 26 IP - 1 PG - 75-79 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - *Attitude of Health Personnel MH - Depressive Disorder, Major/co [Complications] MH - Depressive Disorder, Major/px [Psychology] MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Psychiatry/ed [Education] MH - Schizophrenia/co [Complications] MH - *Schizophrenic Psychology MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/px [Psychology] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. AB - 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). Copyright © 2016 American Academy of Addiction Psychiatry. ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/ajad.12406 PT - Journal Article ID - 10.1111/ajad.12406 [doi] PP - ppublish PH - 2016/03/20 [received] PH - 2016/06/04 [revised] PH - 2016/07/05 [accepted] GI - No: UL1 TR000457 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English EP - 20161017 DP - 2017 Jan EZ - 2016/10/18 06:00 DA - 2017/11/29 06:00 DT - 2016/10/18 06:00 YR - 2017 ED - 20171127 RD - 20171220 UP - 20171221 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27749984 <61. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28086792 TI - Irish general practitioner attitudes toward decriminalisation and medical use of cannabis: results from a national survey. SO - Harm Reduction Journal. 14(1):4, 2017 Jan 13. AS - Harm Reduct J. 14(1):4, 2017 Jan 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crowley D AU - Collins C AU - Delargy I AU - Laird E AU - Van Hout MC AI - Van Hout, Marie Claire; ORCID: http://orcid.org/0000-0002-0018-4060 FA - Crowley, Des FA - Collins, Claire FA - Delargy, Ide FA - Laird, Eamon FA - Van Hout, Marie Claire IN - Crowley, Des. Irish College of General Practitioners, Dublin, Ireland. IN - Collins, Claire. Irish College of General Practitioners, Dublin, Ireland. IN - Delargy, Ide. Irish College of General Practitioners, Dublin, Ireland. IN - Laird, Eamon. School of Biochemistry and Immunology, Trinity College Dublin, Dublin, Ireland. IN - Van Hout, Marie Claire. School of Health Sciences, Waterford Institute of Technology, Waterford, Ireland. mcvanhout@wit.ie. IN - Van Hout, Marie Claire. Irish College of General Practitioners, Dublin, Ireland. mcvanhout@wit.ie. NJ - Harm reduction journal VO - 14 IP - 1 PG - 4 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101153624 IO - Harm Reduct J SB - Index Medicus CP - England MH - Adult MH - *Attitude of Health Personnel MH - *Cannabis MH - Female MH - General Practitioners/px [Psychology] MH - *General Practitioners/sn [Statistics & Numerical Data] MH - *Health Policy/lj [Legislation & Jurisprudence] MH - Humans MH - Ireland MH - Male MH - *Medical Marijuana MH - Middle Aged MH - *Surveys and Questionnaires KW - Cannabis; Cannabis for therapeutic purposes (CTP); Decriminalisation; General practitioner; Legalisation; Medical use AB - 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). AB - 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. AB - 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. AB - 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. RN - 0 (Medical Marijuana) ES - 1477-7517 IL - 1477-7517 DO - https://dx.doi.org/10.1186/s12954-016-0129-7 PT - Journal Article ID - 10.1186/s12954-016-0129-7 [doi] ID - 10.1186/s12954-016-0129-7 [pii] ID - PMC5237358 [pmc] PP - epublish PH - 2016/07/08 [received] PH - 2016/12/23 [accepted] LG - English EP - 20170113 DP - 2017 Jan 13 EZ - 2017/01/15 06:00 DA - 2017/11/29 06:00 DT - 2017/01/15 06:00 YR - 2017 ED - 20171122 RD - 20171128 UP - 20171129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28086792 <62. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28086792 TI - Irish general practitioner attitudes toward decriminalisation and medical use of cannabis: results from a national survey. SO - Harm Reduction Journal. 14(1):4, 2017 01 13. AS - Harm Reduct J. 14(1):4, 2017 01 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crowley D AU - Collins C AU - Delargy I AU - Laird E AU - Van Hout MC AI - Van Hout, Marie Claire; ORCID: https://orcid.org/0000-0002-0018-4060 FA - Crowley, Des FA - Collins, Claire FA - Delargy, Ide FA - Laird, Eamon FA - Van Hout, Marie Claire IN - Crowley, Des. Irish College of General Practitioners, Dublin, Ireland. IN - Collins, Claire. Irish College of General Practitioners, Dublin, Ireland. IN - Delargy, Ide. Irish College of General Practitioners, Dublin, Ireland. IN - Laird, Eamon. School of Biochemistry and Immunology, Trinity College Dublin, Dublin, Ireland. IN - Van Hout, Marie Claire. School of Health Sciences, Waterford Institute of Technology, Waterford, Ireland. mcvanhout@wit.ie. IN - Van Hout, Marie Claire. Irish College of General Practitioners, Dublin, Ireland. mcvanhout@wit.ie. NJ - Harm reduction journal VO - 14 IP - 1 PG - 4 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101153624 IO - Harm Reduct J SB - Index Medicus CP - England MH - Adult MH - *Attitude of Health Personnel MH - *Cannabis MH - Female MH - General Practitioners/px [Psychology] MH - *General Practitioners/sn [Statistics & Numerical Data] MH - *Health Policy/lj [Legislation & Jurisprudence] MH - Humans MH - Ireland MH - Male MH - *Medical Marijuana MH - Middle Aged MH - *Surveys and Questionnaires KW - *Cannabis; *Cannabis for therapeutic purposes (CTP); *Decriminalisation; *General practitioner; *Legalisation; *Medical use AB - 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). AB - 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. AB - 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. AB - 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. RN - 0 (Medical Marijuana) ES - 1477-7517 IL - 1477-7517 DO - https://dx.doi.org/10.1186/s12954-016-0129-7 PT - Journal Article ID - 10.1186/s12954-016-0129-7 [doi] ID - 10.1186/s12954-016-0129-7 [pii] ID - PMC5237358 [pmc] PP - epublish PH - 2016/07/08 [received] PH - 2016/12/23 [accepted] LG - English EP - 20170113 DP - 2017 01 13 EZ - 2017/01/15 06:00 DA - 2017/11/29 06:00 DT - 2017/01/15 06:00 YR - 2017 ED - 20171122 RD - 20180303 UP - 20180305 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28086792 <63. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27037564 TI - Internet Training Resulted in Improved Trainee Performance in a Simulated Opioid-Poisoned Patient as Measured by Checklist. SO - Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 12(3):289-94, 2016 09. AS - J Med Toxicol. 12(3):289-94, 2016 09. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kim H AU - Heverling H AU - Cordeiro M AU - Vasquez V AU - Stolbach A FA - Kim, Hong FA - Heverling, Harry FA - Cordeiro, Michael FA - Vasquez, Vanessa FA - Stolbach, Andrew IN - Kim, Hong. School of Medicine, University of Maryland, Baltimore, MD, USA. IN - Heverling, Harry. John Hopkins University, Baltimore, MD, USA. IN - Cordeiro, Michael. John Hopkins University, Baltimore, MD, USA. IN - Vasquez, Vanessa. John Hopkins University, Baltimore, MD, USA. IN - Stolbach, Andrew. John Hopkins University, Baltimore, MD, USA. astolba2@jhmi.edu. NJ - Journal of medical toxicology : official journal of the American College of Medical Toxicology VO - 12 IP - 3 PG - 289-94 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101284598 IO - J Med Toxicol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4996784 SB - Index Medicus CP - United States MH - Baltimore MH - Blood Glucose/an [Analysis] MH - *Clinical Competence MH - Combined Modality Therapy MH - *Computer-Assisted Instruction MH - Decision Trees MH - Drug Overdose/bl [Blood] MH - Drug Overdose/dt [Drug Therapy] MH - Drug Overdose/pp [Physiopathology] MH - *Drug Overdose/th [Therapy] MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/ma [Manpower] MH - Humans MH - Internet MH - Internship and Residency/ma [Manpower] MH - Medical History Taking MH - *Naloxone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - Opioid-Related Disorders/bl [Blood] MH - Opioid-Related Disorders/dt [Drug Therapy] MH - Opioid-Related Disorders/pp [Physiopathology] MH - *Opioid-Related Disorders/th [Therapy] MH - Patient Simulation MH - Physical Examination MH - Point-of-Care Testing MH - Reflex, Pupillary/de [Drug Effects] MH - Respiratory Insufficiency/et [Etiology] MH - Respiratory Insufficiency/pc [Prevention & Control] MH - Respiratory Rate/de [Drug Effects] MH - *Work Performance KW - *Medical education; *Opioids; *Simulation; *Toxicology AB - INTRODUCTION: Opioid overdose is a leading cause of death in the USA. Internet-based teaching can improve medical knowledge among trainees, but there are limited data to show the effect of Internet-based teaching on clinical competence in medical training, including management of opioid poisoning. AB - METHODS: We used an ecological design to assess the effect of an Internet-based teaching module on the management of a simulated opioid-poisoned patient. We enrolled two consecutive classes of post-graduate year-1 residents from a single emergency medicine program. The first group (RA) was instructed to read a toxicology textbook chapter and the second group (IT) took a brief Internet training module. All participants subsequently managed a simulated opioid-poisoned patient. The participants' performance was evaluated with two types of checklist (simple and time-weighted), along with global assessment scores. AB - RESULTS: Internet-trained participants performed better on both checklist scales. The difference between mean simple checklist scores by the IT and RA groups was 0.23 (95 % CI, 0.016-0.44). The difference between mean time-weighted checklist scores was 0.27 (95 % CI, 0.048-0.49). When measured by global assessment, there was no statistically significant difference between RA and IT participants. AB - CONCLUSION: These data suggest that the Internet module taught basic principles of management of the opioid-poisoned patient. In this scenario, global assessment and checklist assessment may not measure the same proficiencies. These encouraging results are not sufficient to show that this Internet tool improves clinical performance. We should assess the impact of the Internet module on performance in a true clinical environment. CI - Compliance with Ethical Standards The Johns Hopkins Medicine Institutional Review Board approved this study. Conflicts of Interest None Sources of Funding None RN - 0 (Blood Glucose) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1937-6995 IL - 1556-9039 DO - https://dx.doi.org/10.1007/s13181-016-0544-x PT - Comparative Study PT - Journal Article ID - 10.1007/s13181-016-0544-x [doi] ID - 10.1007/s13181-016-0544-x [pii] ID - PMC4996784 [pmc] PP - ppublish PH - 2015/12/22 [received] PH - 2016/03/02 [accepted] PH - 2016/02/15 [revised] LG - English EP - 20160401 DP - 2016 09 EZ - 2016/04/03 06:00 DA - 2017/11/29 06:00 DT - 2016/04/03 06:00 YR - 2016 ED - 20171122 RD - 20171206 UP - 20171206 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27037564 <64. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28509838 TI - Long-Term Effect of a Stigma-Reduction Educational Intervention for Physician Assistants. SO - The Journal of Physician Assistant Education. 28(2):92-95, 2017 Jun. AS - J Physician Assist Educ. 28(2):92-95, 2017 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crapanzano K AU - Vath RJ FA - Crapanzano, Kathleen FA - Vath, Richard J IN - Crapanzano, Kathleen. 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. NJ - The journal of physician assistant education : the official journal of the Physician Assistant Education Association VO - 28 IP - 2 PG - 92-95 PI - Journal available in: Print PI - Citation processed from: Print JC - 101298201 IO - J Physician Assist Educ SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Educational Measurement MH - Humans MH - *Physician Assistants/ed [Education] MH - *Social Stigma MH - *Substance-Related Disorders MH - Time Factors AB - 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. AB - 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). AB - 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. AB - 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. IS - 1941-9430 IL - 1941-9430 DO - https://dx.doi.org/10.1097/JPA.0000000000000117 PT - Journal Article ID - 10.1097/JPA.0000000000000117 [doi] ID - 01367895-201706000-00006 [pii] PP - ppublish LG - English DP - 2017 Jun EZ - 2017/05/17 06:00 DA - 2017/11/29 06:00 DT - 2017/05/17 06:00 YR - 2017 ED - 20171116 RD - 20171128 UP - 20171129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medl&AN=28509838 <65. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28323765 TI - Misuse of Opioids in Orthopaedic Postoperative Patients. SO - Journal of Orthopaedic Trauma. 31(4):e103-e109, 2017 Apr. AS - J Orthop Trauma. 31(4):e103-e109, 2017 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gangavalli A AU - Malige A AU - Terres G AU - Rehman S AU - Nwachuku C FA - Gangavalli, Anup FA - Malige, Ajith FA - Terres, George FA - Rehman, Saqib FA - Nwachuku, Chinenye IN - Gangavalli, Anup. *Department of Orthopaedic Surgery, St. Luke's University Health Network, Bethlehem, PA; +Temple-St. Luke's University School of Medicine, Bethlehem, PA; ++Temple University School of Medicine, Philadelphia, PA; and Department of Orthopaedic Surgery, Temple University Hospital, Philadelphia, PA. NJ - Journal of orthopaedic trauma VO - 31 IP - 4 PG - e103-e109 PI - Journal available in: Print PI - Citation processed from: Internet JC - jh4, 8807705 IO - J Orthop Trauma SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Pain MH - Educational Status MH - Employment/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Income/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Pain Measurement/de [Drug Effects] MH - Pain Measurement/sn [Statistics & Numerical Data] MH - Pain, Postoperative/di [Diagnosis] MH - *Pain, Postoperative/ep [Epidemiology] MH - *Pain, Postoperative/pc [Prevention & Control] MH - Pennsylvania/ep [Epidemiology] MH - *Prescription Drug Overuse/sn [Statistics & Numerical Data] MH - *Self Medication/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. AB - DESIGN: Ten-month survey-based study. AB - SETTING: Two Level I trauma centers (urban and suburban). AB - 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. AB - 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. AB - 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). AB - 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. AB - LEVEL OF EVIDENCE: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. RN - 0 (Analgesics, Opioid) ES - 1531-2291 IL - 0890-5339 DO - https://dx.doi.org/10.1097/BOT.0000000000000741 PT - Clinical Trial PT - Journal Article PT - Multicenter Study ID - 10.1097/BOT.0000000000000741 [doi] ID - 00005131-201704000-00014 [pii] PP - ppublish LG - English DP - 2017 Apr EZ - 2017/03/23 06:00 DA - 2017/11/09 06:00 DT - 2017/03/22 06:00 YR - 2017 ED - 20171108 RD - 20171108 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28323765 <66. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28092648 TI - Does brief chronic pain management education change opioid prescribing rates? A pragmatic trial in Australian early-career general practitioners. SO - Pain. 158(2):278-288, 2017 Feb. AS - Pain. 158(2):278-288, 2017 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holliday SM AU - Hayes C AU - Dunlop AJ AU - Morgan S AU - Tapley A AU - Henderson KM AU - van Driel ML AU - Holliday EG AU - Ball JI AU - Davey A AU - Spike NA AU - McArthur LA AU - Magin PJ FA - Holliday, Simon Mark FA - Hayes, Chris FA - Dunlop, Adrian J FA - Morgan, Simon FA - Tapley, Amanda FA - Henderson, Kim M FA - van Driel, Mieke L FA - Holliday, Elizabeth G FA - Ball, Jean I FA - Davey, Andrew FA - Spike, Neil Allan FA - McArthur, Lawrence Andrew FA - Magin, Parker John IN - Holliday, Simon Mark. aSchool of Medicine and Public Health, University of Newcastle, Newcastle NSW, AustraliabDrug and Alcohol Clinical Services, Hunter New England Local Health District, NSW, AustraliacHunter Integrated Pain Service, Hunter New England Local Health District, NSW, AustraliadGP, Elermore Vale General Practice, Newcastle, NSW, AustraliaeNSW and ACT Research and Evaluation Unit, GP Synergy, Newcastle, NSW, Australia,fDiscipline of General Practice, School of Medicine, University of Queensland, Brisbane, QLD, AustraliagPublic Health Program, Hunter Medical Research Institute, Newcastle, NSW, AustraliahCReDITSS, Hunter Medical Research Institute, Newcastle, NSW, AustraliaiEastern Victoria General Practice Training, Hawthorn, VIC, AustraliajDepartment of General Practice, University of Melbourne, Melbourne, VIC, AustraliakRural Clinical School, University of Adelaide, Adelaide, SA, Australia. NJ - Pain VO - 158 IP - 2 PG - 278-288 PI - Journal available in: Print PI - Citation processed from: Internet JC - opf, 7508686 IO - Pain SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Australia MH - *Chronic Pain/dt [Drug Therapy] MH - *Clinical Protocols MH - Cohort Studies MH - Drug Prescriptions/st [Standards] MH - Drug Prescriptions/sn [Statistics & Numerical Data] MH - Female MH - *General Practitioners/ed [Education] MH - General Practitioners/sn [Statistics & Numerical Data] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Pain Management/sn [Statistics & Numerical Data] MH - Registries AB - 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. RN - 0 (Analgesics, Opioid) ES - 1872-6623 IL - 0304-3959 DO - https://dx.doi.org/10.1097/j.pain.0000000000000755 PT - Journal Article ID - 10.1097/j.pain.0000000000000755 [doi] ID - 00006396-201702000-00012 [pii] PP - ppublish LG - English DP - 2017 Feb EZ - 2017/01/17 06:00 DA - 2017/11/09 06:00 DT - 2017/01/17 06:00 YR - 2017 ED - 20171108 RD - 20171108 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28092648 <67. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29049115 TI - An Evidence-Based Approach to the Prescription Opioid Epidemic in Orthopedic Surgery. [Review] SO - Anesthesia & Analgesia. 125(5):1704-1713, 2017 Nov. AS - Anesth Analg. 125(5):1704-1713, 2017 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Soffin EM AU - Waldman SA AU - Stack RJ AU - Liguori GA FA - Soffin, Ellen M FA - Waldman, Seth A FA - Stack, Roberta J FA - Liguori, Gregory A IN - Soffin, Ellen M. From the Department of Anesthesiology, Hospital for Special Surgery, New York, New York. NJ - Anesthesia and analgesia VO - 125 IP - 5 PG - 1704-1713 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - Attitude of Health Personnel MH - Clinical Decision-Making MH - Decision Support Techniques MH - Education, Medical, Continuing MH - Guideline Adherence MH - Habits MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Opioid-Related Disorders/di [Diagnosis] MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Orthopedic Procedures/ae [Adverse Effects] MH - Orthopedic Procedures/st [Standards] MH - Pain, Postoperative/di [Diagnosis] MH - Pain, Postoperative/ep [Epidemiology] MH - *Pain, Postoperative/pc [Prevention & Control] MH - Patient Education as Topic MH - Patient Selection MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians'/st [Standards] MH - *Practice Patterns, Physicians' MH - *Prescription Drug Misuse/pc [Prevention & Control] MH - Risk Assessment MH - Risk Factors MH - Treatment Outcome AB - Orthopedic surgery is associated with significant perioperative pain. Providing adequate analgesia is a critical component of patient care and opioids play a vital role in the acute postoperative setting. However, opioid prescribing for patients undergoing orthopedic procedures has recently been identified as a major contributor to the current opioid epidemic. As opioid usage and related morbidity and mortality continue to rise nationwide, opioid-prescribing practices are under increased scrutiny. Here, we update the evidence base and recommendations behind a set of interventions developed at the Hospital for Special Surgery to address the national epidemic at the local level. The main components of our program include (1) guidelines for managing patients who are opioid tolerant and/or have a substance abuse disorder; (2) education programs for patients, emphasizing the role of opioids in recovery after elective orthopedic surgery; (3) education programs for prescribers of controlled substances, including clinical and regulatory aspects; (4) the development of surgery-specific prescribing recommendations for opioid-naive patients; and (5) mechanisms to modify prescribing habits to limit unnecessary prescribing of controlled substances. RN - 0 (Analgesics, Opioid) ES - 1526-7598 IL - 0003-2999 DO - https://dx.doi.org/10.1213/ANE.0000000000002433 PT - Journal Article PT - Review ID - 10.1213/ANE.0000000000002433 [doi] ID - 00000539-201711000-00038 [pii] PP - ppublish LG - English DP - 2017 Nov EZ - 2017/10/20 06:00 DA - 2017/10/31 06:00 DT - 2017/10/20 06:00 YR - 2017 ED - 20171030 RD - 20171030 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=29049115 <68. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28720919 TI - Delivering Tobacco Cessation Content in the Middle East Through Interprofessional Learning. SO - American Journal of Pharmaceutical Education. 81(5):91, 2017 Jun. AS - Am J Pharm Educ. 81(5):91, 2017 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - El-Awaisi A AU - Awaisu A AU - El Hajj MS AU - Alemrayat B AU - Al-Jayyousi G AU - Wong N AU - Verjee MA FA - El-Awaisi, Alla FA - Awaisu, Ahmed FA - El Hajj, Maguy Saffouh FA - Alemrayat, Bayan FA - Al-Jayyousi, Ghadir FA - Wong, Norman FA - Verjee, Mohamud A IN - El-Awaisi, Alla. College of Pharmacy, Qatar University, Doha, Qatar. IN - Awaisu, Ahmed. College of Pharmacy, Qatar University, Doha, Qatar. IN - El Hajj, Maguy Saffouh. College of Pharmacy, Qatar University, Doha, Qatar. IN - Alemrayat, Bayan. College of Pharmacy, Qatar University, Doha, Qatar. IN - Al-Jayyousi, Ghadir. Department of Public Health, College of Health Sciences, Qatar University, Doha, Qatar. IN - Wong, Norman. School of Health Sciences, College of North Atlantic, Qatar, Doha, Qatar. IN - Verjee, Mohamud A. Weill Cornell Medicine - Qatar, Qatar, Doha, Qatar. NJ - American journal of pharmaceutical education VO - 81 IP - 5 PG - 91 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372650, 3r9 IO - Am J Pharm Educ SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Female MH - Humans MH - Male MH - Middle East MH - *Pharmacy Technicians/px [Psychology] MH - Qatar MH - *Students, Medical/px [Psychology] MH - *Students, Pharmacy/px [Psychology] MH - *Students, Public Health/px [Psychology] MH - Surveys and Questionnaires MH - *Tobacco Use Cessation/px [Psychology] MH - Young Adult KW - Middle East; attitude; curriculum; interprofessional education; tobacco cessation AB - 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. ES - 1553-6467 IL - 0002-9459 DO - https://dx.doi.org/10.5688/ajpe81591 PT - Comparative Study PT - Journal Article ID - 10.5688/ajpe81591 [doi] ID - ajpe91 [pii] ID - PMC5508090 [pmc] PP - ppublish LG - English DP - 2017 Jun EZ - 2017/07/20 06:00 DA - 2017/10/31 06:00 DT - 2017/07/20 06:00 YR - 2017 ED - 20171030 RD - 20171030 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28720919 <69. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27742490 TI - The impact of adolescent exposure to medical marijuana laws on high school completion, college enrollment and college degree completion. SO - Drug & Alcohol Dependence. 168:320-327, 2016 11 01. AS - Drug Alcohol Depend. 168:320-327, 2016 11 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Plunk AD AU - Agrawal A AU - Harrell PT AU - Tate WF AU - Will KE AU - Mellor JM AU - Grucza RA FA - Plunk, Andrew D FA - Agrawal, Arpana FA - Harrell, Paul T FA - Tate, William F FA - Will, Kelli England FA - Mellor, Jennifer M FA - Grucza, Richard A IN - Plunk, Andrew D. Department of Pediatrics, Eastern Virginia Medical School, Norfolk, VA, USA. Electronic address: plunkad@evms.edu. IN - Agrawal, Arpana. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. IN - Harrell, Paul T. Department of Pediatrics, Eastern Virginia Medical School, Norfolk, VA, USA. IN - Tate, William F. Department of Education, Washington University in St. Louis, St. Louis, MO, USA. IN - Will, Kelli England. Department of Pediatrics, Eastern Virginia Medical School, Norfolk, VA, USA. IN - Mellor, Jennifer M. Department of Economics, College of William and Mary, Williamsburg, VA, USA. IN - Grucza, Richard A. Department of Psychiatry, Washington University School of Medicine, St. Louis, MO, USA. NJ - Drug and alcohol dependence VO - 168 PG - 320-327 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ebs, 7513587 IO - Drug Alcohol Depend SB - Index Medicus CP - Ireland MH - Adolescent MH - *Educational Status MH - Female MH - Humans MH - Male MH - *Marijuana Abuse/ep [Epidemiology] MH - *Marijuana Smoking/lj [Legislation & Jurisprudence] MH - *Medical Marijuana MH - Probability MH - Risk-Taking MH - *Schools/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] MH - *Universities/sn [Statistics & Numerical Data] KW - *Adolescence; *Educational attainment; *Medical marijuana laws AB - BACKGROUND: There is concern that medical marijuana laws (MMLs) could negatively affect adolescents. To better understand these policies, we assess how adolescent exposure to MMLs is related to educational attainment. AB - METHODS: Data from the 2000 Census and 2001-2014 American Community Surveys were restricted to individuals who were of high school age (14-18) between 1990 and 2012 (n=5,483,715). MML exposure was coded as: (i) a dichotomous "any MML" indicator, and (ii) number of years of high school age exposure. We used logistic regression to model whether MMLs affected: (a) completing high school by age 19; (b) beginning college, irrespective of completion; and (c) obtaining any degree after beginning college. A similar dataset based on the Youth Risk Behavior Survey (YRBS) was also constructed for confirmatory analyses assessing marijuana use. AB - RESULTS: MMLs were associated with a 0.40 percentage point increase in the probability of not earning a high school diploma or GED after completing the 12th grade (from 3.99% to 4.39%). High school MML exposure was also associated with a 1.84 and 0.85 percentage point increase in the probability of college non-enrollment and degree non-completion, respectively (from 31.12% to 32.96% and 45.30% to 46.15%, respectively). Years of MML exposure exhibited a consistent dose response relationship for all outcomes. MMLs were also associated with 0.85 percentage point increase in daily marijuana use among 12th graders (up from 1.26%). AB - CONCLUSIONS: Medical marijuana law exposure between age 14 to 18 likely has a delayed effect on use and education that persists over time. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. CI - No conflict declared. RN - 0 (Medical Marijuana) ES - 1879-0046 IL - 0376-8716 DI - S0376-8716(16)30882-1 DO - https://dx.doi.org/10.1016/j.drugalcdep.2016.09.002 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0376-8716(16)30882-1 [pii] ID - 10.1016/j.drugalcdep.2016.09.002 [doi] ID - PMC5123757 [pmc] ID - NIHMS818762 [mid] PP - ppublish PH - 2016/06/17 [received] PH - 2016/08/31 [revised] PH - 2016/09/02 [accepted] GI - No: K02 DA032573 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA031288 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R03 CA195124 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20161011 DP - 2016 11 01 EZ - 2016/10/30 06:00 DA - 2017/10/27 06:00 DT - 2016/10/16 06:00 YR - 2016 ED - 20171025 RD - 20180122 UP - 20180122 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27742490 <70. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29049657 TI - Better. SO - JAMA. 318(15):1441-1442, 2017 Oct 17. AS - JAMA. 318(15):1441-1442, 2017 Oct 17. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gregg J FA - Gregg, Jessica IN - Gregg, Jessica. Oregon Health & Science University, Division of General Internal Medicine, Portland, Oregon. NJ - JAMA VO - 318 IP - 15 PG - 1441-1442 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcohol Drinking MH - Alcohol Withdrawal Delirium/px [Psychology] MH - *Alcohol Withdrawal Delirium/th [Therapy] MH - Homeless Persons MH - Humans MH - *Internship and Residency MH - Medical History Taking MH - Medication Errors/pc [Prevention & Control] MH - Patient Discharge MH - Physical Examination MH - Physician-Patient Relations ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2017.13537 PT - Personal Narratives ID - 2657380 [pii] ID - 10.1001/jama.2017.13537 [doi] PP - ppublish LG - English DP - 2017 Oct 17 EZ - 2017/10/20 06:00 DA - 2017/10/25 06:00 DT - 2017/10/20 06:00 YR - 2017 ED - 20171024 RD - 20171024 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=29049657 <71. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28463852 TI - Substance Use Among Nurses and Nursing Students: A Joint Position Statement of the Emergency Nurses Association and the International Nurses Society on Addictions. SO - Journal of Addictions Nursing. 28(2):104-106, 2017 Apr/Jun. AS - J ADDICT NURS. 28(2):104-106, 2017 Apr/Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Strobbe S AU - Crowley M FA - Strobbe, Stephen FA - Crowley, Melanie IN - Strobbe, Stephen. 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. NJ - Journal of addictions nursing VO - 28 IP - 2 PG - 104-106 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 IO - J Addict Nurs SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Female MH - Humans MH - Male MH - *Nurses/px [Psychology] MH - Organizational Policy MH - Societies, Nursing MH - *Students, Nursing/px [Psychology] MH - *Substance Abuse Detection MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Young Adult AB - 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. ES - 1548-7148 IL - 1088-4602 DO - https://dx.doi.org/10.1097/JAN.0000000000000150 PT - Journal Article ID - 10.1097/JAN.0000000000000150 [doi] PP - ppublish LG - English DP - 2017 Apr/Jun EZ - 2017/05/04 06:00 DA - 2017/10/24 06:00 DT - 2017/05/03 06:00 YR - 2017 ED - 20171023 RD - 20171023 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28463852 <72. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27883198 TI - Reflections on a Community Psychology Setting and the Future of the Field. SO - American Journal of Community Psychology. 58(3-4):348-353, 2016 12. AS - Am J Community Psychol. 58(3-4):348-353, 2016 12. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaufman JS AU - Connell CM AU - Crusto CA AU - Gordon DM AU - Sartor CE AU - Simon P AU - Strambler MJ AU - Sullivan TP AU - Ward NL AU - Weiss NH AU - Tebes JK FA - Kaufman, Joy S FA - Connell, Christian M FA - Crusto, Cindy A FA - Gordon, Derrick M FA - Sartor, Carolyn E FA - Simon, Patricia FA - Strambler, Michael J FA - Sullivan, Tami P FA - Ward, Nadia L FA - Weiss, Nicole Holland FA - Tebes, Jacob Kraemer IN - Kaufman, Joy S. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Connell, Christian M. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Crusto, Cindy A. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Gordon, Derrick M. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Sartor, Carolyn E. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Simon, Patricia. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Strambler, Michael J. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Sullivan, Tami P. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Ward, Nadia L. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Weiss, Nicole Holland. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. IN - Tebes, Jacob Kraemer. The Consultation Center, Division of Prevention and Community Research, Yale University School of Medicine, New Haven, CT, USA. NJ - American journal of community psychology VO - 58 IP - 3-4 PG - 348-353 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3fv, 0364535 IO - Am J Community Psychol SB - Index Medicus CP - England MH - *Community Mental Health Services/og [Organization & Administration] MH - *Community Mental Health Services/td [Trends] MH - Connecticut MH - Curriculum/td [Trends] MH - Education, Medical/og [Organization & Administration] MH - Education, Medical/td [Trends] MH - Forecasting MH - Health Personnel/ed [Education] MH - Humans MH - Interdisciplinary Communication MH - Intersectoral Collaboration MH - *Mental Disorders/pc [Prevention & Control] MH - Mentors/ed [Education] MH - Psychology, Social/ed [Education] MH - *Psychology, Social/og [Organization & Administration] MH - *Psychology, Social/td [Trends] MH - Referral and Consultation/og [Organization & Administration] MH - Referral and Consultation/td [Trends] MH - Schools, Medical/og [Organization & Administration] MH - Schools, Medical/td [Trends] MH - *Substance-Related Disorders/pc [Prevention & Control] KW - *Community psychology; *Historical context; *Settings AB - The 50th anniversary of the Swampscott Conference offers an opportunity to reflect on a community psychology setting, The Consultation Center at Yale, that was formed in response to the 1963 Community Mental Health Act and the 1965 Swampscott Conference. The Center has flourished as a community psychology setting for practice, research, and training for 39 of the 50 years since Swampscott. Its creation and existence over this period offers an opportunity for reflection on the types of settings needed to sustain the field into the future. Copyright © Society for Community Research and Action 2016. ES - 1573-2770 IL - 0091-0562 DO - https://dx.doi.org/10.1002/ajcp.12108 PT - Journal Article ID - 10.1002/ajcp.12108 [doi] ID - PMC5497455 [pmc] ID - NIHMS870832 [mid] PP - ppublish GI - No: K23 DA039327 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: L30 DA038349 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: L40 DA042454 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20161124 DP - 2016 12 EZ - 2016/11/25 06:00 DA - 2017/10/19 06:00 DT - 2016/11/25 06:00 YR - 2016 ED - 20171018 RD - 20171201 UP - 20171204 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27883198 <73. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26767534 TI - Barriers and Facilitators of HIV Care Engagement: Results of a Qualitative Study in St. Petersburg, Russia. SO - AIDS & Behavior. 20(10):2433-2443, 2016 Oct. AS - AIDS BEHAV. 20(10):2433-2443, 2016 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kuznetsova AV AU - Meylakhs AY AU - Amirkhanian YA AU - Kelly JA AU - Yakovlev AA AU - Musatov VB AU - Amirkhanian AG FA - Kuznetsova, Anna V FA - Meylakhs, Anastasia Y FA - Amirkhanian, Yuri A FA - Kelly, Jeffrey A FA - Yakovlev, Alexey A FA - Musatov, Vladimir B FA - Amirkhanian, Anastasia G IN - Kuznetsova, Anna V. Botkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia. IN - Meylakhs, Anastasia Y. Botkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia. IN - Amirkhanian, Yuri A. Botkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia. yuri@mcw.edu. IN - Amirkhanian, Yuri 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. IN - Kelly, Jeffrey 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. IN - Yakovlev, Alexey A. Botkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia. IN - Yakovlev, Alexey A. Faculty of Medicine, St. Petersburg State University, St. Petersburg, Russia. IN - Musatov, Vladimir B. Botkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia. IN - Musatov, Vladimir B. Faculty of Medicine, St. Petersburg State University, St. Petersburg, Russia. IN - Amirkhanian, Anastasia G. Botkin Hospital for Infectious Diseases, Interdisciplinary Center for AIDS Research and Training (ICART), St. Petersburg, Russia. NJ - AIDS and behavior VO - 20 IP - 10 PG - 2433-2443 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9712133 IO - AIDS Behav PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4945482 OI - Source: NLM. NIHMS752002 [Available on 10/01/17] SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - *Anti-HIV Agents/tu [Therapeutic Use] MH - Continuity of Patient Care/sn [Statistics & Numerical Data] MH - Female MH - *HIV Infections/dt [Drug Therapy] MH - HIV Infections/px [Psychology] MH - Health Services Accessibility/sn [Statistics & Numerical Data] MH - Health Status MH - Humans MH - Interviews as Topic MH - Male MH - Medication Adherence/sn [Statistics & Numerical Data] MH - Middle Aged MH - *Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - Qualitative Research MH - Russia/ep [Epidemiology] MH - *Social Stigma MH - Social Support MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] KW - HIV care linkage and retention; HIV medical care; HIV services; HIV-positive; Persons living with HIV (PLHIV); Russia AB - 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. RN - 0 (Anti-HIV Agents) ES - 1573-3254 IL - 1090-7165 DO - https://dx.doi.org/10.1007/s10461-015-1282-9 PT - Journal Article ID - 10.1007/s10461-015-1282-9 [doi] ID - 10.1007/s10461-015-1282-9 [pii] ID - PMC4945482 [pmc] ID - NIHMS752002 [mid] PP - ppublish GI - No: P30 MH052776 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH098729 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R21 MH102193 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2016 Oct EZ - 2016/01/16 06:00 DA - 2017/10/14 06:00 DT - 2016/01/16 06:00 YR - 2016 ED - 20171013 RD - 20171205 UP - 20171205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26767534 <74. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27137406 TI - Physician continuing education to reduce opioid misuse, abuse, and overdose: Many opportunities, few requirements. SO - Drug & Alcohol Dependence. 163:100-7, 2016 06 01. AS - Drug Alcohol Depend. 163:100-7, 2016 06 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davis CS AU - Carr D FA - Davis, Corey S FA - Carr, Derek IN - Davis, Corey S. Network for Public Health Law-Southeastern Region, 101 E. Weaver St. #G-7, Carrboro, NC 27510, United States. Electronic address: cdavis@networkforphl.org. IN - Carr, Derek. Network for Public Health Law-Southeastern Region, 101 E. Weaver St. #G-7, Carrboro, NC 27510, United States. Electronic address: carrderekh@gmail.com. NJ - Drug and alcohol dependence VO - 163 PG - 100-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ebs, 7513587 IO - Drug Alcohol Depend SB - Index Medicus CP - Ireland MH - Analgesics, Opioid MH - *Drug Overdose/pc [Prevention & Control] MH - *Education, Medical, Continuing MH - Humans MH - Inappropriate Prescribing MH - Legislation, Drug MH - Licensure MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Pain Management MH - *Physicians MH - *Prescription Drug Misuse/pc [Prevention & Control] MH - United States KW - *Opioid; *Overdose; *Prescription drugs; *Provider training AB - 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. AB - 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 AB - 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. AB - 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. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1879-0046 IL - 0376-8716 DI - S0376-8716(16)30027-8 DO - https://dx.doi.org/10.1016/j.drugalcdep.2016.04.002 PT - Journal Article ID - S0376-8716(16)30027-8 [pii] ID - 10.1016/j.drugalcdep.2016.04.002 [doi] PP - ppublish PH - 2016/01/16 [received] PH - 2016/04/01 [revised] PH - 2016/04/03 [accepted] LG - English EP - 20160420 DP - 2016 06 01 EZ - 2016/05/04 06:00 DA - 2017/10/11 06:00 DT - 2016/05/04 06:00 YR - 2016 ED - 20171010 RD - 20180122 UP - 20180122 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27137406 <75. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28777828 TI - Depression, anxiety, and smartphone addiction in university students- A cross sectional study. SO - PLoS ONE [Electronic Resource]. 12(8):e0182239, 2017. AS - PLoS ONE. 12(8):e0182239, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Matar Boumosleh J AU - Jaalouk D AI - Matar Boumosleh, Jocelyne; ORCID: http://orcid.org/0000-0001-5461-8920 FA - Matar Boumosleh, Jocelyne FA - Jaalouk, Doris IN - Matar Boumosleh, Jocelyne. Department of Nursing and Health Sciences, Notre Dame University-Louaize, Zouk Mosbeh, Lebanon. IN - Jaalouk, Doris. Department of Nursing and Health Sciences, Notre Dame University-Louaize, Zouk Mosbeh, Lebanon. NJ - PloS one VO - 12 IP - 8 PG - e0182239 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 101285081 IO - PLoS ONE SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - *Anxiety Disorders/ep [Epidemiology] MH - *Behavior, Addictive/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Depressive Disorder/ep [Epidemiology] MH - Female MH - Humans MH - Lebanon/ep [Epidemiology] MH - Male MH - *Smartphone/ut [Utilization] MH - *Students/px [Psychology] MH - Surveys and Questionnaires MH - Universities MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1932-6203 IL - 1932-6203 DO - https://dx.doi.org/10.1371/journal.pone.0182239 PT - Journal Article PT - Randomized Controlled Trial ID - 10.1371/journal.pone.0182239 [doi] ID - PONE-D-16-41014 [pii] ID - PMC5544206 [pmc] PP - epublish PH - 2016/10/14 [received] PH - 2017/07/14 [accepted] LG - English EP - 20170804 DP - 2017 EZ - 2017/08/05 06:00 DA - 2017/10/11 06:00 DT - 2017/08/05 06:00 YR - 2017 ED - 20171010 RD - 20171010 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28777828 <76. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28051841 TI - A review of a national training initiative to increase provider use of MAT to address the opioid epidemic. [Review] SO - American Journal on Addictions. 25(8):603-609, 2016 Dec. AS - Am J Addict. 25(8):603-609, 2016 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Levin FR AU - Bisaga A AU - Sullivan MA AU - Williams AR AU - Cates-Wessel K FA - Levin, Frances R FA - Bisaga, Adam FA - Sullivan, Maria A FA - Williams, Arthur Robin FA - Cates-Wessel, Kathryn IN - Levin, Frances R. New York State Psychiatric Institute & Department of Psychiatry, Columbia University, New York, New York. IN - Bisaga, Adam. New York State Psychiatric Institute & Department of Psychiatry, Columbia University, New York, New York. IN - Sullivan, Maria A. Department of Psychiatry, Columbia University, New York, New York. IN - Sullivan, Maria A. Alkermes, Inc., Waltham, Massachusetts. IN - Williams, Arthur Robin. New York State Psychiatric Institute & Department of Psychiatry, Columbia University, New York, New York. IN - Cates-Wessel, Kathryn. American Academy of Addiction Psychiatry, East Providence, Rhode Island. NJ - The American journal on addictions VO - 25 IP - 8 PG - 603-609 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Education/mt [Methods] MH - Education/og [Organization & Administration] MH - *Education MH - Humans MH - Medication Therapy Management/ed [Education] MH - *Opiate Substitution Treatment/mt [Methods] MH - Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/th [Therapy] MH - *Opioid-Related Disorders MH - *Physicians, Primary Care/ed [Education] MH - Public Health/mt [Methods] MH - United States/ep [Epidemiology] AB - 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. AB - 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. AB - RESULTS: Educational outreach to providers addresses the needs of patients with OUD and common co-occurring psychiatric and medical disorders. AB - 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. AB - 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). Copyright © 2016 American Academy of Addiction Psychiatry. ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/ajad.12454 PT - Journal Article PT - Review ID - 10.1111/ajad.12454 [doi] ID - PMC5486864 [pmc] ID - NIHMS865876 [mid] PP - ppublish PH - 2016/05/19 [received] PH - 2016/08/16 [revised] PH - 2016/09/11 [accepted] GI - No: K24 DA029647 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20161102 DP - 2016 Dec EZ - 2017/01/05 06:00 DA - 2017/10/11 06:00 DT - 2017/01/05 06:00 YR - 2016 ED - 20171010 RD - 20171010 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28051841 <77. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28025373 TI - Trends in Opioid Analgesic Use in Encounters Involving Physician Trainees in U.S. Emergency Departments. SO - Pain Medicine. 17(12):2389-2396, 2016 Dec. AS - PAIN MED. 17(12):2389-2396, 2016 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mazer-Amirshahi M AU - Mullins PM AU - Sun C AU - Pines JM AU - Nelson LS AU - Perrone J FA - Mazer-Amirshahi, Maryann FA - Mullins, Peter M FA - Sun, Christie FA - Pines, Jesse M FA - Nelson, Lewis S FA - Perrone, Jeanmarie IN - Mazer-Amirshahi, Maryann. *Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC. IN - Mazer-Amirshahi, Maryann. Georgetown University School of Medicine, Washington, DC. IN - Mullins, Peter M. Center for Clinical Practice Innovation, The George Washington University, Washington, DC. IN - Sun, Christie. *Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC. IN - Sun, Christie. Georgetown University School of Medicine, Washington, DC. IN - Pines, Jesse M. Center for Clinical Practice Innovation, The George Washington University, Washington, DC. IN - Pines, Jesse M. Department of Emergency Medicine, The George Washington University, Washington, DC. IN - Nelson, Lewis S. Ronald O. Perelman Department of Emergency Medicine, New York University School of Medicine, New York, New York. IN - Nelson, Lewis S. *Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC. IN - Perrone, Jeanmarie. Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania, USA. NJ - Pain medicine (Malden, Mass.) VO - 17 IP - 12 PG - 2389-2396 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Emergency Service, Hospital/sn [Statistics & Numerical Data] MH - Health Care Surveys MH - Humans MH - Internship and Residency MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - United States KW - Emergency Department; Opioids; Trainee AB - 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. AB - 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 survey-weighted logistic regression. AB - 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%). AB - CONCLUSION: Opioid utilization patterns for visits involving trainees reflect similar trends in attending practice, and highlights the more liberal opioid prescribing climate over time. Copyright © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. RN - 0 (Analgesics, Opioid) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1093/pm/pnw048 PT - Journal Article ID - pnw048 [pii] ID - 10.1093/pm/pnw048 [doi] PP - ppublish LG - English EP - 20160414 DP - 2016 Dec EZ - 2016/12/28 06:00 DA - 2017/10/04 06:00 DT - 2016/12/28 06:00 YR - 2016 ED - 20171003 RD - 20171003 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28025373 <78. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27373304 TI - ER/LA Opioid Analgesics REMS: Overview of Ongoing Assessments of Its Progress and Its Impact on Health Outcomes. SO - Pain Medicine. 18(1):78-85, 2017 01 01. AS - PAIN MED. 18(1):78-85, 2017 01 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cepeda MS AU - Coplan PM AU - Kopper NW AU - Maziere JY AU - Wedin GP AU - Wallace LE FA - Cepeda, M Soledad FA - Coplan, Paul M FA - Kopper, Nathan W FA - Maziere, Jean-Yves FA - Wedin, Gregory P FA - Wallace, Laura E IN - Cepeda, M Soledad. Department of Epidemiology, Janssen Research and Development, Titusville, New Jersey, NJ, USA. IN - Coplan, Paul M. Department of Risk Management and Epidemiology, Purdue Pharma L.P., Stamford, Connecticut, CT, USA. IN - Coplan, Paul M. Adjunct, Department of Epidemiology, University of Pennsylvania School of Medicine, Philadelphia, PA, USA. IN - Kopper, Nathan W. Department of Drug Safety, Mallinckrodt Pharmaceuticals, Inc., Hazelwood, Missouri, MO, USA. IN - Maziere, Jean-Yves. REMS, Labeling, Drug Safety, Boehringer Ingelheim Roxane, Inc./Roxane Laboratories, Inc. Columbus, Ohio, OH, USA. IN - Wedin, Gregory P. Department of Drug Safety, Upsher-Smith Laboratories, Inc., Maple Grove, Minnesota, USA. IN - Wallace, Laura E. Department of Risk Management and Epidemiology, Purdue Pharma L.P., Stamford, Connecticut, CT, USA. NJ - Pain medicine (Malden, Mass.) VO - 18 IP - 1 PG - 78-85 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Education, Medical, Continuing/mt [Methods] MH - *Health Policy/lj [Legislation & Jurisprudence] MH - Humans MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Outcome and Process Assessment (Health Care) MH - Patient Education as Topic/mt [Methods] MH - Practice Patterns, Physicians' MH - United States MH - United States Food and Drug Administration KW - *Epidemiology; *Opioid Abuse; *Opioids; *REMS AB - Objective: Opioid abuse is a serious public health concern. In response, the Food and Drug Administration (FDA) determined that a risk evaluation and mitigation strategy (REMS) for extended-release and long-acting (ER/LA) opioids was necessary to ensure that the benefits of these analgesics continue to outweigh the risks. Key components of the REMS are training for prescribers through accredited continuing education (CE), and providing patient educational materials. AB - Methods: The impact of this REMS has been assessed using diverse metrics including evaluation of prescriber and patient understanding of the risks associated with opioids; patient receipt and comprehension of the medication guide and patient counseling document; patient satisfaction with access to opioids; drug utilization and changes in prescribing patterns; and surveillance of ER/LA opioid misuse, abuse, overdose, addiction, and death. AB - Results and Conclusions: The results of these assessments indicate that the increasing rates of opioid abuse, addiction, overdose, and death observed prior to implementation of the REMS have since leveled off or started to decline. However, these benefits cannot be attributed solely to the ER/LA opioid analgesics REMS since many other initiatives to prevent abuse occurred contemporaneously. These improvements occurred while preserving patient access to opioids as a large majority of patients surveyed expressed satisfaction with their access to opioids. Copyright © 2016 American Academy of Pain Medicine. RN - 0 (Analgesics, Opioid) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1093/pm/pnw129 PT - Journal Article ID - pnw129 [pii] ID - 10.1093/pm/pnw129 [doi] ID - PMC5283702 [pmc] PP - ppublish LG - English DP - 2017 01 01 EZ - 2016/07/05 06:00 DA - 2017/09/30 06:00 DT - 2016/07/05 06:00 YR - 2017 ED - 20170929 RD - 20180308 UP - 20180308 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27373304 <79. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28746531 TI - Effective tobacco control measures: agreement among medical students. SO - Jornal Brasileiro De Pneumologia: Publicacao Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia. 43(3):202-207, 2017 May-Jun. AS - J Bras Pneumol. 43(3):202-207, 2017 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martins SR AU - Paceli RB AU - Bussacos MA AU - Fernandes FLA AU - Prado GF AU - Lombardi EMS AU - Terra-Filho M AU - Santos UP FA - Martins, Stella Regina FA - Paceli, Renato Batista FA - Bussacos, Marco Antonio FA - Fernandes, Frederico Leon Arrabal FA - Prado, Gustavo Faibischew FA - Lombardi, Elisa Maria Siqueira FA - Terra-Filho, Mario FA - Santos, Ubiratan Paula NJ - Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia VO - 43 IP - 3 PG - 202-207 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101222274 IO - J Bras Pneumol SB - Index Medicus CP - Brazil MH - Adult MH - Brazil/ep [Epidemiology] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Prevalence MH - Self Report MH - Sex Distribution MH - Sex Factors MH - *Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Time Factors MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - Objective:: To determine the level of agreement with effective tobacco control measures recommended by the World Health Organization and to assess the attitudes toward, knowledge of, and beliefs regarding smoking among third-year medical students at University of Sao Paulo School of Medicine, located in the city of Sao Paulo, Brazil. AB - Methods:: Between 2008 and 2012, all third-year medical students were invited to complete a self-administered questionnaire based on the Global Health Professionals Student Survey and its additional modules. AB - Results:: The study sample comprised 556 students. The level of agreement with the World Health Organization recommendations was high, except for the components "received smoking cessation training" and "raising taxes is effective to reduce the prevalence of smoking". Most of the students reported that they agree with banning tobacco product sales to minors (95%), believe that physicians are role models to their patients (84%), and believe that they should advise their patients to quit cigarette smoking (96%) and using other tobacco products (94%). Regarding smoking cessation methods, most of the students were found to know more about nicotine replacement therapy than about non-nicotine therapies (93% vs. 53%). Only 37% of the respondents were aware of the importance of educational antismoking materials, and only 31% reported that they believe in the effectiveness of encouraging their patients, during medical visits. In our sample, the prevalence of current cigarette smoking was 5.23%; however, 43.82% of the respondents reported having experimented with water-pipe tobacco smoking. AB - Conclusions:: Our results revealed the need to emphasize to third-year medical students the importance of raising the prices of and taxes on tobacco products. We also need to make students aware of the dangers of experimenting with tobacco products other than cigarettes, particularly water-pipe tobacco smoking. AB - Objetivo:: Determinar o grau de concordancia com medidas eficazes de controle do tabaco recomendadas pela Organizacao Mundial da Saude e avaliar as atitudes, o conhecimento e as crencas a respeito do tabagismo em alunos do terceiro ano de medicina da Faculdade de Medicina da Universidade de Sao Paulo, em Sao Paulo (SP). AB - Metodos:: Entre 2008 e 2012, todos os alunos do terceiro ano de medicina foram convidados a preencher um questionario autoaplicavel baseado na Global Health Professions Student Survey e em seus modulos adicionais. AB - Resultados:: A amostra consistiu em 556 estudantes. O grau de concordancia com as recomendacoes da Organizacao Mundial da Saude foi alto, a excecao de "receberam treinamento a respeito de cessacao do tabagismo" e "aumentar os impostos e uma medida eficaz para reduzir a prevalencia do tabagismo". A maioria dos estudantes relatou que concorda com a proibicao da venda de produtos do tabaco a menores de idade (95%), acredita que os medicos sao modelos de comportamento para seus pacientes (84%) e acredita que deveriam aconselhar seus pacientes a parar de fumar cigarros (96%) e de usar outros produtos do tabaco (94%). No tocante aos metodos de cessacao do tabagismo, observamos que a maioria dos estudantes sabe mais sobre terapia de reposicao da nicotina do que sobre terapias nao nicotinicas (93% vs. 53%). Apenas 37% dos participantes estavam cientes da importancia de material educacional antitabagismo, e apenas 31% relataram que acreditam na eficacia de incentivar seus pacientes, durante as consultas medicas, a parar de fumar. Em nossa amostra, a prevalencia de tabagismo atual foi de 5,23%; entretanto, 43,82% dos participantes relataram ter experimentado fumar tabaco com um narguile. AB - Conclusoes:: Nossos resultados revelaram a necessidade de deixar claro para os alunos do terceiro ano de medicina o quao importante e aumentar os precos e impostos dos produtos do tabaco. E tambem preciso conscientizar os alunos dos perigos de experimentar outros produtos do tabaco que nao os cigarros, particularmente o narguile. ES - 1806-3756 IL - 1806-3713 DI - S1806-37132017000300202 DO - https://dx.doi.org/10.1590/S1806-37562015000000316 PT - Journal Article ID - S1806-37132017000300202 [pii] ID - 10.1590/S1806-37562015000000316 [doi] ID - PMC5687951 [pmc] PP - ppublish PH - 2015/11/24 [received] PH - 2017/03/17 [accepted] LG - English LG - Portuguese DP - 2017 May-Jun EZ - 2017/07/27 06:00 DA - 2017/09/30 06:00 DT - 2017/07/27 06:00 YR - 2017 ED - 20170929 RD - 20171119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28746531 <80. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28363320 TI - The Prescription Opioid Addiction Treatment Study: What have we learned. SO - Drug & Alcohol Dependence. 173 Suppl 1:S48-S54, 2017 Apr 01. AS - Drug Alcohol Depend. 173 Suppl 1:S48-S54, 2017 Apr 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weiss RD AU - Rao V FA - Weiss, Roger D FA - Rao, Vinod IN - Weiss, Roger D. Division of Alcohol and Drug Abuse, McLean Hospital, 115 Mill Street, Belmont, MA 02478, USA; Department of Psychiatry, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA. Electronic address: rweiss@mclean.harvard.edu. IN - Rao, Vinod. Department of Psychiatry, Harvard Medical School, 25 Shattuck Street, Boston, MA 02115, USA; Partners HealthCare Addiction Psychiatry Fellowship, Massachusetts General Hospital, 55 Fruit Street, Boston, MA 02114, USA. Electronic address: vinod.rao@mgh.harvard.edu. NJ - Drug and alcohol dependence VO - 173 Suppl 1 PG - S48-S54 PI - Journal available in: Print PI - Citation processed from: Internet JC - ebs, 7513587 IO - Drug Alcohol Depend SB - Index Medicus CP - Ireland MH - Adult MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Buprenorphine, Naloxone Drug Combination/tu [Therapeutic Use] MH - Combined Modality Therapy MH - Counseling MH - Follow-Up Studies MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Male MH - Middle Aged MH - *Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Prescription Drug Misuse KW - Addiction; Follow-up; Opioid use disorder; Outcome; Prescription opioids; Treatment AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2017 The Author(s). Published by Elsevier B.V. All rights reserved. RN - 0 (Analgesics, Opioid) RN - 0 (Buprenorphine, Naloxone Drug Combination) ES - 1879-0046 IL - 0376-8716 DI - S0376-8716(17)30002-9 DO - https://dx.doi.org/10.1016/j.drugalcdep.2016.12.001 PT - Clinical Trial, Phase I PT - Clinical Trial, Phase II PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial ID - S0376-8716(17)30002-9 [pii] ID - 10.1016/j.drugalcdep.2016.12.001 [doi] PP - ppublish PH - 2016/07/01 [received] PH - 2016/12/16 [revised] PH - 2016/12/17 [accepted] LG - English DP - 2017 Apr 01 EZ - 2017/04/02 06:00 DA - 2017/09/28 06:00 DT - 2017/04/02 06:00 YR - 2017 ED - 20170926 RD - 20170926 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28363320 <81. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27613926 TI - Structured Smoking Cessation Training for Medical Students: A Prospective Study. SO - Nicotine & Tobacco Research. 18(12):2209-2215, 2016 12. AS - Nicotine Tob Res. 18(12):2209-2215, 2016 12. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Herold R AU - Schiekirka S AU - Brown J AU - Bobak A AU - McEwen A AU - Raupach T FA - Herold, Ronja FA - Schiekirka, Sarah FA - Brown, Jamie FA - Bobak, Alex FA - McEwen, Andy FA - Raupach, Tobias IN - Herold, Ronja. Department of Cardiology and Pneumology, University Medical Centre Gottingen, Gottingen, Germany. IN - Schiekirka, Sarah. Division of Medical Education Research and Curriculum Development, University Medical Centre Gottingen, Gottingen, Germany. IN - Brown, Jamie. Cancer Research UK Health Behaviour Research Centre, University College London, London, UK. IN - Bobak, Alex. Wandsworth Medical Centre, London, UK. IN - McEwen, Andy. National Centre for Smoking Cessation and Training, London, UK. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 18 IP - 12 PG - 2209-2215 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Adult MH - *Clinical Competence MH - *Counseling/ed [Education] MH - Counseling/mt [Methods] MH - Curriculum MH - Education, Medical, Undergraduate MH - Female MH - Germany MH - Humans MH - Male MH - Program Evaluation MH - Prospective Studies MH - *Smoking Cessation MH - Students, Medical AB - 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. AB - 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 medium-term 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. AB - 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). AB - 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. AB - 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. Copyright © The Author 2016. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. ES - 1469-994X IL - 1462-2203 PT - Journal Article PT - Observational Study PT - Research Support, Non-U.S. Gov't ID - ntw191 [pii] ID - 10.1093/ntr/ntw191 [doi] ID - PMC5103940 [pmc] PP - ppublish PH - 2016/03/22 [received] PH - 2016/07/18 [accepted] GI - No: C1417/A14135 Organization: *Cancer Research UK* Country: United Kingdom LG - English EP - 20160824 DP - 2016 12 EZ - 2016/09/11 06:00 DA - 2017/09/26 06:00 DT - 2016/09/11 06:00 YR - 2016 ED - 20170925 RD - 20180228 UP - 20180228 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27613926 <82. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27960576 TI - Alcohol and Other Drug (AOD) Education for Hospital Staff: An Integrative Literature Review. [Review] SO - Issues in Mental Health Nursing. 38(1):42-60, 2017 Jan. AS - Issues Ment Health Nurs. 38(1):42-60, 2017 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brereton R AU - Gerdtz M FA - Brereton, Rebecca FA - Gerdtz, Marie IN - Brereton, Rebecca. a Alfred Psychiatry , Melbourne , Australia. IN - Gerdtz, Marie. b School of Nursing, University of Melbourne , Melbourne , Australia. NJ - Issues in mental health nursing VO - 38 IP - 1 PG - 42-60 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gy7, 7907126 IO - Issues Ment Health Nurs SB - Nursing Journal CP - England MH - Attitude of Health Personnel MH - *Education, Medical MH - *Education, Nursing MH - Humans MH - Personnel, Hospital MH - *Substance-Related Disorders AB - 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. ES - 1096-4673 IL - 0161-2840 DO - https://dx.doi.org/10.1080/01612840.2016.1248876 PT - Journal Article PT - Review ID - 10.1080/01612840.2016.1248876 [doi] PP - ppublish LG - English EP - 20161214 DP - 2017 Jan EZ - 2016/12/15 06:00 DA - 2017/09/19 06:00 DT - 2016/12/15 06:00 YR - 2017 ED - 20170918 RD - 20170918 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27960576 <83. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28437428 TI - Prevalence of alcohol use disorders among under- and post-graduate healthcare students in Italy. SO - PLoS ONE [Electronic Resource]. 12(4):e0175719, 2017. AS - PLoS ONE. 12(4):e0175719, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lamberti M AU - Napolitano F AU - Napolitano P AU - Arnese A AU - Crispino V AU - Panariello G AU - Di Giuseppe G FA - Lamberti, Monica FA - Napolitano, Francesco FA - Napolitano, Paola FA - Arnese, Antonio FA - Crispino, Vincenzo FA - Panariello, Gianclaudio FA - Di Giuseppe, Gabriella IN - Lamberti, Monica. Department of Experimental Medicine, Section of Occupational Medicine, School of Medicine, Second University of Naples, Naples, Italy. IN - Napolitano, Francesco. Department of Experimental Medicine, Section of Hygiene, School of Medicine, Second University of Naples, Naples, Italy. IN - Napolitano, Paola. Department of Experimental Medicine, Section of Hygiene, School of Medicine, Second University of Naples, Naples, Italy. IN - Arnese, Antonio. Department of Experimental Medicine, Section of Hygiene, School of Medicine, Second University of Naples, Naples, Italy. IN - Crispino, Vincenzo. Department of Experimental Medicine, Section of Occupational Medicine, School of Medicine, Second University of Naples, Naples, Italy. IN - Panariello, Gianclaudio. Department of Experimental Medicine, Section of Occupational Medicine, School of Medicine, Second University of Naples, Naples, Italy. IN - Di Giuseppe, Gabriella. Department of Experimental Medicine, Section of Hygiene, School of Medicine, Second University of Naples, Naples, Italy. NJ - PloS one VO - 12 IP - 4 PG - e0175719 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 101285081 IO - PLoS ONE SB - Index Medicus CP - United States MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Body Mass Index MH - Cross-Sectional Studies MH - Female MH - Health Surveys MH - Humans MH - Internship and Residency/sn [Statistics & Numerical Data] MH - Italy/ep [Epidemiology] MH - Male MH - Prevalence MH - Risk-Taking MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Young Adult AB - A cross-sectional study was carried out on 641 medical students, 359 students attending a degree course in the healthcare professions, and 500 resident physicians, all undergoing health surveillance at the ambulatory of the Division of Occupational Medicine, Second University of Naples, Italy. 76.1% of the participants drank alcohol, with 85.5% of medical students, 77.4% of resident physicians, and 63% of healthcare-professions students reporting regular alcohol use. In the whole sample, the mean Audit-C score was 1.6 for men and 1.1 for women; only 5.5% of men and 7.1% of women had a hazardous alcohol consumption with an Audit-C score of respectively >=4 and >=3. Multivariate regression modeling revealed that regular alcohol use was more likely in individuals who were men, were younger, had a lower body-mass index, were active smokers, were habitual coffee drinkers, and who were resident physicians or medical students rather than healthcare-professions students. This finding identifies a need to assess alcohol use in medical-profession workers in order to identify risky behavior early on and to carry out rapidly effective preventive and curative interventions. ES - 1932-6203 IL - 1932-6203 DO - https://dx.doi.org/10.1371/journal.pone.0175719 PT - Journal Article ID - 10.1371/journal.pone.0175719 [doi] ID - PONE-D-16-15692 [pii] ID - PMC5402935 [pmc] PP - epublish PH - 2016/04/18 [received] PH - 2017/03/30 [accepted] LG - English EP - 20170424 DP - 2017 EZ - 2017/04/25 06:00 DA - 2017/09/07 06:00 DT - 2017/04/25 06:00 YR - 2017 ED - 20170906 RD - 20170906 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28437428 <84. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28159503 TI - An interprofessional education workshop to develop health professional student opioid misuse knowledge, attitudes, and skills. SO - Journal of the American Pharmacists Association: JAPhA. 57(2S):S113-S117, 2017 Mar - Apr. AS - J Am Pharm Assoc (2003). 57(2S):S113-S117, 2017 Mar - Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monteiro K AU - Dumenco L AU - Collins S AU - Bratberg J AU - MacDonnell C AU - Jacobson A AU - Dollase R AU - George P FA - Monteiro, Kristina FA - Dumenco, Luba FA - Collins, Sally FA - Bratberg, Jeffrey FA - MacDonnell, Celia FA - Jacobson, Anita FA - Dollase, Richard FA - George, Paul NJ - Journal of the American Pharmacists Association : JAPhA VO - 57 IP - 2S PG - S113-S117 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101176252 IO - J Am Pharm Assoc (2003) SB - Index Medicus CP - United States MH - Analgesics, Opioid/ae [Adverse Effects] MH - Clinical Competence MH - *Drug Overdose/dt [Drug Therapy] MH - Educational Measurement MH - *Health Knowledge, Attitudes, Practice MH - *Health Occupations/ed [Education] MH - Humans MH - Interdisciplinary Studies MH - Interprofessional Relations MH - Naloxone/ad [Administration & Dosage] MH - Opioid-Related Disorders/co [Complications] MH - Opioid-Related Disorders/dt [Drug Therapy] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Rhode Island MH - Students, Health Occupations AB - OBJECTIVE: To implement and evaluate an interprofessional workshop focused on increasing student knowledge, skills, and attitudes toward opioid misuse. AB - SETTING: The Warren Alpert Medical School of Brown University in Providence, Rhode Island, April 2016. AB - 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. AB - 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. AB - 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. AB - 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). AB - 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. Copyright © 2017 American Pharmacists Association. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) RN - 36B82AMQ7N (Naloxone) ES - 1544-3450 IL - 1086-5802 DI - S1544-3191(16)31009-3 DO - https://dx.doi.org/10.1016/j.japh.2016.12.069 PT - Journal Article ID - S1544-3191(16)31009-3 [pii] ID - 10.1016/j.japh.2016.12.069 [doi] PP - ppublish PH - 2016/09/15 [received] PH - 2016/12/01 [revised] PH - 2016/12/16 [accepted] LG - English EP - 20170131 DP - 2017 Mar - Apr EZ - 2017/02/06 06:00 DA - 2017/09/05 06:00 DT - 2017/02/05 06:00 YR - 2017 ED - 20170904 RD - 20170904 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28159503 <85. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28008576 TI - [Barriers to Addressing Pregnant Patients' Cigarette and Alcohol Use: A Focus Group Study with Gynecologists]. [German] OT - Barrieren in der Thematisierung des Tabak- und Alkoholkonsums Schwangerer in der gynakologischen Praxis. Eine Fokusgruppenstudie mit Frauenarzten. SO - Gesundheitswesen. 78(12):816-821, 2016 Dec. AS - Gesundheitswesen. 78(12):816-821, 2016 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stiegler A AU - Bieber L AU - Karacay K AU - Wernz F AU - Batra A FA - Stiegler, A FA - Bieber, L FA - Karacay, K FA - Wernz, F FA - Batra, A IN - Stiegler, A. Universitatsklinikum Tubingen, Universitatsklinik fur Psychiatrie und Psychotherapie, Tubingen. IN - Bieber, L. Universitatsklinikum Tubingen, Universitatsklinik fur Psychiatrie und Psychotherapie, Tubingen. IN - Karacay, K. Universitatsklinikum Tubingen, Universitatsklinik fur Psychiatrie und Psychotherapie, Tubingen. IN - Wernz, F. Universitatsklinikum Tubingen, Universitatsklinik fur Psychiatrie und Psychotherapie, Tubingen. IN - Batra, A. Universitatsklinikum Tubingen, Universitatsklinik fur Psychiatrie und Psychotherapie, Tubingen. NJ - Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) VO - 78 IP - 12 PG - 816-821 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bfd, 9204210 IO - Gesundheitswesen SB - Index Medicus CP - Germany MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol Drinking/px [Psychology] MH - Communication MH - Female MH - Focus Groups MH - Germany/ep [Epidemiology] MH - *Gynecology/mt [Methods] MH - Health Promotion/sn [Statistics & Numerical Data] MH - Humans MH - Informed Consent/px [Psychology] MH - Informed Consent/sn [Statistics & Numerical Data] MH - Middle Aged MH - Patient Participation/px [Psychology] MH - Patient Participation/sn [Statistics & Numerical Data] MH - Physician's Role/px [Psychology] MH - *Physician-Patient Relations MH - Practice Patterns, Physicians' MH - Pregnancy MH - *Prenatal Exposure Delayed Effects/pc [Prevention & Control] MH - *Prenatal Exposure Delayed Effects/px [Psychology] MH - *Smoking/px [Psychology] MH - Smoking Prevention MH - Young Adult AB - Objectives/Purpose: Alcohol drinking and tobacco smoking pose high health risks for the unborn child. Even though routine testing during the course of pregnancy facilitates early intervention, addressing substance use in pregnancy seems to be more difficult. The aim of the study was to identify barriers to addressing pregnant patients' cigarette and alcohol use. Methods: 2 focus groups (in total N=10 participants) were conducted with gynaecologists. The transcripts of the discussions were analysed using Mayring's approach of qualitative text analysis. Results: Avoidance of addressing substance abuse directly, the social and educational background of patients influencing the communication in this matter and the physicians' ambivalence about their limits of responsibility were barriers often mentioned by the participants. Conclusion: In view of the several structural and individual barriers among gynaecologists identified in this study, gynaecologists obviously cannot be the only health professionals taking responsibility for coping with substance abuse among pregnant women. Strategies should be designed, e.g., to standardise the identification, counselling and referral process. Physicians should receive more support in improving their competences, and effective low-threshold treatment programmes for the women affected are required. Copyright © Georg Thieme Verlag KG Stuttgart . New York. ES - 1439-4421 IL - 0941-3790 DO - https://dx.doi.org/10.1055/s-0035-1548935 PT - Journal Article ID - 10.1055/s-0035-1548935 [doi] PP - ppublish LG - German EP - 20150508 DP - 2016 Dec EZ - 2016/12/23 06:00 DA - 2017/08/24 06:00 DT - 2016/12/24 06:00 YR - 2016 ED - 20170823 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28008576 <86. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27762005 TI - Revising residents' addiction experience: a 1-week intensive course. SO - Medical Education. 50(11):1161, 2016 Nov. AS - Med Educ. 50(11):1161, 2016 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bhatraju EP AU - Chang A AU - Taff J AU - Hanley K FA - Bhatraju, Elenore Patterson FA - Chang, Andrew FA - Taff, Jessica FA - Hanley, Kathleen IN - Hanley, Kathleen. kathleen.hanley@nyumc.org. NJ - Medical education VO - 50 IP - 11 PG - 1161 PI - Journal available in: Print PI - Citation processed from: Internet JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Clinical Competence MH - Curriculum MH - Education, Medical, Graduate MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Internal Medicine MH - *Internship and Residency MH - Primary Health Care MH - *Problem-Based Learning MH - *Substance-Related Disorders/th [Therapy] ES - 1365-2923 IL - 0308-0110 DO - https://dx.doi.org/10.1111/medu.13182 PT - Journal Article ID - 10.1111/medu.13182 [doi] PP - ppublish LG - English DP - 2016 Nov EZ - 2016/10/21 06:00 DA - 2017/08/23 06:00 DT - 2016/10/21 06:00 YR - 2016 ED - 20170822 RD - 20170822 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27762005 <87. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28346049 TI - Adverse Childhood Experiences among Veterinary Medical Students: A Multi-Site Study. SO - Journal of Veterinary Medical Education. 44(2):260-267, Summer 2017. AS - J Vet Med Educ. 44(2):260-267, Summer 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Strand EB AU - Brandt J AU - Rogers K AU - Fonken L AU - Chun R AU - Conlon P AU - Lord L FA - Strand, Elizabeth B FA - Brandt, Jennifer FA - Rogers, Kenita FA - Fonken, Laurie FA - Chun, Ruthanne FA - Conlon, Peter FA - Lord, Linda NJ - Journal of veterinary medical education VO - 44 IP - 2 PG - 260-267 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - d5z, 7610519 IO - J Vet Med Educ SB - Index Medicus CP - Canada MH - Adult MH - Child MH - *Child Abuse MH - *Education, Veterinary MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - United States MH - Young Adult KW - adverse childhood experiences; depression; stress; veterinary medical education AB - This research explores Adverse Childhood Experiences (ACEs) among veterinary medical students across six academic institutions of veterinary medicine, and their relationship with depression, stress, and desire to become a veterinarian. Between April 1, 2016, and May 23, 2016, 1,118 veterinary medical students in all 4 years of the curriculum (39% response rate) completed an anonymous web-based questionnaire about ACEs, depression using the Center for Epidemiological Studies Depression scale (CESD), stress using the Perceived Stress Scale (PSS), and the age at which they wanted to become a veterinarian. Sixty-one percent (677) of respondents reported having at least one ACE. The most prevalent ACE reported was living with a household member with a mental illness (31%). Students who had experienced four or more ACEs had an approximately threefold increase in signs of clinical depression and higher than average stress when compared to students who had experienced no ACEs. The number of ACEs showed an overall graded relationship to signs of clinical depression and higher than average stress. There was no statistically significant relationship between age at which a student wanted to become a veterinarian and exposure to ACEs. Veterinary students report being exposed to ACEs before age 18 at a rate similar to that of other population-based studies. These findings do not suggest that veterinary students enter the veterinary medical education system more at risk for poor mental health due to ACEs than the general population. IS - 0748-321X IL - 0748-321X DO - https://dx.doi.org/10.3138/jvme.0816-123R PT - Journal Article PT - Multicenter Study ID - 10.3138/jvme.0816-123R [doi] PP - ppublish LG - English EP - 20170327 DP - Summer 2017 EZ - 2017/03/28 06:00 DA - 2017/08/18 06:00 DT - 2017/03/28 06:00 YR - 2017 ED - 20170817 RD - 20170817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28346049 <88. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28186713 TI - Fetal Alcohol Research Caring for Patients with Prenatal Alcohol Exposure: A Needs Assessment. SO - Journal of Population Therapeutics & Clinical Pharmacology. 24(1):e25-e39, 2017 Jan 27. AS - J Popul Ther Clin Pharmacol. 24(1):e25-e39, 2017 Jan 27. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith VC AU - Matthias P AU - Senturias YN AU - Turchi RM AU - Williams JF FA - Smith, Vincent C FA - Matthias, Phillip FA - Senturias, Yasmin N FA - Turchi, Renee M FA - Williams, Janet F IN - Smith, Vincent C. Department of Neonatology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA. IN - Matthias, Phillip. Alaska Neurodevelopmental Consultation, Soldotna, AK. IN - Senturias, Yasmin N. Developmental and Behavioral Pediatrics Division, Carolinas Healthcare System, Charlotte, NC. IN - Senturias, Yasmin N. Department of Pediatrics, University of North Carolina at Chapel Hill, Chapel Hill, NC. IN - Turchi, Renee M. Department of Pediatrics, St. Christopher's Hospital for Children, Community Health and Prevention, Drexel University School of Public Health, Philadelphia, PA. IN - Williams, Janet F. Department of Pediatrics, University of Texas School of Medicine, San Antonio, Texas. NJ - Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharamcologie clinique VO - 24 IP - 1 PG - e25-e39 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101530023 IO - J Popul Ther Clin Pharmacol SB - Index Medicus CP - Canada MH - Checklist MH - Education, Medical, Continuing MH - Female MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/px [Psychology] MH - Humans MH - Needs Assessment MH - Nurse Practitioners/px [Psychology] MH - Patient Education as Topic MH - Pediatrics MH - Pregnancy MH - Referral and Consultation MH - Risk Assessment MH - Risk Factors MH - United States KW - fetal alcohol spectrum disorder; fetal alcohol syndrome; needs assessment AB - BACKGROUND: Prenatal alcohol exposure (PAE) is the United States' most common preventable cause of birth defects and intellectual and developmental disabilities collectively referred to as Fetal Alcohol Spectrum Disorders (FASD). AB - OBJECTIVES: This study was designed to identify gaps in pediatric providers' knowledge and practices regarding FASD patient identification, diagnosis, management and referral, and to inform needs-based FASD resource development. AB - METHODS: Pediatric providers (pediatricians, trainees, nurse practitioners) were exposed to survey links embedded in newsletters electronically distributed to the membership of two national professional societies. Survey responses were compiled and analyzed using descriptive statistics. AB - RESULTS: Of the 436 respondents, 71% were pediatricians and 88.2% suspected that a child in their practice could have an FASD. Only 29.2% of respondents felt "very comfortable" diagnosing or referring an individual with suspected FASD. Merely 11.5% were satisfied with their current FASD knowledge base and practice behaviour. Most respondents (89.6%) indicated online continuing education courses as preferred learning method and suggested their knowledge and practices would be best enhanced through FASD-specific diagnostic and referral checklists or algorithms, and patient education brochures and fact sheets. AB - CONCLUSIONS: This study showed that few respondents were satisfied with their current FASD knowledge or practice behaviours. Continuing FASD education, particularly through online courses, was strongly desired. To maximize FASD recognition and optimize care for patients with FASDs, pediatric care providers must ensure that their FASD knowledge base, practice skills and provision of medical home care remain current. ES - 1710-6222 DO - https://dx.doi.org/10.22374/1710-6222.24.1.4 PT - Journal Article ID - 10.22374/1710-6222.24.1.4 [doi] PP - epublish PH - 2016/11/02 [received] LG - English EP - 20170127 DP - 2017 Jan 27 EZ - 2017/02/12 06:00 DA - 2017/08/17 06:00 DT - 2017/02/11 06:00 YR - 2017 ED - 20170816 RD - 20170816 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28186713 <89. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28562310 TI - Mental Health Services Utilization and Expenditures Among Children Enrolled in Employer-Sponsored Health Plans. SO - Pediatrics. 139(Suppl 2):S127-S135, 2017 May. AS - Pediatrics. 139(Suppl 2):S127-S135, 2017 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Walter AW AU - Yuan Y AU - Cabral HJ FA - Walter, Angela Wangari FA - Yuan, Yiyang FA - Cabral, Howard J IN - Walter, Angela Wangari. Department of Public Health, College of Health Sciences, University of Massachusetts Lowell, Lowell, Massachusetts; angela_walter@uml.edu. IN - Yuan, Yiyang. Center for Advancing Health Policy and Practice, and. IN - Cabral, Howard J. Department of Biostatistics, Boston University School of Public Health, Boston, Massachusetts; and. IN - Cabral, Howard J. Clinical and Translational Science Institute, Boston University, Boston, Massachusetts. NJ - Pediatrics VO - 139 IP - Suppl 2 PG - S127-S135 PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 IO - Pediatrics SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Behavior Therapy MH - Child MH - Child, Preschool MH - Deductibles and Coinsurance MH - Female MH - *Health Benefit Plans, Employee/ec [Economics] MH - *Health Expenditures MH - Humans MH - Male MH - *Mental Health Services/ut [Utilization] MH - Neurodevelopmental Disorders/ep [Epidemiology] MH - *Neurodevelopmental Disorders/th [Therapy] MH - United States AB - 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. AB - 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-of-pocket 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. AB - 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. AB - CONCLUSIONS: Our findings demonstrate increased mental health services use and higher out-of-pocket costs per outpatient visit after implementation of the MHPAEA. As consumer-driven 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. Copyright © 2017 by the American Academy of Pediatrics. CI - POTENTIAL CONFLICT OF INTEREST: The authors have indicated that they have no potential conflicts of interest to disclose. ES - 1098-4275 IL - 0031-4005 DO - https://dx.doi.org/10.1542/peds.2016-2786G PT - Journal Article ID - peds.2016-2786G [pii] ID - 10.1542/peds.2016-2786G [doi] PP - ppublish PH - 2017/01/12 [accepted] LG - English DP - 2017 May EZ - 2017/06/01 06:00 DA - 2017/08/08 06:00 DT - 2017/06/01 06:00 YR - 2017 ED - 20170807 RD - 20170807 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28562310 <90. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28579064 TI - Practice Patterns Among Eye Care Providers at US Teaching Hospitals With Regard to Assessing and Educating Patients About Smoking. SO - American Journal of Ophthalmology. 180:86-90, 2017 Aug. AS - Am J Ophthalmol. 180:86-90, 2017 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Landis ZC AU - Rolius R AU - Scott IU FA - Landis, Zachary C FA - Rolius, Ramunas FA - Scott, Ingrid U IN - Landis, Zachary C. Penn State Eye Center, Department of Ophthalmology, Penn State College of Medicine, Hershey, Pennsylvania. IN - Rolius, Ramunas. Penn State Eye Center, Department of Ophthalmology, Penn State College of Medicine, Hershey, Pennsylvania. IN - Scott, Ingrid U. Penn State Eye Center, Department of Ophthalmology, Penn State College of Medicine, Hershey, Pennsylvania; Department of Public Health Sciences, Penn State College of Medicine, Hershey, Pennsylvania. Electronic address: iscott@pennstatehealth.psu.edu. NJ - American journal of ophthalmology VO - 180 PG - 86-90 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3oq, 0370500 IO - Am. J. Ophthalmol. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Counseling/ed [Education] MH - Cross-Sectional Studies MH - Female MH - *Health Personnel/sn [Statistics & Numerical Data] MH - Health Surveys MH - Hospitals, Teaching MH - Humans MH - Male MH - Ophthalmologists/sn [Statistics & Numerical Data] MH - Optometry/sn [Statistics & Numerical Data] MH - *Patient Education as Topic/mt [Methods] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - Surveys and Questionnaires MH - United States AB - 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. AB - DESIGN: Cross-sectional survey. AB - 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. AB - 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. AB - 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. Copyright © 2017 Elsevier Inc. All rights reserved. ES - 1879-1891 IL - 0002-9394 DI - S0002-9394(17)30225-8 DO - https://dx.doi.org/10.1016/j.ajo.2017.05.023 PT - Journal Article ID - S0002-9394(17)30225-8 [pii] ID - 10.1016/j.ajo.2017.05.023 [doi] PP - ppublish PH - 2016/07/25 [received] PH - 2017/05/24 [revised] PH - 2017/05/25 [accepted] LG - English EP - 20170601 DP - 2017 Aug EZ - 2017/06/06 06:00 DA - 2017/08/05 06:00 DT - 2017/06/06 06:00 YR - 2017 ED - 20170804 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28579064 <91. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28441678 TI - The Addiction Recovery Clinic: A Novel, Primary-Care-Based Approach to Teaching Addiction Medicine. SO - Academic Medicine. 92(5):680-683, 2017 May. AS - Acad Med. 92(5):680-683, 2017 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holt SR AU - Segar N AU - Cavallo DA AU - Tetrault JM FA - Holt, Stephen R FA - Segar, Nora FA - Cavallo, Dana A FA - Tetrault, Jeanette M IN - Holt, Stephen 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. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 92 IP - 5 PG - 680-683 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/rh [Rehabilitation] MH - Ambulatory Care Facilities MH - *Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - Male MH - Opioid-Related Disorders/rh [Rehabilitation] MH - *Primary Health Care MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - 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. AB - 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. AB - 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. AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0000000000001480 PT - Journal Article ID - 10.1097/ACM.0000000000001480 [doi] ID - 00001888-201705000-00044 [pii] PP - ppublish LG - English DP - 2017 May EZ - 2017/04/26 06:00 DA - 2017/08/02 06:00 DT - 2017/04/26 06:00 YR - 2017 ED - 20170731 RD - 20170731 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28441678 <92. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28226336 TI - Educational Outreach to Opioid Prescribers: The Case for Academic Detailing. SO - Pain Physician. 20(2S):S147-S151, 2017 Feb. AS - Pain physician. 20(2S):S147-S151, 2017 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Trotter Davis M AU - Bateman B AU - Avorn J FA - Trotter Davis, Margot FA - Bateman, Brian FA - Avorn, Jerry IN - Trotter Davis, Margot. Brandeis University, Heller School for Social Policy and Management. IN - Bateman, Brian. Division of Pharmacoeconomics, Dept. of Medicine, Brigham and Women's Hospital. IN - Avorn, Jerry. Division of Pharmacoeconomics, Dept of Medicine, Brigham and Women's Hospital, Boston, MA; Harvard Medical School, Boston, MA. NJ - Pain physician VO - 20 IP - 2S PG - S147-S151 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100954394 IO - Pain Physician SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Humans MH - Physicians MH - Practice Patterns, Physicians' MH - *Prescription Drugs MH - Reimbursement, Incentive AB - 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-for-performance 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.Key words: Opioid abuse, opioid misuse, academic detailing, health policy, interactive education,prevention. RN - 0 (Analgesics, Opioid) RN - 0 (Prescription Drugs) ES - 2150-1149 IL - 1533-3159 PT - Journal Article PP - ppublish LG - English DP - 2017 Feb EZ - 2017/02/23 06:00 DA - 2017/07/18 06:00 DT - 2017/02/23 06:00 YR - 2017 ED - 20170717 RD - 20170717 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28226336 <93. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27655194 TI - Training Family Medicine Clerkship Students in Screening, Brief Intervention, and Referral to Treatment for Substance Use Disorders: A CERA Study. SO - Family Medicine. 48(8):618-23, 2016 Sep. AS - Fam Med. 48(8):618-23, 2016 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carlin-Menter SM AU - Malouin RA AU - WinklerPrins V AU - Danzo A AU - Blondell RD FA - Carlin-Menter, Shannon M FA - Malouin, Rebecca A FA - WinklerPrins, Vince FA - Danzo, Andrew FA - Blondell, Richard D IN - Carlin-Menter, Shannon M. Department of Family Medicine, State University of New York at Buffalo. NJ - Family medicine VO - 48 IP - 8 PG - 618-23 PI - Journal available in: Print PI - Citation processed from: Internet JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - *Clinical Clerkship/og [Organization & Administration] MH - Education, Medical, Undergraduate MH - *Family Practice/ed [Education] MH - Humans MH - *Mass Screening/mt [Methods] MH - *Referral and Consultation MH - *Students, Medical MH - *Substance-Related Disorders/th [Therapy] ES - 1938-3800 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 2016 Sep EZ - 2016/09/23 06:00 DA - 2017/07/18 06:00 DT - 2016/09/23 06:00 YR - 2016 ED - 20170717 RD - 20170817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27655194 <94. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27272425 TI - Rotation in a Smoking Cessation Clinic Improves Nicotine Dependence Treatment Provided by First-Year Internal Medicine Trainees. SO - Family Medicine. 48(6):472-6, 2016 Jun. AS - Fam Med. 48(6):472-6, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Sullivan MM AU - Hoskote SS AU - Lesko MB AU - Mallozzi CM AU - Lee YI AU - Fayanju OA AU - Haller D AU - Rashad MA AU - Khusainova E AU - Fortune D AU - Mathew R AU - Van Tassel C AU - Fried ED FA - O'Sullivan, Mary M FA - Hoskote, Sumedh S FA - Lesko, Melissa B FA - Mallozzi, Cristina M FA - Lee, Young I FA - Fayanju, Oluseyi A FA - Haller, Deborah FA - Rashad, Muhammad A FA - Khusainova, Elvina FA - Fortune, Diandra FA - Mathew, Roshen FA - Van Tassel, Chloe FA - Fried, Ethan D IN - O'Sullivan, Mary M. Department of Medicine, Division of Pulmonary and Critical Care Medicine, Mount Sinai St Luke's and Mount Sinai Roosevelt, New York, NY. NJ - Family medicine VO - 48 IP - 6 PG - 472-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - Ambulatory Care Facilities MH - Counseling/mt [Methods] MH - Hospitalization MH - Humans MH - *Internal Medicine/ed [Education] MH - Physicians MH - Prospective Studies MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - *Smoking Prevention MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/th [Therapy] MH - *Training Support AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: SCMC experience positively impacted smoking cessation treatment by IM interns, causing a measurable change in their practice. ES - 1938-3800 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 2016 Jun EZ - 2016/06/09 06:00 DA - 2017/07/14 06:00 DT - 2016/06/09 06:00 YR - 2016 ED - 20170713 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27272425 <95. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27505022 TI - Substance Misuse Education for Physicians: Why Older People are Important. [Review] SO - Yale Journal of Biology & Medicine. 89(1):97-103, 2016 Mar. AS - Yale J Biol Med. 89(1):97-103, 2016 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - De Jong CA AU - Goodair C AU - Crome I AU - Jokubonis D AU - El-Guebaly N AU - Dom G AU - Schellekens A AU - Broers B AU - Subata E AU - Welle-Strand GK AU - Luycks L AU - Wolters M AU - Schoof T FA - De Jong, Cornelis A J FA - Goodair, Christine FA - Crome, Ilana FA - Jokubonis, Darius FA - El-Guebaly, Nady FA - Dom, Geert FA - Schellekens, Arnt FA - Broers, Barbara FA - Subata, Emilis FA - Welle-Strand, Gabrielle Katrine FA - Luycks, Lonneke FA - Wolters, Michel FA - Schoof, Tamara IN - De Jong, Cornelis A J. Behavioural Science Institute, Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), Radboud University Nijmegen, The Netherlands. IN - Goodair, Christine. St. George's University of London, United Kingdom. IN - Crome, Ilana. Visiting professor, St. George's University of London, and emeritus professor, Keele University, United Kingdom. IN - Jokubonis, Darius. Kaunas Addiction Treatment Centre and Lithuanian University of Health Sciences; IN - El-Guebaly, Nady. University of Calgary, Canada. IN - Dom, Geert. Collaborative Antwerp Psychiatric Research Institute (CAPRI), Antwerp University (UA), Belgium. IN - Schellekens, Arnt. Radboud University Medical Centre, Department of Psychiatry, Donders Institute for Brain, Cognition and Behaviour, Nijmegen, The Netherlands. IN - Broers, Barbara. Unit for Dependencies in Primary Care, Department of Community Health and Primary Care, Geneva University Hospitals, Switzerland. IN - Subata, Emilis. Medical faculty of Vilnius University, Lithuania. IN - Welle-Strand, Gabrielle Katrine. Norwegian Directorate of Health, Norway. IN - Luycks, Lonneke. Radboud Centrum Sociale Wetenschappen, Radboud University Nijmegen, The Netherlands. IN - Wolters, Michel. Specialist in Addiction Medicine, TACTUS Addiction Care, Deventer, The Netherlands. IN - Schoof, Tamara. Specialist in Addiction Medicine, Vincent van Gogh Institute for Mental Health, Venlo, The Netherlands. NJ - The Yale journal of biology and medicine VO - 89 IP - 1 PG - 97-103 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 0417414 IO - Yale J Biol Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4797843 SB - Index Medicus CP - United States MH - Behavior, Addictive MH - *Education, Medical, Undergraduate MH - Humans MH - Netherlands/ep [Epidemiology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United Kingdom/ep [Epidemiology] MH - United States/ep [Epidemiology] KW - Addiction Medicine; addiction psychiatry; medical education; substance-related disorders AB - 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. ES - 1551-4056 IL - 0044-0086 PT - Journal Article PT - Review ID - PMC4797843 [pmc] PP - epublish LG - English EP - 20160324 DP - 2016 Mar EZ - 2016/08/10 06:00 DA - 2017/07/06 06:00 DT - 2016/08/10 06:00 YR - 2016 ED - 20170705 RD - 20170705 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27505022 <96. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26920077 TI - A survey of UK optometry trainees' smoking cessation training. SO - Ophthalmic & Physiological Optics. 36(4):494-502, 2016 07. AS - Ophthalmic Physiol Opt. 36(4):494-502, 2016 07. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lorencatto F AU - Harper AM AU - Francis JJ AU - Lawrenson JG FA - Lorencatto, Fabiana FA - Harper, Alice M FA - Francis, Jill J FA - Lawrenson, John G IN - Lorencatto, Fabiana. Centre for Health Services Research, School of Health Sciences, City University London, London, UK. IN - Harper, Alice M. Centre for Health Services Research, School of Health Sciences, City University London, London, UK. IN - Francis, Jill J. Centre for Health Services Research, School of Health Sciences, City University London, London, UK. IN - Lawrenson, John G. Centre for Public Health Research, School of Health Sciences, City University London, London, UK. NJ - Ophthalmic & physiological optics : the journal of the British College of Ophthalmic Opticians (Optometrists) VO - 36 IP - 4 PG - 494-502 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - onk, 8208839 IO - Ophthalmic Physiol Opt SB - Index Medicus CP - England MH - *Attitude of Health Personnel MH - *Education, Medical, Undergraduate/mt [Methods] MH - Female MH - Humans MH - Incidence MH - Male MH - *Optometry/ed [Education] MH - Risk Factors MH - *Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - United Kingdom/ep [Epidemiology] KW - *education; *optometry; *smoking; *smoking cessation; *teaching; *training AB - BACKGROUND: Smoking is a risk factor for a number of eye conditions, including age-related macular degeneration, cataracts and thyroid eye disease. Smoking cessation interventions have been shown to be highly cost-effective when delivered by a range of healthcare professionals. Optometrists are well placed to deliver smoking cessation advice to a wide population of otherwise healthy smokers. Yet optometrists remain a relatively neglected healthcare professional group in smoking cessation research and policy. Surveys of UK medical/nursing schools and of optometrists' training internationally demonstrate significant deficits in current curricular coverage regarding smoking cessation. This study aimed to identify the extent of smoking cessation training in UK optometry trainees' undergraduate and pre-registration training. AB - METHODS: All undergraduate optometry schools in the UK (n = 9) were invited to participate in a web-based survey of their curricular coverage and assessment related to smoking cessation, and of perceived barriers to delivering smoking cessation training. A content analysis of the College of Optometrists Scheme for Registration Trainee Handbook 2014 was conducted to identify competence indicators related to smoking cessation. AB - RESULTS: Nine undergraduate optometry schools (100%) responded to the survey. The majority reported dedicating limited hours (0-3) to teaching smoking cessation, and predominantly focused on teaching the harmful effects of smoking (89%). Only one school provides practical skills training for delivering evidence-based smoking cessation interventions, including very brief advice. The majority of schools (78%) reported that they did not formally examine students on their knowledge or skills for supporting smoking cessation, and rated confidence in their graduates' abilities to deliver smoking cessation interventions as 'poor' (78%). Lack of knowledge amongst staff was identified as the key barrier to teaching about smoking cessation support. The pre-registration competency framework does not include any competence indicators related to providing support for quitting smoking. AB - CONCLUSIONS: There are substantial gaps in the current curricula of UK optometry training, particularly regarding practical skills for supporting smoking cessation. Increased curricular coverage of these issues is essential to ensure trainee optometrists are adequately trained and competent in supporting patients to quit smoking. Copyright © 2016 The Authors. Ophthalmic and Physiological Optics published by John Wiley & Sons Ltd on behalf of College of Optometrists. ES - 1475-1313 IL - 0275-5408 DO - https://dx.doi.org/10.1111/opo.12290 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/opo.12290 [doi] PP - ppublish PH - 2015/11/23 [received] PH - 2016/01/29 [accepted] LG - English EP - 20160226 DP - 2016 07 EZ - 2016/02/28 06:00 DA - 2017/07/06 06:00 DT - 2016/02/28 06:00 YR - 2016 ED - 20170705 RD - 20171121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26920077 <97. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27824948 TI - Substance Use and Psychosocial Status among People Living with HIV/AIDS Who Encountered HIV Stigma in China: Stratified Analyses by Socio-Economic Status. SO - PLoS ONE [Electronic Resource]. 11(11):e0165624, 2016. AS - PLoS ONE. 11(11):e0165624, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zhang C AU - Li X AU - Liu Y AU - Qiao S AU - Zhou Y AU - Shen Z AU - Chen Y AI - Zhang, Chen; ORCID: http://orcid.org/0000-0002-8771-561X FA - Zhang, Chen FA - Li, Xiaoming FA - Liu, Yu FA - Qiao, Shan FA - Zhou, Yuejiao FA - Shen, Zhiyong FA - Chen, Yi IN - Zhang, Chen. Divison of Epidemiology, Vanderbilt University, Nashville, Tennessee, United States of America. IN - Li, Xiaoming. Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America. IN - Liu, Yu. Divison of Epidemiology, Vanderbilt University, Nashville, Tennessee, United States of America. IN - Qiao, Shan. Department of Health Promotion, Education, and Behavior, Arnold School of Public Health, University of South Carolina, Columbia, South Carolina, United States of America. IN - Zhou, Yuejiao. Department of HIV/STD Prevention, Guangxi CDC, Nanning, Guangxi, China. IN - Shen, Zhiyong. Department of HIV/STD Prevention, Guangxi CDC, Nanning, Guangxi, China. IN - Chen, Yi. Department of HIV/STD Prevention, Guangxi CDC, Nanning, Guangxi, China. NJ - PloS one VO - 11 IP - 11 PG - e0165624 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 101285081 IO - PLoS ONE SB - Index Medicus CP - United States MH - Anxiety/ep [Epidemiology] MH - Depression/ep [Epidemiology] MH - Female MH - HIV Infections/co [Complications] MH - *HIV Infections/px [Psychology] MH - Humans MH - Male MH - Psychiatric Status Rating Scales MH - Psychological Tests MH - Psychology MH - *Social Stigma MH - Socioeconomic Factors MH - Stereotyping MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] AB - 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. CI - The authors have declared that no competing interests exist. ES - 1932-6203 IL - 1932-6203 DO - https://dx.doi.org/10.1371/journal.pone.0165624 PT - Journal Article ID - 10.1371/journal.pone.0165624 [doi] ID - PONE-D-16-28225 [pii] ID - PMC5100887 [pmc] PP - epublish PH - 2016/07/14 [received] PH - 2016/10/15 [accepted] LG - English EP - 20161108 DP - 2016 EZ - 2016/11/09 06:00 DA - 2017/06/28 06:00 DT - 2016/11/09 06:00 YR - 2016 ED - 20170627 RD - 20170627 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27824948 <98. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27824872 TI - Good Psychometric Properties of the Addiction Version of the Revised Illness Perception Questionnaire for Health Care Professionals. SO - PLoS ONE [Electronic Resource]. 11(11):e0164262, 2016. AS - PLoS ONE. 11(11):e0164262, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ayu AP AU - Dijkstra B AU - Golbach M AU - De Jong C AU - Schellekens A AI - Ayu, Astri Parawita; ORCID: http://orcid.org/0000-0003-0979-1593 FA - Ayu, Astri Parawita FA - Dijkstra, Boukje FA - Golbach, Milou FA - De Jong, Cor FA - Schellekens, Arnt IN - Ayu, Astri Parawita. Department of Psychiatry, School of Medicine, Atma Jaya Catholic University of Indonesia, Jakarta, Indonesia. IN - Ayu, Astri Parawita. Nijmegen Institute for Scientist-Pracititoners in Addiction, Radboud University, Nijmegen, The Netherlands. IN - Dijkstra, Boukje. Nijmegen Institute for Scientist-Pracititoners in Addiction, Radboud University, Nijmegen, The Netherlands. IN - Golbach, Milou. Praktikon, Nijmegen, the Netherlands. IN - De Jong, Cor. Nijmegen Institute for Scientist-Pracititoners in Addiction, Radboud University, Nijmegen, The Netherlands. IN - Schellekens, Arnt. Nijmegen Institute for Scientist-Pracititoners in Addiction, Radboud University, Nijmegen, The Netherlands. IN - Schellekens, Arnt. Department of Psychiatry, Radboud University Medical Centre, Nijmegen, the Netherlands. NJ - PloS one VO - 11 IP - 11 PG - e0164262 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 101285081 IO - PLoS ONE SB - Index Medicus CP - United States MH - Adult MH - *Behavior, Addictive/px [Psychology] MH - Chronic Disease/px [Psychology] MH - Emotions/ph [Physiology] MH - Factor Analysis, Statistical MH - Female MH - *Health Personnel/px [Psychology] MH - Humans MH - Indonesia MH - Likelihood Functions MH - Male MH - Netherlands MH - *Perception/ph [Physiology] MH - *Psychometrics/mt [Methods] MH - Reproducibility of Results MH - Social Perception MH - Surveys and Questionnaires MH - Young Adult AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: The IPQ-A is a valid and reliable instrument to assess healthcare professionals' perceptions of addiction. CI - One of the authors is employed by Praktikon. This NGO provided support in the form of salaries for one of the authors MG, but did not have any additional role in the study design, data collection and analysis, decision to publish, or preparation of the manuscript. The specific roles of the authors are articulated in the 'author contributions' section. This does not alter our adherence to PLOS ONE policies, including those on sharing data and materials. ES - 1932-6203 IL - 1932-6203 DO - https://dx.doi.org/10.1371/journal.pone.0164262 PT - Journal Article ID - 10.1371/journal.pone.0164262 [doi] ID - PONE-D-16-20861 [pii] ID - PMC5100923 [pmc] PP - epublish PH - 2016/05/24 [received] PH - 2016/09/22 [accepted] LG - English EP - 20161108 DP - 2016 EZ - 2016/11/09 06:00 DA - 2017/06/28 06:00 DT - 2016/11/09 06:00 YR - 2016 ED - 20170627 RD - 20170627 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27824872 <99. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27549645 TI - Teaching tobacco cessation to large student cohorts through train-the-trainers and problem based learning strategies. SO - Education for Health. 29(2):89-94, 2016 May-Aug. AS - EDUC HEALTH. 29(2):89-94, 2016 May-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Llambi L AU - Barros M AU - Parodi C AU - Cora M AU - Garces G FA - Llambi, Laura FA - Barros, Mary FA - Parodi, Carolina FA - Cora, Mariana FA - Garces, Gaston IN - Llambi, Laura. Tobacco Cessation Unit, Internal Medicine Department, Clinics Hospital, Facultad de Medicina, Universidad de la Republica, Uruguay. IN - Barros, Mary. Department of Medical Psychology, Tobacco Cessation Unit, Facultad de Medicina, Universidad de la Republica, Uruguay. IN - Parodi, Carolina. Tobacco Cessation Unit, Internal Medicine Department, Clinics Hospital, Facultad de Medicina, Universidad de la Republica, Uruguay. IN - Cora, Mariana. Department of Medical Education, Facultad de Medicina, Universidad de la Republica, Uruguay. IN - Garces, Gaston. Department of Medical Education, Facultad de Medicina, Universidad de la Republica, Uruguay. NJ - Education for health (Abingdon, England) VO - 29 IP - 2 PG - 89-94 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9607101 IO - Educ Health (Abingdon) SB - Index Medicus CP - India MH - Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Female MH - Humans MH - Male MH - *Problem-Based Learning/mt [Methods] MH - Schools, Medical MH - Smoking/ep [Epidemiology] MH - *Students, Medical MH - Surveys and Questionnaires MH - *Teacher Training/mt [Methods] MH - *Tobacco Use Cessation/mt [Methods] MH - Uruguay MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-5804 IL - 1357-6283 DO - https://dx.doi.org/10.4103/1357-6283.188726 PT - Journal Article ID - EducHealth_2016_29_2_89_188726 [pii] ID - 10.4103/1357-6283.188726 [doi] PP - ppublish LG - English DP - 2016 May-Aug EZ - 2016/08/24 06:00 DA - 2017/06/28 06:00 DT - 2016/08/24 06:00 YR - 2016 ED - 20170627 RD - 20170817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27549645 <100. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26875061 TI - Emergency Department Prescription Opioids as an Initial Exposure Preceding Addiction. SO - Annals of Emergency Medicine. 68(2):202-8, 2016 Aug. AS - Ann Emerg Med. 68(2):202-8, 2016 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Butler MM AU - Ancona RM AU - Beauchamp GA AU - Yamin CK AU - Winstanley EL AU - Hart KW AU - Ruffner AH AU - Ryan SW AU - Ryan RJ AU - Lindsell CJ AU - Lyons MS FA - Butler, Megan M FA - Ancona, Rachel M FA - Beauchamp, Gillian A FA - Yamin, Cyrus K FA - Winstanley, Erin L FA - Hart, Kimberly W FA - Ruffner, Andrew H FA - Ryan, Shawn W FA - Ryan, Richard J FA - Lindsell, Christopher J FA - Lyons, Michael S IN - Butler, Megan M. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Ancona, Rachel M. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Beauchamp, Gillian A. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Yamin, Cyrus K. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Winstanley, Erin L. James L. Winkle College of Pharmacy and Department of Psychiatry and Behavioral Neuroscience, University of Cincinnati, Cincinnati, OH. IN - Hart, Kimberly W. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Ruffner, Andrew H. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Ryan, Shawn W. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Ryan, Richard J. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Lindsell, Christopher J. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. IN - Lyons, Michael S. Department of Emergency Medicine, University of Cincinnati, Cincinnati, OH. Electronic address: lyonsme@ucmail.uc.edu. CM - Comment in: Ann Emerg Med. 2016 Aug;68(2):209-12; PMID: 26973177 NJ - Annals of emergency medicine VO - 68 IP - 2 PG - 202-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8002646 IO - Ann Emerg Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4958587 OI - Source: NLM. NIHMS759463 [Available on 08/01/17] SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Cross-Sectional Studies MH - *Emergency Service, Hospital MH - Female MH - Hospitals, Teaching MH - Hospitals, Urban MH - Humans MH - Iatrogenic Disease MH - Male MH - *Opioid-Related Disorders/et [Etiology] MH - Practice Patterns, Physicians' MH - Prescription Drug Misuse AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2016 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1097-6760 IL - 0196-0644 DI - S0196-0644(15)01567-X DO - https://dx.doi.org/10.1016/j.annemergmed.2015.11.033 PT - Journal Article ID - PMC4958587 [pmc] ID - NIHMS759463 [mid] ID - 10.1016/j.annemergmed.2015.11.033 [doi] ID - S0196-0644(15)01567-X [pii] PP - ppublish PH - 2015/09/22 [received] PH - 2015/11/19 [revised] PH - 2015/11/23 [accepted] GI - No: UL1 TR000077 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: UL1 TR001425 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English EP - 20160211 DP - 2016 Aug EZ - 2016/02/15 06:00 DA - 2017/06/14 06:00 DT - 2016/02/15 06:00 YR - 2016 ED - 20170613 RD - 20171130 UP - 20171130 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26875061 <101. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27196642 TI - Evaluation of American Indian Health Service Training in Pain Management and Opioid Substance Use Disorder. SO - American Journal of Public Health. 106(8):1427-9, 2016 Aug. AS - Am J Public Health. 106(8):1427-9, 2016 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Katzman JG AU - Fore C AU - Bhatt S AU - Greenberg N AU - Griffin Salvador J AU - Comerci GC AU - Camarata C AU - Marr L AU - Monette R AU - Arora S AU - Bradford A AU - Taylor D AU - Dillow J AU - Karol S FA - Katzman, Joanna G FA - Fore, Chris FA - Bhatt, Snehal FA - Greenberg, Nina FA - Griffin Salvador, Julie FA - Comerci, George C FA - Camarata, Christopher FA - Marr, Lisa FA - Monette, Rebecca FA - Arora, Sanjeev FA - Bradford, Andrea FA - Taylor, Denise FA - Dillow, Jenny FA - Karol, Susan IN - Katzman, Joanna G. 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. IN - Fore, Chris. 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. IN - Bhatt, Snehal. 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. IN - Greenberg, Nina. 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. IN - Griffin Salvador, Julie. 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. IN - Comerci, George C. 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. IN - Camarata, Christopher. 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. IN - Marr, Lisa. 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. IN - Monette, Rebecca. 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. IN - Arora, Sanjeev. 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. IN - Bradford, Andrea. 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. IN - Taylor, Denise. 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. IN - Dillow, Jenny. 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. IN - Karol, Susan. 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. NJ - American journal of public health VO - 106 IP - 8 PG - 1427-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 1254074, 3xw IO - Am J Public Health SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Academic Medical Centers/og [Organization & Administration] MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - Computer-Assisted Instruction/mt [Methods] MH - Cooperative Behavior MH - *Education, Medical, Continuing/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Indians, North American MH - Inuits MH - Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/eh [Ethnology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain Management/mt [Methods] MH - Practice Patterns, Physicians' MH - Self Efficacy MH - United States MH - *United States Indian Health Service/og [Organization & Administration] AB - 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. RN - 0 (Analgesics, Opioid) ES - 1541-0048 IL - 0090-0036 DO - https://dx.doi.org/10.2105/AJPH.2016.303193 PT - Journal Article ID - 10.2105/AJPH.2016.303193 [doi] PP - ppublish LG - English EP - 20160519 DP - 2016 Aug EZ - 2016/05/20 06:00 DA - 2017/06/09 06:00 DT - 2016/05/20 06:00 YR - 2016 ED - 20170608 RD - 20170608 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27196642 <102. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28246098 TI - Opiate addiction and overdose: experiences, attitudes, and appetite for community naloxone provision. SO - British Journal of General Practice. 67(657):e267-e273, 2017 Apr. AS - Br J Gen Pract. 67(657):e267-e273, 2017 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barry T AU - Klimas J AU - Tobin H AU - Egan M AU - Bury G FA - Barry, Tomas FA - Klimas, Jan FA - Tobin, Helen FA - Egan, Mairead FA - Bury, Gerard IN - Barry, Tomas. Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. IN - Klimas, Jan. Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland; British Columbia Centre for Excellence in HIV/AIDS, Department of Medicine, St Paul's Hospital, Vancouver BC, Canada. IN - Tobin, Helen. Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. IN - Egan, Mairead. Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. IN - Bury, Gerard. Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Dublin, Ireland. NJ - The British journal of general practice : the journal of the Royal College of General Practitioners VO - 67 IP - 657 PG - e267-e273 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9005323, ark IO - Br J Gen Pract SB - Index Medicus CP - England MH - *Drug Overdose/pc [Prevention & Control] MH - Education, Medical, Graduate MH - *General Practice MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Ireland MH - Naloxone/sd [Supply & Distribution] MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/sd [Supply & Distribution] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Practice Patterns, Physicians'/og [Organization & Administration] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Preventive Health Services/og [Organization & Administration] MH - Program Development MH - Program Evaluation KW - family practice; medical education; methadone; overdose education and naloxone distribution; substance-related disorders AB - BACKGROUND: More than 200 opiate overdose deaths occur annually in Ireland. Overdose prevention and management, including naloxone prescription, should be a priority for healthcare services. Naloxone is an effective overdose treatment and is now being considered for wider lay use. AB - AIM: To establish GPs' views and experiences of opiate addiction, overdose care, and naloxone provision. AB - DESIGN AND SETTING: An anonymous postal survey to GPs affiliated with the Department of Academic General Practice, University College Dublin, Ireland. AB - METHOD: A total of 714 GPs were invited to complete an anonymous postal survey. Results were compared with a parallel GP trainee survey. AB - RESULTS: A total of 448/714 (62.7%) GPs responded. Approximately one-third of GPs were based in urban, rural, and mixed areas. Over 75% of GPs who responded had patients who used illicit opiates, and 25% prescribed methadone. Two-thirds of GPs were in favour of increased naloxone availability in the community; almost one-third would take part in such a scheme. A higher proportion of GP trainees had used naloxone to treat opiate overdose than qualified GPs. In addition, a higher proportion of GP trainees were willing to be involved in naloxone distribution than qualified GPs. Intranasal naloxone was much preferred to single (P<0.001) or multiple dose (P<0.001) intramuscular naloxone. Few GPs objected to wider naloxone availability, with 66.1% (n = 292) being in favour. AB - CONCLUSION: GPs report extensive contact with people who have opiate use disorders but provide limited opiate agonist treatment. They support wider availability of naloxone and would participate in its expansion. Development and evaluation of an implementation strategy to support GP-based distribution is urgently needed. Copyright © British Journal of General Practice 2017. RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1478-5242 IL - 0960-1643 DO - https://dx.doi.org/10.3399/bjgp17X689857 PT - Journal Article ID - bjgp17X689857 [pii] ID - 10.3399/bjgp17X689857 [doi] ID - PMC5565826 [pmc] PP - ppublish PH - 2016/09/21 [received] PH - 2016/12/07 [accepted] LG - English EP - 20170228 DP - 2017 Apr EZ - 2017/03/02 06:00 DA - 2017/06/08 06:00 DT - 2017/03/02 06:00 YR - 2017 ED - 20170607 RD - 20180401 UP - 20180402 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28246098 <103. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28346947 TI - 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. SO - Annals of Internal Medicine. 166(10):733-736, 2017 May 16. AS - Ann Intern Med. 166(10):733-736, 2017 May 16. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crowley R AU - Kirschner N AU - Dunn AS AU - Bornstein SS AU - Health and Public Policy Committee of the American College of Physicians FA - Crowley, Ryan FA - Kirschner, Neil FA - Dunn, Andrew S FA - Bornstein, Sue S FA - Health and Public Policy Committee of the American College of Physicians IN - Crowley, Ryan. From the American College of Physicians, Washington, DC. IN - Kirschner, Neil. From the American College of Physicians, Washington, DC. IN - Dunn, Andrew S. From the American College of Physicians, Washington, DC. IN - Bornstein, Sue S. From the American College of Physicians, Washington, DC. NJ - Annals of internal medicine VO - 166 IP - 10 PG - 733-736 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Chronic Disease MH - Crime MH - Drug Monitoring MH - Epidemics/pc [Prevention & Control] MH - *Health Policy MH - Humans MH - Insurance Coverage MH - Insurance, Health MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Opioid-Related Disorders/th [Therapy] MH - *Prescription Drugs/ae [Adverse Effects] MH - Risk Assessment MH - *Street Drugs/ae [Adverse Effects] MH - United States/ep [Epidemiology] AB - 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. RN - 0 (Prescription Drugs) RN - 0 (Street Drugs) ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/M16-2953 PT - Journal Article PT - Practice Guideline ID - 2613555 [pii] ID - 10.7326/M16-2953 [doi] PP - ppublish LG - English EP - 20170328 DP - 2017 May 16 EZ - 2017/03/28 06:00 DA - 2017/06/01 06:00 DT - 2017/03/28 06:00 YR - 2017 ED - 20170531 RD - 20170531 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28346947 <104. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27749932 TI - Can Social Protection Improve Sustainable Development Goals for Adolescent Health?. SO - PLoS ONE [Electronic Resource]. 11(10):e0164808, 2016. AS - PLoS ONE. 11(10):e0164808, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cluver LD AU - Orkin FM AU - Meinck F AU - Boyes ME AU - Yakubovich AR AU - Sherr L AI - Cluver, Lucie D; ORCID: http://orcid.org/0000-0002-0418-835X FA - Cluver, Lucie D FA - Orkin, F Mark FA - Meinck, Franziska FA - Boyes, Mark E FA - Yakubovich, Alexa R FA - Sherr, Lorraine IN - Cluver, Lucie D. Centre for Evidence-Based Intervention, Department of Social Policy & Social Intervention, University of Oxford, Oxford, United Kingdom. IN - Cluver, Lucie D. Department of Psychiatry and Mental Health, University of Cape Town, Cape Town, South Africa. IN - Orkin, F Mark. DPHRU, School of Clinical Medicine, and DST-NRF Centre of Excellence in Human Development, University of the Witwatersrand, Johannesburg, South Africa. IN - Meinck, Franziska. Centre for Evidence-Based Intervention, Department of Social Policy & Social Intervention, University of Oxford, Oxford, United Kingdom. IN - Boyes, Mark E. Centre for Evidence-Based Intervention, Department of Social Policy & Social Intervention, University of Oxford, Oxford, United Kingdom. IN - Boyes, Mark E. Health Psychology and Behavioural Medicine Research Group, School of Psychology and Speech Pathology, Curtin University, Perth, Australia. IN - Yakubovich, Alexa R. Centre for Evidence-Based Intervention, Department of Social Policy & Social Intervention, University of Oxford, Oxford, United Kingdom. IN - Sherr, Lorraine. Department of Infection & Population Health, University College London, London, United Kingdom. NJ - PloS one VO - 11 IP - 10 PG - e0164808 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 101285081 IO - PLoS ONE SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Health MH - Child MH - Demography MH - Female MH - HIV Infections/pc [Prevention & Control] MH - Humans MH - Logistic Models MH - Longitudinal Studies MH - Male MH - Mental Health/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Poverty MH - Risk Factors MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - *Social Support MH - Substance-Related Disorders/ep [Epidemiology] MH - Violence/sn [Statistics & Numerical Data] AB - 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. AB - 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. AB - 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. AB - 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. CI - The authors have declared that no competing interests exist. ES - 1932-6203 IL - 1932-6203 DO - https://dx.doi.org/10.1371/journal.pone.0164808 PT - Journal Article ID - 10.1371/journal.pone.0164808 [doi] ID - PONE-D-16-14602 [pii] ID - PMC5066949 [pmc] PP - epublish PH - 2016/04/11 [received] PH - 2016/10/01 [accepted] LG - English EP - 20161017 DP - 2016 EZ - 2016/10/18 06:00 DA - 2017/06/01 06:00 DT - 2016/10/18 06:00 YR - 2016 ED - 20170531 RD - 20170531 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27749932 <105. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28155734 TI - [Contribution of therapeutic patient education to addiction medicine]. [Review] [French] OT - Ce que leducation therapeutique peut apporter a laddictologie. SO - Sante Publique (Vandoeuvre-Les-Nancey). 28(5):591-597, 2016 Nov 25. AS - Sante Publique. 28(5):591-597, 2016 Nov 25. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de la Tribonniere X AU - Jacquet JM AU - Vidal J AU - Donnadieu Rigole H FA - de la Tribonniere, Xavier FA - Jacquet, Jean-Marc FA - Vidal, Johann FA - Donnadieu Rigole, Helene NJ - Sante publique (Vandoeuvre-les-Nancy, France) VO - 28 IP - 5 PG - 591-597 PI - Journal available in: Print PI - Citation processed from: Print JC - czl, 9216153 IO - Sante Publique SB - Index Medicus CP - France MH - Behavior, Addictive/ep [Epidemiology] MH - *Behavior, Addictive/th [Therapy] MH - France/ep [Epidemiology] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Patient Care Team/sn [Statistics & Numerical Data] MH - *Patient Education as Topic MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] AB - TPE can improve the efficacy of addiction medicine, for the benefit of patients and staff. It can help the patient withdraw from addiction, or at least achieve a better quality of life with this chronic condition.. IS - 0995-3914 IL - 0995-3914 PT - Journal Article PT - Review PP - ppublish LG - French DP - 2016 Nov 25 EZ - 2017/02/06 06:00 DA - 2017/05/24 06:00 DT - 2017/02/04 06:00 YR - 2016 ED - 20170523 RD - 20170523 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28155734 <106. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27351434 TI - [Nutrition, physical activity and substance use in children and adolescents : Representative results of the federal state module Thuringia in KiGGS wave 1]. [German] OT - Ernahrung, Bewegung und Substanzkonsum von Kindern und Jugendlichen : Reprasentative Ergebnisse des Landesmoduls Thuringen in KiGGS Welle 1. SO - Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz. 59(8):1005-16, 2016 Aug. AS - Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 59(8):1005-16, 2016 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krause L AU - Anding C AU - Kamtsiuris P AU - KiGGS Study Group FA - Krause, Laura FA - Anding, Christine FA - Kamtsiuris, Panagiotis FA - KiGGS Study Group IN - Krause, Laura. Abteilung fur Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Str. 62-66, 12101, Berlin, Deutschland. krausel@rki.de. IN - Anding, Christine. Referat "Medizinische Grundsatzfragen, Heilberufe, Pharmaziewesen", Thuringer Ministerium fur Arbeit, Soziales, Gesundheit, Frauen und Familie, Erfurt, Deutschland. IN - Kamtsiuris, Panagiotis. Abteilung fur Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Str. 62-66, 12101, Berlin, Deutschland. NJ - Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz VO - 59 IP - 8 PG - 1005-16 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101181368 IO - Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz SB - Index Medicus CP - Germany MH - Adolescent MH - *Adolescent Health/sn [Statistics & Numerical Data] MH - Age Distribution MH - Child MH - *Child Health/sn [Statistics & Numerical Data] MH - Child, Preschool MH - *Exercise MH - Female MH - Germany/ep [Epidemiology] MH - Health Behavior MH - Health Care Surveys MH - Health Status MH - Humans MH - Male MH - *Nutritional Status MH - Prevalence MH - *Sports/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Young Adult KW - *Children and adolescents; *Federal state module Thuringia; *Health-related behaviour; *KiGGS wave 1; *Risk behaviour AB - The term health behaviour combines both health-promoting and health-risk components. In this study, the health behaviour of children and adolescents in Thuringia is analysed. The database was a representative subsample of the federal state module Thuringia, which was conducted by the Robert Koch Institute as part of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) wave 1 (2010-2012; n = 4,096; 3-17 years). Health behaviour was described based on nine indicators: fruit and vegetable consumption, soft drink consumption, breakfast at home, physical activity, sport, swimming ability, alcohol consumption, smoking and water pipe consumption (shisha smoking). Prevalence and mean values with 95% confidence intervals were reported, and based on logistic or linear regression, the significance of the group differences was examined. The results show that 43.4% of children and adolescents in Thuringia ate fruits and vegetables daily, 44.5% consumed soft drinks less than once a week, and 67.9% had breakfast at home every weekday. In addition, 31.0% of children and adolescents in Thuringia were physically active at least 60 min a day, 69.8% did sports for at least 2 h a week, and 81.5% can swim. Additionally, 15.9% of adolescents in Thuringia had hazardous alcohol consumption, 14.4% currently smoked, and 20.0% smoked a water pipe. Differences existed with regard to gender, age, socio-economic status (SES) of the family and residence (urban/rural). In summary, many of the children and adolescents in Thuringia demonstrate relatively positive health behaviour. However, the results also indicate groups at higher risk of unhealthy behaviour, such as children and adolescents from families with low SES. ES - 1437-1588 IL - 1436-9990 DO - https://dx.doi.org/10.1007/s00103-016-2386-8 PT - Journal Article ID - 10.1007/s00103-016-2386-8 [doi] ID - 10.1007/s00103-016-2386-8 [pii] PP - ppublish LG - German DP - 2016 Aug EZ - 2016/06/29 06:00 DA - 2017/05/18 06:00 DT - 2016/06/29 06:00 YR - 2016 ED - 20170517 RD - 20170517 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27351434 <107. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28146243 TI - Effect of a Brief Memory Updating Intervention on Smoking Behavior: A Randomized Clinical Trial. SO - JAMA Psychiatry. 74(3):214-223, 2017 Mar 01. AS - JAMA Psychiatry. 74(3):214-223, 2017 Mar 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Germeroth LJ AU - Carpenter MJ AU - Baker NL AU - Froeliger B AU - LaRowe SD AU - Saladin ME FA - Germeroth, Lisa J FA - Carpenter, Matthew J FA - Baker, Nathaniel L FA - Froeliger, Brett FA - LaRowe, Steven D FA - Saladin, Michael E IN - Germeroth, Lisa J. Department of Health Sciences and Research, Medical University of South Carolina, Charleston2Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston. IN - Carpenter, Matthew J. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston3Hollings Cancer Center, Medical University of South Carolina, Charleston. IN - Baker, Nathaniel L. Department of Public Health Sciences, Medical University of South Carolina, Charleston. IN - Froeliger, Brett. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston5Department of Neuroscience, Medical University of South Carolina, Charleston. IN - LaRowe, Steven D. Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston6Mental Health Service Line, Ralph H. Johnson VA Medical Center, Charleston, South Carolina. IN - Saladin, Michael E. Department of Health Sciences and Research, Medical University of South Carolina, Charleston2Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston. NJ - JAMA psychiatry VO - 74 IP - 3 PG - 214-223 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101589550 IO - JAMA Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Craving MH - Cues MH - Extinction, Psychological MH - Female MH - Follow-Up Studies MH - Humans MH - *Learning MH - Male MH - Mental Recall MH - Middle Aged MH - Prospective Studies MH - Recurrence MH - *Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] MH - *Smoking Prevention MH - Young Adult AB - 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. AB - Objective: To build on these impressive findings by examining whether R-E training could attenuate smoking-related craving and behavior. AB - 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 participants were 168 screened volunteer smokers, of whom 88 were randomized; 72 of these 88 participants (81.8%) attended all the follow-up sessions through 1 month. The primary eligibility criteria were current nicotine dependence (DSM criteria), smoking 10 or more cigarettes per day, and a willingness to attempt smoking cessation. AB - 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). AB - Main Outcomes and Measures: Primary outcomes were 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. AB - 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: t1225=2.1, P=.04, d=0.44, and DELTA=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: F1,68=5.4, P=.02, d=0.50, and DELTA=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). AB - 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 differences were 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. AB - Trial Registration: clinicaltrials.gov Identifier: NCT02154685. ES - 2168-6238 IL - 2168-622X DO - https://dx.doi.org/10.1001/jamapsychiatry.2016.3148 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial ID - 2600224 [pii] ID - 10.1001/jamapsychiatry.2016.3148 [doi] PP - ppublish SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT02154685 SL - https://clinicaltrials.gov/search/term=NCT02154685 GI - No: R01 DA035247 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R21 DA035993 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: UL1 RR029882 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: UL1 TR000062 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English DP - 2017 Mar 01 EZ - 2017/02/02 06:00 DA - 2017/05/16 06:00 DT - 2017/02/02 06:00 YR - 2017 ED - 20170515 RD - 20180425 UP - 20180425 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=28146243 <108. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27919103 TI - Primary Care-Based Models for the Treatment of Opioid Use Disorder: A Scoping Review. [Review] SO - Annals of Internal Medicine. 166(4):268-278, 2017 Feb 21. AS - Ann Intern Med. 166(4):268-278, 2017 Feb 21. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Korthuis PT AU - McCarty D AU - Weimer M AU - Bougatsos C AU - Blazina I AU - Zakher B AU - Grusing S AU - Devine B AU - Chou R FA - Korthuis, P Todd FA - McCarty, Dennis FA - Weimer, Melissa FA - Bougatsos, Christina FA - Blazina, Ian FA - Zakher, Bernadette FA - Grusing, Sara FA - Devine, Beth FA - Chou, Roger IN - Korthuis, P Todd. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - McCarty, Dennis. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - Weimer, Melissa. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - Bougatsos, Christina. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - Blazina, Ian. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - Zakher, Bernadette. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - Grusing, Sara. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - Devine, Beth. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. IN - Chou, Roger. From Oregon Health & Science University, Portland, Oregon, and University of Washington, Seattle, Washington. CM - Comment in: Ann Intern Med. 2017 Feb 21;166(4):307-308; PMID: 27919106 NJ - Annals of internal medicine VO - 166 IP - 4 PG - 268-278 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Buprenorphine/tu [Therapeutic Use] MH - Combined Modality Therapy MH - Education, Medical, Continuing MH - Health Education MH - Humans MH - Naltrexone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opiate Substitution Treatment MH - Opioid-Related Disorders/co [Complications] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Primary Health Care/og [Organization & Administration] MH - Psychotherapy AB - Greater integration of medication-assisted treatment (MAT) for opioid use disorder (OUD) in U.S. primary care settings would expand access to treatment for this condition. Models for integrating MAT into primary care vary in structure. This article summarizes findings of a technical report for the Agency for Healthcare Research and Quality describing MAT models of care for OUD, based on a literature review and interviews with key informants in the field. The report describes 12 representative models of care for integrating MAT into primary care settings that could be considered for adaptation across diverse health care settings. Common components of existing care models include pharmacotherapy with buprenorphine or naltrexone, provider and community education, coordination and integration of OUD treatment with other medical and psychological needs, and psychosocial services and interventions. Models vary in how each component is implemented. Decisions about adopting MAT models of care should be individualized to address the unique milieu of each implementation setting. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) RN - 5S6W795CQM (Naltrexone) ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/M16-2149 PT - Journal Article PT - Review ID - 2589794 [pii] ID - 10.7326/M16-2149 [doi] ID - PMC5504692 [pmc] ID - NIHMS870055 [mid] PP - ppublish GI - No: P50 DA010233 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA037441 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: UG1 DA015815 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20161206 DP - 2017 Feb 21 EZ - 2016/12/06 06:00 DA - 2017/05/13 06:00 DT - 2016/12/06 06:00 YR - 2017 ED - 20170512 RD - 20171207 UP - 20171207 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=27919103 <109. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27450751 TI - Prevalence of Substance Abuse Among Oral and Maxillofacial Surgery Residents From 2006 to 2015. SO - Journal of Oral & Maxillofacial Surgery. 74(12):2351-2358, 2016 Dec. AS - J Oral Maxillofac Surg. 74(12):2351-2358, 2016 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eckert PP AU - Finkelman M AU - Rosenberg MB FA - Eckert, Pasquale P FA - Finkelman, Matthew FA - Rosenberg, Morton B IN - Eckert, Pasquale P. Dental Student, Tufts University Schools of Medicine and Dental Medicine, Boston, MA. Electronic address: pasqualepeckert@gmail.com. IN - Finkelman, Matthew. Associate Professor and Director, Division of Biostatistics and Experimental Design, Tufts University Schools of Medicine and Dental Medicine, Boston, MA. IN - Rosenberg, Morton 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, MA. NJ - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons VO - 74 IP - 12 PG - 2351-2358 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - jic, 8206428 IO - J. Oral Maxillofac. Surg. SB - Core Clinical Journals (AIM) SB - Dental Journals SB - Index Medicus CP - United States MH - Cross-Sectional Studies MH - Humans MH - *Internship and Residency MH - Prevalence MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Surgeons/px [Psychology] MH - *Surgery, Oral/ed [Education] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - 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. AB - 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. AB - 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%. AB - 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. Copyright © 2016 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved. ES - 1531-5053 IL - 0278-2391 DI - S0278-2391(16)30494-3 DO - https://dx.doi.org/10.1016/j.joms.2016.06.176 PT - Journal Article ID - S0278-2391(16)30494-3 [pii] ID - 10.1016/j.joms.2016.06.176 [doi] PP - ppublish PH - 2016/05/04 [received] PH - 2016/06/16 [revised] PH - 2016/06/17 [accepted] LG - English EP - 20160625 DP - 2016 Dec EZ - 2016/07/28 06:00 DA - 2017/05/04 06:00 DT - 2016/07/25 06:00 YR - 2016 ED - 20170502 RD - 20170817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27450751 <110. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27192216 TI - Mental health in medical residents: relationship with personal, work-related, and sociodemographic variables. SO - Revista Brasileira de Psiquiatria. 38(4):318-324, 2016 Oct-Dec. AS - Rev Bras Psiquiatr. 38(4):318-324, 2016 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pereira-Lima K AU - Loureiro SR AU - Crippa JA FA - Pereira-Lima, Karina FA - Loureiro, Sonia R FA - Crippa, Jose A IN - Pereira-Lima, Karina. Programa de Pos-Graduacao em Saude Mental, Departamento de Neurociencias e Ciencias do Comportamento, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo (USP), Ribeirao Preto, SP, Brazil. IN - Loureiro, Sonia R. Programa de Pos-Graduacao em Saude Mental, Departamento de Neurociencias e Ciencias do Comportamento, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo (USP), Ribeirao Preto, SP, Brazil. IN - Crippa, Jose A. Programa de Pos-Graduacao em Saude Mental, Departamento de Neurociencias e Ciencias do Comportamento, Faculdade de Medicina de Ribeirao Preto, Universidade de Sao Paulo (USP), Ribeirao Preto, SP, Brazil. NJ - Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) VO - 38 IP - 4 PG - 318-324 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100895975 IO - Rev Bras Psiquiatr SB - Index Medicus CP - Brazil MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - *Anxiety Disorders/ep [Epidemiology] MH - Anxiety Disorders/px [Psychology] MH - Brazil/ep [Epidemiology] MH - *Burnout, Professional/ep [Epidemiology] MH - Burnout, Professional/px [Psychology] MH - *Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/px [Psychology] MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Logistic Models MH - Male MH - *Mental Health MH - Multivariate Analysis MH - Personality Inventory MH - Socioeconomic Factors MH - Surveys and Questionnaires MH - Workload AB - Objective:: To examine association of sociodemographic characteristics, personality traits, social skills, and work variables with anxiety, depression, and alcohol dependence in medical residents. AB - Methods:: A total of 270 medical residents completed the following self-report instruments: sociodemographic and work questionnaire, Patient Health Questionnaire-4 (PHQ-4), Alcohol Use Disorders Identification Test-3 (AUDIT-3), Revised NEO-Five Factor Inventory (NEO-FFI-R), and Social Skills Inventory (SSI-Del-Prette). Data were analyzed using descriptive statistics and univariate and multivariate logistic regression analyses. AB - Results:: Multivariate analysis showed an association of neuroticism (odds ratio [OR] 2.60, p < 0.001), social skills (OR 0.41, p < 0.01), and number of shifts (OR 1.91, p = 0.03) with anxiety or depression, and of male sex (OR 3.14, p = 0.01), surgical residency (OR 4.40, p = 0.001), extraversion (OR 1.80, p < 0.01), and number of shifts (OR 2.32, p = 0.04) with alcohol dependence. AB - Conclusion:: The findings support a multidetermined nature of mental health problems in medical residents, in addition to providing data that may assist in the design of preventive measures to protect the mental health of this group. ES - 1809-452X IL - 1516-4446 DI - S1516-44462016000400318 DO - https://dx.doi.org/10.1590/1516-4446-2015-1882 PT - Journal Article ID - S1516-44462016005006103 [pii] ID - 10.1590/1516-4446-2015-1882 [doi] PP - ppublish PH - 2015/12/04 [received] PH - 2016/01/15 [accepted] LG - English EP - 20160517 DP - 2016 Oct-Dec EZ - 2016/05/19 06:00 DA - 2017/05/04 06:00 DT - 2016/05/19 06:00 YR - 2016 ED - 20170502 RD - 20170502 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27192216 <111. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27191587 TI - Social Workers as Workplace-Based Instructors of Alcohol and Drug Screening, Brief Intervention, and Referral to Treatment (SBIRT) for Emergency Medicine Residents. SO - Teaching & Learning in Medicine. 28(3):303-13, 2016 Jul-Sep. AS - Teach Learn Med. 28(3):303-13, 2016 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Duong DK AU - O'Sullivan PS AU - Satre DD AU - Soskin P AU - Satterfield J FA - Duong, David K FA - O'Sullivan, Patricia S FA - Satre, Derek D FA - Soskin, Philippa FA - Satterfield, Jason IN - Duong, David K. a Department of Emergency Medicine , University of California, San Francisco School of Medicine , San Francisco , California , USA. IN - O'Sullivan, Patricia S. b Department of Medicine , University of California, San Francisco School of Medicine , San Francisco , California , USA. IN - Satre, Derek D. c Department of Psychiatry , University of California, San Francisco School of Medicine , San Francisco , California , USA. IN - Soskin, Philippa. d Department of Emergency Medicine , MedStar Georgetown University Hospital , Washington , DC , USA. IN - Satterfield, Jason. b Department of Medicine , University of California, San Francisco School of Medicine , San Francisco , California , USA. NJ - Teaching and learning in medicine VO - 28 IP - 3 PG - 303-13 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dx5, 8910884 IO - Teach Learn Med SB - Index Medicus CP - United States MH - Adult MH - Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Educational Measurement MH - *Emergency Medicine/ed [Education] MH - Female MH - Humans MH - Internship and Residency MH - Male MH - Mass Screening MH - Motivational Interviewing MH - Program Development MH - San Francisco MH - *Social Workers MH - *Substance-Related Disorders/di [Diagnosis] KW - emergency medicine; interprofessional education; residency education; substance abuse; workplace-based learning AB - PROBLEM: Residency education is challenged by a shortage of personnel and time, particularly for teaching behavioral interventions such as screening, brief intervention, and referral to treatment (SBIRT) to reduce hazardous drinking and drug use. However, social workers may be well placed to teach SBIRT in clinical training settings. AB - INTERVENTION: We describe a curriculum with social workers as SBIRT trainers of emergency medicine (EM) residents during actual clinical shifts in an EM residency training program. The curriculum required 1 EM faculty member working with social workers and 1 additional hour of formal residency conference teaching time. AB - CONTEXT: We implemented the curriculum at both a university tertiary care hospital emergency department and a county trauma center. We trained 8 social workers at both sites as SBIRT superusers to teach and assess EM resident SBIRT performance with actual patients. We measured the length and number of sessions to attain SBIRT competence, residents' satisfaction, and resident comments (coded by authors). AB - OUTCOME: Five of the 8 social workers trained residents between June 2013 and May 2014, 31 EM residents trained to a level indicating SBIRT competence with 114 patients. Each patient interaction averaged 8.8 minutes and residents averaged 3.13 patients. Twenty-four (77%) residents gave ratings of 1.58 (SD = .58) for the quality of teaching, 2.33 (SD = .87) for recommending the training to a colleague, 1.38 (SD = .49) for superusers' knowledge, 1.88 (SD = .95) for usefulness of instruction, 1.54 (SD = .72) for workplace learning, and 1.58 (SD = .78) for valuing learning from social workers (on a scale of 1 [very satisfied/strongly agree] to 5 [very dissatisfied/strongly disagree]). Residents preferred learning SBIRT during the 1st and 2nd training years and in the workplace. AB - LESSONS LEARNED: Social work colleagues can be effective in teaching SBIRT to residents in the workplace, and our residents highly valued learning from social workers, who all had prior training in motivational interviewing. In the implementation of this curriculum, the clinical demands of residents must be taken into account when teaching occurs, and having multiple social worker instructors was instrumental. ES - 1532-8015 IL - 1040-1334 DO - https://dx.doi.org/10.1080/10401334.2016.1164049 PT - Journal Article ID - 10.1080/10401334.2016.1164049 [doi] PP - ppublish LG - English EP - 20160518 DP - 2016 Jul-Sep EZ - 2016/05/19 06:00 DA - 2017/04/19 06:00 DT - 2016/05/19 06:00 YR - 2016 ED - 20170418 RD - 20170418 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27191587 <112. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26747628 TI - Training Future Physicians to Deliver Tobacco Cessation Treatment. SO - Journal of General Internal Medicine. 31(2):144-6, 2016 02. AS - J Gen Intern Med. 31(2):144-6, 2016 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rigotti NA FA - Rigotti, Nancy A IN - Rigotti, Nancy A. Tobacco Research and Treatment Center, Division of General Internal Medicine, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA. nrigotti@partners.org. CM - Comment on: J Gen Intern Med. 2016 Feb;31(2):172-81; PMID: 26391030 NJ - Journal of general internal medicine VO - 31 IP - 2 PG - 144-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720659 SB - Index Medicus CP - United States MH - Humans MH - Physicians MH - Smoking MH - *Smoking Cessation MH - *Tobacco KW - *medical education; *tobacco cessation CI - The author declares that she does not have a conflict of interest. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-015-3560-7 PT - Editorial PT - Comment ID - 10.1007/s11606-015-3560-7 [doi] ID - 10.1007/s11606-015-3560-7 [pii] ID - PMC4720659 [pmc] PP - ppublish LG - English DP - 2016 02 EZ - 2016/01/10 06:00 DA - 2017/04/14 06:00 DT - 2016/01/10 06:00 YR - 2016 ED - 20170413 RD - 20170413 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26747628 <113. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27183295 TI - A Needs Assessment of the Number of Comprehensive Addiction Care Physicians Required in a Canadian Setting. SO - Journal of Addiction Medicine. 10(4):255-61, 2016 Jul-Aug. AS - J Addict Med. 10(4):255-61, 2016 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McEachern J AU - Ahamad K AU - Nolan S AU - Mead A AU - Wood E AU - Klimas J FA - McEachern, Jasmine FA - Ahamad, Keith FA - Nolan, Seonaid FA - Mead, Annabel FA - Wood, Evan FA - Klimas, Jan IN - McEachern, Jasmine. BC Centre for Excellence in HIV/AIDS (JM, KA, SN, AM, EW, JK), St. Paul's Hospital; School of Population and Public Health (EW), University of British Columbia; Department of Medicine (JK), University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada; School of Medicine and Medical Science (JK), University College Dublin, Coombe Healthcare Centre, Dolphins barn, Dublin, Ireland; Department of Family Practice (KA, SN, AM), University of British Columbia, St. Paul's Hospital, Department of Family and Community Medicine; and Raven Song Community Health Centre (JM), Vancouver, BC, Canada. NJ - Journal of addiction medicine VO - 10 IP - 4 PG - 255-61 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101306759 IO - J Addict Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4969100 OI - Source: NLM. NIHMS782624 [Available on 07/01/17] SB - Index Medicus CP - United States MH - British Columbia/ep [Epidemiology] MH - Humans MH - *Needs Assessment/sn [Statistics & Numerical Data] MH - *Physicians/sn [Statistics & Numerical Data] MH - Psychiatry/ma [Manpower] MH - *Psychiatry/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/mo [Mortality] AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: Our conservative estimates highlight the need to invest in healthcare provider training and to develop innovative approaches for more rural health regions. ES - 1935-3227 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0000000000000230 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1097/ADM.0000000000000230 [doi] ID - PMC4969100 [pmc] ID - NIHMS782624 [mid] PP - ppublish GI - No: R25 DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2016 Jul-Aug EZ - 2016/05/18 06:00 DA - 2017/04/13 06:00 DT - 2016/05/17 06:00 YR - 2016 ED - 20170412 RD - 20170714 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27183295 <114. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27833673 TI - A Call for Better Opioid Prescribing Training and Education. SO - The Western Journal of Emergency Medicine. 17(6):686-689, 2016 Nov. AS - West J Emerg Med. 17(6):686-689, 2016 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Khidir H AU - Weiner SG FA - Khidir, Hazar FA - Weiner, Scott G IN - Khidir, Hazar. Harvard Medical School, Boston, Massachusetts. IN - Weiner, Scott G. Harvard Medical School, Brigham and Women's Hospital, Department of Emergency Medicine, Boston, Massachusetts. NJ - The western journal of emergency medicine VO - 17 IP - 6 PG - 686-689 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101476450 IO - West J Emerg Med SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Education, Medical/st [Standards] MH - Emergency Service, Hospital MH - Humans MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain Management MH - *Practice Patterns, Physicians' AB - 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 Copyright (c) advocate for integrated opioid management and addiction medicine training formally into medical school curricula. CI - By the WestJEM article submission agreement, all authors are required to disclose all affiliations, funding sources and financial or management relationships that could be perceived as potential sources of bias. The authors disclosed none. RN - 0 (Analgesics, Opioid) ES - 1936-9018 IL - 1936-900X PT - Journal Article ID - 10.5811/westjem.2016.8.31204 [doi] ID - wjem-17-686 [pii] ID - PMC5102592 [pmc] PP - ppublish PH - 2016/06/10 [received] PH - 2016/09/06 [revised] PH - 2016/08/29 [accepted] LG - English EP - 20161003 DP - 2016 Nov EZ - 2016/11/12 06:00 DA - 2017/04/12 06:00 DT - 2016/11/12 06:00 YR - 2016 ED - 20170411 RD - 20170411 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27833673 <115. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27601601 TI - Doctors need education on prescribing opioids. SO - CMAJ Canadian Medical Association Journal. 188(14):1003, 2016 Oct 04. AS - CMAJ. 188(14):1003, 2016 Oct 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mertl S FA - Mertl, Steve IN - Mertl, Steve. Vancouver, BC. NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 188 IP - 14 PG - 1003 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9711805 IO - CMAJ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Canada/ep [Epidemiology] MH - Drug Overdose/ep [Epidemiology] MH - *Drug Overdose/pc [Prevention & Control] MH - *Education, Medical/mt [Methods] MH - Humans MH - Insurance, Liability MH - Liability, Legal MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Practice Patterns, Physicians'/lj [Legislation & Jurisprudence] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] RN - 0 (Analgesics, Opioid) ES - 1488-2329 IL - 0820-3946 PT - News ID - PMC5047814 [pmc] ID - cmaj.109-5322 [pii] ID - 10.1503/cmaj.109-5322 [doi] PP - ppublish LG - English EP - 20160906 DP - 2016 Oct 04 EZ - 2016/09/08 06:00 DA - 2017/04/04 06:00 DT - 2016/09/08 06:00 YR - 2016 ED - 20170403 RD - 20171004 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27601601 <116. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28114925 TI - Two birds with one stone: experiences of combining clinical and research training in addiction medicine. SO - BMC Medical Education. 17(1):22, 2017 Jan 23. AS - BMC Med Educ. 17(1):22, 2017 Jan 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klimas J AU - McNeil R AU - Ahamad K AU - Mead A AU - Rieb L AU - Cullen W AU - Wood E AU - Small W FA - Klimas, J FA - McNeil, R FA - Ahamad, K FA - Mead, A FA - Rieb, L FA - Cullen, W FA - Wood, E FA - Small, W IN - Klimas, J. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Klimas, J. Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Klimas, J. School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland. IN - McNeil, R. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - McNeil, R. Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Ahamad, K. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Ahamad, K. Department of Family Practice, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada. IN - Ahamad, K. Department of Family and Community Medicine, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada. IN - Mead, A. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Mead, A. Department of Family Practice, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada. IN - Mead, A. Department of Family and Community Medicine, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada. IN - Rieb, L. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Rieb, L. Department of Family Practice, University of British Columbia, St. Paul's Hospital, Vancouver, BC, Canada. IN - Rieb, L. Department of Family and Community Medicine, 1081 Burrard St, Vancouver, BC, V6Z 1Y6, Canada. IN - Cullen, W. School of Medicine, University College Dublin, Belfield, Dublin 4, Ireland. IN - Wood, E. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Wood, E. Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. IN - Small, W. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC, V6Z 1Y6, Canada. wsmall@sfu.ca. IN - Small, W. Faculty of Health Sciences, Simon Fraser University, Burnaby, Canada. wsmall@sfu.ca. IN - Small, W. 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. wsmall@sfu.ca. NJ - BMC medical education VO - 17 IP - 1 PG - 22 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ SB - Index Medicus CP - England MH - Attitude of Health Personnel MH - *Behavior, Addictive/th [Therapy] MH - *Biomedical Research/ed [Education] MH - Canada MH - Clinical Competence/st [Standards] MH - *Cognitive Neuroscience/ed [Education] MH - Curriculum MH - Education, Medical/og [Organization & Administration] MH - *Education, Medical MH - Educational Measurement MH - Fellowships and Scholarships/og [Organization & Administration] MH - Fellowships and Scholarships/st [Standards] MH - Health Services Needs and Demand MH - Humans MH - Mentors MH - Physician's Role MH - Program Evaluation MH - Qualitative Research MH - *Research Personnel/ed [Education] MH - Specialization MH - *Students, Medical MH - *Substance-Related Disorders/th [Therapy] KW - Clinician-scientist; Medical education; Qualitative research; Substance-related disorders AB - 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. AB - 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). AB - 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. AB - 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/s12909-017-0862-y PT - Journal Article ID - 10.1186/s12909-017-0862-y [doi] ID - 10.1186/s12909-017-0862-y [pii] ID - PMC5260094 [pmc] PP - epublish PH - 2016/10/19 [received] PH - 2017/01/16 [accepted] GI - No: R01 DA033147 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20170123 DP - 2017 Jan 23 EZ - 2017/01/25 06:00 DA - 2017/03/23 06:00 DT - 2017/01/25 06:00 YR - 2017 ED - 20170321 RD - 20170321 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=28114925 <117. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26344571 TI - Examining Rural/Urban Differences in Prescription Opioid Misuse Among US Adolescents. SO - Journal of Rural Health. 32(2):204-18, 2016. AS - J Rural Health. 32(2):204-18, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monnat SM AU - Rigg KK FA - Monnat, Shannon M FA - Rigg, Khary K IN - Monnat, Shannon M. Department of Agricultural Economics, Sociology, and Education and The Population Research Institute, The Pennsylvania State University, University Park, Pennsylvania. IN - Rigg, Khary K. Department of Mental Health Law & Policy, Louis de la Parte Florida Mental Health Institute, University of South Florida, Tampa, Florida. NJ - The Journal of rural health : official journal of the American Rural Health Association and the National Rural Health Care Association VO - 32 IP - 2 PG - 204-18 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - jx4, 8508122 IO - J Rural Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4779738 OI - Source: NLM. NIHMS713683 [Available on 03/01/17] SB - Index Medicus CP - England MH - Adolescent MH - Child MH - Female MH - Humans MH - Logistic Models MH - Male MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/px [Psychology] MH - Parent-Child Relations MH - Peer Group MH - *Prescription Drugs MH - Religion MH - *Residence Characteristics/sn [Statistics & Numerical Data] MH - Risk Assessment MH - Risk Factors MH - *Rural Population/sn [Statistics & Numerical Data] MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - United States MH - *Urban Population/sn [Statistics & Numerical Data] KW - demography; drug abuse; epidemiology; geography; sociology AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2015 National Rural Health Association. RN - 0 (Prescription Drugs) ES - 1748-0361 IL - 0890-765X DO - https://dx.doi.org/10.1111/jrh.12141 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1111/jrh.12141 [doi] ID - PMC4779738 [pmc] ID - NIHMS713683 [mid] PP - ppublish PH - 2015/07/22 [accepted] GI - No: R24 HD041025 Organization: (HD) *NICHD NIH HHS* Country: United States GI - No: R24-HD041025 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English EP - 20150906 DP - 2016 EZ - 2015/09/08 06:00 DA - 2017/03/16 06:00 DT - 2015/09/08 06:00 YR - 2016 ED - 20170315 RD - 20170403 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26344571 <118. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27480707 TI - Dental vs. Medical Students' Comfort with Smoking Cessation Counseling: Implications for Dental Education. SO - Journal of Dental Education. 80(8):959-65, 2016 Aug. AS - J Dent Educ. 80(8):959-65, 2016 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen SR AU - Kritz-Silverstein D FA - Allen, Staci Robinson FA - Kritz-Silverstein, Donna IN - Allen, Staci Robinson. 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. IN - Kritz-Silverstein, Donna. 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. NJ - Journal of dental education VO - 80 IP - 8 PG - 959-65 PI - Journal available in: Print PI - Citation processed from: Internet JC - hy7, 8000150 IO - J Dent Educ SB - Dental Journals SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - Counseling MH - Education, Dental MH - Female MH - Humans MH - Male MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - Students, Dental/px [Psychology] MH - Students, Dental/sn [Statistics & Numerical Data] MH - *Students, Dental MH - Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - *Students, Medical KW - *dental education; *dental students; *medical education; *medical students; *secondhand smoke; *smoking cessation; *tobacco cessation counseling; *tobacco dependence AB - 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. ES - 1930-7837 IL - 0022-0337 PT - Comparative Study PT - Journal Article ID - 80/8/959 [pii] PP - ppublish PH - 2015/08/11 [received] PH - 2016/01/09 [accepted] LG - English DP - 2016 Aug EZ - 2016/08/03 06:00 DA - 2017/03/11 06:00 DT - 2016/08/03 06:00 YR - 2016 ED - 20170310 RD - 20170310 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27480707 <119. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26806773 TI - Neuroscience of learning and memory for addiction medicine: from habit formation to memory reconsolidation. [Review] SO - Progress in Brain Research. 223:91-113, 2016. AS - Prog Brain Res. 223:91-113, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Torregrossa MM AU - Taylor JR FA - Torregrossa, Mary M FA - Taylor, Jane R IN - Torregrossa, Mary M. Department of Psychiatry, University of Pittsburgh, Pittsburgh, PA, USA. Electronic address: torregrossam@upmc.edu. IN - Taylor, Jane R. Department of Psychiatry, Yale University, New Haven, CT, USA. NJ - Progress in brain research VO - 223 PG - 91-113 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - q0b, 0376441 IO - Prog. Brain Res. SB - Index Medicus CP - Netherlands MH - Behavior, Addictive/pp [Physiopathology] MH - *Behavior, Addictive/px [Psychology] MH - *Cues MH - *Habits MH - Humans MH - *Learning/ph [Physiology] MH - *Memory/ph [Physiology] MH - Substance-Related Disorders/pp [Physiopathology] MH - *Substance-Related Disorders/px [Psychology] KW - *Cues; *Extinction; *Goal-directed action; *Habit; *Memory; *Reconsolidation; *Relapse; *Self-administration AB - 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. Copyright © 2016 Elsevier B.V. All rights reserved. ES - 1875-7855 IL - 0079-6123 DI - S0079-6123(15)00112-0 DO - https://dx.doi.org/10.1016/bs.pbr.2015.07.006 PT - Journal Article PT - Review ID - S0079-6123(15)00112-0 [pii] ID - 10.1016/bs.pbr.2015.07.006 [doi] PP - ppublish LG - English EP - 20151001 DP - 2016 EZ - 2016/01/26 06:00 DA - 2017/03/08 06:00 DT - 2016/01/26 06:00 YR - 2016 ED - 20170307 RD - 20170307 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26806773 <120. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26806772 TI - Neuroscience of attentional processes for addiction medicine: from brain mechanisms to practical considerations. [Review] SO - Progress in Brain Research. 223:77-89, 2016. AS - Prog Brain Res. 223:77-89, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fadardi JS AU - Cox WM AU - Rahmani A FA - Fadardi, Javad Salehi FA - Cox, W Miles FA - Rahmani, Arash IN - Fadardi, Javad Salehi. Ferdowsi University of Mashhad, Mashhad, Iran; Bangor University, Bangor, UK; Addiction Research Centre, Mashhad University of Medical Sciences, Mashhad, Iran. Electronic address: j.s.fadardi@um.ac.ir. IN - Cox, W Miles. Bangor University, Bangor, UK. IN - Rahmani, Arash. Iranian National Center for Addiction Studies, Tehran University of Medical Sciences, Tehran, Iran. NJ - Progress in brain research VO - 223 PG - 77-89 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - q0b, 0376441 IO - Prog. Brain Res. SB - Index Medicus CP - Netherlands MH - Animals MH - *Attention/ph [Physiology] MH - *Behavior, Addictive/px [Psychology] MH - *Brain/pp [Physiopathology] MH - Humans MH - *Motivation/ph [Physiology] MH - Neurosciences MH - *Substance-Related Disorders/pp [Physiopathology] KW - *Attention retraining; *Attentional bias; *Brain; *Current concern; *Implicit cognition; *Motivation; *Technology AB - 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. Copyright © 2016 Elsevier B.V. All rights reserved. ES - 1875-7855 IL - 0079-6123 DI - S0079-6123(15)00140-5 DO - https://dx.doi.org/10.1016/bs.pbr.2015.08.002 PT - Journal Article PT - Review ID - S0079-6123(15)00140-5 [pii] ID - 10.1016/bs.pbr.2015.08.002 [doi] PP - ppublish LG - English EP - 20151123 DP - 2016 EZ - 2016/01/26 06:00 DA - 2017/03/08 06:00 DT - 2016/01/26 06:00 YR - 2016 ED - 20170307 RD - 20170307 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26806772 <121. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27669141 TI - Shared Responsibility: Massachusetts Legislators, Physicians, and An Act Relative to Substance Use Treatment, Education, and Prevention. SO - AMA Journal of Ethics. 18(9):950-9, 2016 Sep 01. AS - AMA J Ethics. 18(9):950-9, 2016 Sep 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rudder M AU - Tsao L AU - Jack HE FA - Rudder, Meghan FA - Tsao, Lulu FA - Jack, Helen E IN - Rudder, Meghan. Resident in the internal medicine primary care program at Brigham and Women's Hospital in Boston and a graduate of Harvard Medical School. IN - Tsao, Lulu. Internal medicine resident at the University of California, San Francisco. NJ - AMA journal of ethics VO - 18 IP - 9 PG - 950-9 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101649265 IO - AMA J Ethics SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Delivery of Health Care/lj [Legislation & Jurisprudence] MH - Education MH - *Government Regulation MH - Health Policy MH - Humans MH - Legislation as Topic MH - Massachusetts MH - *Pain/dt [Drug Therapy] MH - Pain Management MH - *Practice Patterns, Physicians'/lj [Legislation & Jurisprudence] MH - Public Health/lj [Legislation & Jurisprudence] MH - Self-Control MH - *Social Responsibility MH - *State Government MH - Substance-Related Disorders/dt [Drug Therapy] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. Copyright © 2016 American Medical Association. All Rights Reserved. RN - 0 (Analgesics, Opioid) ES - 2376-6980 DI - journalofethics.2016.18.9.pfor2-1609 DO - https://dx.doi.org/10.1001/journalofethics.2016.18.9.pfor2-1609 PT - Journal Article ID - journalofethics.2016.18.9.pfor2-1609 [pii] ID - 10.1001/journalofethics.2016.18.9.pfor2-1609 [doi] PP - epublish LG - English EP - 20160901 DP - 2016 Sep 01 EZ - 2016/09/27 06:00 DA - 2017/02/28 06:00 DT - 2016/09/27 06:00 YR - 2016 ED - 20170227 RD - 20170817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27669141 <122. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27486546 TI - A Cross-Sectional Study on the Prevalence, Risk Factors, and Ill Effects of Internet Addiction Among Medical Students in Northeastern India. SO - The Primary Care Companion to CNS Disorders. 18(2), 2016. AS - Prim Care Companion CNS Disord. 18(2), 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nath K AU - Naskar S AU - Victor R FA - Nath, Kamal FA - Naskar, Subrata FA - Victor, Robin IN - Nath, Kamal. Department of Psychiatry, Silchar Medical College and Hospital, Silchar, Assam, India. IN - Naskar, Subrata. Department of Psychiatry, Silchar Medical College and Hospital, Silchar, Assam, India. IN - Victor, Robin. Department of Psychiatry, Silchar Medical College and Hospital, Silchar, Assam, India. NJ - The primary care companion for CNS disorders VO - 18 IP - 2 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 101547532 IO - Prim Care Companion CNS Disord PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4956431 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - *Behavior, Addictive/ep [Epidemiology] MH - Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - Humans MH - India/ep [Epidemiology] MH - *Internet MH - Male MH - Prevalence MH - Psychiatric Status Rating Scales MH - Risk Factors MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Time Factors MH - Young Adult AB - 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. AB - 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. AB - 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). AB - 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. ES - 2155-7780 IL - 2155-7780 DO - https://dx.doi.org/10.4088/PCC.15m01909 PT - Journal Article ID - 10.4088/PCC.15m01909 [doi] ID - 15m01909 [pii] ID - PMC4956431 [pmc] PP - epublish PH - 2015/11/19 [received] PH - 2016/01/19 [accepted] LG - English EP - 20160331 DP - 2016 EZ - 2016/08/04 06:00 DA - 2017/02/25 06:00 DT - 2016/08/04 06:00 YR - 2016 ED - 20170224 RD - 20170224 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27486546 <123. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27304780 TI - Avoiding Problems from Opioid Pain Medicine. SO - American Family Physician. 93(12):Online, 2016 Jun 15. AS - Am Fam Physician. 93(12):Online, 2016 Jun 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - American family physician VO - 93 IP - 12 PG - Online PI - Journal available in: Print PI - Citation processed from: Internet JC - 3bt, 1272646 IO - Am Fam Physician SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Humans MH - *Opioid-Related Disorders/et [Etiology] MH - *Pain/dt [Drug Therapy] MH - *Patient Education as Topic MH - United States RN - 0 (Analgesics, Opioid) ES - 1532-0650 IL - 0002-838X PT - Patient Education Handout ID - p1264 [pii] PP - ppublish LG - English DP - 2016 Jun 15 EZ - 2016/06/16 06:00 DA - 2017/02/22 06:00 DT - 2016/06/16 06:00 YR - 2016 ED - 20170221 RD - 20170817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27304780 <124. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27304767 TI - Weighing the Risks and Benefits of Chronic Opioid Therapy. SO - American Family Physician. 93(12):982-90, 2016 Jun 15. AS - Am Fam Physician. 93(12):982-90, 2016 Jun 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lembke A AU - Humphreys K AU - Newmark J FA - Lembke, Anna FA - Humphreys, Keith FA - Newmark, Jordan IN - Lembke, Anna. Stanford University School of Medicine, Stanford, CA, USA. IN - Humphreys, Keith. Stanford University School of Medicine, Stanford, CA, USA. IN - Newmark, Jordan. Stanford University School of Medicine, Stanford, CA, USA. NJ - American family physician VO - 93 IP - 12 PG - 982-90 PI - Journal available in: Print PI - Citation processed from: Internet JC - 3bt, 1272646 IO - Am Fam Physician SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Acute Pain/dt [Drug Therapy] MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Buprenorphine/tu [Therapeutic Use] MH - *Chronic Pain/dt [Drug Therapy] MH - *Drug Overdose/dt [Drug Therapy] MH - *Drug Overdose/pc [Prevention & Control] MH - Education, Medical, Continuing MH - Humans MH - Male MH - Naloxone/tu [Therapeutic Use] MH - Opioid-Related Disorders/et [Etiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Practice Guidelines as Topic MH - *Practice Patterns, Physicians'/st [Standards] MH - Risk Assessment MH - United States AB - Evidence supports the use of opioids for treating acute pain. However, the evidence is limited for the use of chronic opioid therapy for chronic pain. Furthermore, the risks of chronic therapy are significant and may outweigh any potential benefits. When considering chronic opioid therapy, physicians should weigh the risks against any possible benefits throughout the therapy, including assessing for the risks of opioid misuse, opioid use disorder, and overdose. When initiating opioid therapy, physicians should consider buprenorphine for patients at risk of opioid misuse, opioid use disorder, and overdose. If and when opioid misuse is detected, opioids do not necessarily need to be discontinued, but misuse should be noted on the problem list and interventions should be performed to change the patient's behavior. If aberrant behavior continues, opioid use disorder should be diagnosed and treated accordingly. When patients are discontinuing opioid therapy, the dosage should be decreased slowly, especially in those who have intolerable withdrawal. It is not unreasonable for discontinuation of chronic opioid therapy to take many months. Benzodiazepines should not be coprescribed during chronic opioid therapy or when tapering, because some patients may develop cross-dependence. For patients at risk of overdose, naloxone should be offered to the patient and to others who may be in a position to witness and reverse opioid overdose. RN - 0 (Analgesics, Opioid) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) ES - 1532-0650 IL - 0002-838X PT - Journal Article ID - d12556 [pii] PP - ppublish LG - English DP - 2016 Jun 15 EZ - 2016/06/16 06:00 DA - 2017/02/22 06:00 DT - 2016/06/16 06:00 YR - 2016 ED - 20170221 RD - 20170817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27304767 <125. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27757928 TI - Comment on "A Qualitative Analysis of Medical students? Reflection on Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula". SO - Academic Psychiatry. 41(1):145, 2017 Feb. AS - Acad Psychiatry. 41(1):145, 2017 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosenstock J AI - Rosenstock, Jason; ORCID: http://orcid.org/0000-0002-1585-9489 FA - Rosenstock, Jason IN - Rosenstock, Jason. University of Pittsburgh, Pittsburgh, PA, USA. rosenstockjb@upmc.edu. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 41 IP - 1 PG - 145 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Alcoholics Anonymous MH - Alcoholism MH - *Behavior, Addictive MH - Cognitive Therapy MH - *Curriculum MH - Humans MH - *Students, Medical/px [Psychology] ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-016-0597-9 PT - Letter ID - 10.1007/s40596-016-0597-9 [doi] ID - 10.1007/s40596-016-0597-9 [pii] PP - ppublish PH - 2016/07/11 [received] PH - 2016/07/14 [accepted] LG - English EP - 20161018 DP - 2017 Feb EZ - 2016/10/21 06:00 DA - 2017/02/16 06:00 DT - 2016/10/21 06:00 YR - 2017 ED - 20170215 RD - 20170215 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27757928 <126. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27888595 TI - Quality of Life in Medical Students With Internet Addiction. SO - Acta Medica Iranica. 54(10):662-666, 2016 Oct. AS - Acta Med Iran. 54(10):662-666, 2016 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fatehi F AU - Monajemi A AU - Sadeghi A AU - Mojtahedzadeh R AU - Mirzazadeh A FA - Fatehi, Farzad FA - Monajemi, Alireza FA - Sadeghi, Anahita FA - Mojtahedzadeh, Rita FA - Mirzazadeh, Azim IN - Fatehi, Farzad. Department of Neurology, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Neurology, Iranian Center of Neurological Research, Tehran University of Medical Sciences, Tehran, Iran. IN - Monajemi, Alireza. Department of Philosophy of Sciences, Institute for Humanities and Cultural Studies, Tehran, Iran. IN - Sadeghi, Anahita. Department of Internal Medicine, Shariati Hospital, Tehran University of Medical Sciences, Tehran, Iran. IN - Mojtahedzadeh, Rita. Department of E-Learning in Medical Education, Center of Excellence for E-Learning in Medical Education, Tehran University of Medical Sciences, Tehran, Iran. IN - Mirzazadeh, Azim. Department of E-Learning in Medical Education, Center of Excellence for E-Learning in Medical Education, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Medical Education, Health Professions Education Research Center, Tehran University of Medical Sciences, Tehran, Iran. AND Department of Internal Medicine, Imam Khomeini Hospital, Tehran University of Medical Sciences, Tehran, Iran. NJ - Acta medica Iranica VO - 54 IP - 10 PG - 662-666 PI - Journal available in: Print PI - Citation processed from: Internet JC - 14540050r IO - Acta Med Iran SB - Index Medicus CP - Iran MH - Adult MH - *Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - Education, Medical, Undergraduate MH - Female MH - Humans MH - *Internet MH - Iran MH - Male MH - Mental Disorders MH - *Quality of Life MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult KW - Academic performance; Internet addiction; Iran; Medical students; Quality of life AB - The widespread use of internet has caused new psychological, social, and educational problems for the students. The aim of this study was to examine the quality of life in medical students who suffer from internet addiction. This cross-sectional survey was carried out in Tehran University of Medical Sciences, and a total of 174 fourth-to seventh-year undergraduate medical students were enrolled. The quality of life was assessed by WHOQOL-BREF questionnaire which covers four domains of physical health, psychological, social relationships, and the environment. For assessing internet addiction, we used Internet Addiction Test (IAT) of Young. The students with IAT score higher than 50 were considered as addicted. For evaluating academic performance, the students were requested to report their grade point average (GPA). The mean IA score (+/-SD) was 34.13+/-12.76. Twenty-eight students (16.90%) had IAT score above 50. The mean quality of life score in internet addicted group was 54.97+/-11.38 versus 61.65+/-11.21 in normal group (P=0.005). Furthermore, there was a negative correlation between IA score and physical domain (r=-0.18, P=0.02); psychological domain (r=-0.35, P=0.000); and social relation domain (r=-0.26, P=0.001). Mean GPA was significantly lower in the addicted group. It seems that quality of life is lower in the internet addicted medical students; moreover, such students academically perform poorer in comparison with non-addicts. Since internet addiction is increasing at a rapid pace which may provoke considerable academic, psychological and social implications; as a result, it may require screening programs to the immediate finding of such problem to give consultations to prevent unwanted complications. ES - 1735-9694 IL - 0044-6025 PT - Journal Article PP - ppublish PH - 2016/10/19 [accepted] LG - English DP - 2016 Oct EZ - 2016/11/27 06:00 DA - 2017/02/16 06:00 DT - 2016/11/27 06:00 YR - 2016 ED - 20170215 RD - 20170215 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27888595 <127. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27915490 TI - Challenges and opportunities to change the course of the opioid epidemic: a surgeon's perspective. SO - Postgraduate Medicine. 129(1):1-4, 2017 Jan. AS - Postgrad Med. 129(1):1-4, 2017 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mancini GJ FA - Mancini, Gregory J IN - Mancini, Gregory J. a Department of Surgery , University of Tennessee Medical Center , Knoxville , TN , USA. NJ - Postgraduate medicine VO - 129 IP - 1 PG - 1-4 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 0401147, pfk IO - Postgrad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Humans MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/px [Psychology] MH - *Opioid-Related Disorders/th [Therapy] MH - *Pain, Postoperative/dt [Drug Therapy] MH - *Prescription Drug Misuse/sn [Statistics & Numerical Data] MH - *Surgeons/px [Psychology] MH - United States/ep [Epidemiology] KW - Analgesics, opioid; combined multimodal therapy; opioid-related disorders; pain, postoperative; prescription drug diversion; prescription drug misuse RN - 0 (Analgesics, Opioid) ES - 1941-9260 IL - 0032-5481 DO - https://dx.doi.org/10.1080/00325481.2017.1268901 PT - Journal Article ID - 10.1080/00325481.2017.1268901 [doi] PP - ppublish LG - English EP - 20161222 DP - 2017 Jan EZ - 2016/12/06 06:00 DA - 2017/02/07 06:00 DT - 2016/12/06 06:00 YR - 2017 ED - 20170206 RD - 20170206 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27915490 <128. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25242238 TI - [Characteristics of smoking, nicotine dependence and motivation for change in specialists training in health sciences (residents) in Andalusia (Spain)]. [Spanish] OT - Caracteristicas del consumo de tabaco, dependencia y motivacion para el cambio de los especialistas internos residentes de Andalucia (Espana). SO - Semergen Sociedad Espanola de Medicina Rural y Generalista. 41(6):296-304, 2015 Sep. AS - SEMERGEN, Soc. Esp. Med. Rural Gen.. 41(6):296-304, 2015 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Juarez-Jimenez MV AU - Valverde-Bolivar FJ AU - Perez-Milena A AU - Moreno-Corredor A FA - Juarez-Jimenez, M V FA - Valverde-Bolivar, F J FA - Perez-Milena, A FA - Moreno-Corredor, A IN - Juarez-Jimenez, M V. Medica de Familia, Centro de Salud El Valle, Servicio Andaluz de Salud, Espana. IN - Valverde-Bolivar, F J. Medico de Familia, Unidad Docente de Medicina Familiar y Comunitaria, Distrito Sanitario de Jaen, Servicio Andaluz de Salud, Jaen, Espana. IN - Perez-Milena, A. Doctor en Medicina, Medico de Familia, Centro de Salud El Valle, Servicio Andaluz de Salud, Espana. Electronic address: alejandro.perez.milena.sspa@juntadeandalucia.es. IN - Moreno-Corredor, A. Medico de Familia, Unidad Docente de Medicina Familiar y Comunitaria, Distrito Sanitario de Jaen, Servicio Andaluz de Salud, Jaen, Espana. NJ - Semergen VO - 41 IP - 6 PG - 296-304 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9610769 IO - Semergen SB - Index Medicus CP - Spain MH - Adult MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - *Motivation MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Smoking Cessation/px [Psychology] MH - Spain MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/px [Psychology] MH - Young Adult KW - Dependencia a la nicotina; Internado no medico; Internado y residencia; Internship and residency; Internship non-medical; Motivacion; Motivation; Smoking; Tabaquismo; Tobacco use disorder AB - OBJECTIVE: As there are few studies on the smoking habits of specialists training in health sciences (residents), it is of interest to determine the prevalence of smoking, nicotine dependence and motivation for change, and their relationship with other variables (personal, work and consumption of other drugs). AB - MATERIAL AND METHODS: A multicentre, cross-sectional study using a questionnaire was conducted in 2012. All the residents who were studying in Teaching Health Centres in Andalusia (Spain) completed a questionnaire, which was sent by e-mail, collecting: age, sex, specialty, country of origin, qualitative-quantitative consumption of tobacco, age of onset/cessation, Fagerstrom test and stage of change (Proschaka). AB - RESULTS: A total of 2667 residents (63% of total) completed the questionnaire. The mean age was 29.1 years (+/- 5.2), 69% female, 89% Spanish, and 86% physicians. Of the 17% who smoked (daily pattern-47%, intermittently-41%, related to leisure-3%), starting at 17.4 years (+/-3.5) and mean of 7.5 cigarettes per day (+/-7.1), higher medical specialties (P=.067 ANOVA), and in men (P=.074, Student-t). More than three-quarters (82%) had a low nicotine dependence, being higher in hospital medical specialties (P=.078 chi(2)). Of the total, 7% were former smokers, and 48% wanted to quit smoking (contemplation 38%, preparation 10%). In the multivariate analysis there was a link between smoking and alcohol consumption (OR 2.84) and illegal drugs (OR 3.57). There were no differences by age or country. AB - CONCLUSIONS: The consumption of tobacco in residents is less than the general population, with a low dependence and better willingness to change. The period of specialised training is a good time to offer tobacco interventions. Copyright © 2014 Sociedad Espanola de Medicos de Atencion Primaria (SEMERGEN). Publicado por Elsevier Espana, S.L.U. All rights reserved. ES - 1578-8865 IL - 1138-3593 DI - S1138-3593(14)00316-5 DO - https://dx.doi.org/10.1016/j.semerg.2014.07.002 PT - Journal Article PT - Multicenter Study ID - S1138-3593(14)00316-5 [pii] ID - 10.1016/j.semerg.2014.07.002 [doi] PP - ppublish PH - 2014/02/07 [received] PH - 2014/04/17 [revised] PH - 2014/07/09 [accepted] LG - Spanish EP - 20140919 DP - 2015 Sep EZ - 2014/09/23 06:00 DA - 2017/01/31 06:00 DT - 2014/09/23 06:00 YR - 2015 ED - 20170130 RD - 20170130 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25242238 <129. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26848803 TI - Project ECHO (Extension for Community Healthcare Outcomes): A new model for educating primary care providers about treatment of substance use disorders. SO - Substance Abuse. 37(1):20-4, 2016. AS - Subst Abus. 37(1):20-4, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Komaromy M AU - Duhigg D AU - Metcalf A AU - Carlson C AU - Kalishman S AU - Hayes L AU - Burke T AU - Thornton K AU - Arora S FA - Komaromy, Miriam FA - Duhigg, Dan FA - Metcalf, Adam FA - Carlson, Cristina FA - Kalishman, Summers FA - Hayes, Leslie FA - Burke, Tom FA - Thornton, Karla FA - Arora, Sanjeev IN - Komaromy, Miriam. a ECHO Institute, University of New Mexico Health Sciences Center , University of New Mexico , Albuquerque , New Mexico , USA. IN - Duhigg, Dan. a ECHO Institute, University of New Mexico Health Sciences Center , University of New Mexico , Albuquerque , New Mexico , USA. IN - Metcalf, Adam. b Truman Clinic, University Hospital , Albuquerque , New Mexico , USA. IN - Carlson, Cristina. a ECHO Institute, University of New Mexico Health Sciences Center , University of New Mexico , Albuquerque , New Mexico , USA. IN - Kalishman, Summers. a ECHO Institute, University of New Mexico Health Sciences Center , University of New Mexico , Albuquerque , New Mexico , USA. IN - Hayes, Leslie. c El Centro Family Health Center , Espanola , New Mexico , USA. IN - Burke, Tom. a ECHO Institute, University of New Mexico Health Sciences Center , University of New Mexico , Albuquerque , New Mexico , USA. IN - Thornton, Karla. a ECHO Institute, University of New Mexico Health Sciences Center , University of New Mexico , Albuquerque , New Mexico , USA. IN - Arora, Sanjeev. a ECHO Institute, University of New Mexico Health Sciences Center , University of New Mexico , Albuquerque , New Mexico , USA. NJ - Substance abuse VO - 37 IP - 1 PG - 20-4 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4873719 SB - Index Medicus CP - United States MH - *Buprenorphine/tu [Therapeutic Use] MH - *Community Health Services/mt [Methods] MH - Curriculum MH - *Education, Medical, Continuing/sn [Statistics & Numerical Data] MH - Humans MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Primary Health Care/mt [Methods] MH - Telecommunications/sn [Statistics & Numerical Data] KW - Buprenorphine; distance; education; opioid-related disorders; substance-related disorders; vulnerable populations AB - 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. AB - 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. AB - 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. AB - 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. RN - 40D3SCR4GZ (Buprenorphine) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2015.1129388 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2015.1129388 [doi] ID - PMC4873719 [pmc] PP - ppublish GI - No: 1R24HS016510-01A1 Organization: (HS) *AHRQ HHS* Country: United States LG - English DP - 2016 EZ - 2016/02/06 06:00 DA - 2017/01/27 06:00 DT - 2016/02/06 06:00 YR - 2016 ED - 20170126 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26848803 <130. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26820257 TI - From risk reduction to implementation: Addressing the opioid epidemic and continued challenges to our field. SO - Substance Abuse. 37(1):1-3, 2016. AS - Subst Abus. 37(1):1-3, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Binswanger IA AU - Gordon AJ FA - Binswanger, Ingrid A FA - Gordon, Adam J IN - Binswanger, Ingrid A. a Institute for Health Research, Kaiser Permanente Colorado , Denver , Colorado , USA. IN - Binswanger, Ingrid A. b University of Colorado School of Medicine , Aurora , Colorado , USA. IN - Gordon, Adam J. c University of Pittsburgh School of Medicine , Pittsburgh , Pennsylvania , USA. IN - Gordon, Adam J. d VA Pittsburgh Healthcare System , Pittsburgh , Pennsylvania , USA. CM - Comment in: J Addict Med. 2016 May-Jun;10(3):210-1; PMID: 27223837 NJ - Substance abuse VO - 37 IP - 1 PG - 1-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Drug Overdose/dt [Drug Therapy] MH - Drug Overdose/ep [Epidemiology] MH - Education, Medical MH - Humans MH - Naloxone/tu [Therapeutic Use] MH - Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Opioid-Related Disorders/th [Therapy] MH - Pain/dt [Drug Therapy] MH - *Risk Reduction Behavior MH - United States/ep [Epidemiology] RN - 0 (Analgesics, Opioid) RN - 36B82AMQ7N (Naloxone) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2015.1134152 PT - Editorial PT - Introductory Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2015.1134152 [doi] PP - ppublish GI - No: 5H79TI025595 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2016 EZ - 2016/01/29 06:00 DA - 2017/01/27 06:00 DT - 2016/01/29 06:00 YR - 2016 ED - 20170126 RD - 20170302 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26820257 <131. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25961140 TI - Impact of a multicomponent screening, brief intervention, and referral to treatment (SBIRT) training curriculum on a medical residency program. SO - Substance Abuse. 37(1):242-7, 2016. AS - Subst Abus. 37(1):242-7, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kalu N AU - Cain G AU - McLaurin-Jones T AU - Scott D AU - Kwagyan J AU - Fassassi C AU - Greene W AU - Taylor RE FA - Kalu, Nnenna FA - Cain, Gloria FA - McLaurin-Jones, TyWanda FA - Scott, Denise FA - Kwagyan, John FA - Fassassi, Catsim FA - Greene, Wendy FA - Taylor, Robert E IN - Kalu, Nnenna. a SBIRT Medical Residency Program , Howard University , Washington , DC , USA. IN - Cain, Gloria. a SBIRT Medical Residency Program , Howard University , Washington , DC , USA. IN - McLaurin-Jones, TyWanda. b Department of Community and Family Medicine , Howard University , Washington , DC , USA. IN - Scott, Denise. a SBIRT Medical Residency Program , Howard University , Washington , DC , USA. IN - Kwagyan, John. c Georgetown-Howard Universities Center for Clinical and Translation Science (GHUCCTS) , Howard University College of Medicine/Howard University Hospital , Washington , DC , USA. IN - Fassassi, Catsim. d Howard-Hopkins Surgical Outcomes Research Center , Washington , DC , USA. IN - Fassassi, Catsim. e Howard University Hospital Trauma and Critical Care , Washington , DC , USA. IN - Greene, Wendy. e Howard University Hospital Trauma and Critical Care , Washington , DC , USA. IN - Taylor, Robert E. a SBIRT Medical Residency Program , Howard University , Washington , DC , USA. NJ - Substance abuse VO - 37 IP - 1 PG - 242-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Competence MH - Curriculum MH - Humans MH - *Internship and Residency MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - United States KW - Internship and residency; SBIRT; substance-related disorders; training AB - BACKGROUND: Substance-related disorders are a growing problem in the United States. The patient-provider setting can serve as a crucial environment to detect and prevent at-risk substance use. Screening, brief intervention, and referral to treatment (SBIRT) is an integrated approach to deliver early intervention and treatment services for persons who have or are at risk for substance-related disorders. SBIRT training components can include online modules, in-person instruction, practical experience, and clinical skills assessment. This paper will evaluate the impact of multiple modes of training on acquisition of SBIRT skills as observed in a clinical skills assessment. AB - METHODS: Residents were part of an SBIRT training program, from 2009 through 2013, consisting of lecture, role-play, online modules, patient encounters, and clinical skills assessment (CSA). Differences were assessed across satisfactory and unsatisfactory CSA performance. AB - RESULTS: Seventy percent of the residents satisfactorily completed CSA. Demographics, type of components completed, and number of components completed were similar among residents who demonstrated satisfactory clinical skills compared with those who did not. All components of the training program were accepted equally across specialties and resident matriculation cohorts. AB - CONCLUSION: The authors conclude that the components employed in SBIRT training do not have to be numerous or of a particular mode of training in order to see observable demonstration of SBIRT skills among medical residents. Thus, residency educators who have limited time or resources may utilize as few as 1 mode of training to effectually disseminate SBIRT skills among health care providers. As SBIRT continues to evolve as a promising tool to address at-risk substance-related disorders, it is critical to train medical residents and other health professionals. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2015.1035841 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2015.1035841 [doi] ID - PMC5267356 [pmc] ID - NIHMS836325 [mid] PP - ppublish GI - No: G12 MD007597 Organization: (MD) *NIMHD NIH HHS* Country: United States GI - No: UL1 RR031975 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: UL1 TR001409 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: 5U79TI020245 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English EP - 20150511 DP - 2016 EZ - 2015/05/12 06:00 DA - 2017/01/27 06:00 DT - 2015/05/12 06:00 YR - 2016 ED - 20170126 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25961140 <132. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27058182 TI - A Call to Formalize Training in Tobacco Dependence Treatment for Pulmonologists. SO - Annals of the American Thoracic Society. 13(4):460-1, 2016 Apr. AS - Ann Am Thorac Soc. 13(4):460-1, 2016 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gesthalter YB AU - Wiener RS AU - Kathuria H FA - Gesthalter, Yaron B FA - Wiener, Renda Soylemez FA - Kathuria, Hasmeena IN - Gesthalter, Yaron B. 1 The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts; and. IN - Wiener, Renda Soylemez. 1 The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts; and. IN - Wiener, Renda Soylemez. 2 Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers VA Memorial Hospital, Bedford, Massachusetts. IN - Kathuria, Hasmeena. 1 The Pulmonary Center, Boston University School of Medicine, Boston, Massachusetts; and. NJ - Annals of the American Thoracic Society VO - 13 IP - 4 PG - 460-1 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101600811 IO - Ann Am Thorac Soc SB - Index Medicus CP - United States MH - Humans MH - *Pulmonary Medicine/ed [Education] MH - *Pulmonologists/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] MH - United States ES - 2325-6621 IL - 2325-6621 DO - https://dx.doi.org/10.1513/AnnalsATS.201512-815LE PT - Editorial ID - 10.1513/AnnalsATS.201512-815LE [doi] PP - ppublish LG - English DP - 2016 Apr EZ - 2016/04/09 06:00 DA - 2017/01/26 06:00 DT - 2016/04/09 06:00 YR - 2016 ED - 20170125 RD - 20170125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27058182 <133. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27056051 TI - From Surviving to Advising: A Novel Course Pairing Mental Health and Addictions Service Users as Advisors to Senior Psychiatry Residents. SO - Academic Psychiatry. 40(3):475-80, 2016 Jun. AS - Acad Psychiatry. 40(3):475-80, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Agrawal S AU - Capponi P AU - Lopez J AU - Kidd S AU - Ringsted C AU - Wiljer D AU - Soklaridis S AI - Agrawal, Sacha; ORCID: http://orcid.org/0000-0002-2007-7289 FA - Agrawal, Sacha FA - Capponi, Pat FA - Lopez, Jenna FA - Kidd, Sean FA - Ringsted, Charlotte FA - Wiljer, David FA - Soklaridis, Sophie IN - Agrawal, Sacha. Centre for Addiction and Mental Health, Toronto, Ontario, Canada. sacha.agrawal@camh.ca. IN - Agrawal, Sacha. University of Toronto, Toronto, Ontario, Canada. sacha.agrawal@camh.ca. IN - Agrawal, Sacha. Yale University, New Haven, CT, USA. sacha.agrawal@camh.ca. IN - Capponi, Pat. Voices from the Street, Toronto, Ontario, Canada. IN - Lopez, Jenna. Centre for Addiction and Mental Health, Toronto, Ontario, Canada. IN - Kidd, Sean. Centre for Addiction and Mental Health, Toronto, Ontario, Canada. IN - Kidd, Sean. University of Toronto, Toronto, Ontario, Canada. IN - Ringsted, Charlotte. Aarhus University, Aarhus, Denmark. IN - Wiljer, David. Centre for Addiction and Mental Health, Toronto, Ontario, Canada. IN - Wiljer, David. University of Toronto, Toronto, Ontario, Canada. IN - Soklaridis, Sophie. Centre for Addiction and Mental Health, Toronto, Ontario, Canada. IN - Soklaridis, Sophie. University of Toronto, Toronto, Ontario, Canada. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 475-80 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Consultants MH - Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Humans MH - *Internship and Residency MH - Mental Disorders/rh [Rehabilitation] MH - Mental Health Services/ut [Utilization] MH - *Physician-Patient Relations MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders/rh [Rehabilitation] KW - Education/medical/graduate; Mentors; Patient participation; Patient-centered Care; Physician-patient relations; Psychiatry/education AB - 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. AB - 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. AB - 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. AB - 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-016-0533-z PT - Journal Article ID - 10.1007/s40596-016-0533-z [doi] ID - 10.1007/s40596-016-0533-z [pii] PP - ppublish PH - 2015/05/25 [received] PH - 2016/02/24 [accepted] LG - English EP - 20160407 DP - 2016 Jun EZ - 2016/04/09 06:00 DA - 2017/01/25 06:00 DT - 2016/04/09 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27056051 <134. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27001311 TI - An Innovative Use of Case Conference to Teach Future Educators in Addiction Psychiatry. SO - Academic Psychiatry. 40(3):494-7, 2016 Jun. AS - Acad Psychiatry. 40(3):494-7, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Muvvala SB AU - Marienfeld C AU - Encandela J AU - Petrakis I AU - Edens EL AI - Muvvala, Srinivas B; ORCID: http://orcid.org/0000-0003-2766-2074 FA - Muvvala, Srinivas B FA - Marienfeld, Carla FA - Encandela, John FA - Petrakis, Ismene FA - Edens, Ellen Lockard IN - Muvvala, Srinivas B. Yale School of Medicine, New Haven, CT, USA. srinivas.muvvala@yale.edu. IN - Marienfeld, Carla. Yale School of Medicine, New Haven, CT, USA. IN - Encandela, John. Yale School of Medicine, New Haven, CT, USA. IN - Petrakis, Ismene. Yale School of Medicine, New Haven, CT, USA. IN - Edens, Ellen Lockard. Yale School of Medicine, New Haven, CT, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 494-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Curriculum MH - *Faculty, Medical/ed [Education] MH - *Fellowships and Scholarships MH - Humans MH - *Psychiatry/ed [Education] MH - Specialization MH - *Substance-Related Disorders/rh [Rehabilitation] MH - *Teacher Training/mt [Methods] KW - Addiction psychiatry; Case conference; Clinician educators; Teaching methods AB - 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-016-0520-4 PT - Journal Article ID - 10.1007/s40596-016-0520-4 [doi] ID - 10.1007/s40596-016-0520-4 [pii] PP - ppublish PH - 2015/07/31 [received] PH - 2016/02/16 [accepted] LG - English EP - 20160321 DP - 2016 Jun EZ - 2016/03/24 06:00 DA - 2017/01/25 06:00 DT - 2016/03/23 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27001311 <135. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26976399 TI - Attitudes Towards Substance Use Disorders and Association with Motivational Interviewing Education: A Survey of Psychiatry Chief Residents. SO - Academic Psychiatry. 40(3):523-4, 2016 Jun. AS - Acad Psychiatry. 40(3):523-4, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jha MK AU - Abele MK AU - Brown JA AU - Ibrahim H AU - Wakhlu S FA - Jha, Manish Kumar FA - Abele, Misoo K FA - Brown, Julie A FA - Ibrahim, Hicham FA - Wakhlu, Sidarth IN - Jha, Manish Kumar. UT Southwestern Medical Center, Dallas, TX, USA. manish.jha@utsouthwestern.edu. IN - Abele, Misoo K. Portland VA HCS, Portland, OR, USA. IN - Brown, Julie A. Portland VA HCS, Portland, OR, USA. IN - Ibrahim, Hicham. UT Southwestern Medical Center, Dallas, TX, USA. IN - Wakhlu, Sidarth. North Texas VA HCS, Dallas, TX, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 523-4 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Curriculum MH - Humans MH - *Internship and Residency MH - Logistic Models MH - *Motivational Interviewing MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders MH - Surveys and Questionnaires ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-016-0525-z PT - Letter ID - 10.1007/s40596-016-0525-z [doi] ID - 10.1007/s40596-016-0525-z [pii] PP - ppublish PH - 2015/11/26 [received] PH - 2016/02/17 [accepted] LG - English EP - 20160314 DP - 2016 Jun EZ - 2016/03/16 06:00 DA - 2017/01/25 06:00 DT - 2016/03/16 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26976399 <136. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26626792 TI - Addiction and Chronic Pain: Training Addiction Psychiatrists. SO - Academic Psychiatry. 40(3):489-93, 2016 Jun. AS - Acad Psychiatry. 40(3):489-93, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edens EL AU - Gafni I AU - Encandela J AI - Edens, Ellen Lockard; ORCID: http://orcid.org/0000-0002-0786-6582 FA - Edens, Ellen Lockard FA - Gafni, Inbal FA - Encandela, John IN - Edens, Ellen Lockard. Yale School of Medicine, New Haven, CT, USA. ellen.edens@va.gov. IN - Gafni, Inbal. Women's College Hospital, University of Toronto, Toronto, ON, Canada. IN - Encandela, John. Yale School of Medicine, New Haven, CT, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 489-93 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Chronic Pain/ep [Epidemiology] MH - *Chronic Pain/th [Therapy] MH - Comorbidity MH - Curriculum MH - Faculty, Medical MH - *Fellowships and Scholarships/mt [Methods] MH - Focus Groups MH - Humans MH - *Pain Management MH - *Psychiatry/ed [Education] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] KW - Addiction; Curriculum development; Fellowship training; Pain AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Educators in addiction psychiatry should clarify their role in the management of chronic pain and prioritize training in this area. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0412-z PT - Journal Article ID - 10.1007/s40596-015-0412-z [doi] ID - 10.1007/s40596-015-0412-z [pii] PP - ppublish PH - 2014/11/28 [received] PH - 2015/08/18 [accepted] LG - English EP - 20151201 DP - 2016 Jun EZ - 2015/12/03 06:00 DA - 2017/01/25 06:00 DT - 2015/12/03 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26626792 <137. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26122351 TI - A "Middle Way": Introducing a Flexible Year-Long Program to Prepare for Certification in Addiction Medicine. SO - Academic Psychiatry. 40(3):514-6, 2016 Jun. AS - Acad Psychiatry. 40(3):514-6, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Levounis P AU - Zerbo E AU - Aggarwal R FA - Levounis, Petros FA - Zerbo, Erin FA - Aggarwal, Rashi IN - Levounis, Petros. Rutgers New Jersey Medical School, Newark, NJ, USA. levounpe@njms.rutgers.edu. IN - Zerbo, Erin. Rutgers New Jersey Medical School, Newark, NJ, USA. IN - Aggarwal, Rashi. Rutgers New Jersey Medical School, Newark, NJ, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 514-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Certification MH - *Curriculum MH - *Education, Medical, Continuing/mt [Methods] MH - Gynecology/ed [Education] MH - Humans MH - Internal Medicine/ed [Education] MH - *Licensure MH - Obstetrics/ed [Education] MH - Pediatrics/ed [Education] MH - *Psychiatry/ed [Education] MH - *Specialization MH - *Substance-Related Disorders/rh [Rehabilitation] ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0378-x PT - Journal Article ID - 10.1007/s40596-015-0378-x [doi] ID - 10.1007/s40596-015-0378-x [pii] PP - ppublish PH - 2014/08/18 [received] PH - 2015/05/25 [accepted] LG - English EP - 20150627 DP - 2016 Jun EZ - 2015/07/01 06:00 DA - 2017/01/25 06:00 DT - 2015/07/01 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26122351 <138. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26108398 TI - Addiction Psychiatry in PGY-3: Use of the Intensive Outpatient Treatment Setting to Train Senior Residents. SO - Academic Psychiatry. 40(3):517-9, 2016 Jun. AS - Acad Psychiatry. 40(3):517-9, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sanchez-Ramirez JP AU - Gakhal R AU - Oakman SA FA - Sanchez-Ramirez, Juan P FA - Gakhal, Ramandeep FA - Oakman, Scott A IN - Sanchez-Ramirez, Juan P. Hennepin-Regions Psychiatry Training Program, Minneapolis, MN, USA. IN - Gakhal, Ramandeep. Hennepin-Regions Psychiatry Training Program, Minneapolis, MN, USA. IN - Oakman, Scott A. Hennepin-Regions Psychiatry Training Program, Minneapolis, MN, USA. scott.a.oakman@healthpartners.com. IN - Oakman, Scott A. Regions Behavioral Health, St. Paul, MN, 55101, USA. scott.a.oakman@healthpartners.com. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 517-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Ambulatory Care MH - Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - *Residential Treatment MH - *Substance-Related Disorders/rh [Rehabilitation] ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0386-x PT - Journal Article ID - 10.1007/s40596-015-0386-x [doi] ID - 10.1007/s40596-015-0386-x [pii] PP - ppublish PH - 2014/11/07 [received] PH - 2015/06/12 [accepted] LG - English EP - 20150625 DP - 2016 Jun EZ - 2015/06/26 06:00 DA - 2017/01/25 06:00 DT - 2015/06/26 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26108398 <139. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26108396 TI - A Qualitative Analysis of Medical Students' Reflection on Attending an Alcoholics Anonymous Meeting: Insights for Future Addiction Curricula. SO - Academic Psychiatry. 40(3):468-74, 2016 Jun. AS - Acad Psychiatry. 40(3):468-74, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kastenholz KJ AU - Agarwal G FA - Kastenholz, Kurt J FA - Agarwal, Gaurava IN - Kastenholz, Kurt J. Northwestern University Feinberg School of Medicine, Chicago, IL, USA. kurt-kastenholz@fsm.northwestern.edu. IN - Agarwal, Gaurava. Northwestern University Feinberg School of Medicine, Chicago, IL, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 468-74 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Alcoholics Anonymous MH - *Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - *Clinical Clerkship MH - *Curriculum MH - Humans MH - *Psychiatry/ed [Education] MH - Qualitative Research MH - *Students, Medical KW - Addiction; Alcoholics anonymous; Attitudes; Medical students; Spirituality AB - 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. AB - 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. AB - 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. AB - 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0380-3 PT - Journal Article ID - 10.1007/s40596-015-0380-3 [doi] ID - 10.1007/s40596-015-0380-3 [pii] PP - ppublish PH - 2014/12/03 [received] PH - 2015/05/27 [accepted] LG - English EP - 20150625 DP - 2016 Jun EZ - 2015/06/26 06:00 DA - 2017/01/25 06:00 DT - 2015/06/26 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26108396 <140. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26048457 TI - Training Psychiatry Addiction Fellows in Acupuncture. SO - Academic Psychiatry. 40(3):503-6, 2016 Jun. AS - Acad Psychiatry. 40(3):503-6, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Serafini K AU - Bryant K AU - Ikomi J AU - LaPaglia D AI - Serafini, Kelly; ORCID: http://orcid.org/0000-0002-0679-1494 FA - Serafini, Kelly FA - Bryant, Katurah FA - Ikomi, Jolomi FA - LaPaglia, Donna IN - Serafini, Kelly. Yale School of Medicine, New Haven, CT, USA. kelly.serafini@yale.edu. IN - Bryant, Katurah. Department of Mental Health and Addiction Services, Hartford, CT, USA. IN - Ikomi, Jolomi. University of Cincinnati, Cincinnati, OH, USA. IN - LaPaglia, Donna. Yale School of Medicine, New Haven, CT, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 503-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4670818 OI - Source: NLM. NIHMS675977 SB - Index Medicus CP - United States MH - *Acupuncture/ed [Education] MH - Acupuncture Therapy/mt [Methods] MH - *Attitude of Health Personnel MH - *Curriculum MH - *Education, Medical, Graduate MH - *Fellowships and Scholarships MH - Humans MH - *Psychiatry/ed [Education] MH - Specialization MH - *Substance-Related Disorders/rh [Rehabilitation] KW - Curriculum development; Interdisciplinary training AB - 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. AB - METHODS: Psychiatry and psychology fellows completed the NADA training (n=20) and reported on their satisfaction with the training. AB - RESULTS: Overall, participants stated that they found the training beneficial and many were integrating acupuncture within their current practice. AB - CONCLUSIONS: Results support the acceptability of acupuncture training among psychiatry fellows in this program. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0342-9 PT - Journal Article ID - 10.1007/s40596-015-0342-9 [doi] ID - 10.1007/s40596-015-0342-9 [pii] ID - PMC4670818 [pmc] ID - NIHMS675977 [mid] PP - ppublish PH - 2014/11/03 [received] PH - 2015/03/24 [accepted] GI - No: L30 DA038218 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: T32 DA007238 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20150606 DP - 2016 Jun EZ - 2015/06/07 06:00 DA - 2017/01/25 06:00 DT - 2015/06/07 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26048457 <141. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26017618 TI - Training in Buprenorphine and Office-Based Opioid Treatment: A Survey of Psychiatry Residency Training Programs. SO - Academic Psychiatry. 40(3):498-502, 2016 Jun. AS - Acad Psychiatry. 40(3):498-502, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suzuki J AU - Ellison TV AU - Connery HS AU - Surber C AU - Renner JA FA - Suzuki, Joji FA - Ellison, Tatyana V FA - Connery, Hilary S FA - Surber, Charles FA - Renner, John A IN - Suzuki, Joji. Brigham and Women's Hospital, Boston, MA, USA. jsuzuki2@partners.org. IN - Ellison, Tatyana V. Kaiser Permanente Southern California, Ontario, CA, USA. IN - Connery, Hilary S. McLean Hospital, Belmont, MA, USA. IN - Surber, Charles. University of Michigan, Ann Arbor, MI, USA. IN - Renner, John A. VA Boston HealthCare System, Boston, MA, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 498-502 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Ambulatory Care MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Buprenorphine/tu [Therapeutic Use] MH - *Curriculum MH - Education, Medical, Graduate MH - Humans MH - Internship and Residency MH - *Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Psychiatry/ed [Education] MH - Surveys and Questionnaires MH - United States KW - Buprenorphine; Office-based opioid treatment; Opioid dependence; Psychiatry residents AB - 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. AB - METHODS: Psychiatry residency programs in the USA were recruited to complete a survey. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0313-1 PT - Journal Article ID - 10.1007/s40596-015-0313-1 [doi] ID - 10.1007/s40596-015-0313-1 [pii] PP - ppublish PH - 2014/08/04 [received] PH - 2015/02/03 [accepted] LG - English EP - 20150528 DP - 2016 Jun EZ - 2015/05/29 06:00 DA - 2017/01/25 06:00 DT - 2015/05/29 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26017618 <142. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25749922 TI - The Time is Now: Improving Substance Abuse Training in Medical Schools. [Review] SO - Academic Psychiatry. 40(3):454-60, 2016 Jun. AS - Acad Psychiatry. 40(3):454-60, 2016 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ram A AU - Chisolm MS FA - Ram, Anita FA - Chisolm, Margaret S IN - Ram, Anita. Johns Hopkins University School of Medicine, Baltimore, MD, USA. IN - Chisolm, Margaret S. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University School of Medicine, Baltimore, MD, USA. mchisol1@jhmi.edu. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 3 PG - 454-60 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Clinical Competence MH - *Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Education, Medical, Undergraduate/st [Standards] MH - Health Services Needs and Demand MH - Humans MH - *Psychiatry/ed [Education] MH - Quality Improvement MH - Schools, Medical MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/th [Therapy] KW - Addiction psychiatry; Attitudes; Medical students; Values AB - 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0314-0 PT - Journal Article PT - Review ID - 10.1007/s40596-015-0314-0 [doi] ID - 10.1007/s40596-015-0314-0 [pii] PP - ppublish PH - 2014/08/27 [received] PH - 2015/02/06 [accepted] LG - English EP - 20150307 DP - 2016 Jun EZ - 2015/03/10 06:00 DA - 2017/01/25 06:00 DT - 2015/03/10 06:00 YR - 2016 ED - 20170124 RD - 20170124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25749922 <143. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24221860 TI - Dr Junkie. The Doctor Addict in Bulgakov's Morphine: What are the Lessons for Contemporary Medical Practice?. SO - Journal of Medical Humanities. 36(4):359-68, 2015 Dec. AS - J Med Humanit. 36(4):359-68, 2015 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tischler V FA - Tischler, Victoria IN - Tischler, Victoria. Division of Psychiatry and Applied Psychology, Institute of Mental Health, University of Nottingham, Triumph Road, Nottingham, NG7 2TU, UK. victoria.tischler@nottingham.ac.uk. NJ - The Journal of medical humanities VO - 36 IP - 4 PG - 359-68 PI - Journal available in: Print PI - Citation processed from: Internet JC - ain, 8917478 IO - J Med Humanit PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4642586 SB - Index Medicus CP - United States MH - *Education, Medical MH - Health Knowledge, Attitudes, Practice MH - Humanities MH - Humans MH - *Morphine Dependence MH - Narration MH - *Physician Impairment MH - United States KW - Addiction; Medical education; Opiates; Physicians; Professionalism AB - 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. ES - 1573-3645 IL - 1041-3545 DO - https://dx.doi.org/10.1007/s10912-013-9259-z PT - Journal Article ID - 10.1007/s10912-013-9259-z [doi] ID - 10.1007/s10912-013-9259-z [pii] ID - PMC4642586 [pmc] PP - ppublish LG - English DP - 2015 Dec EZ - 2013/11/14 06:00 DA - 2017/01/25 06:00 DT - 2013/11/14 06:00 YR - 2015 ED - 20170124 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24221860 <144. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27660872 TI - Prevalence of hypertension and major cardiovascular risk factors in healthy residents of a rural region in south-eastern Poland - 1997-2008/9. SO - Annals of Agricultural & Environmental Medicine. 23(3):476-81, 2016 Sep. AS - Ann Agric Environ Med. 23(3):476-81, 2016 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Placzkiewicz D AU - Puzniak M AU - Kleinrok A FA - Placzkiewicz, Daniel FA - Puzniak, Marek FA - Kleinrok, Andrzej IN - Placzkiewicz, Daniel. Department of Cardiology, The Pope John Paul II Hospital, Zamosc, Poland. IN - Puzniak, Marek. Department of Cardiology, The Pope John Paul II Hospital, Zamosc, Poland. IN - Kleinrok, Andrzej. Department of Cardiology, The Pope John Paul II Hospital, Zamosc, Poland. Department of Physiotherapy and Pedagogy, Zamosc University of Management and Administration, Poland. NJ - Annals of agricultural and environmental medicine : AAEM VO - 23 IP - 3 PG - 476-81 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9500166 IO - Ann Agric Environ Med SB - Index Medicus CP - Poland MH - Adult MH - Aged MH - Aged, 80 and over MH - *Cardiovascular Diseases/ep [Epidemiology] MH - Cardiovascular Diseases/et [Etiology] MH - Female MH - Follow-Up Studies MH - Humans MH - *Hypertension/ep [Epidemiology] MH - Hypertension/et [Etiology] MH - Male MH - Middle Aged MH - Poland/ep [Epidemiology] MH - Prevalence MH - Risk Factors MH - Rural Population/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. AB - 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. AB - 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). AB - 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. ES - 1898-2263 IL - 1232-1966 DO - https://dx.doi.org/10.5604/12321966.1219191 PT - Journal Article ID - 1219191 [pii] ID - 10.5604/12321966.1219191 [doi] PP - ppublish LG - English DP - 2016 Sep EZ - 2016/09/24 06:00 DA - 2017/01/18 06:00 DT - 2016/09/24 06:00 YR - 2016 ED - 20170117 RD - 20170117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27660872 <145. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26391030 TI - Teaching Medical Students to Help Patients Quit Smoking: Outcomes of a 10-School Randomized Controlled Trial. SO - Journal of General Internal Medicine. 31(2):172-81, 2016 Feb. AS - J Gen Intern Med. 31(2):172-81, 2016 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ockene JK AU - Hayes RB AU - Churchill LC AU - Crawford SL AU - Jolicoeur DG AU - Murray DM AU - Shoben AB AU - David SP AU - Ferguson KJ AU - Huggett KN AU - Adams M AU - Okuliar CA AU - Gross RL AU - Bass PF 3rd AU - Greenberg RB AU - Leone FT AU - Okuyemi KS AU - Rudy DW AU - Waugh JB AU - Geller AC FA - Ockene, Judith K FA - Hayes, Rashelle B FA - Churchill, Linda C FA - Crawford, Sybil L FA - Jolicoeur, Denise G FA - Murray, David M FA - Shoben, Abigail B FA - David, Sean P FA - Ferguson, Kristi J FA - Huggett, Kathryn N FA - Adams, Michael FA - Okuliar, Catherine A FA - Gross, Robin L FA - Bass, Pat F 3rd FA - Greenberg, Ruth B FA - Leone, Frank T FA - Okuyemi, Kola S FA - Rudy, David W FA - Waugh, Jonathan B FA - Geller, Alan C IN - Ockene, Judith K. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. Judith.Ockene@umassmed.edu. IN - Hayes, Rashelle B. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. IN - Churchill, Linda C. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. IN - Crawford, Sybil L. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. IN - Jolicoeur, Denise G. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. IN - Murray, David 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, MD, USA. IN - Shoben, Abigail B. Division of Biostatistics, College of Public Health, The Ohio State University, Columbus, OH, USA. IN - David, Sean 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, CA, USA. IN - Ferguson, Kristi J. University of Iowa Carver College of Medicine, Iowa City, IA, USA. IN - Huggett, Kathryn N. Department of Medicine, Creighton University School of Medicine, Omaha, NE, USA. IN - Adams, Michael. Department of Medicine, Georgetown University Hospital, Washington, DC, USA. IN - Okuliar, Catherine A. Department of Medicine, Georgetown University Hospital, Washington, DC, USA. IN - Gross, Robin L. Department of Medicine, Georgetown University Hospital, Washington, DC, USA. IN - Bass, Pat F 3rd. Louisiana State University Health Shreveport, Shreveport, LA, USA. IN - Greenberg, Ruth B. University of Louisville School of Medicine, Louisville, KY, USA. IN - Leone, Frank T. Division of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. IN - Okuyemi, Kola S. Department of Family and Community Health, University of Minnesota School of Medicine, Minneapolis, MN, USA. IN - Rudy, David W. University of Kentucky College of Medicine, Lexington, KY, USA. IN - Waugh, Jonathan B. Clinical and Diagnostics Sciences Department, School of Health Professions, UAB Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, USA. IN - Geller, Alan C. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, USA. CM - Comment in: J Gen Intern Med. 2016 Feb;31(2):144-6; PMID: 26747628 NJ - Journal of general internal medicine VO - 31 IP - 2 PG - 172-81 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720645 SB - Index Medicus CP - United States MH - Clinical Clerkship MH - Clinical Competence MH - Computer-Assisted Instruction/mt [Methods] MH - Counseling/ed [Education] MH - Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Humans MH - Outcome Assessment (Health Care) MH - Self Efficacy MH - *Smoking Cessation/mt [Methods] MH - Students, Medical MH - *Tobacco Use Disorder/rh [Rehabilitation] MH - United States KW - counseling; medical school curriculum; medical student behaviors; objective structured clinical examination; randomized controlled trial; tobacco dependence treatment AB - BACKGROUND: Early in medical education, physicians must develop competencies needed for tobacco dependence treatment. AB - OBJECTIVE: To assess the effect of a multi-modal tobacco dependence treatment curriculum on medical students' counseling skills. AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. mean8.0 [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). AB - LIMITATIONS: Inclusion of only ten schools limits generalizability. AB - 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. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-015-3508-y PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - 10.1007/s11606-015-3508-y [doi] ID - 10.1007/s11606-015-3508-y [pii] ID - PMC4720645 [pmc] PP - ppublish SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01905618 SL - https://clinicaltrials.gov/search/term=NCT01905618 GI - No: R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 5 R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2016 Feb EZ - 2015/09/24 06:00 DA - 2017/01/11 06:00 DT - 2015/09/23 06:00 YR - 2016 ED - 20170110 RD - 20170412 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26391030 <146. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26822363 TI - Cognitive interventions for addiction medicine: Understanding the underlying neurobiological mechanisms. [Review] SO - Progress in Brain Research. 224:285-304, 2016. AS - Prog Brain Res. 224:285-304, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zilverstand A AU - Parvaz MA AU - Moeller SJ AU - Goldstein RZ FA - Zilverstand, Anna FA - Parvaz, Muhammad A FA - Moeller, Scott J FA - Goldstein, Rita Z IN - Zilverstand, Anna. Departments of Psychiatry & Neuroscience, Icahn School of Medicine at Mount Sinai, NY, USA. IN - Parvaz, Muhammad A. Departments of Psychiatry & Neuroscience, Icahn School of Medicine at Mount Sinai, NY, USA. IN - Moeller, Scott J. Departments of Psychiatry & Neuroscience, Icahn School of Medicine at Mount Sinai, NY, USA. IN - Goldstein, Rita Z. Departments of Psychiatry & Neuroscience, Icahn School of Medicine at Mount Sinai, NY, USA. Electronic address: rita.goldstein@mssm.edu. NJ - Progress in brain research VO - 224 PG - 285-304 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - q0b, 0376441 IO - Prog. Brain Res. SB - Index Medicus CP - Netherlands MH - Animals MH - *Cognitive Therapy/mt [Methods] MH - Emotions MH - Humans MH - *Neurobiology MH - Neurofeedback MH - Neuroimaging MH - Substance-Related Disorders/dg [Diagnostic Imaging] MH - *Substance-Related Disorders/rh [Rehabilitation] KW - CBT; Cognitive control; EEG; Emotion regulation; Neurofeedback; Psychotherapy; Substance use disorders; Training; Treatment; fMRI AB - 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. Copyright © 2016 Elsevier B.V. All rights reserved. CI - Disclosure/Conflict of Interest: None declared. ES - 1875-7855 IL - 0079-6123 DI - S0079-6123(15)00125-9 DO - https://dx.doi.org/10.1016/bs.pbr.2015.07.019 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review ID - S0079-6123(15)00125-9 [pii] ID - 10.1016/bs.pbr.2015.07.019 [doi] ID - PMC5206794 [pmc] ID - NIHMS836904 [mid] PP - ppublish GI - No: 1R21DA034954 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: 1K01DA037452 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K01 DA037452 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R21 DA034954 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: 1F32DA033088 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: F32 DA033088 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20151114 DP - 2016 EZ - 2016/01/30 06:00 DA - 2017/01/10 06:00 DT - 2016/01/30 06:00 YR - 2016 ED - 20170109 RD - 20170224 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26822363 <147. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26822206 TI - Medical Toxicology and the Crisis of Addiction--Introduction to the Proceedings from the 2015 ACMT Addiction Academy. SO - Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 12(1):48-9, 2016 Mar. AS - J Med Toxicol. 12(1):48-9, 2016 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wiegand TJ AU - Babu KM FA - Wiegand, Timothy J FA - Babu, Kavita M IN - Wiegand, Timothy J. URMC and Strong Memorial Hospital, Box 321 at URMC, 601 Elmwood Avenue, Rochester, NY, 14642, USA. IN - Babu, Kavita M. University of Massachusetts Medical School, 55 Lake Avenue North, Worcester, MA, 01655, USA. kavitambabu@gmail.com. NJ - Journal of medical toxicology : official journal of the American College of Medical Toxicology VO - 12 IP - 1 PG - 48-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101284598 IO - J Med Toxicol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781810 SB - Index Medicus CP - United States MH - Cooperative Behavior MH - Education, Medical MH - Humans MH - Interdisciplinary Communication MH - Patient Care Team MH - *Societies, Medical MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - Toxicology/ed [Education] MH - *Toxicology/mt [Methods] KW - Addiction; Medical toxicology; Opioid abuse ES - 1937-6995 IL - 1556-9039 DO - https://dx.doi.org/10.1007/s13181-016-0534-z PT - Congresses PT - Introductory Journal Article ID - 10.1007/s13181-016-0534-z [doi] ID - 10.1007/s13181-016-0534-z [pii] ID - PMC4781810 [pmc] PP - ppublish LG - English DP - 2016 Mar PQ - 2017/03/01 EZ - 2016/01/30 06:00 DA - 2016/12/22 06:00 DT - 2016/01/30 06:00 YR - 2016 ED - 20161221 RD - 20170301 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26822206 <148. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26597980 TI - Addiction Medicine: Current Status of Certification, Maintenance of Certification, Training, and Practice. [Review] SO - Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 12(1):76-8, 2016 Mar. AS - J Med Toxicol. 12(1):76-8, 2016 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kunz K AU - Wiegand T FA - Kunz, Kevin FA - Wiegand, Timothy IN - Kunz, Kevin. The American Board of Addiction Medicine Foundation, Bethesda, MD, USA. kkunz@abam.net. IN - Wiegand, Timothy. The American Board of Addiction Medicine Foundation, Bethesda, MD, USA. NJ - Journal of medical toxicology : official journal of the American College of Medical Toxicology VO - 12 IP - 1 PG - 76-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101284598 IO - J Med Toxicol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781805 SB - Index Medicus CP - United States MH - *Certification/st [Standards] MH - Clinical Competence MH - *Education, Medical, Graduate/st [Standards] MH - Fellowships and Scholarships/st [Standards] MH - Humans MH - Internship and Residency/st [Standards] MH - *Specialization/st [Standards] MH - *Specialty Boards/st [Standards] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Toxicology/ed [Education] MH - *Toxicology/st [Standards] KW - Addiction medicine; Alcohol dependence; Board certification; Drug dependence; Medical toxicology AB - 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. ES - 1937-6995 IL - 1556-9039 DO - https://dx.doi.org/10.1007/s13181-015-0524-6 PT - Journal Article PT - Review ID - 10.1007/s13181-015-0524-6 [doi] ID - 10.1007/s13181-015-0524-6 [pii] ID - PMC4781805 [pmc] PP - ppublish LG - English DP - 2016 Mar PQ - 2017/03/01 EZ - 2015/11/26 06:00 DA - 2016/12/22 06:00 DT - 2015/11/25 06:00 YR - 2016 ED - 20161221 RD - 20170301 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26597980 <149. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26576956 TI - The Integration of Medical Toxicology and Addiction Medicine: a New Era in Patient Care. [Review] SO - Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 12(1):79-81, 2016 Mar. AS - J Med Toxicol. 12(1):79-81, 2016 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Laes JR FA - Laes, JoAn R IN - Laes, JoAn R. Division of Addiction Medicine, Hennepin County Medical Center, 701 Park Avenue, Mail Code G5, Minneapolis, MN, 55415, USA. joan.laes@hcmed.org. NJ - Journal of medical toxicology : official journal of the American College of Medical Toxicology VO - 12 IP - 1 PG - 79-81 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101284598 IO - J Med Toxicol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4781806 SB - Index Medicus CP - United States MH - Certification MH - Clinical Competence MH - *Delivery of Health Care, Integrated/og [Organization & Administration] MH - Delivery of Health Care, Integrated/st [Standards] MH - Education, Medical, Graduate MH - Fellowships and Scholarships MH - Humans MH - *Patient-Centered Care/og [Organization & Administration] MH - Patient-Centered Care/st [Standards] MH - Specialization MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - Toxicology/ed [Education] MH - *Toxicology/og [Organization & Administration] MH - Toxicology/st [Standards] KW - Addiction; Alcohol dependence; Drug dependence; Toxicology AB - 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. ES - 1937-6995 IL - 1556-9039 DO - https://dx.doi.org/10.1007/s13181-015-0523-7 PT - Journal Article PT - Review ID - 10.1007/s13181-015-0523-7 [doi] ID - 10.1007/s13181-015-0523-7 [pii] ID - PMC4781806 [pmc] PP - ppublish LG - English DP - 2016 Mar PQ - 2017/03/01 EZ - 2015/11/19 06:00 DA - 2016/12/22 06:00 DT - 2015/11/19 06:00 YR - 2016 ED - 20161221 RD - 20170301 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26576956 <150. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26304703 TI - SCOPE of Pain: An Evaluation of an Opioid Risk Evaluation and Mitigation Strategy Continuing Education Program. SO - Pain Medicine. 17(1):52-63, 2016 Jan. AS - PAIN MED. 17(1):52-63, 2016 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alford DP AU - Zisblatt L AU - Ng P AU - Hayes SM AU - Peloquin S AU - Hardesty I AU - White JL FA - Alford, Daniel P FA - Zisblatt, Lara FA - Ng, Pamela FA - Hayes, Sean M FA - Peloquin, Sophie FA - Hardesty, Ilana FA - White, Julie L NJ - Pain medicine (Malden, Mass.) VO - 17 IP - 1 PG - 52-63 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100894201 IO - Pain Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4718419 SB - Index Medicus CP - England MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Pain/dt [Drug Therapy] MH - Drug Prescriptions MH - Education, Medical, Continuing MH - Humans MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Practice Patterns, Physicians'/lj [Legislation & Jurisprudence] MH - Risk Assessment MH - United States MH - United States Food and Drug Administration/lj [Legislation & Jurisprudence] AB - 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. AB - METHOD: Participants of the 3-h SCOPE of Pain training completed pre-, immediate post- and 2-month post-assessments. AB - SUBJECTS: The primary target group (n = 2,850), and a subset (n = 476) who completed a 2-month post-assessment, 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. AB - 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. AB - 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. Copyright Published by Oxford University Press on behalf of the American Academy of Pain Medicine. 2016. This work is written by US Government employees and is in the public domain in the US. RN - 0 (Analgesics, Opioid) ES - 1526-4637 IL - 1526-2375 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/pme.12878 [doi] ID - PMC4718419 [pmc] PP - ppublish LG - English DP - 2016 Jan EZ - 2015/08/26 06:00 DA - 2016/12/21 06:00 DT - 2015/08/26 06:00 YR - 2016 ED - 20161220 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26304703 <151. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26175459 TI - Effectiveness of an Intervention to Teach Physicians How to Assist Patients to Quit Smoking in Argentina. SO - Nicotine & Tobacco Research. 18(5):1101-9, 2016 May. AS - Nicotine Tob Res. 18(5):1101-9, 2016 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mejia R AU - Perez Stable EJ AU - Kaplan CP AU - Gregorich SE AU - Livaudais-Toman J AU - Pena L AU - Alderete M AU - Schoj V AU - Alderete E FA - Mejia, Raul FA - Perez Stable, Eliseo J FA - Kaplan, Celia P FA - Gregorich, Steven E FA - Livaudais-Toman, Jennifer FA - Pena, Lorena FA - Alderete, Mariela FA - Schoj, Veronica FA - Alderete, Ethel IN - Mejia, Raul. Department of Medicine, Centro de Estudios de Estado y Sociedad (CEDES), Argentina, Buenos Aires, Argentina; Department of Medicine, Program in General Internal Medicine, Universidad de Buenos Aires, Buenos Aires, Argentina; IN - Perez Stable, Eliseo J. Division of General Internal Medicine, Department of Medicine, Medical Effectiveness Research Center for Diverse Populations, UCSF, San Francisco, CA; eliseops@medicine.ucsf.edu. IN - Kaplan, Celia P. Division of General Internal Medicine, Department of Medicine, Medical Effectiveness Research Center for Diverse Populations, UCSF, San Francisco, CA; IN - Gregorich, Steven E. Division of General Internal Medicine, Department of Medicine, Medical Effectiveness Research Center for Diverse Populations, UCSF, San Francisco, CA; IN - Livaudais-Toman, Jennifer. Division of General Internal Medicine, Department of Medicine, Medical Effectiveness Research Center for Diverse Populations, UCSF, San Francisco, CA; IN - Pena, Lorena. Department of Medicine, Centro de Estudios de Estado y Sociedad (CEDES), Argentina, Buenos Aires, Argentina; IN - Alderete, Mariela. Fundacion Interamericana del Corazon Argentina, Buenos Aires, Argentina; Consejo Nacional de Investigaciones Cientificas y Tecnicas (CONICET), Universidad Nacional de Jujuy, Jujuy, Argentina. IN - Schoj, Veronica. Fundacion Interamericana del Corazon Argentina, Buenos Aires, Argentina; IN - Alderete, Ethel. Consejo Nacional de Investigaciones Cientificas y Tecnicas (CONICET), Universidad Nacional de Jujuy, Jujuy, Argentina. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 18 IP - 5 PG - 1101-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Adult MH - Argentina MH - *Education, Medical, Continuing/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Physicians MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Smoking Cessation AB - INTRODUCTION: We evaluated an intervention to teach physicians how to help their smoking patients quit compared to usual care in Argentina. AB - 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. AB - 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). AB - CONCLUSIONS: Training in tobacco cessation for physicians did not improve abstinence among their unselected smoking patients. Copyright © The Author 2015. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. ES - 1469-994X IL - 1462-2203 DO - https://dx.doi.org/10.1093/ntr/ntv153 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - ntv153 [pii] ID - 10.1093/ntr/ntv153 [doi] ID - PMC5815630 [pmc] PP - ppublish PH - 2014/10/06 [received] PH - 2015/07/07 [accepted] GI - No: TW05935 Organization: (TW) *FIC NIH HHS* Country: United States GI - No: U54 CA153511 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: U01CA86117 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P30 AG015272 Organization: (AG) *NIA NIH HHS* Country: United States GI - No: U01 CA086117 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 TW005935 Organization: (TW) *FIC NIH HHS* Country: United States GI - No: U54CA153511 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20150714 DP - 2016 May EZ - 2015/07/16 06:00 DA - 2016/12/15 06:00 DT - 2015/07/16 06:00 YR - 2016 ED - 20161213 RD - 20180227 UP - 20180227 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=26175459 <152. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26867164 TI - Addressing substance misuse in adolescents: a review of the literature on the screening, brief intervention, and referral to treatment model. [Review] SO - Current Opinion in Pediatrics. 28(2):258-65, 2016 Apr. AS - Curr Opin Pediatr. 28(2):258-65, 2016 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beaton A AU - Shubkin CD AU - Chapman S FA - Beaton, Aimee FA - Shubkin, Catherine D FA - Chapman, Steven IN - Beaton, Aimee. aChildren's Hospital at Dartmouth bGeisel School of Medicine, Children's Hospital at Dartmouth-Hitchcock, Lebanon, NH, USA. NJ - Current opinion in pediatrics VO - 28 IP - 2 PG - 258-65 PI - Journal available in: Print PI - Citation processed from: Internet JC - but, 9000850 IO - Curr. Opin. Pediatr. SB - Index Medicus CP - United States MH - Adolescent MH - Adolescent Behavior MH - Adolescent Medicine/ed [Education] MH - Algorithms MH - Education, Medical, Graduate/mt [Methods] MH - Evidence-Based Medicine MH - Humans MH - *Mass Screening/mt [Methods] MH - Primary Health Care/mt [Methods] MH - Primary Health Care/og [Organization & Administration] MH - Referral and Consultation/og [Organization & Administration] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] AB - PURPOSE OF REVIEW: Adolescent substance use is a major public health concern in the United States. Pediatricians are in a unique position via the medical home to address this issue. Screening, brief intervention, and referral to treatment (SBIRT) is a comprehensive approach that aims to prevent, identify, and reduce substance use. SBIRT has been heavily studied in adults, but research with adolescents is still ongoing. This review examines the SBIRT model and highlights recent applicable research. AB - RECENT FINDINGS: This research indicates that alcohol and drug use has a negative impact on the developing brain. In 2011, the American Academy of Pediatrics (AAP) released a policy statement recommending the use of SBIRT. An adolescent SBIRT algorithm can be used clinically. Recent studies focus on individual components of SBIRT; however, there have been no studies that examine all three components together in adolescents. Nevertheless, research indicates that SBIRT is an important tool to assess and intervene regarding adolescent substance use. AB - SUMMARY: SBIRT is recommended by the AAP as a way to address adolescent substance use. Pediatricians should be screening adolescents for substance use at every well exam, and acute care visits when possible, with a validated tool. Although more research is needed, SBIRT is an effective method to address adolescent substance use. ES - 1531-698X IL - 1040-8703 DO - https://dx.doi.org/10.1097/MOP.0000000000000333 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 10.1097/MOP.0000000000000333 [doi] PP - ppublish LG - English DP - 2016 Apr EZ - 2016/02/13 06:00 DA - 2016/12/15 06:00 DT - 2016/02/12 06:00 YR - 2016 ED - 20161213 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26867164 <153. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26725671 TI - [Knowledge regarding Proper Use Guidelines for Benzodiazepines]. [Review] [Japanese] SO - Yakugaku Zasshi - Journal of the Pharmaceutical Society of Japan. 136(1):73-7, 2016. AS - Yakugaku Zasshi. 136(1):73-7, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Inada K FA - Inada, Ken IN - Inada, Ken. Department of Psychiatry, Tokyo Women's Medical University. NJ - Yakugaku zasshi : Journal of the Pharmaceutical Society of Japan VO - 136 IP - 1 PG - 73-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - jon, 0413613 IO - Yakugaku Zasshi SB - Index Medicus CP - Japan MH - *Anti-Anxiety Agents MH - *Benzodiazepines/ad [Administration & Dosage] MH - Benzodiazepines/ae [Adverse Effects] MH - *Benzodiazepines/pd [Pharmacology] MH - Education MH - Education, Medical, Continuing MH - Education, Pharmacy MH - *GABA-A Receptor Agonists/ad [Administration & Dosage] MH - GABA-A Receptor Agonists/ae [Adverse Effects] MH - *GABA-A Receptor Agonists/pd [Pharmacology] MH - Hospitals, University MH - Humans MH - *Hypnotics and Sedatives MH - *Patient Medication Knowledge MH - *Practice Guidelines as Topic MH - *Prescription Drug Misuse/pc [Prevention & Control] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Tokyo AB - Benzodiazepines (BZs) work by agonising gamma-aminobutyric acid (GABA)-BZ-receptor complex and thereby produce sedation and anti-anxiety effects. BZs are commonly used in several clinical areas as hypnotics or anti-anxiety drugs. However, these drugs once supplied by medical institutions often lead to abuse and dependence. Thus it is important for institutions to supply and manage BZs properly. At Tokyo Women's Medical University Hospital educational activities about proper use of BZs are performed by not only medical doctors but also pharmacists. We coordinate distribution of leaflets and run an educational workshop. As a result of these activities, the number of patients receiving BZ prescriptions was reduced. Performing these activities, pharmacists were required to work for patients, doctors, and nurses; they acquired knowledge about BZs such as action mechanisms, efficacy, adverse effects, problems about co-prescription, and methods of discontinuing BZs, as well as information on coping techniques other than medication. The most important point to attend the patients is to answer their anxieties. RN - 0 (Anti-Anxiety Agents) RN - 0 (GABA-A Receptor Agonists) RN - 0 (Hypnotics and Sedatives) RN - 12794-10-4 (Benzodiazepines) ES - 1347-5231 IL - 0031-6903 DO - https://dx.doi.org/10.1248/yakushi.15-00228-2 PT - Journal Article PT - Review ID - 10.1248/yakushi.15-00228-2 [doi] PP - ppublish LG - Japanese DP - 2016 EZ - 2016/01/05 06:00 DA - 2016/12/15 06:00 DT - 2016/01/05 06:00 YR - 2016 ED - 20161213 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26725671 <154. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26592790 TI - Domestic abuse and the duties of physicians: a case report. SO - Indian Journal of Medical Ethics. 12(4):248-50, 2015 Oct-Dec. AS - Indian J Med Ethics. 12(4):248-50, 2015 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hossain N AU - Khan S FA - Hossain, Nazli FA - Khan, Sharmeen IN - Hossain, Nazli. Professor, Department of Obstetrics & Gynecology, Unit II, Dow University of Health Sciences, Karachi, Pakistan,. Nazli.hossain@duhs.edu.pk. IN - Khan, Sharmeen. Corporate lawyer, Karachi, Pakistan,. sharmeen@amgen.com. NJ - Indian journal of medical ethics VO - 12 IP - 4 PG - 248-50 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101214913 IO - Indian J Med Ethics SB - Index Medicus CP - India MH - Adult MH - Asia MH - Attitude of Health Personnel MH - Awareness MH - *Domestic Violence MH - Female MH - *Health Services MH - *Health Services Accessibility MH - Humans MH - *Intimate Partner Violence MH - Mandatory Reporting MH - Mass Screening MH - Moral Obligations MH - *Physicians MH - *Professional Role AB - 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). ES - 0975-5691 IL - 0974-8466 PT - Case Reports PT - Journal Article ID - 4857 [pii] ID - 10.20529/IJME.2015.066 [doi] PP - ppublish LG - English DP - 2015 Oct-Dec EZ - 2015/11/26 06:00 DA - 2016/12/15 06:00 DT - 2015/11/24 06:00 YR - 2015 ED - 20161213 RD - 20170914 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26592790 <155. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26197102 TI - [Prevention of alcohol dependence]. [Greek] SO - Psychiatriki. 26(2):131-40, 2015 Apr-Jun. AS - Psuhiatrike. 26(2):131-40, 2015 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Trova AC AU - Paparrigopoulos T AU - Liappas I AU - Ginieri-Coccossis M FA - Trova, A C FA - Paparrigopoulos, Th FA - Liappas, I FA - Ginieri-Coccossis, M IN - Trova, A C. 1st Department of Psychiatry, University of Athens, "ATHENA" Programme, Athens, Greece. IN - Paparrigopoulos, Th. 1st Department of Psychiatry, University of Athens, "ATHENA" Programme, Athens, Greece. IN - Liappas, I. 1st Department of Psychiatry, University of Athens, "ATHENA" Programme, Athens, Greece. IN - Ginieri-Coccossis, M. 1st Department of Psychiatry, University of Athens, "ATHENA" Programme, Athens, Greece. NJ - Psychiatrike = Psychiatriki VO - 26 IP - 2 PG - 131-40 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101534363 IO - Psychiatriki SB - Index Medicus CP - Greece MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pp [Physiopathology] MH - Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Chronic Disease/px [Psychology] MH - Chronic Disease/th [Therapy] MH - *Chronic Disease MH - *Early Medical Intervention/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Psychological Techniques MH - *Quality of Life MH - Secondary Prevention MH - Substance Abuse Detection/mt [Methods] AB - 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. IS - 1105-2333 IL - 1105-2333 PT - Journal Article PP - ppublish LG - Greek DP - 2015 Apr-Jun EZ - 2015/07/22 06:00 DA - 2016/12/15 06:00 DT - 2015/07/22 06:00 YR - 2015 ED - 20161213 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26197102 <156. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25697767 TI - Childhood trauma exposure and toxic stress: what the PNP needs to know. SO - Journal of Pediatric Health Care. 29(2):191-8, 2015 Mar-Apr. AS - J Pediatr Health Care. 29(2):191-8, 2015 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hornor G FA - Hornor, Gail NJ - Journal of pediatric health care : official publication of National Association of Pediatric Nurse Associates & Practitioners VO - 29 IP - 2 PG - 191-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - jml, 8709735 IO - J Pediatr Health Care SB - Nursing Journal CP - United States MH - Adolescent MH - Checklist MH - Child MH - *Child Abuse/di [Diagnosis] MH - Child Abuse/px [Psychology] MH - Child Abuse/rh [Rehabilitation] MH - Child, Preschool MH - *Domestic Violence/px [Psychology] MH - *Education, Medical, Continuing MH - Family Characteristics MH - Female MH - Humans MH - *Life Change Events MH - Male MH - *Pediatric Nurse Practitioners MH - Practice Guidelines as Topic MH - Risk Factors MH - *Stress, Psychological/di [Diagnosis] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] KW - Toxic stress; childhood trauma exposure AB - Trauma exposure in childhood is a major public health problem that can result in lifelong mental and physical health consequences. Pediatric nurse practitioners must improve their skills in the identification of trauma exposure in children and their interventions with these children. This continuing education article will describe childhood trauma exposure (adverse childhood experiences) and toxic stress and their effects on the developing brain and body. Adverse childhood experiences include a unique set of trauma exposures. The adverse childhood experiences or trauma discussed in this continuing education offering will include childhood exposure to emotional abuse, physical abuse, sexual abuse, emotional neglect, physical neglect, domestic violence, household substance abuse, household mental illness, parental separation or divorce, and a criminal household member. Thorough and efficient methods of screening for trauma exposure will be discussed. Appropriate intervention after identification of trauma exposure will be explored. Copyright © 2015 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved. ES - 1532-656X IL - 0891-5245 DI - S0891-5245(14)00344-7 DO - https://dx.doi.org/10.1016/j.pedhc.2014.09.006 PT - Journal Article ID - S0891-5245(14)00344-7 [pii] ID - 10.1016/j.pedhc.2014.09.006 [doi] PP - ppublish PH - 2014/07/17 [received] PH - 2014/09/11 [revised] PH - 2014/09/20 [accepted] LG - English DP - 2015 Mar-Apr EZ - 2015/02/24 06:00 DA - 2016/12/15 06:00 DT - 2015/02/21 06:00 YR - 2015 ED - 20161213 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25697767 <157. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25599269 TI - Alcohol abuse management in primary care: an e-learning course. SO - Telemedicine Journal & E-Health. 21(3):200-6, 2015 Mar. AS - Telemed J E Health. 21(3):200-6, 2015 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pereira CA AU - Wen CL AU - Tavares H FA - Pereira, Celina Andrade FA - Wen, Chao Lung FA - Tavares, Hermano IN - Pereira, Celina Andrade. 1 Department of Psychiatry, University of Sao Paulo Medical School , Sao Paulo, Brazil . NJ - Telemedicine journal and e-health : the official journal of the American Telemedicine Association VO - 21 IP - 3 PG - 200-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dyh, 100959949 IO - Telemed J E Health SB - Index Medicus CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - *Alcoholism/th [Therapy] MH - Brazil MH - Computer-Assisted Instruction/mt [Methods] MH - Disease Management MH - *Education, Distance/og [Organization & Administration] MH - Education, Medical/mt [Methods] MH - *Educational Measurement MH - Female MH - Humans MH - Internet/ut [Utilization] MH - Male MH - *Primary Health Care/og [Organization & Administration] MH - Program Evaluation MH - Students, Medical/sn [Statistics & Numerical Data] MH - Telemedicine KW - distance learning; e-health; education; mobile health; telepsychiatry AB - 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. AB - 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. AB - 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). AB - 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. ES - 1556-3669 IL - 1530-5627 DO - https://dx.doi.org/10.1089/tmj.2014.0042 PT - Journal Article ID - 10.1089/tmj.2014.0042 [doi] PP - ppublish LG - English EP - 20150119 DP - 2015 Mar EZ - 2015/01/20 06:00 DA - 2016/12/15 06:00 DT - 2015/01/20 06:00 YR - 2015 ED - 20161213 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25599269 <158. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25257796 TI - Medicine Resident Preparedness to Diagnose and Treat Substance Use Disorders: Impact of an Enhanced Curriculum. SO - Substance Abuse. 36(4):427-33, 2015. AS - Subst Abus. 36(4):427-33, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wakeman SE AU - Pham-Kanter G AU - Baggett MV AU - Campbell EG FA - Wakeman, Sarah E FA - Pham-Kanter, Genevieve FA - Baggett, Meridale V FA - Campbell, Eric G IN - Wakeman, Sarah E. a Department of Medicine , Massachusetts General Hospital , Boston , Massachusetts , USA. IN - Wakeman, Sarah E. b Department of Medicine, Harvard Medical School , Boston , Massachusetts , USA. IN - Wakeman, Sarah E. c Massachusetts General Hospital Center for Community Health Improvement , Boston , Massachusetts , USA. IN - Pham-Kanter, Genevieve. d Mongan Institute for Health Policy , Boston , Massachusetts , USA. IN - Pham-Kanter, Genevieve. e Edmond J. Safra Center for Ethics , Harvard University , Boston , Massachusetts , USA. IN - Pham-Kanter, Genevieve. f Department of Health Systems, Management, and Policy, Colorado School of Public Health , University of Colorado Anschutz Medical Campus , Aurora , Colorado , USA. IN - Baggett, Meridale V. a Department of Medicine , Massachusetts General Hospital , Boston , Massachusetts , USA. IN - Baggett, Meridale V. b Department of Medicine, Harvard Medical School , Boston , Massachusetts , USA. IN - Campbell, Eric G. a Department of Medicine , Massachusetts General Hospital , Boston , Massachusetts , USA. IN - Campbell, Eric G. b Department of Medicine, Harvard Medical School , Boston , Massachusetts , USA. IN - Campbell, Eric G. d Mongan Institute for Health Policy , Boston , Massachusetts , USA. NJ - Substance abuse VO - 36 IP - 4 PG - 427-33 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Competence MH - *Curriculum MH - Female MH - Follow-Up Studies MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Program Evaluation MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] KW - Resident preparedness, substance use disorder, addiction, curriculum, substance abuse, drug use AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2014.962722 PT - Journal Article ID - 10.1080/08897077.2014.962722 [doi] PP - ppublish LG - English EP - 20140925 DP - 2015 EZ - 2014/09/27 06:00 DA - 2016/12/15 06:00 DT - 2014/09/27 06:00 YR - 2015 ED - 20161213 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25257796 <159. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26042568 TI - Empowerment through education and science: three intersecting strands in the career of Griffith Edwards. SO - Addiction. 110 Suppl 2:47-9, 2015 Jul. AS - Addiction. 110 Suppl 2:47-9, 2015 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crome I FA - Crome, Ilana IN - Crome, Ilana. Keele University School of Medicine, South Staffordshire and Shropshire Healthcare NHS Foundation Trust, Stafford, UK. NJ - Addiction (Abingdon, England) VO - 110 Suppl 2 PG - 47-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Age Factors MH - Education, Medical, Graduate/hi [History] MH - History, 20th Century MH - History, 21st Century MH - *Substance-Related Disorders/hi [History] MH - United Kingdom KW - Addiction; Griffith Edwards; education; science; treatment PN - Edwards G AB - 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. Copyright © 2015 Society for the Study of Addiction. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/add.12909 PT - Biography PT - Historical Article PT - Journal Article ID - 10.1111/add.12909 [doi] PP - ppublish LG - English DP - 2015 Jul EZ - 2015/06/05 06:00 DA - 2016/11/15 06:00 DT - 2015/06/05 06:00 YR - 2015 ED - 20161114 RD - 20170103 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26042568 <160. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25581553 TI - South Texas Residency Screening, Brief Intervention, and Referral to Treatment (SBIRT) Training: 12-Month Outcomes. SO - Substance Abuse. 36(3):272-80, 2015. AS - Subst Abus. 36(3):272-80, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malone GP AU - Vale Arismendez S AU - Schneegans Warzinski S AU - Amodei N AU - Burge SK AU - Wathen PI AU - Conde MV AU - Palmer R AU - Williams JF FA - Malone, Glenn P FA - Vale Arismendez, Shruthi FA - Schneegans Warzinski, Suyen FA - Amodei, Nancy FA - Burge, Sandra K FA - Wathen, Patricia I FA - Conde, Michelle V FA - Palmer, Raymond FA - Williams, Janet F IN - Malone, Glenn P. a Department of Pediatrics , University of Texas Health Science Center at San Antonio , San Antonio , Texas , USA. NJ - Substance abuse VO - 36 IP - 3 PG - 272-80 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Clinical Competence MH - Education, Medical, Graduate MH - Family Practice/ed [Education] MH - Female MH - Humans MH - Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - *Mass Screening MH - Middle Aged MH - Pediatrics/ed [Education] MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Texas KW - Intervention; SBIRT; medical training; referral to treatment; screening substance-related disorders; substance use detection AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2014.988839 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2014.988839 [doi] PP - ppublish GI - No: GRANT U79 TI020249 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2015 EZ - 2015/01/13 06:00 DA - 2016/11/15 06:00 DT - 2015/01/13 06:00 YR - 2015 ED - 20161114 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25581553 <161. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25260121 TI - Addressing Adolescent Substance Use: Teaching Screening, Brief Intervention, and Referral to Treatment (SBIRT) and Motivational Interviewing (MI) to Residents. SO - Substance Abuse. 36(3):325-31, 2015. AS - Subst Abus. 36(3):325-31, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Whittle AE AU - Buckelew SM AU - Satterfield JM AU - Lum PJ AU - O'Sullivan P FA - Whittle, Amy E FA - Buckelew, Sara M FA - Satterfield, Jason M FA - Lum, Paula J FA - O'Sullivan, Patricia IN - Whittle, Amy E. a Department of Pediatrics , University of California San Francisco , San Francisco , California , USA. NJ - Substance abuse VO - 36 IP - 3 PG - 325-31 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adolescent MH - Adolescent Behavior MH - Adult MH - Clinical Competence MH - Curriculum MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - *Mass Screening MH - *Motivational Interviewing MH - Pediatrics/ed [Education] MH - Psychiatry/ed [Education] MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - Retrospective Studies MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] KW - Adolescent, motivational interviewing, pediatrics, resident training, SBIRT, substance abuse AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2014.965292 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2014.965292 [doi] PP - ppublish GI - No: U79TI020295 Organization: (TI) *CSAT SAMHSA HHS* Country: United States GI - No: U79TI020296 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2015 EZ - 2014/09/27 06:00 DA - 2016/11/15 06:00 DT - 2014/09/27 06:00 YR - 2015 ED - 20161114 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25260121 <162. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25036267 TI - Implementing Adolescent Screening, Brief Intervention, and Referral to Treatment (SBIRT) Education in a Pediatric Residency Curriculum. SO - Substance Abuse. 36(3):332-8, 2015. AS - Subst Abus. 36(3):332-8, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schram P AU - Harris SK AU - Van Hook S AU - Forman S AU - Mezzacappa E AU - Pavlyuk R AU - Levy S FA - Schram, Patricia FA - Harris, Sion K FA - Van Hook, Shari FA - Forman, Sara FA - Mezzacappa, Enrico FA - Pavlyuk, Roman FA - Levy, Sharon IN - Schram, Patricia. a Department of Pediatrics , Harvard Medical School , Boston , Massachusetts , USA. NJ - Substance abuse VO - 36 IP - 3 PG - 332-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adolescent MH - Adolescent Behavior MH - Adult MH - *Child Psychiatry/ed [Education] MH - Clinical Competence MH - *Curriculum MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - Male MH - *Mass Screening MH - *Pediatrics/ed [Education] MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - Self Efficacy MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders KW - SBIRT training; adolescent substance abuse; brief intervention; residents AB - 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. AB - 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. AB - 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. AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2014.936576 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2014.936576 [doi] PP - ppublish GI - No: 020267 Organization: *PHS HHS* Country: United States LG - English EP - 20140718 DP - 2015 EZ - 2014/07/19 06:00 DA - 2016/11/15 06:00 DT - 2014/07/19 06:00 YR - 2015 ED - 20161114 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25036267 <163. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27735173 TI - Addiction Psychiatry. SO - Clinical Privilege White Paper. (426):1-15, 2015 Jun AS - Clin Privil White Pap. (426):1-15, 2015 Jun VI - 1 RO - HSR ST - MEDLINE AU - Anonymous NJ - Clinical privilege white paper IP - 426 PG - 1-15 PI - Journal available in: Print PI - Citation processed from: Print JC - 100892390, 100892390 IO - Clin Privil White Pap SB - Health Technology Assessment Journals CP - United States MH - *Credentialing/st [Standards] MH - *Education, Medical, Graduate/st [Standards] MH - Humans MH - Joint Commission on Accreditation of Healthcare Organizations MH - Medical Staff Privileges MH - *Psychiatry/ed [Education] MH - Psychiatry/st [Standards] MH - Specialty Boards MH - *Substance-Related Disorders MH - United States PT - Journal Article PP - ppublish LG - English DP - 2015 Jun EZ - 2015/06/01 00:00 DA - 2016/11/11 06:00 DT - 2015/06/01 00:00 YR - 2015 ED - 20161110 RD - 20170206 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27735173 <164. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26996640 TI - Laying the groundwork for Tobacco Cessation Education in Medical Colleges in Indonesia. SO - Education for Health. 28(3):169-75, 2015 Sep-Dec. AS - EDUC HEALTH. 28(3):169-75, 2015 Sep-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prabandari YS AU - Nichter M AU - Nichter M AU - Padmawathi RS AU - Muramoto M FA - Prabandari, Yayi Suryo FA - Nichter, Mark FA - Nichter, Mimi FA - Padmawathi, Retna Siwi FA - Muramoto, Myra IN - Nichter, Mark. University of Arizona, School of Anthropology and College of Public Health, Tucson, USA. NJ - Education for health (Abingdon, England) VO - 28 IP - 3 PG - 169-75 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9607101 IO - Educ Health (Abingdon) SB - Index Medicus CP - India MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Focus Groups MH - Humans MH - Indonesia MH - Interviews as Topic MH - *Schools, Medical MH - *Tobacco Use Cessation AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-5804 IL - 1357-6283 DO - https://dx.doi.org/10.4103/1357-6283.178602 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - EducHealth_2015_28_3_169_178602 [pii] ID - 10.4103/1357-6283.178602 [doi] PP - ppublish GI - No: R01 TW007944 Organization: (TW) *FIC NIH HHS* Country: United States LG - English DP - 2015 Sep-Dec EZ - 2016/03/22 06:00 DA - 2016/11/01 06:00 DT - 2016/03/22 06:00 YR - 2015 ED - 20161031 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26996640 <165. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24832675 TI - Teaching Motivational Interviewing Skills to Psychiatry Trainees: Findings of a National Survey. SO - Academic Psychiatry. 40(1):149-52, 2016 Feb. AS - Acad Psychiatry. 40(1):149-52, 2016 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Abele M AU - Brown J AU - Ibrahim H AU - Jha MK FA - Abele, Misoo FA - Brown, Julie FA - Ibrahim, Hicham FA - Jha, Manish K IN - Abele, Misoo. George E. Wahlen VA Medical Center, Salt Lake City, UT, USA. IN - Brown, Julie. VA North Texas Medical Center, Dallas, TX, USA. IN - Ibrahim, Hicham. VA North Texas Medical Center, Dallas, TX, USA. IN - Jha, Manish K. North Texas State Hospital, Vernon, TX, USA. manishjha2201@yahoo.com. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 40 IP - 1 PG - 149-52 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Adolescent MH - Child MH - Clinical Competence MH - Curriculum MH - Education, Medical, Graduate MH - Humans MH - *Internship and Residency MH - Male MH - *Motivational Interviewing/mt [Methods] MH - *Psychiatry/ed [Education] MH - Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires KW - Residents: psychotherapy; Residents: substance abuse AB - OBJECTIVE: The authors report on the current status of motivational interviewing education and training director attitudes about providing it to psychiatry residents. AB - METHODS: Training directors of general, child/adolescent and addiction psychiatry training programs were invited to participate in an anonymous online survey. AB - 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. AB - 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-014-0149-0 PT - Journal Article ID - 10.1007/s40596-014-0149-0 [doi] ID - 10.1007/s40596-014-0149-0 [pii] PP - ppublish PH - 2014/01/28 [received] PH - 2014/04/28 [accepted] LG - English EP - 20140515 DP - 2016 Feb EZ - 2014/05/17 06:00 DA - 2016/10/08 06:00 DT - 2014/05/17 06:00 YR - 2016 ED - 20161006 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24832675 <166. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26720815 TI - Training in Substance-Related and Addictive Disorders, Part 2: Updated Curriculum Guidelines. SO - Canadian Journal of Psychiatry - Revue Canadienne de Psychiatrie. 60(12):1-12, 2015 Dec. AS - Can J Psychiatry. 60(12):1-12, 2015 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crockford D AU - Fleury G AU - Milin R AU - Buckley L AU - Charney D AU - George TP AU - el-Guebaly N FA - Crockford, David FA - Fleury, Gilles FA - Milin, Robert FA - Buckley, Leslie FA - Charney, Dara FA - George, Tony P FA - el-Guebaly, Nady IN - Crockford, David. Associate Professor, Department of Psychiatry, University of Calgary, Foothills Medical Centre, Calgary, Alberta. IN - Fleury, Gilles. Assistant Professor, Department of Psychiatry, University of Ottawa, Ottawa, Ontario; Education Director, Division of Addiction and Mental Health, Montfort Hospital, Ottawa, Ontario. IN - Milin, Robert. Associate Professor, Department of Psychiatry, University of Ottawa, Ottawa, Ontario; Director, Adolescent Day Treatment Unit, Youth Psychiatry Program, Ottawa, Ontario; Head, Division of Addiction and Mental Health, Royal Ottawa Mental Health Centre, Ottawa, Ontario. IN - Buckley, Leslie. Assistant Professor, Department of Psychiatry, University of Toronto, Toronto, Ontario; Director, Addiction Services, Toronto Western Hospital, Toronto, Ontario. IN - Charney, Dara. Associate Chair and Associate Professor, Department of Psychiatry, McGill University, Montreal, Quebec; Director, McGill RUIS Addiction Program, Addictions Unit, McGill University Health Centre, Montreal, Quebec. IN - George, Tony P. Professor and Co-Director, Division of Brain and Therapeutics, Department of Psychiatry, University of Toronto, Toronto, Ontario; Chief, Schizophrenia Division, Medical Director, Complex Mental Illness Program, Centre for Addiction and Mental Health, Toronto, Ontario. IN - el-Guebaly, Nady. Professor and Head, Addiction Division, Department of Psychiatry, University of Calgary, Calgary, Alberta; Consultant, Addiction Centre, Foothills Medical Centre, Calgary, Alberta. NJ - Canadian journal of psychiatry. Revue canadienne de psychiatrie VO - 60 IP - 12 PG - 1-12 PI - Journal available in: Print PI - Citation processed from: Internet JC - clr, 7904187 IO - Can J Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4679171 SB - Index Medicus CP - United States MH - Canada MH - Curriculum MH - Humans MH - *Internship and Residency/st [Standards] MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders/th [Therapy] ES - 1497-0015 IL - 0706-7437 PT - Journal Article PT - Practice Guideline ID - PMC4679171 [pmc] PP - ppublish LG - English DP - 2015 Dec EZ - 2016/01/01 06:00 DA - 2016/10/07 06:00 DT - 2016/01/01 06:00 YR - 2015 ED - 20161005 RD - 20161230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26720815 <167. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26476004 TI - Heterogeneity of alcohol, tobacco, and other substance use behaviors in U.S. college students: A latent class analysis. SO - Addictive Behaviors. 53:80-5, 2016 Feb. AS - Addict Behav. 53:80-5, 2016 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Evans-Polce R AU - Lanza S AU - Maggs J FA - Evans-Polce, Rebecca FA - Lanza, Stephanie FA - Maggs, Jennifer IN - Evans-Polce, Rebecca. The Methodology Center and Prevention Research Center, Pennsylvania State University, University Park, PA, United States. Electronic address: revanspolce@psu.edu. IN - Lanza, Stephanie. The Methodology Center and Department of Biobehavioral Health, Pennsylvania State University, University Park, PA, United States. IN - Maggs, Jennifer. Department of Human Development and Family Studies and Prevention Research Center, Pennsylvania State University, University Park, PA, United States. NJ - Addictive behaviors VO - 53 PG - 80-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 2gw, 7603486 IO - Addict Behav PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4712642 OI - Source: NLM. NIHMS749314 [Available on 02/01/17] SB - Index Medicus CP - England MH - Adult MH - Age Distribution MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Educational Status MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - *Marijuana Smoking/ep [Epidemiology] MH - Marijuana Smoking/px [Psychology] MH - Peer Group MH - Prescription Drug Misuse/px [Psychology] MH - *Prescription Drug Misuse/sn [Statistics & Numerical Data] MH - Sex Distribution MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Sports/px [Psychology] MH - Sports/sn [Statistics & Numerical Data] MH - Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - Universities MH - Young Adult KW - Alternative tobacco products; College students; Heavy episodic drinking, cigarette use; Substance use AB - PURPOSE: 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. AB - 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. AB - 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. AB - 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. Copyright © 2015 Elsevier Ltd. All rights reserved. ES - 1873-6327 IL - 0306-4603 DI - S0306-4603(15)30039-3 DO - https://dx.doi.org/10.1016/j.addbeh.2015.10.010 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0306-4603(15)30039-3 [pii] ID - 10.1016/j.addbeh.2015.10.010 [doi] ID - PMC4712642 [pmc] ID - NIHMS749314 [mid] PP - ppublish PH - 2015/05/15 [received] PH - 2015/09/14 [revised] PH - 2015/10/04 [accepted] GI - No: R01CA168676 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P50 DA010075 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K05 DA018206 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50DA010075 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA039838 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 CA168676 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: T32DA017629 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 AA016016 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: T32 DA017629 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01AA019606 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English EP - 20151009 DP - 2016 Feb EZ - 2015/10/18 06:00 DA - 2016/09/30 06:00 DT - 2015/10/18 06:00 YR - 2016 ED - 20160929 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26476004 <168. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26296521 TI - Substance use, mental illness, and familial conflict non-negotiation among HIV-positive African-Americans: latent class regression and a new syndemic framework. SO - Journal of Behavioral Medicine. 39(1):1-12, 2016 Feb. AS - J Behav Med. 39(1):1-12, 2016 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Robinson AC AU - Knowlton AR AU - Gielen AC AU - Gallo JJ FA - Robinson, Allysha C FA - Knowlton, Amy R FA - Gielen, Andrea C FA - Gallo, Joseph J IN - Robinson, Allysha C. 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. arobinson21@bwh.harvard.edu. IN - Knowlton, Amy R. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. IN - Gielen, Andrea C. Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. IN - Gallo, Joseph J. Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. NJ - Journal of behavioral medicine VO - 39 IP - 1 PG - 1-12 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - j58, 7807105 IO - J Behav Med SB - Index Medicus CP - United States MH - Adult MH - African Americans MH - Comorbidity MH - *Family Relations/px [Psychology] MH - Female MH - *HIV Infections/ep [Epidemiology] MH - HIV Infections/px [Psychology] MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - Mental Disorders/px [Psychology] MH - Middle Aged MH - Sex Factors MH - Socioeconomic Factors MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - United States KW - African-Americans; HIV; Health disparities; Health services research; Injection drug use; Syndemic theory; Viral suppression AB - 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. ES - 1573-3521 IL - 0160-7715 DO - https://dx.doi.org/10.1007/s10865-015-9670-1 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1007/s10865-015-9670-1 [doi] ID - 10.1007/s10865-015-9670-1 [pii] ID - PMC5125621 [pmc] ID - NIHMS806392 [mid] PP - ppublish PH - 2015/02/25 [received] PH - 2015/08/13 [accepted] GI - No: P30 AI094189 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: R01 DA019413 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 NR014050 Organization: (NR) *NINR NIH HHS* Country: United States GI - No: 1P30AI094189 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: R01 NR14050-01 Organization: (NR) *NINR NIH HHS* Country: United States LG - English EP - 20150822 DP - 2016 Feb EZ - 2015/08/25 06:00 DA - 2016/09/30 06:00 DT - 2015/08/23 06:00 YR - 2016 ED - 20160928 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26296521 <169. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26130501 TI - Problematic Internet Use and Its Correlates Among Students from Three Medical Schools Across Three Countries. SO - Academic Psychiatry. 39(6):634-8, 2015 Dec. AS - Acad Psychiatry. 39(6):634-8, 2015 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Balhara YP AU - Gupta R AU - Atilola O AU - Knez R AU - Mohorovic T AU - Gajdhar W AU - Javed AO AU - Lal R FA - Balhara, Yatan Pal Singh FA - Gupta, Rishab FA - Atilola, Olayinka FA - Knez, Rajna FA - Mohorovic, Tonka FA - Gajdhar, Wamique FA - Javed, Ahmed O FA - Lal, Rakesh IN - Balhara, Yatan Pal Singh. National Drug Dependence Treatment Centre (NDDTC), WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences (AIIMS), New Delhi, India. ypsbalhara@gmail.com. IN - Gupta, Rishab. National Drug Dependence Treatment Centre (NDDTC), WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences (AIIMS), New Delhi, India. IN - Atilola, Olayinka. Lagos State University College of Medicine, Ikeja, Lagos, Nigeria. IN - Knez, Rajna. School of Medicine, Rijeka, Croatia. IN - Mohorovic, Tonka. School of Medicine, Rijeka, Croatia. IN - Gajdhar, Wamique. National Drug Dependence Treatment Centre (NDDTC), WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences (AIIMS), New Delhi, India. IN - Javed, Ahmed O. National Drug Dependence Treatment Centre (NDDTC), WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences (AIIMS), New Delhi, India. IN - Lal, Rakesh. National Drug Dependence Treatment Centre (NDDTC), WHO Collaborating Centre on Substance Abuse, All India Institute of Medical Sciences (AIIMS), New Delhi, India. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 39 IP - 6 PG - 634-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Adult MH - *Behavior, Addictive/ep [Epidemiology] MH - Croatia/ep [Epidemiology] MH - *Education, Medical, Graduate/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - India/ep [Epidemiology] MH - *Internet/sn [Statistics & Numerical Data] MH - Male MH - Nigeria/ep [Epidemiology] MH - Schools, Medical MH - Sex Factors MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Young Adult KW - Internet; Medical students; Problematic internet use AB - OBJECTIVE: The authors aimed to assess and compare problematic internet use among medical students enrolled in a graduate degree course in one school each from Croatia, India, and Nigeria and to assess correlates of problematic use among these students. AB - METHODS: The questionnaire included a sociodemographic profile of participants and Young's Internet Addiction Test. AB - RESULTS: The final analysis included 842 subjects. Overall, 38.7 and 10.5 % of respondents scored in the mild and moderate categories. Only a small fraction (0.5 %) of students scored in the severe category. Being male and spending more time on the internet were correlated with problematic internet use. Moreover, a significantly higher proportion of participants who scored above the cutoff used the Internet for browsing, social networking, chatting, gaming, shopping, and viewing pornography. However, there was no difference between the two groups with regard to using the internet for e-mailing or academic activities. AB - CONCLUSIONS: It is important to address problematic internet use among medical students. The correlates can help identify those at increased risk. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-015-0379-9 PT - Journal Article ID - 10.1007/s40596-015-0379-9 [doi] ID - 10.1007/s40596-015-0379-9 [pii] PP - ppublish PH - 2014/10/08 [received] PH - 2015/05/25 [accepted] LG - English EP - 20150701 DP - 2015 Dec EZ - 2015/07/02 06:00 DA - 2016/09/07 06:00 DT - 2015/07/02 06:00 YR - 2015 ED - 20160906 RD - 20151125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26130501 <170. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27037448 TI - Identifying Multilevel Barriers to Tobacco Intervention in Postdoctoral Dental Education. SO - Journal of Dental Education. 80(4):408-15, 2016 Apr. AS - J Dent Educ. 80(4):408-15, 2016 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Albert DA AU - Bruzelius E AU - Ward A AU - Gordon JS FA - Albert, David A FA - Bruzelius, Emilie FA - Ward, Angela FA - Gordon, Judith S IN - Albert, David A. Dr. Albert is Director of Division of Community Health, Director of Dental Public Health Residency Program, and Associate Professor, College of Dental Medicine, Columbia University; Ms. Bruzelius is with the Department of Epidemiology, Mailman School of Public Health and Section of Population Oral Health, College of Dental Medicine, Columbia University; Dr. Ward is Program Manager, Section of Population Health, College of Dental Medicine, Columbia University; and Dr. Gordon is Associate Professor and Associate Head for Research, Department of Family and Community Medicine, University of Arizona. daa2@columbia.edu. IN - Bruzelius, Emilie. Dr. Albert is Director of Division of Community Health, Director of Dental Public Health Residency Program, and Associate Professor, College of Dental Medicine, Columbia University; Ms. Bruzelius is with the Department of Epidemiology, Mailman School of Public Health and Section of Population Oral Health, College of Dental Medicine, Columbia University; Dr. Ward is Program Manager, Section of Population Health, College of Dental Medicine, Columbia University; and Dr. Gordon is Associate Professor and Associate Head for Research, Department of Family and Community Medicine, University of Arizona. IN - Ward, Angela. Dr. Albert is Director of Division of Community Health, Director of Dental Public Health Residency Program, and Associate Professor, College of Dental Medicine, Columbia University; Ms. Bruzelius is with the Department of Epidemiology, Mailman School of Public Health and Section of Population Oral Health, College of Dental Medicine, Columbia University; Dr. Ward is Program Manager, Section of Population Health, College of Dental Medicine, Columbia University; and Dr. Gordon is Associate Professor and Associate Head for Research, Department of Family and Community Medicine, University of Arizona. IN - Gordon, Judith S. Dr. Albert is Director of Division of Community Health, Director of Dental Public Health Residency Program, and Associate Professor, College of Dental Medicine, Columbia University; Ms. Bruzelius is with the Department of Epidemiology, Mailman School of Public Health and Section of Population Oral Health, College of Dental Medicine, Columbia University; Dr. Ward is Program Manager, Section of Population Health, College of Dental Medicine, Columbia University; and Dr. Gordon is Associate Professor and Associate Head for Research, Department of Family and Community Medicine, University of Arizona. NJ - Journal of dental education VO - 80 IP - 4 PG - 408-15 PI - Journal available in: Print PI - Citation processed from: Internet JC - hy7, 8000150 IO - J Dent Educ SB - Dental Journals SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Clinical Competence MH - Counseling MH - Dental Records MH - Dentist-Patient Relations MH - *Dentists/px [Psychology] MH - *Education, Dental, Graduate MH - Electronic Health Records MH - Evidence-Based Practice MH - Faculty, Dental MH - Female MH - Focus Groups MH - Humans MH - Internship and Residency MH - Male MH - New York City MH - Qualitative Research MH - Self Concept MH - Specialties, Dental/ed [Education] MH - *Tobacco Use Cessation KW - advanced dental education; dental education; postdoctoral dental education; smoking cessation; tobacco; tobacco dependence treatment AB - The aims of this mixed-methods study were to assess tobacco treatment behaviors among residents and faculty in dental specialty postdoctoral programs and to explore factors in training and practice related to tobacco treatment education. Surveys and focus groups were conducted with a convenience sample of participants at three postdoctoral residency programs in New York City. Surveys assessed tobacco cessation training and behaviors. Focus groups explored barriers to implementing tobacco cessation treatment in educational settings. Data were collected between May and December 2013. Among the 160 faculty and residents identified as potentially eligible for the study, 60 were invited by program directors to participate, and 50 subsequently completed the survey and participated in a focus group (response rate of 31.3%). Survey results indicated high levels of asking patients about tobacco use and advising patients to quit. In contrast, specific tobacco cessation assistance and follow-up care occurred less frequently. There were statistically significant differences in tobacco cessation intervention across the specialties surveyed, but not between residents and faculty. Focus group comments were grouped into three broad areas: clinician factors, organizational support, and structural and contextual factors. Focus group results indicated that participants experienced significant organizational and structural barriers to learning about and providing tobacco treatment. Participants from each specialty indicated that multi-level barriers impeded their provision of evidence-based tobacco cessation interventions in postdoctoral educational settings. They suggested that didactic education should be reinforced by organizational- and systems-level changes to facilitate comprehensive tobacco education and effective cessation treatment in future dental practice. ES - 1930-7837 IL - 0022-0337 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 80/4/408 [pii] PP - ppublish PH - 2015/06/19 [received] PH - 2015/10/01 [accepted] LG - English DP - 2016 Apr EZ - 2016/04/03 06:00 DA - 2016/09/01 06:00 DT - 2016/04/03 06:00 YR - 2016 ED - 20160831 RD - 20160402 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27037448 <171. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25411994 TI - Suicidal behavior in a medical professional with comorbid depression and substance use disorder: an educational case report. SO - International Journal of Adolescent Medicine & Health. 27(2):231-3, 2015 May. AS - Int J Adolesc Med Health. 27(2):231-3, 2015 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kiraly DD AU - Sher L FA - Kiraly, Drew D FA - Sher, Leo NJ - International journal of adolescent medicine and health VO - 27 IP - 2 PG - 231-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8506960 IO - Int J Adolesc Med Health SB - Index Medicus CP - Germany MH - *Depressive Disorder/ep [Epidemiology] MH - Diagnosis, Dual (Psychiatry) MH - Humans MH - Risk Factors MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Suicidal Ideation MH - *Suicide/sn [Statistics & Numerical Data] AB - 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. ES - 2191-0278 IL - 0334-0139 DI - /j/ijamh.2015.27.issue-2/ijamh-2015-5017/ijamh-2015-5017.xml DO - https://dx.doi.org/10.1515/ijamh-2015-5017 PT - Journal Article ID - 10.1515/ijamh-2015-5017 [doi] ID - /j/ijamh.ahead-of-print/ijamh-2015-5017/ijamh-2015-5017.xml [pii] PP - ppublish PH - 2014/07/20 [received] PH - 2014/08/21 [accepted] LG - English DP - 2015 May EZ - 2014/11/21 06:00 DA - 2016/08/30 06:00 DT - 2014/11/21 06:00 YR - 2015 ED - 20160829 RD - 20150430 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25411994 <172. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27570342 TI - Age at Onset of Alcohol Use and Alcohol Use Disorder: Time-trend Study in Patients Seeking De-addiction Services in Kerala. SO - Indian Journal of Psychological Medicine. 38(4):315-9, 2016 Jul-Aug. AS - Indian j. psychol. med.. 38(4):315-9, 2016 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Nair UR AU - Vidhukumar K AU - Prabhakaran A FA - Nair, Unnikrishnan Reghukumaran FA - Vidhukumar, K FA - Prabhakaran, Anil IN - Nair, Unnikrishnan Reghukumaran. Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India. IN - Vidhukumar, K. Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India. IN - Prabhakaran, Anil. Department of Psychiatry, Government Medical College, Thiruvananthapuram, Kerala, India. NJ - Indian journal of psychological medicine VO - 38 IP - 4 PG - 315-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 7910727 IO - Indian J Psychol Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4980898 CP - India KW - Age at onset; alcohol use; alcohol use disorder; time-trend AB - BACKGROUND: Declining age at onset of alcohol consumption over years has been one of the alarming findings in the epidemiology of alcoholism. The study was done to examine whether there was a decline in the age at onset of alcohol use and use disorder in subjects categorized as birth cohorts over the last 60 years seeking de-addiction services from a teaching hospital. AB - MATERIALS AND METHODS: A time-trend study, based on data collected from records, was done among 700 randomly selected subjects seeking de-addiction services. The study was done in a Government Medical College. Besides birth year, family history of alcohol use disorder and psychiatric comorbidity were the main independent variables studied. Trend was tested by linear regression. AB - RESULTS: There was a significant linear decline in the age at onset of alcohol use and use disorder. The mean age at onset of alcohol use and alcohol use disorder declined from 24 to 17 years and 46 to 21 years, respectively, from the pre-1950 birth cohort to the post-1985 birth cohort. Surprisingly, there was a plateau for mean age at onset of alcohol use during 1960s. The trend was significant even after adjusting for variables related to age at onset of alcohol consumption. AB - CONCLUSIONS: The trend of decreasing age at onset of alcohol use and alcohol use disorder over time has policy implications. Further studies are needed for exploring mediating or causal factors for the decline in the age at onset of alcohol use and use disorder. IS - 0253-7176 IL - 0253-7176 DO - https://dx.doi.org/10.4103/0253-7176.185958 PT - Journal Article ID - 10.4103/0253-7176.185958 [doi] ID - IJPsyM-38-315 [pii] ID - PMC4980898 [pmc] PP - ppublish LG - English DP - 2016 Jul-Aug EZ - 2016/08/30 06:00 DA - 2016/08/30 06:01 DT - 2016/08/30 06:00 YR - 2016 ED - 20160829 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27570342 <173. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26129681 TI - Breaking down the wall: a narrative approach to addiction. SO - Medical Humanities. 41(2):143-4, 2015 Dec. AS - Med Humanit. 41(2):143-4, 2015 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grogan K AU - Zerbo E FA - Grogan, Katie FA - Zerbo, Erin IN - Grogan, Katie. Master Scholars Program in Humanistic Medicine, Office of Student Affairs, New York University School of Medicine, New York, New York, USA. IN - Zerbo, Erin. Department of Psychiatry, Rutgers New Jersey Medical School, University Hospital, Newark, New Jersey, USA. NJ - Medical humanities VO - 41 IP - 2 PG - 143-4 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100959585 IO - Med Humanit SB - Index Medicus CP - United States MH - Alcoholics Anonymous MH - *Behavior, Addictive MH - *Education, Medical/td [Trends] MH - Humans MH - *Medicine in Literature MH - Narration MH - Schools, Medical MH - *Substance-Related Disorders MH - Writing KW - Drug and alcohol misuse ES - 1473-4265 IL - 1468-215X DO - https://dx.doi.org/10.1136/medhum-2015-010697 PT - Journal Article ID - medhum-2015-010697 [pii] ID - 10.1136/medhum-2015-010697 [doi] PP - ppublish PH - 2015/06/11 [accepted] LG - English EP - 20150630 DP - 2015 Dec EZ - 2015/07/02 06:00 DA - 2016/08/24 06:00 DT - 2015/07/02 06:00 YR - 2015 ED - 20160823 RD - 20151126 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26129681 <174. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26426518 TI - The Adverse Effects of Motherhood on Substance Use Treatment Program Outcomes Among Adolescent Women. SO - Journal of Addiction Medicine. 9(6):478-84, 2015 Nov-Dec. AS - J Addict Med. 9(6):478-84, 2015 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Savage RJ AU - Durant N AU - Clark CB AU - Nair P AU - Cropsey K FA - Savage, Rebekah J FA - Durant, Nefertiti FA - Clark, C Brendan FA - Nair, Parvathy FA - Cropsey, Karen IN - Savage, Rebekah J. Department of Pediatrics (R.J.S., N.D.), University of Alabama at Birmingham, Birmingham, AL; Department of Psychiatry (C.B.C., P.N., K.C.), University of Alabama at Birmingham Sparks Center, Birmingham, AL; Department of Child and Adolescent Psychiatry (P.N.), Johns Hopkins Hospital, Baltimore, MD. NJ - Journal of addiction medicine VO - 9 IP - 6 PG - 478-84 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101306759 IO - J Addict Med SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Case Management MH - *Criminals/px [Psychology] MH - Diagnostic and Statistical Manual of Mental Disorders MH - Drug-Related Side Effects and Adverse Reactions MH - Female MH - Humans MH - Logistic Models MH - *Parenting/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - United States MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1935-3227 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0000000000000165 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1097/ADM.0000000000000165 [doi] PP - ppublish LG - English DP - 2015 Nov-Dec EZ - 2015/10/02 06:00 DA - 2016/08/17 06:00 DT - 2015/10/02 06:00 YR - 2015 ED - 20160816 RD - 20151103 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26426518 <175. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26055224 TI - Overdose Education and Naloxone for Patients Prescribed Opioids in Primary Care: A Qualitative Study of Primary Care Staff. SO - Journal of General Internal Medicine. 30(12):1837-44, 2015 Dec. AS - J Gen Intern Med. 30(12):1837-44, 2015 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Binswanger IA AU - Koester S AU - Mueller SR AU - Gardner EM AU - Goddard K AU - Glanz JM FA - Binswanger, Ingrid A FA - Koester, Stephen FA - Mueller, Shane R FA - Gardner, Edward M FA - Goddard, Kristin FA - Glanz, Jason M IN - Binswanger, Ingrid A. Institute for Health Research, Kaiser Permanente Colorado, P.O Box 378066, Denver, CO, 80237-8066, USA. Ingrid.A.B.inswanger@kp.org. IN - Binswanger, Ingrid A. Division of General Internal Medicine, University of Colorado Denver School of Medicine, Aurora, CO, USA. Ingrid.A.B.inswanger@kp.org. IN - Binswanger, Ingrid A. Denver Health and Hospital Authority, Denver, CO, USA. Ingrid.A.B.inswanger@kp.org. IN - Koester, Stephen. Department of Anthropology, University of Colorado Denver, Denver, CO, USA. IN - Koester, Stephen. Department of Health and Behavioral Sciences, University of Colorado Denver, Denver, CO, USA. IN - Mueller, Shane R. Institute for Health Research, Kaiser Permanente Colorado, P.O Box 378066, Denver, CO, 80237-8066, USA. IN - Mueller, Shane R. Division of General Internal Medicine, University of Colorado Denver School of Medicine, Aurora, CO, USA. IN - Mueller, Shane R. Department of Health and Behavioral Sciences, University of Colorado Denver, Denver, CO, USA. IN - Gardner, Edward M. Denver Health and Hospital Authority, Denver, CO, USA. IN - Goddard, Kristin. Institute for Health Research, Kaiser Permanente Colorado, P.O Box 378066, Denver, CO, 80237-8066, USA. IN - Glanz, Jason M. Institute for Health Research, Kaiser Permanente Colorado, P.O Box 378066, Denver, CO, 80237-8066, USA. IN - Glanz, Jason M. Department of Epidemiology, Colorado School of Public Health, Aurora, CO, USA. CM - Comment in: J Gen Intern Med. 2015 Dec;30(12):1855; PMID: 26286480 NJ - Journal of general internal medicine VO - 30 IP - 12 PG - 1837-44 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4636555 SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid/po [Poisoning] MH - Attitude of Health Personnel MH - Clinical Competence MH - Colorado MH - *Drug Overdose/dt [Drug Therapy] MH - Drug Overdose/et [Etiology] MH - Drug Prescriptions MH - Female MH - Focus Groups MH - Humans MH - Male MH - Middle Aged MH - *Naloxone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Patient Education as Topic/mt [Methods] MH - Physicians, Primary Care/px [Psychology] MH - Primary Health Care/mt [Methods] MH - Qualitative Research KW - HIV; naloxone; opioids; overdose; primary care; qualitative research AB - 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. AB - OBJECTIVE: Our aim was to investigate the knowledge, attitudes and beliefs about overdose education and naloxone prescription among clinical staff in primary care. AB - DESIGN: This was a qualitative study using focus groups to elucidate both clinic-level and provider-level barriers and facilitators. AB - SETTING: Ten primary care internal medicine, family medicine and infectious disease/HIV practices in three large Colorado health systems. AB - 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. AB - 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. AB - LIMITATIONS: Findings from these qualitative focus groups may not be generalizable to other settings. AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-015-3394-3 PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural ID - 10.1007/s11606-015-3394-3 [doi] ID - 10.1007/s11606-015-3394-3 [pii] ID - PMC4636555 [pmc] PP - ppublish GI - No: R34 DA035952 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R34DA035952 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2015 Dec EZ - 2015/06/10 06:00 DA - 2016/08/16 06:00 DT - 2015/06/10 06:00 YR - 2015 ED - 20160815 RD - 20161201 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26055224 <176. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27489906 TI - Free CME available for using HHS' new opioid training tool. SO - American Family Physician. 91(11):752, 2015 Jun 01. AS - Am Fam Physician. 91(11):752, 2015 Jun 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - American family physician VO - 91 IP - 11 PG - 752 PI - Journal available in: Print PI - Citation processed from: Internet JC - 3bt, 1272646 IO - Am Fam Physician SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Education, Medical, Continuing/ec [Economics] MH - *Education, Medical, Continuing MH - Humans MH - Internet MH - United States MH - United States Dept. of Health and Human Services RN - 0 (Analgesics, Opioid) ES - 1532-0650 IL - 0002-838X PT - News PP - ppublish LG - English DP - 2015 Jun 01 EZ - 2015/06/01 00:00 DA - 2016/08/06 06:00 DT - 2016/08/05 06:00 YR - 2015 ED - 20160805 RD - 20160803 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27489906 <177. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26310955 TI - [Factors associated with perceived effectiveness of health promotion messages among Japanese adults Focus on socioeconomic status]. [Japanese] SO - Nippon Koshu Eisei Zasshi - Japanese Journal of Public Health. 62(7):347-56, 2015. AS - Nippon Koshu Eisei Zasshi. 62(7):347-56, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fukuda Y AU - Hayashi T FA - Fukuda, Yoshiharu FA - Hayashi, Tatsumi IN - Fukuda, Yoshiharu. Department of Community Health and Medicine, Yamaguchi University School of Medicine. NJ - [Nihon koshu eisei zasshi] Japanese journal of public health VO - 62 IP - 7 PG - 347-56 PI - Journal available in: Print PI - Citation processed from: Internet JC - 19130150r, a9j IO - Nihon Koshu Eisei Zasshi SB - Index Medicus CP - Japan MH - Adult MH - Asian Continental Ancestry Group MH - Communication MH - Female MH - *Health Promotion MH - Humans MH - Male MH - Middle Aged MH - Social Class MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. IS - 0546-1766 IL - 0546-1766 DO - https://dx.doi.org/10.11236/jph.62.7_347 PT - English Abstract PT - Journal Article ID - 10.11236/jph.62.7_347 [doi] PP - ppublish LG - Japanese DP - 2015 EZ - 2015/08/28 06:00 DA - 2016/07/29 06:00 DT - 2015/08/28 06:00 YR - 2015 ED - 20160728 RD - 20150828 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26310955 <178. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27106724 TI - [Analysis of the accessibility of short acting oral opioids in Hungary]. [Review] [Hungarian] OT - A rovid hatasu, szajon at adhato morfinszarmazekok hazai elerhetosegenek elemzese. SO - Orvosi Hetilap. 157(18):695-9, 2016 May 01. AS - Orv Hetil. 157(18):695-9, 2016 May 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lovas K AU - Hadnagy L AU - Jobban E AU - Kullmann T FA - Lovas, Kornelia FA - Hadnagy, Laszlo FA - Jobban, Eszter FA - Kullmann, Tamas IN - Lovas, Kornelia. Man-O Bt. Budakeszi. IN - Hadnagy, Laszlo. Radiologiai Osztaly, Marosvasarhelyi Megyei Surgossegi Klinikai Korhaz Marosvasarhely. IN - Jobban, Eszter. Misszio Egeszsegugyi Kozpont Veresegyhaz. IN - Kullmann, Tamas. Onkoradiologiai Osztaly, Petz Aladar Megyei Oktato Korhaz Gyor, Vasvari Pal u. 2-4., 9024. NJ - Orvosi hetilap VO - 157 IP - 18 PG - 695-9 PI - Journal available in: Print PI - Citation processed from: Print JC - ol8, 0376412 IO - Orv Hetil SB - Index Medicus CP - Hungary MH - Administration, Oral MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/pd [Pharmacology] MH - *Analgesics, Opioid MH - Analgesics, Short-Acting/ad [Administration & Dosage] MH - Analgesics, Short-Acting/ae [Adverse Effects] MH - *Analgesics, Short-Acting MH - Drug Industry MH - Education, Medical, Continuing MH - Fentanyl/ad [Administration & Dosage] MH - Government Agencies MH - Health Services Accessibility/lj [Legislation & Jurisprudence] MH - Health Services Accessibility/og [Organization & Administration] MH - Health Services Accessibility/sn [Statistics & Numerical Data] MH - Health Services Accessibility/td [Trends] MH - *Health Services Accessibility MH - Humans MH - Hungary MH - Insurance, Health MH - Mass Media MH - *Morphine Dependence/pc [Prevention & Control] MH - Morphine Derivatives/ad [Administration & Dosage] MH - Morphine Derivatives/ae [Adverse Effects] MH - Morphine Derivatives/pd [Pharmacology] MH - *Morphine Derivatives MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - Practice Patterns, Physicians' MH - Universities KW - analgesia; cancer pain; daganatos fajdalom; fajdalomcsillapitas; morfin; morphine AB - Short acting oral formulas make part of optimal opioid analgesia. The use of short acting oral morphine has not widely spread in Hungary, and these drugs completely lacked from the market for three years. Since December 2015 short acting morphine-sulphate has again been commercialised. The causes of the market failure are analysed in this article. The aim of the retrospective analysis is to help the accessibility of the medicine to every patient in need. Prescription morphine use depends on the harmonised cooperation of a number of actors. Besides regulating and financing authorities and professional organisations, patients and the opinion forming media are also responsible for building up the right routine. RN - 0 (Analgesics, Opioid) RN - 0 (Analgesics, Short-Acting) RN - 0 (Morphine Derivatives) RN - UF599785JZ (Fentanyl) IS - 0030-6002 IL - 0030-6002 DO - https://dx.doi.org/10.1556/650.2016.30411 PT - English Abstract PT - Journal Article PT - Review ID - 10.1556/650.2016.30411 [doi] PP - ppublish LG - Hungarian DP - 2016 May 01 EZ - 2016/04/24 06:00 DA - 2016/07/23 06:00 DT - 2016/04/24 06:00 YR - 2016 ED - 20160722 RD - 20160423 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27106724 <179. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26118466 TI - The Pattern of Opioid Management by Australian General Practice Trainees. SO - Pain Medicine. 16(9):1720-31, 2015 Sep. AS - PAIN MED. 16(9):1720-31, 2015 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holliday S AU - Morgan S AU - Tapley A AU - Dunlop A AU - Henderson K AU - van Driel M AU - Spike N AU - McArthur L AU - Ball J AU - Oldmeadow C AU - Magin P FA - Holliday, Simon FA - Morgan, Simon FA - Tapley, Amanda FA - Dunlop, Adrian FA - Henderson, Kim FA - van Driel, Mieke FA - Spike, Neil FA - McArthur, Lawrie FA - Ball, Jean FA - Oldmeadow, Chris FA - Magin, Parker IN - Holliday, Simon. School of Medicine and Public Health, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia. IN - Holliday, Simon. Drug and Alcohol Clinical Services, Hunter New England Local Health District, NSW, Australia. IN - Morgan, Simon. General Practice Training Valley to Coast, Mayfield, NSW, Australia. IN - Tapley, Amanda. General Practice Training Valley to Coast, Mayfield, NSW, Australia. IN - Dunlop, Adrian. School of Medicine and Public Health, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia. IN - Dunlop, Adrian. Drug and Alcohol Clinical Services, Hunter New England Local Health District, NSW, Australia. IN - Henderson, Kim. General Practice Training Valley to Coast, Mayfield, NSW, Australia. IN - van Driel, Mieke. Discipline of General Practice, School of Medicine, The University of Queensland, Brisbane, Queensland, Australia. IN - Spike, Neil. Department of General Practice, The University of Melbourne, Victoria, Australia. IN - Spike, Neil. Director of Medical Education and Training, VMA General Practice Training, Melbourne, Victoria, Australia. IN - McArthur, Lawrie. Director of Medical Education and Training, Adelaide to Outback GP Training, Adelaide, South Australia. IN - Ball, Jean. Clinical Research Design, Information Technology and Statistical Support (CReDITSS), Hunter Medical Research Institute, Newcastle, NSW, Australia. IN - Oldmeadow, Chris. Centre for Clinical Epidemiology and Biostatistics, University of Newcastle, Newcastle, NSW, Australia. IN - Magin, Parker. School of Medicine and Public Health, Faculty of Health, University of Newcastle, Newcastle, NSW, Australia. IN - Magin, Parker. General Practice Training Valley to Coast, Mayfield, NSW, Australia. NJ - Pain medicine (Malden, Mass.) VO - 16 IP - 9 PG - 1720-31 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Australia MH - Cross-Sectional Studies MH - Female MH - *General Practitioners/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - *Pain Management/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] KW - Aboriginal and Torres Strait Islander; Analgesic; Opioids; Pain Management; Persistent Pain; Prescriptions; Primary Care; Quality of Health Care; Risk Factors AB - 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. AB - DESIGN: A cross-sectional secondary analysis from a longitudinal multisite cohort study of general practitioner (GP) vocational trainees: "Registrar Clinical Encounters in Training." AB - SETTING: Four of Australia's seventeen GP Regional Training Providers, during 2010-13. AB - SUBJECTS: GP trainees. AB - 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. AB - 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. AB - 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. Copyright © 2015 American Academy of Pain Medicine. RN - 0 (Analgesics, Opioid) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/pme.12820 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/pme.12820 [doi] PP - ppublish PH - 2014/10/28 [received] PH - 2015/04/20 [revised] PH - 2015/05/02 [accepted] LG - English EP - 20150627 DP - 2015 Sep EZ - 2015/06/30 06:00 DA - 2016/07/21 06:00 DT - 2015/06/30 06:00 YR - 2015 ED - 20160720 RD - 20150916 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26118466 <180. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27301154 TI - Considerations of prescription opioid abuse and misuse among older adults in West Virginia--An Under-Recognized Population at Risk. [Review] SO - West Virginia Medical Journal. 112(3):42-7, 2016 May-Jun. AS - W V Med J. 112(3):42-7, 2016 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grey C AU - Hall PB FA - Grey, Carl FA - Hall, P Bradley NJ - The West Virginia medical journal VO - 112 IP - 3 PG - 42-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 0413777, xmr IO - W V Med J SB - Index Medicus CP - United States MH - Age Distribution MH - Aged MH - Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Pain/dt [Drug Therapy] MH - Depression/ep [Epidemiology] MH - Drug Overdose/ep [Epidemiology] MH - Humans MH - Mass Screening MH - Medication Adherence MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Risk Assessment MH - West Virginia/ep [Epidemiology] AB - 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. RN - 0 (Analgesics, Opioid) IS - 0043-3284 IL - 0043-3284 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2016 May-Jun EZ - 2016/06/16 06:00 DA - 2016/07/20 06:00 DT - 2016/06/16 06:00 YR - 2016 ED - 20160719 RD - 20160615 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27301154 <181. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27417617 TI - Who Benefits from Chronic Opioid Therapy? Rethinking the Question of Opioid Misuse Risk. [Review] SO - Healthcare. 4(2), 2016 May 25. AS - Healthcare (Basel). 4(2), 2016 May 25. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Huber E AU - Robinson RC AU - Noe CE AU - Van Ness O FA - Huber, Elizabeth FA - Robinson, Richard C FA - Noe, Carl E FA - Van Ness, Olivia IN - Huber, Elizabeth. The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75390, USA. elizabeth.huber@utsouthwestern.edu. IN - Robinson, Richard C. The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75390, USA. richard.robinson@utsouthwestern.edu. IN - Noe, Carl E. The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75390, USA. carl.noe@utsouthwestern.edu. IN - Van Ness, Olivia. The University of Texas Southwestern Medical Center at Dallas, 5323 Harry Hines Blvd., Dallas, TX 75390, USA. Olivia.vanness@utsouthwestern.edu. NJ - Healthcare (Basel, Switzerland) VO - 4 IP - 2 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101666525 IO - Healthcare (Basel) PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4934582 CP - Switzerland KW - biopsychosocial approach; chronic low back pain; chronic opioid therapy; chronic pain; opioids AB - Beginning in the late 1990s, a movement began within the pain management field focused upon the underutilization of opioids, thought to be a potentially safe and effective class of pain medication. Concern for addiction and misuse were present at the start of this shift within pain medicine, and an emphasis was placed on developing reliable and valid methods and measures of identifying those at risk for opioid misuse. Since that time, the evidence for the safety and effectiveness of chronic opioid therapy (COT) has not been established. Rather, the harmful, dose-dependent deleterious effects have become clearer, including addiction, increased risk of injuries, respiratory depression, opioid induced hyperalgesia, and death. Still, many individuals on low doses of opioids for long periods of time appear to have good pain control and retain social and occupational functioning. Therefore, we propose that the question, "Who is at risk of opioid misuse?" should evolve to, "Who may benefit from COT?" in light of the current evidence. IS - 2227-9032 IL - 2227-9032 DI - E29 DO - https://dx.doi.org/10.3390/healthcare4020029 PT - Journal Article PT - Review ID - healthcare4020029 [pii] ID - 10.3390/healthcare4020029 [doi] ID - PMC4934582 [pmc] PP - epublish PH - 2016/02/24 [received] PH - 2016/05/17 [revised] PH - 2016/05/17 [accepted] LG - English EP - 20160525 DP - 2016 May 25 EZ - 2016/07/16 06:00 DA - 2016/07/16 06:01 DT - 2016/07/16 06:00 YR - 2016 ED - 20160715 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27417617 <182. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26234716 TI - Emergency Physician Utilization of Alcohol/Substance Screening, Brief Advice and Discharge: A 10-Year Comparison. SO - Journal of Emergency Medicine. 49(4):400-7, 2015 Oct. AS - J Emerg Med. 49(4):400-7, 2015 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Broderick KB AU - Kaplan B AU - Martini D AU - Caruso E FA - Broderick, Kerryann B FA - Kaplan, Bonnie FA - Martini, Dyllon FA - Caruso, Emily IN - Broderick, Kerryann B. Denver Health Medical Center, Denver, Colorado. IN - Kaplan, Bonnie. University of Colorado at Denver, Denver, Colorado. IN - Martini, Dyllon. University of Colorado at Denver, Denver, Colorado. IN - Caruso, Emily. Denver Health Medical Center, Denver, Colorado. NJ - The Journal of emergency medicine VO - 49 IP - 4 PG - 400-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ibo, 8412174 IO - J Emerg Med SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - *Emergency Service, Hospital/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - *Mass Screening/sn [Statistics & Numerical Data] MH - Middle Aged MH - *Patient Discharge/sn [Statistics & Numerical Data] MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/di [Diagnosis] MH - United States KW - SBIRT; alcohol abuse; discharge advice; emergency department; substance abuse; substance screening AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2015 Elsevier Inc. All rights reserved. IS - 0736-4679 IL - 0736-4679 DI - S0736-4679(15)00495-3 DO - https://dx.doi.org/10.1016/j.jemermed.2015.05.014 PT - Journal Article ID - S0736-4679(15)00495-3 [pii] ID - 10.1016/j.jemermed.2015.05.014 [doi] PP - ppublish PH - 2014/11/08 [received] PH - 2015/04/20 [revised] PH - 2015/05/14 [accepted] LG - English EP - 20150730 DP - 2015 Oct EZ - 2015/08/04 06:00 DA - 2016/07/09 06:00 DT - 2015/08/04 06:00 YR - 2015 ED - 20160708 RD - 20151013 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26234716 <183. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23186245 TI - A qualitative study of anticipated barriers and facilitators to the implementation of nurse-delivered alcohol screening, brief intervention, and referral to treatment for hospitalized patients in a Veterans Affairs medical center. SO - Addiction Science & Clinical Practice. 7:7, 2012 May 02. AS - Addict Sci Clin Pract. 7:7, 2012 May 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Broyles LM AU - Rodriguez KL AU - Kraemer KL AU - Sevick MA AU - Price PA AU - Gordon AJ FA - Broyles, Lauren Matukaitis FA - Rodriguez, Keri L FA - Kraemer, Kevin L FA - Sevick, Mary Ann FA - Price, Patrice A FA - Gordon, Adam J NJ - Addiction science & clinical practice VO - 7 PG - 7 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101316917 IO - Addict Sci Clin Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3533719 SB - Index Medicus CP - England MH - Adult MH - *Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/nu [Nursing] MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Communication Barriers MH - Diagnostic Tests, Routine MH - Female MH - Focus Groups MH - *Health Education/mt [Methods] MH - Hospitals, Veterans MH - Humans MH - Male MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - Nurse's Role MH - *Nurse-Patient Relations MH - Nursing Evaluation Research MH - Qualitative Research MH - United States MH - United States Department of Veterans Affairs MH - Young Adult AB - BACKGROUND: Unhealthy alcohol use includes the spectrum of alcohol consumption from risky drinking to alcohol use disorders. Routine alcohol screening, brief intervention (BI) and referral to treatment (RT) are commonly endorsed for improving the identification and management of unhealthy alcohol use in outpatient settings. However, factors which might impact screening, BI, and RT implementation in inpatient settings, particularly if delivered by nurses, are unknown, and must be identified to effectively plan randomized controlled trials (RCTs) of nurse-delivered BI. The purpose of this study was to identify the potential barriers and facilitators associated with nurse-delivered alcohol screening, BI and RT for hospitalized patients. AB - METHODS: We conducted audio-recorded focus groups with nurses from three medical-surgical units at a large urban Veterans Affairs Medical Center. Transcripts were analyzed using modified grounded theory techniques to identify key themes regarding anticipated barriers and facilitators to nurse-delivered screening, BI and RT in the inpatient setting. AB - RESULTS: A total of 33 medical-surgical nurses (97% female, 83% white) participated in one of seven focus groups. Nurses consistently anticipated the following barriers to nurse-delivered screening, BI, and RT for hospitalized patients: (1) lack of alcohol-related knowledge and skills; (2) limited interdisciplinary collaboration and communication around alcohol-related care; (3) inadequate alcohol assessment protocols and poor integration with the electronic medical record; (4) concerns about negative patient reaction and limited patient motivation to address alcohol use; (5) questionable compatibility of screening, BI and RT with the acute care paradigm and nursing role; and (6) logistical issues (e.g., lack of time/privacy). Suggested facilitators of nurse-delivered screening, BI, and RT focused on provider- and system-level factors related to: (1) improved provider knowledge, skills, communication, and collaboration; (2) expanded processes of care and nursing roles; and (3) enhanced electronic medical record features. AB - CONCLUSIONS: RCTs of nurse-delivered alcohol BI for hospitalized patients should include consideration of the following elements: comprehensive provider education on alcohol screening, BI and RT; record-keeping systems which efficiently document and plan alcohol-related care; a hybrid model of implementation featuring active roles for interdisciplinary generalists and specialists; and ongoing partnerships to facilitate generation of additional evidence for BI efficacy in hospitalized patients. ES - 1940-0640 IL - 1940-0632 DO - https://dx.doi.org/10.1186/1940-0640-7-7 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 1940-0640-7-7 [pii] ID - 10.1186/1940-0640-7-7 [doi] ID - PMC3533719 [pmc] PP - epublish PH - 2011/09/23 [received] PH - 2012/05/02 [accepted] LG - English EP - 20120502 DP - 2012 May 02 EZ - 2012/11/29 06:00 DA - 2016/07/07 06:00 DT - 2012/11/29 06:00 YR - 2012 ED - 20160706 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23186245 <184. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26590066 TI - Development and process evaluation of an educational intervention for overdose prevention and naloxone distribution by general practice trainees. SO - BMC Medical Education. 15:206, 2015 Nov 20. AS - BMC Med Educ. 15:206, 2015 Nov 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klimas J AU - Egan M AU - Tobin H AU - Coleman N AU - Bury G FA - Klimas, Jan FA - Egan, Mairead FA - Tobin, Helen FA - Coleman, Neil FA - Bury, Gerard IN - Klimas, Jan. Centre for Emergency Medical Science, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland. jan.klimas@ucd.ie. IN - Klimas, Jan. British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, British Columbia, V6Z 1Y6, Canada. jan.klimas@ucd.ie. IN - Klimas, Jan. c/o Coombe Family Practice, Dolphins barn, Dublin, Ireland. jan.klimas@ucd.ie. IN - Egan, Mairead. Centre for Emergency Medical Science, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland. mairead.egan@ucd.ie. IN - Tobin, Helen. Centre for Emergency Medical Science, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland. helen.tobin@ucd.ie. IN - Coleman, Neil. Centre for Emergency Medical Science, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland. neil.coleman@ucd.ie. IN - Bury, Gerard. Centre for Emergency Medical Science, School of Medicine and Medical Science, University College Dublin, Dublin, Ireland. gerard.bury@ucd.ie. NJ - BMC medical education VO - 15 PG - 206 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4654915 SB - Index Medicus CP - England MH - Administration, Intranasal MH - Adult MH - *Caregivers/ed [Education] MH - Drug Overdose/di [Diagnosis] MH - *Drug Overdose/dt [Drug Therapy] MH - Drug Overdose/pc [Prevention & Control] MH - Education, Medical, Graduate MH - Family MH - Feasibility Studies MH - Female MH - Friends MH - *General Practice/ed [Education] MH - Health Education/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Ireland MH - Male MH - Naloxone/ad [Administration & Dosage] MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/ad [Administration & Dosage] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Pilot Projects MH - Program Evaluation AB - BACKGROUND: Overdose is the most common cause of fatalities among opioid users. Naloxone is a life-saving medication for reversing opioid overdose. In Ireland, it is currently available to ambulance and emergency care services, but General Practitioners (GP) are in regular contact with opioid users and their families. This positions them to provide naloxone themselves or to instruct patients how to use it. The new Clinical Practice Guidelines of the Pre-hospital Emergency Care Council of Ireland allows trained bystanders to administer intranasal naloxone. We describe the development and process evaluation of an educational intervention, designed to help GP trainees identify and manage opioid overdose with intranasal naloxone. AB - METHODS: Participants (N=23) from one postgraduate training scheme in Ireland participated in a one-hour training session. The repeated-measures design, using the validated Opioid Overdose Knowledge (OOKS) and Attitudes (OOAS) Scales, examined changes immediately after training. Acceptability and satisfaction with training were measured with a self-administered questionnaire. AB - RESULTS: Knowledge of the risks of overdose and appropriate actions to be taken increased significantly post-training [OOKS mean difference, 3.52 (standard deviation 4.45); P<0.001]; attitudes improved too [OOAS mean difference, 11.13 (SD 6.38); P<0.001]. The most and least useful delivery methods were simulation and video, respectively. AB - CONCLUSION: Appropriate training is a key requirement for the distribution of naloxone through general practice. In future studies, the knowledge from this pilot will be used to inform a train-the-trainer model, whereby healthcare professionals and other front-line service providers will be trained to instruct opioid users and their families in overdose prevention and naloxone use. RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/s12909-015-0487-y PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1186/s12909-015-0487-y [doi] ID - 10.1186/s12909-015-0487-y [pii] ID - PMC4654915 [pmc] PP - epublish PH - 2015/01/09 [received] PH - 2015/11/10 [accepted] LG - English EP - 20151120 DP - 2015 Nov 20 EZ - 2015/11/22 06:00 DA - 2016/07/05 06:00 DT - 2015/11/22 06:00 YR - 2015 ED - 20160704 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26590066 <185. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26123686 TI - The Toxicologist as Educator: Addressing Pain Management in the Midst of an Opioid Epidemic. SO - Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 11(3):279-80, 2015 Sep. AS - J Med Toxicol. 11(3):279-80, 2015 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beauchamp GA FA - Beauchamp, Gillian A IN - Beauchamp, Gillian A. Department of Emergency Medicine and the Oregon Poison Center, Oregon Health & Science University, Campus Services Building 559, 3181 SW Sam Jackson Park Road, Portland, OR, 97239, USA, beauchamp.gillian@gmail.com. NJ - Journal of medical toxicology : official journal of the American College of Medical Toxicology VO - 11 IP - 3 PG - 279-80 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101284598 IO - J Med Toxicol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4547950 SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Curriculum MH - *Education, Medical, Undergraduate MH - *Education, Pharmacy MH - *Epidemics MH - Humans MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain Management/ae [Adverse Effects] MH - Pain Management/mt [Methods] MH - Risk Assessment MH - Risk Factors MH - *Toxicology/ed [Education] RN - 0 (Analgesics, Opioid) ES - 1937-6995 IL - 1556-9039 DO - https://dx.doi.org/10.1007/s13181-015-0491-y PT - Editorial ID - 10.1007/s13181-015-0491-y [doi] ID - PMC4547950 [pmc] PP - ppublish LG - English DP - 2015 Sep EZ - 2015/07/01 06:00 DA - 2016/06/30 06:00 DT - 2015/07/01 06:00 YR - 2015 ED - 20160629 RD - 20160901 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26123686 <186. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27263243 TI - Opioid Exposed Mothers and Infants in Delaware: Clinical and Legal Considerations. SO - Delaware Medical Journal. 88(4):110-4, 2016 Apr. AS - Del Med J. 88(4):110-4, 2016 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Savin MK AU - Paul DA FA - Savin, Michele K FA - Paul, David A NJ - Delaware medical journal VO - 88 IP - 4 PG - 110-4 PI - Journal available in: Print PI - Citation processed from: Print JC - e0b, 0370077 IO - Del Med J SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Delaware/ep [Epidemiology] MH - *Drug and Narcotic Control/lj [Legislation & Jurisprudence] MH - Female MH - Humans MH - Infant, Newborn MH - Male MH - Mandatory Reporting MH - Maternal-Fetal Exchange MH - Mother-Child Relations MH - *Neonatal Abstinence Syndrome/ep [Epidemiology] MH - *Neonatal Abstinence Syndrome/th [Therapy] MH - Opioid-Related Disorders/co [Complications] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/th [Therapy] MH - Pregnancy MH - *Pregnancy Complications/ep [Epidemiology] MH - *Pregnancy Complications/th [Therapy] MH - United States/ep [Epidemiology] AB - 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. RN - 0 (Analgesics, Opioid) IS - 0011-7781 IL - 0011-7781 PT - Journal Article PP - ppublish LG - English DP - 2016 Apr EZ - 2016/06/07 06:00 DA - 2016/06/29 06:00 DT - 2016/06/07 06:00 YR - 2016 ED - 20160628 RD - 20160606 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27263243 <187. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26482489 TI - [The psychiatric, psychological and addiction evaluation in bariatric surgery candidates: What should we assess, why and how?]. [French] OT - L'evaluation psychiatrique, psychologique et addictologique avant chirurgie bariatrique : que faut-il evaluer en pratique, pourquoi et comment ? SO - Presse Medicale. 45(1):29-39, 2016 Jan. AS - Presse Med. 45(1):29-39, 2016 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brunault P AU - Gohier B AU - Ducluzeau PH AU - Bourbao-Tournois C AU - Frammery J AU - Reveillere C AU - Ballon N FA - Brunault, Paul FA - Gohier, Benedicte FA - Ducluzeau, Pierre-Henri FA - Bourbao-Tournois, Celine FA - Frammery, Julie FA - Reveillere, Christian FA - Ballon, Nicolas IN - Brunault, Paul. CHRU de Tours, equipe de liaison et de soins en addictologie, 2, boulevard Tonnelle, 37044 Tours cedex 9, France; CHRU de Tours, clinique psychiatrique universitaire, 37044 Tours cedex 9, France; Universite Francois-Rabelais de Tours, departement de psychologie, EA 2114 << psychologie des ages de la vie >>, 37041 Tours, France; CHRU de Tours, centre specialise pour la prise en charge de l'obesite severe, 37000 Tours, France. Electronic address: paul.brunault@univ-tours.fr. IN - Gohier, Benedicte. CHU d'Angers, service de psychiatrie et d'addictologie, 49933 Angers, France; Universite d'Angers, laboratoire de psychologie des Pays-de-la-Loire, EA 4638, 49045 Angers cedex 1, France. IN - Ducluzeau, Pierre-Henri. CHRU de Tours, centre specialise pour la prise en charge de l'obesite severe, 37000 Tours, France; CHRU de Tours, service de medecine interne-nutrition, 37044 Tours cedex 9, France; Universite Francois-Rabelais de Tours, 37041 Tours, France. IN - Bourbao-Tournois, Celine. CHRU de Tours, centre specialise pour la prise en charge de l'obesite severe, 37000 Tours, France; CHRU de Tours, service de chirurgie digestive et endocrinienne, 37044 Tours cedex 9, France. IN - Frammery, Julie. CHRU de Tours, equipe de liaison et de soins en addictologie, 2, boulevard Tonnelle, 37044 Tours cedex 9, France; CHRU de Tours, clinique psychiatrique universitaire, 37044 Tours cedex 9, France; Centre hospitalier Louis-Sevestre, 37390 La-Membrolle-sur-Choisille, France. IN - Reveillere, Christian. Universite Francois-Rabelais de Tours, departement de psychologie, EA 2114 << psychologie des ages de la vie >>, 37041 Tours, France. IN - Ballon, Nicolas. CHRU de Tours, equipe de liaison et de soins en addictologie, 2, boulevard Tonnelle, 37044 Tours cedex 9, France; CHRU de Tours, centre specialise pour la prise en charge de l'obesite severe, 37000 Tours, France; UMR Inserm U930 ERL, 37200 Tours, France; Universite Francois-Rabelais de Tours, 37041 Tours, France. NJ - Presse medicale (Paris, France : 1983) VO - 45 IP - 1 PG - 29-39 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8302490, pmt IO - Presse Med SB - Index Medicus CP - France MH - *Bariatric Surgery MH - Behavior, Addictive/co [Complications] MH - Behavior, Addictive/di [Diagnosis] MH - *Behavior, Addictive/px [Psychology] MH - Humans MH - Mental Disorders/co [Complications] MH - Mental Disorders/di [Diagnosis] MH - Obesity/co [Complications] MH - *Obesity/px [Psychology] MH - *Obesity/su [Surgery] MH - Preoperative Care MH - Psychological Tests AB - 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). Copyright © 2015 Elsevier Masson SAS. All rights reserved. ES - 2213-0276 IL - 0755-4982 DI - S0755-4982(15)00408-X DO - https://dx.doi.org/10.1016/j.lpm.2015.09.013 PT - English Abstract PT - Journal Article ID - S0755-4982(15)00408-X [pii] ID - 10.1016/j.lpm.2015.09.013 [doi] PP - ppublish PH - 2015/02/15 [received] PH - 2015/06/05 [revised] PH - 2015/09/15 [accepted] LG - French EP - 20151023 DP - 2016 Jan EZ - 2015/10/21 06:00 DA - 2016/06/23 06:00 DT - 2015/10/21 06:00 YR - 2016 ED - 20160622 RD - 20161209 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26482489 <188. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26420671 TI - 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. SO - Implementation Science. 10:138, 2015 Sep 29. AS - Implement Sci. 10:138, 2015 Sep 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martino S AU - Zimbrean P AU - Forray A AU - Kaufman J AU - Desan P AU - Olmstead TA AU - Gueorguieva R AU - Howell H AU - McCaherty A AU - Yonkers KA FA - Martino, Steve FA - Zimbrean, Paula FA - Forray, Ariadna FA - Kaufman, Joy FA - Desan, Paul FA - Olmstead, Todd A FA - Gueorguieva, Ralitza FA - Howell, Heather FA - McCaherty, Ashley FA - Yonkers, Kimberly A IN - Martino, Steve. Psychology Service, VA Connecticut Healthcare System, 950 Campbell Avenue (116B), West Haven, CT, 06516, USA. steve.martino@yale.edu. IN - Martino, Steve. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. steve.martino@yale.edu. IN - Zimbrean, Paula. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paula.zimbrean@yale.edu. IN - Forray, Ariadna. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ariadna.forray@yale.edu. IN - Kaufman, Joy. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. joy.kaufman@yale.edu. IN - Desan, Paul. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. paul.desan@yale.edu. IN - Olmstead, Todd A. 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. tolmstead@austin.utexas.edu. IN - Olmstead, Todd A. Seton/UT Clinical Research Institute, 1400 North IH 35, Austin, TX, 78701, USA. tolmstead@austin.utexas.edu. IN - Gueorguieva, Ralitza. Department of Biostatistics, Yale University School of Medicine, 60 College Street, New Haven, CT, 06510, USA. ralitza.gueorguieva@yale.edu. IN - Howell, Heather. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. heather.howell@yale.edu. IN - McCaherty, Ashley. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. ashley.mccaherty@yale.edu. IN - Yonkers, Kimberly A. Department of Psychiatry, Yale University School of Medicine, 300 George Street, Suite 901, New Haven, CT, 06511, USA. kimberly.yonkers@yale.edu. NJ - Implementation science : IS VO - 10 PG - 138 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258411 IO - Implement Sci PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4589113 SB - Index Medicus CP - England MH - Cost-Benefit Analysis MH - Education, Continuing/og [Organization & Administration] MH - *Health Personnel/ed [Education] MH - Hospitals, University MH - Humans MH - *Inpatients MH - Inservice Training/og [Organization & Administration] MH - *Motivational Interviewing/mt [Methods] MH - Nurses MH - Physician Assistants MH - Physicians MH - Referral and Consultation MH - *Research Design MH - *Substance-Related Disorders/th [Therapy] AB - 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." AB - 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. AB - 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. AB - TRIAL REGISTRATION: Clinical Trials.gov ( NCT01825057 ). ES - 1748-5908 IL - 1748-5908 DO - https://dx.doi.org/10.1186/s13012-015-0327-9 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - 10.1186/s13012-015-0327-9 [doi] ID - 10.1186/s13012-015-0327-9 [pii] ID - PMC4589113 [pmc] PP - epublish PH - 2015/09/14 [received] PH - 2015/09/18 [accepted] SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01825057 SL - https://clinicaltrials.gov/search/term=NCT01825057 GI - No: R01 DA027194 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA034243 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01DA034243 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20150929 DP - 2015 Sep 29 EZ - 2015/10/01 06:00 DA - 2016/06/23 06:00 DT - 2015/10/01 06:00 YR - 2015 ED - 20160622 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26420671 <189. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25059969 TI - 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. SO - BMJ Open. 4(7):e004909, 2014 Jul 24. AS - BMJ Open. 4(7):e004909, 2014 Jul 24. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brinker TJ AU - Stamm-Balderjahn S AU - Seeger W AU - Groneberg DA FA - Brinker, Titus J FA - Stamm-Balderjahn, Sabine FA - Seeger, Werner FA - Groneberg, David A IN - Brinker, Titus J. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt, Germany. IN - Stamm-Balderjahn, Sabine. Institute of Medical Sociology, Charite University Medicine, Berlin, Germany. IN - Seeger, Werner. University of Giessen and Marburg Lung Center (UGMLC), Max-Planck Institute for Heart and Lung Research Bad Nauheim/Giessen, member of the German Center for Lung Research (DZL), Germany. IN - Groneberg, David A. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe-University, Frankfurt, Germany. NJ - BMJ open VO - 4 IP - 7 PG - e004909 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101552874 IO - BMJ Open PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4120302 SB - Index Medicus CP - England MH - Adolescent MH - Child MH - Female MH - Germany MH - Health Education/mt [Methods] MH - *Health Education MH - Humans MH - Male MH - Program Evaluation MH - Prospective Studies MH - Research Design MH - Schools MH - *Smoking Prevention MH - *Students, Medical KW - adolescent smoking; medical students; school-based prevention; schools; smoking prevention; tobacco prevention AB - 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 physician-delivered 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. AB - METHODS AND ANALYSIS: A prospective quasi-experimental 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 tobacco-related 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. AB - 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 peer-reviewed journals, at conferences, within our scientific advisory board and through medical students within the EAT project. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. NT - Original DateCompleted: 20140725 IS - 2044-6055 IL - 2044-6055 DO - https://dx.doi.org/10.1136/bmjopen-2014-004909 PT - Journal Article ID - bmjopen-2014-004909 [pii] ID - 10.1136/bmjopen-2014-004909 [doi] ID - PMC4120302 [pmc] PP - epublish LG - English EP - 20140724 DP - 2014 Jul 24 EZ - 2014/07/26 06:00 DA - 2014/07/26 06:01 DT - 2014/07/26 06:00 YR - 2014 ED - 20160616 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25059969 <190. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26851294 TI - Better training is needed on fetal alcohol disorders, says BMA. SO - BMJ. 352:i735, 2016 Feb 04. AS - BMJ. 352:i735, 2016 Feb 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mayor S FA - Mayor, Susan IN - Mayor, Susan. London. NJ - BMJ (Clinical research ed.) VO - 352 PG - i735 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 8900488, bmj, 101090866 IO - BMJ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Alcohol Drinking/ae [Adverse Effects] MH - Education, Medical MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Humans MH - United Kingdom ES - 1756-1833 IL - 0959-535X DO - https://dx.doi.org/10.1136/bmj.i735 PT - News PP - epublish LG - English EP - 20160204 DP - 2016 Feb 04 EZ - 2016/02/07 06:00 DA - 2016/06/16 06:00 DT - 2016/02/07 06:00 YR - 2016 ED - 20160615 RD - 20161126 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26851294 <191. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26384722 TI - Education Against Tobacco (EAT): a quasi-experimental prospective evaluation of a multinational medical-student-delivered smoking prevention programme for secondary schools in Germany. SO - BMJ Open. 5(9):e008093, 2015 Sep 18. AS - BMJ Open. 5(9):e008093, 2015 Sep 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brinker TJ AU - Stamm-Balderjahn S AU - Seeger W AU - Klingelhofer D AU - Groneberg DA FA - Brinker, Titus J FA - Stamm-Balderjahn, Sabine FA - Seeger, Werner FA - Klingelhofer, Doris FA - Groneberg, David A IN - Brinker, Titus J. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt, Germany Universities of Giessen and Marburg Lung Center, Giesen, Germany. IN - Stamm-Balderjahn, Sabine. Institute of Medical Sociology and Rehabilitation Science, Charite University Medicine, Berlin, Germany. IN - Seeger, Werner. Universities of Giessen and Marburg Lung Center, Giesen, Germany. IN - Klingelhofer, Doris. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt, Germany. IN - Groneberg, David A. Institute of Occupational Medicine, Social Medicine and Environmental Medicine, Goethe University, Frankfurt, Germany. NJ - BMJ open VO - 5 IP - 9 PG - e008093 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101552874 IO - BMJ Open PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4577951 SB - Index Medicus CP - England MH - Adolescent MH - Child MH - Female MH - Follow-Up Studies MH - Germany/ep [Epidemiology] MH - Humans MH - Incidence MH - Male MH - Prevalence MH - Program Evaluation MH - Prospective Studies MH - *School Health Services/og [Organization & Administration] MH - *Schools MH - Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires KW - adolescents; medical students; school-based prevention; secondary schools; smoking cessation; tobacco prevention AB - OBJECTIVES: To evaluate the multinational medical-student-delivered tobacco prevention programme for secondary schools for its effectiveness to reduce the smoking prevalence among adolescents aged 11-15 years in Germany at half year follow-up. AB - SETTING: We used a prospective quasi-experimental study design with measurements at baseline (t1) and 6 months postintervention (t2) to investigate an intervention in 8 German secondary schools. The participants were split into intervention and control classes in the same schools and grades. AB - PARTICIPANTS: A total of 1474 eligible participants of both genders at the age of 11-15 years were involved within the survey for baseline assessment of which 1200 completed the questionnaire at 6-month follow-up (=longitudinal sample). The schools participated voluntarily. The inclusion criteria were age (10-15 years), grade (6-8) and school type (regular secondary schools). AB - INTERVENTION: Two 60 min school-based modules delivered by medical students. AB - PRIMARY AND SECONDARY OUTCOME MEASURES: The primary end point was the difference from t1 to t2 of the smoking prevalence in the control group versus the difference from t1 to t2 in the intervention group (difference of differences approach). The percentage of former smokers and new smokers in the two groups were studied as secondary outcome measures. AB - RESULTS: In the control group, the percentage of students who claimed to be smokers doubled from 4.2% (t1) to 8.1% (t2), whereas it remained almost the same in the intervention group (7.1% (t1) to 7.4% (t2); p=0.01). The likelihood of quitting smoking was almost six times higher in the intervention group (total of 67 smokers at t1; 27 (4.6%) and 7 (1.1%) in the control group; OR 5.63; 95% CI 2.01 to 15.79; p<0.01). However, no primary preventive effect was found. AB - CONCLUSIONS: We report a significant secondary preventive (smoking cessation) effect at 6-month follow-up. Long-term evaluation is planned. Copyright Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions. ES - 2044-6055 IL - 2044-6055 DO - https://dx.doi.org/10.1136/bmjopen-2015-008093 PT - Journal Article PT - Multicenter Study ID - bmjopen-2015-008093 [pii] ID - 10.1136/bmjopen-2015-008093 [doi] ID - PMC4577951 [pmc] PP - epublish LG - English EP - 20150918 DP - 2015 Sep 18 EZ - 2015/09/20 06:00 DA - 2016/06/15 06:00 DT - 2015/09/20 06:00 YR - 2015 ED - 20160614 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26384722 <192. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26337202 TI - Rural substance use treatment centers in the United States: an assessment of treatment quality by location. SO - American Journal of Drug & Alcohol Abuse. 41(5):449-57, 2015. AS - Am J Drug Alcohol Abuse. 41(5):449-57, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bond Edmond M AU - Aletraris L AU - Roman PM FA - Bond Edmond, Mary FA - Aletraris, Lydia FA - Roman, Paul M IN - Bond Edmond, Mary. a Owens Institute for Behavioral Research, University of Georgia , Athens , GA , USA. NJ - The American journal of drug and alcohol abuse VO - 41 IP - 5 PG - 449-57 PI - Journal available in: Print PI - Citation processed from: Internet JC - 3gw, 7502510 IO - Am J Drug Alcohol Abuse PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4775429 OI - Source: NLM. NIHMS759796 SB - Index Medicus CP - England MH - Humans MH - *Quality Assurance, Health Care MH - *Rural Health Services/st [Standards] MH - *Rural Health Services/sn [Statistics & Numerical Data] MH - *Substance Abuse Treatment Centers/st [Standards] MH - *Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - United States/ep [Epidemiology] MH - Urban Health Services/st [Standards] MH - Urban Health Services/sn [Statistics & Numerical Data] KW - Addiction; rural; substance use disorder; treatment quality; urban AB - 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. AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Our findings suggest that treatment quality differs between urban and rural centers in complex ways that are subject to resource availability. ES - 1097-9891 IL - 0095-2990 DO - https://dx.doi.org/10.3109/00952990.2015.1059842 PT - Comparative Study PT - Journal Article ID - 10.3109/00952990.2015.1059842 [doi] ID - PMC4775429 [pmc] ID - NIHMS759796 [mid] PP - ppublish GI - No: R01 AA015974 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 DA013110 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2015 EZ - 2015/09/05 06:00 DA - 2016/06/14 06:00 DT - 2015/09/05 06:00 YR - 2015 ED - 20160613 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26337202 <193. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26302425 TI - Do Palliative Care Clinics Screen for Substance Abuse and Diversion? Results of a National Survey. SO - Journal of Palliative Medicine. 18(9):752-7, 2015 Sep. AS - J Palliat Med. 18(9):752-7, 2015 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tan PD AU - Barclay JS AU - Blackhall LJ FA - Tan, Paul D FA - Barclay, Joshua S FA - Blackhall, Leslie J IN - Tan, Paul D. 1 Department of Medicine, Division of General Medicine, Geriatrics, and Palliative Care, University of Virginia , Charlottesville, Virginia. IN - Tan, Paul D. 2 Department of Medicine, Eastern Maine Medical Center , Veazie, Maine. IN - Barclay, Joshua S. 1 Department of Medicine, Division of General Medicine, Geriatrics, and Palliative Care, University of Virginia , Charlottesville, Virginia. IN - Blackhall, Leslie J. 1 Department of Medicine, Division of General Medicine, Geriatrics, and Palliative Care, University of Virginia , Charlottesville, Virginia. CM - Comment in: J Palliat Med. 2016 Mar;19(3):254; PMID: 26788763 NJ - Journal of palliative medicine VO - 18 IP - 9 PG - 752-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - d0c, 9808462 IO - J Palliat Med SB - Index Medicus CP - United States MH - Humans MH - Organizational Policy MH - *Pain/dt [Drug Therapy] MH - *Palliative Care MH - Palliative Medicine/ed [Education] MH - Prescription Drug Diversion MH - Risk Factors MH - *Substance Abuse Detection/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - 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. AB - 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. AB - 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. AB - 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). AB - 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. ES - 1557-7740 IL - 1557-7740 DO - https://dx.doi.org/10.1089/jpm.2015.0098 PT - Journal Article ID - 10.1089/jpm.2015.0098 [doi] PP - ppublish LG - English EP - 20150605 DP - 2015 Sep EZ - 2015/08/25 06:00 DA - 2016/05/31 06:00 DT - 2015/08/25 06:00 YR - 2015 ED - 20160530 RD - 20160620 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26302425 <194. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25990861 TI - Developing a fully integrated tobacco curriculum in medical colleges in India. SO - BMC Medical Education. 15:90, 2015 May 20. AS - BMC Med Educ. 15:90, 2015 May 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yamini TR AU - Nichter M AU - Nichter M AU - Sairu P AU - Aswathy S AU - Leelamoni K AU - Unnikrishnan B AU - P PM AU - Thapar R AU - Basha SR AU - Jayasree AK AU - Mayamol TR AU - Muramoto M AU - Mini GK AU - Thankappan KR FA - Yamini, T R FA - Nichter, Mark FA - Nichter, Mimi FA - Sairu, P FA - Aswathy, S FA - Leelamoni, K FA - Unnikrishnan, B FA - P, Prasanna Mithra FA - Thapar, Rekha FA - Basha, S R FA - Jayasree, A K FA - Mayamol, T R FA - Muramoto, Myra FA - Mini, G K FA - Thankappan, K R IN - Yamini, T R. Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Science and Technology, Thiruvananthapuram, Kerala, India. yaminiganesh@gmail.com. IN - Nichter, Mark. University of Arizona, School of Anthropology, 85721, Tucson, AZ, USA. nichtermark@gmail.com. IN - Nichter, Mark. Department of Family and Community Medicine, University of Arizona, Tucson, AZ, USA. nichtermark@gmail.com. IN - Nichter, Mimi. University of Arizona, School of Anthropology, 85721, Tucson, AZ, USA. mimi.nichter@gmail.com. IN - Sairu, P. Department of Community Medicine, T.D. Medical College, Alappuzha, Kerala, India. sairuphilip09@gmail.com. IN - Aswathy, S. Department of Community Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India. draswathygopan@gmail.com. IN - Leelamoni, K. Department of Community Medicine, Amrita Institute of Medical Sciences, Kochi, Kerala, India. kleelamoni@aims.amrita.edu. IN - Unnikrishnan, B. Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India. unnikrishnan.b@manipal.edu. IN - P, Prasanna Mithra. Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India. ppmithra@gmail.com. IN - Thapar, Rekha. Department of Community Medicine, Kasturba Medical College, Manipal University, Mangalore, Karnataka, India. rekha.apar@manipal.edu. IN - Basha, S R. Department of Community Medicine, Bangalore Medical College and Research Institute, Bangalore, Karnataka, India. drriyaz@gmail.com. IN - Jayasree, A K. Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India. akjayasree@gmail.com. IN - Mayamol, T R. Department of Community Medicine, Academy of Medical Sciences, Pariyaram, Kannur, Kerala, India. pradeepmayamol@gmail.com. IN - Muramoto, Myra. Department of Family and Community Medicine, University of Arizona, Tucson, AZ, USA. myram@email.arizona.edu. IN - Mini, G K. Achutha Menon Centre for Health Science Studies, Sree Chitra Tirunal Institute for Medical Science and Technology, Thiruvananthapuram, Kerala, India. minisureshkumar@yahoo.com. IN - 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. NJ - BMC medical education VO - 15 PG - 90 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4455282 SB - Index Medicus CP - England MH - *Curriculum MH - *Developing Countries MH - *Education, Medical, Undergraduate MH - Health Priorities MH - Humans MH - India MH - Models, Educational MH - Pilot Projects MH - Smoking Cessation MH - *Tobacco Use Cessation AB - 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. AB - 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. AB - 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. AB - 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/s12909-015-0369-3 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1186/s12909-015-0369-3 [doi] ID - 10.1186/s12909-015-0369-3 [pii] ID - PMC4455282 [pmc] PP - epublish PH - 2014/07/31 [received] PH - 2015/05/01 [accepted] GI - No: R01 TW007944 Organization: (TW) *FIC NIH HHS* Country: United States LG - English EP - 20150520 DP - 2015 May 20 EZ - 2015/05/21 06:00 DA - 2016/05/26 06:00 DT - 2015/05/21 06:00 YR - 2015 ED - 20160525 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25990861 <195. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26001750 TI - Substance abuse: a national survey of Canadian residency program directors and site chiefs at university-affiliated anesthesia departments. SO - Canadian Journal of Anaesthesia. 62(9):964-71, 2015 Sep. AS - Can J Anaesth. 62(9):964-71, 2015 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boulis S AU - Khanduja PK AU - Downey K AU - Friedman Z FA - Boulis, Sherif FA - Khanduja, P Kristina FA - Downey, Kristi FA - Friedman, Zeev IN - Boulis, Sherif. Department of Anesthesia and Pain Management, Mount Sinai Hospital, University of Toronto, 600 University Avenue, Room 19-104, Toronto, ON, M5G 1X5, Canada. CM - Comment in: Can J Anaesth. 2015 Dec;62(12):1346-7; PMID: 26378001 CM - Comment in: Can J Anaesth. 2016 Mar;63(3):367; PMID: 26646007 CM - Comment in: Can J Anaesth. 2016 Mar;63(3):365-6; PMID: 26646006 NJ - Canadian journal of anaesthesia = Journal canadien d'anesthesie VO - 62 IP - 9 PG - 964-71 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - c8l, 8701709 IO - Can J Anaesth SB - Index Medicus CP - United States MH - Anesthesia Department, Hospital/sn [Statistics & Numerical Data] MH - *Anesthesiology/sn [Statistics & Numerical Data] MH - Canada MH - Cross-Sectional Studies MH - Humans MH - Internship and Residency MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Physicians/sn [Statistics & Numerical Data] MH - Prevalence MH - Substance Abuse Detection/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. ES - 1496-8975 IL - 0832-610X DO - https://dx.doi.org/10.1007/s12630-015-0404-1 PT - Journal Article ID - 10.1007/s12630-015-0404-1 [doi] ID - 10.1007/s12630-015-0404-1 [pii] PP - ppublish PH - 2014/09/30 [received] PH - 2015/05/14 [accepted] LG - English EP - 20150522 DP - 2015 Sep EZ - 2015/05/24 06:00 DA - 2016/05/20 06:00 DT - 2015/05/24 06:00 YR - 2015 ED - 20160519 RD - 20160609 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26001750 <196. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26404331 TI - Are Informing Knowledge and Supportive Attitude Enough for Tobacco Control? A Latent Class Analysis of Cigarette Smoking Patterns among Medical Teachers in China. SO - International Journal of Environmental Research & Public Health [Electronic Resource]. 12(10):12030-42, 2015 Sep 25. AS - Int J Environ Res Public Health. 12(10):12030-42, 2015 Sep 25. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Niu L AU - Luo D AU - Silenzio VM AU - Xiao S AU - Tian Y FA - Niu, Lu FA - Luo, Dan FA - Silenzio, Vincent M B FA - Xiao, Shuiyuan FA - Tian, Yongquan IN - Niu, Lu. Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China. vincent_silenzio@urmc.rochester.edu. IN - Niu, Lu. Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, NY 14642, USA. vincent_silenzio@urmc.rochester.edu. IN - Luo, Dan. Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China. luodan_csu_2011@126.com. IN - Luo, Dan. Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, NY 14642, USA. luodan_csu_2011@126.com. IN - Silenzio, Vincent M B. Department of Psychiatry, University of Rochester Medical Center, Rochester, New York, NY 14642, USA. vincent_silenzio@urmc.rochester.edu. IN - Xiao, Shuiyuan. Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China. xiaosy@csu.edu.cn. IN - Tian, Yongquan. Department of Social Medicine and Health Management, School of Public Health, Central South University, Changsha 410078, Hunan, China. tianyq@csu.edu.cn. NJ - International journal of environmental research and public health VO - 12 IP - 10 PG - 12030-42 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101238455 IO - Int J Environ Res Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4626953 SB - Index Medicus CP - Switzerland MH - Adult MH - China/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Education, Medical MH - *Faculty/sn [Statistics & Numerical Data] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation MH - Surveys and Questionnaires MH - Tobacco KW - attitude; health knowledge; practice; smoking; smoking cessation AB - 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. AB - METHODS: In May 2010, a cross-sectional survey was conducted among medical teachers of Xiangya Medical School, Central South University, China. AB - 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. AB - 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. ES - 1660-4601 IL - 1660-4601 DO - https://dx.doi.org/10.3390/ijerph121012030 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - ijerph121012030 [pii] ID - 10.3390/ijerph121012030 [doi] ID - PMC4626953 [pmc] PP - epublish PH - 2015/07/23 [received] PH - 2015/08/31 [revised] PH - 2015/09/18 [accepted] GI - No: D43 TW009101 Organization: (TW) *FIC NIH HHS* Country: United States LG - English EP - 20150925 DP - 2015 Sep 25 EZ - 2015/09/26 06:00 DA - 2016/05/18 06:00 DT - 2015/09/26 06:00 YR - 2015 ED - 20160516 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26404331 <197. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25966903 TI - Effectiveness and Organization of Addiction Medicine Training Across the Globe. [Review] SO - European Addiction Research. 21(5):223-39, 2015. AS - Eur Addict Res. 21(5):223-39, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ayu AP AU - Schellekens AF AU - Iskandar S AU - Pinxten L AU - De Jong CA FA - Ayu, Astri Parawita FA - Schellekens, Arnt F A FA - Iskandar, Shelly FA - Pinxten, Lucas FA - De Jong, Cor A J IN - Ayu, Astri Parawita. Atma Jaya Catholic University of Indonesia, School of Medicine, Jakarta, Indonesia. NJ - European addiction research VO - 21 IP - 5 PG - 223-39 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - c60, 9502920 IO - Eur Addict Res SB - Index Medicus CP - Switzerland MH - Clinical Competence MH - *Curriculum MH - *Education, Medical/og [Organization & Administration] MH - Humans MH - Program Evaluation MH - *Substance-Related Disorders AB - 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. AB - 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.' AB - 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. AB - 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. Copyright © 2015 S. Karger AG, Basel. ES - 1421-9891 IL - 1022-6877 DO - https://dx.doi.org/10.1159/000381671 PT - Journal Article PT - Review ID - 000381671 [pii] ID - 10.1159/000381671 [doi] PP - ppublish PH - 2014/07/28 [received] PH - 2015/03/16 [accepted] LG - English EP - 20150505 DP - 2015 EZ - 2015/05/15 06:00 DA - 2016/05/18 06:00 DT - 2015/05/14 06:00 YR - 2015 ED - 20160516 RD - 20150817 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25966903 <198. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27115373 TI - A PIECE OF MY MIND. The Patient You Least Want to See. SO - JAMA. 315(16):1701-2, 2016 Apr 26. AS - JAMA. 315(16):1701-2, 2016 Apr 26. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chen JH FA - Chen, Jonathan H IN - Chen, Jonathan H. Division of General Medical Disciplines, Department of Medicine, Stanford University, Stanford, California. NJ - JAMA VO - 315 IP - 16 PG - 1701-2 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Humans MH - *Internship and Residency MH - *Medical Staff, Hospital/px [Psychology] MH - Negotiating MH - *Opioid-Related Disorders/px [Psychology] MH - *Physician-Patient Relations MH - *Prescription Drug Misuse/px [Psychology] MH - Staff Development MH - Stereotyping ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2016.0221 PT - Journal Article PT - Personal Narratives ID - 2516718 [pii] ID - 10.1001/jama.2016.0221 [doi] PP - ppublish LG - English DP - 2016 Apr 26 EZ - 2016/04/27 06:00 DA - 2016/05/10 06:00 DT - 2016/04/27 06:00 YR - 2016 ED - 20160509 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=27115373 <199. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26158331 TI - Assessing Medical Students' Tobacco Dependence Treatment Skills Using a Detailed Behavioral Checklist. SO - Teaching & Learning in Medicine. 27(3):292-8, 2015. AS - Teach Learn Med. 27(3):292-8, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mazor KM AU - Jolicoeur D AU - Hayes RB AU - Geller AC AU - Churchill L AU - Ockene JK FA - Mazor, Kathleen M FA - Jolicoeur, Denise FA - Hayes, Rashelle B FA - Geller, Alan C FA - Churchill, Linda FA - Ockene, Judith K IN - Mazor, Kathleen M. a Meyers Primary Care Institute , Worcester , Massachusetts , USA , and Department of Medicine , University of Massachusetts Medical School , Worcester , Massachusetts , USA. NJ - Teaching and learning in medicine VO - 27 IP - 3 PG - 292-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - dx5, 8910884 IO - Teach Learn Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4685671 OI - Source: NLM. NIHMS744102 SB - Index Medicus CP - United States MH - *Checklist MH - *Clinical Competence/st [Standards] MH - Counseling MH - Education, Medical, Undergraduate MH - Humans MH - Students, Medical/px [Psychology] MH - *Tobacco Use Disorder/th [Therapy] MH - Video Recording KW - clinical education; communication skills; curriculum; development/evaluation; evaluation/assessment of clinical performance; testing/assessment AB - UNLABELLED: CONSTRUCT: This article describes the development and implementation of an assessment intended to provide objective scores that would be valid indications of medical students' abilities to counsel patients about tobacco dependence. AB - BACKGROUND: Assessing medical students' advanced communication skills, particularly in the context of providing tobacco-dependence treatment, consistently and accurately is challenging; doing so across multiple medical schools is even more difficult. AB - APPROACH: Ten medical schools implemented a tobacco-dependence treatment case as part of an Objective Structured Clinical Examination for 3rd-year medical students. A 33-item checklist with detailed criteria and examples was developed for scoring students' performances. Trained coders viewed and coded 660 videotaped encounters; approximately 10% also were coded by the coding supervisor to check accuracy. AB - RESULTS: Average time required to code an encounter was approximately 31 minutes; accuracy (i.e., agreement with the gold standard coder) was excellent. Overall, students performed an average of 1 in 4 of the 33 behaviors included on the checklist, and only 1 in 10 discussed setting a quit date. Most students (almost 9 in 10) asked how much the patient smoked in a day, and just over 7 in 10 informed the patient that the cough was due to smoking. AB - CONCLUSIONS: The authors developed and implemented a rigorous assessment that will be used to evaluate medical students' tobacco-dependence treatment skills. Operationalizing the specific counseling behaviors, training coders to accurately capture students' performances using a structured checklist, and conducting the coding all required substantial time commitments but will provide confidence in the objectivity of the assessment results. In addition, this assessment can be used to provide formative information on medical students' tobacco-dependence treatment skills and to tailor ongoing training for medical students in this area. ES - 1532-8015 IL - 1040-1334 DO - https://dx.doi.org/10.1080/10401334.2015.1044660 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/10401334.2015.1044660 [doi] ID - PMC4685671 [pmc] ID - NIHMS744102 [mid] PP - ppublish GI - No: R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 5R01CA136888 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2015 EZ - 2015/07/15 06:00 DA - 2016/05/04 06:00 DT - 2015/07/10 06:00 YR - 2015 ED - 20160503 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26158331 <200. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26169929 TI - The Prescription Opioid Epidemic: Social Media Responses to the Residents' Perspective Article. SO - Annals of Emergency Medicine. 67(1):40-8, 2016 Jan. AS - Ann Emerg Med. 67(1):40-8, 2016 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Choo EK AU - Mazer-Amirshahi M AU - Juurlink D AU - Kobner S AU - Scott K AU - Lin M FA - Choo, Esther K FA - Mazer-Amirshahi, Maryann FA - Juurlink, David FA - Kobner, Scott FA - Scott, Kevin FA - Lin, Michelle IN - Choo, Esther K. Department of Emergency Medicine, Emergency Digital Health Innovation Program, Warren Alpert Medical School of Brown University, Providence, RI. Electronic address: choo@aya.yale.edu. IN - Mazer-Amirshahi, Maryann. Department of Emergency Medicine, MedStar Washington Hospital Center, Washington, DC. IN - Juurlink, David. Department of Medicine, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada. IN - Kobner, Scott. New York University School of Medicine, New York, NY. IN - Scott, Kevin. Department of Emergency Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA. IN - Lin, Michelle. Department of Emergency Medicine, University of California, San Francisco, and the MedEdLIFE Research Collaborative, San Francisco, CA. NJ - Annals of emergency medicine VO - 67 IP - 1 PG - 40-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8002646 IO - Ann Emerg Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Blogging MH - *Drug Prescriptions MH - Education, Medical, Graduate MH - *Emergency Medicine/ed [Education] MH - Humans MH - Internet MH - *Internship and Residency MH - *Opioid-Related Disorders/ep [Epidemiology] MH - *Social Media AB - In June 2014, Annals of Emergency Medicine collaborated with the Academic Life in Emergency Medicine (ALiEM) blog-based Web site to host an online discussion session featuring the Annals Residents' Perspective article "The Opioid Prescription Epidemic and the Role of Emergency Medicine" by Poon and Greenwood-Ericksen. This dialogue included a live videocast with the authors and other experts, a detailed discussion on the ALiEM Web site's comment section, and real-time conversations on Twitter. Engagement was tracked through various Web analytic tools, and themes were identified by content curation. The dialogue resulted in 1,262 unique page views from 433 cities in 41 countries on the ALiEM Web site, 408,498 Twitter impressions, and 168 views of the video interview with the authors. Four major themes about prescription opioids identified included the following: physician knowledge, inconsistent medical education, balance between overprescribing and effective pain management, and approaches to solutions. Free social media technologies provide a unique opportunity to engage with a diverse community of emergency medicine and non-emergency medicine clinicians, nurses, learners, and even patients. Such technologies may allow more rapid hypothesis generation for future research and more accelerated knowledge translation. Copyright © 2015 American College of Emergency Physicians. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1097-6760 IL - 0196-0644 DI - S0196-0644(15)00392-3 DO - https://dx.doi.org/10.1016/j.annemergmed.2015.05.005 PT - Journal Article ID - S0196-0644(15)00392-3 [pii] ID - 10.1016/j.annemergmed.2015.05.005 [doi] PP - ppublish PH - 2014/11/16 [received] LG - English EP - 20150711 DP - 2016 Jan EZ - 2015/07/15 06:00 DA - 2016/05/03 06:00 DT - 2015/07/15 06:00 YR - 2016 ED - 20160502 RD - 20151228 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26169929 <201. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17206241 TI - [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.]. [Italian] OT - 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. SO - Igiene e Sanita Pubblica. 61(6):601-8, 2005 Nov-Dec. AS - Ig Sanita Pubbl. 61(6):601-8, 2005 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lazzarino AI AU - Colzani E AU - Perata E FA - Lazzarino, Antonio Ivan FA - Colzani, Edoardo FA - Perata, Edea IN - Lazzarino, Antonio Ivan. Scuola di Specializzazione in Igiene e Medicina Preventiva - II Facolta di Medicina e Chirurgia - Universita di Roma "La Sapienza". Dipartimento di Scienze di Sanita Pubblica "G. Sanarelli" - Sezione "Sant'Andrea" NJ - Igiene e sanita pubblica VO - 61 IP - 6 PG - 601-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 0373022 IO - Ig Sanita Pubbl SB - Index Medicus CP - Italy MH - Habits MH - Humans MH - Hygiene MH - Physicians MH - *Smoking MH - Smoking Prevention MH - *Surveys and Questionnaires AB - This study was conducted on a sample of physicians training in Hygiene and Preventive medicine to evaluate their: smoking habits, awareness of the effects of cigarette smoke on health and attitudes regarding antismoking legislation. Data was obtained through administration of an anonymous questionnaire. A total of 220 physicians were interviewed: 27% was found to be a smoker while 45% of smokers stated that they did not want to quit smoking. These results are similar to those obtained for the general population. Amongst the residents of the various schools of specialisation, there are large differences in habits, awareness and attitudes towards smoke: a lack of professional training on the subject is present. IS - 0019-1639 IL - 0019-1639 PT - Journal Article PP - ppublish LG - Italian DP - 2005 Nov-Dec EZ - 2007/01/09 09:00 DA - 2016/04/24 06:00 DT - 2007/01/09 09:00 YR - 2005 ED - 20160423 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17206241 <202. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22415329 TI - Attitudes of Cairo University medical students toward smoking: the need for tobacco control programs in medical education. SO - Journal of the Egyptian Public Health Association. 87(1-2):1-7, 2012 Apr. AS - J Egypt Public Health Assoc. 87(1-2):1-7, 2012 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Khan AA AU - Dey S AU - Taha AH AU - Huq FS AU - Moussawi AH AU - Omar OS AU - Soliman AS FA - Khan, Adeel A M FA - Dey, Subhojit FA - Taha, Alaa H FA - Huq, Farhan S FA - Moussawi, Ahmad H FA - Omar, Omar S FA - Soliman, Amr S IN - Khan, Adeel A M. University of Michigan Medical School, Ann Arbor, Michigan, USA. NJ - The Journal of the Egyptian Public Health Association VO - 87 IP - 1-2 PG - 1-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - i07, 7505602 IO - J Egypt Public Health Assoc PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274946 OI - Source: NLM. NIHMS649768 SB - Index Medicus CP - England MH - Attitude MH - Education, Medical MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Smoking/td [Trends] MH - *Smoking MH - Smoking Cessation MH - Students, Medical MH - Surveys and Questionnaires MH - *Tobacco MH - Universities AB - BACKGROUND: Tobacco smoking rates are increasing in developing countries and so are tobacco-related chronic diseases. Reported figures from the WHO show rates of smoking in Egypt as high as 20% but limited information is available about smoking specifically among physicians and medical students. AB - MATERIALS AND METHODS: Final-year medical students of Cairo University were surveyed regarding their tobacco behavior and attitudes using a modified Global Health Professions Student Survey. We approached 220 students by randomly selecting clinical units into which they were assigned and requested completion of the survey. AB - RESULTS: Ever users of some form of tobacco comprised 46.7% of students sampled, current users of cigarettes comprised 17.4%, and current users of water pipe 'sheesha' comprised 17.6%. The vast majority (87.7%) of students believed that smoking is a public health problem in Cairo and supported restriction of tobacco. Yet, only 58.5% stated that they were taught it is important for physicians to provide tobacco education materials to patients. Among ever users of cigarettes, 54.4% believed health professionals do not serve as health role models for patients, and only a small percentage of all students (34.2%) stated that they had received some form of training on smoking cessation in their medical curriculum to be able to instruct patients. AB - CONCLUSION AND RECOMMENDATIONS: A high rate of smoking was revealed among medical students in Cairo. Overall, approximately 23.4% of students were currently smoking cigarettes and/or sheesha, and 46.7% were ever users of some form of tobacco. A formal antitobacco program for medical students should be incorporated into their medical curriculum to change the attitudes of medical students and overcome the anticipated increase in chronic diseases in Egypt. ES - 2090-262X IL - 0013-2446 DO - https://dx.doi.org/10.1097/01.EPX.0000411467.14763.0b PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1097/01.EPX.0000411467.14763.0b [doi] ID - 00004765-201204000-00001 [pii] ID - PMC4274946 [pmc] ID - NIHMS649768 [mid] PP - ppublish GI - No: R25 CA112383 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: T35 HL007690 Organization: (HL) *NHLBI NIH HHS* Country: United States LG - English DP - 2012 Apr EZ - 2012/03/15 06:00 DA - 2016/04/23 06:00 DT - 2012/03/15 06:00 YR - 2012 ED - 20160422 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22415329 <203. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26646137 TI - What Is New in Ethical Issues in Obstetrics?: Best Articles From the Past Year. SO - Obstetrics & Gynecology. 127(1):157-8, 2016 Jan. AS - Obstet Gynecol. 127(1):157-8, 2016 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Burda ML FA - Burda, Marianne L IN - Burda, Marianne L. Dr. Burda is Associate Chief of Staff for Education and Research at the Chillicothe Veterans Administration Medical Center, Chillicothe, Ohio; e-mail: marianne.burda@va.gov. NJ - Obstetrics and gynecology VO - 127 IP - 1 PG - 157-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - oc2, 0401101 IO - Obstet Gynecol SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Cesarean Section MH - *Ethics, Medical/ed [Education] MH - Female MH - Health Services Accessibility/es [Ethics] MH - Humans MH - Infant, Extremely Premature MH - *Internship and Residency MH - *Obstetrics/ed [Education] MH - *Obstetrics/es [Ethics] MH - Obstetrics/lj [Legislation & Jurisprudence] MH - *Opioid-Related Disorders/th [Therapy] MH - Pregnancy MH - *Pregnancy Complications/th [Therapy] AB - This month we focus on ethical issues in obstetrics. Dr. Burda discusses four recent publications, which are concluded with a "bottom line" that is the take-home message. The complete reference for each can be found in on this page, along with direct links to the abstracts. ES - 1873-233X IL - 0029-7844 DO - https://dx.doi.org/10.1097/AOG.0000000000001217 PT - Journal Article ID - 10.1097/AOG.0000000000001217 [doi] PP - ppublish LG - English DP - 2016 Jan EZ - 2015/12/10 06:00 DA - 2016/04/20 06:00 DT - 2015/12/10 06:00 YR - 2016 ED - 20160419 RD - 20151223 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26646137 <204. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26200578 TI - A Multisite Initiative to Increase the Use of Alcohol Screening and Brief Intervention Through Resident Training and Clinic Systems Changes. SO - Academic Medicine. 90(12):1707-12, 2015 Dec. AS - Acad Med. 90(12):1707-12, 2015 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seale JP AU - Johnson JA AU - Clark DC AU - Shellenberger S AU - Pusser AT AU - Dhabliwala J AU - Sigman EJ AU - Dittmer T AU - Barnes Le K AU - Miller DP AU - Clemow D FA - Seale, J Paul FA - Johnson, J Aaron FA - Clark, Denice Crowe FA - Shellenberger, Sylvia FA - Pusser, Andrea T FA - Dhabliwala, Jason FA - Sigman, Erika J FA - Dittmer, Trenton FA - Barnes Le, Kristy FA - Miller, David P FA - Clemow, Diana IN - Seale, J Paul. J.P. Seale is professor and director of research, Department of Family Medicine, Navicent Health and Mercer University School of Medicine, Macon, Georgia. J.A. Johnson is associate professor, Institute of Public and Preventive Health and Department of Psychology, Georgia Regents University, Augusta, Georgia. D.C. Clark is project coordinator, Department of Family Medicine, Navicent Health and Mercer University School of Medicine, Macon, Georgia. S. Shellenberger is professor and director of behavioral sciences, Department of Family Medicine, Navicent Health and Mercer University School of Medicine, Macon, Georgia. A.T. Pusser is graduate research assistant, Department of Family Medicine, Mercer University School of Medicine, Macon, Georgia. J. Dhabliwala is research assistant, Department of Family Medicine, Mercer University School of Medicine, Macon, Georgia. E.J. Sigman is a third-year medical student, Mercer University School of Medicine, Macon, Georgia. T. Dittmer is a third-year medical student, Mercer University School of Medicine, Macon, Georgia. K.B. Le is assistant professor, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina. D.P. Miller is associate professor, Department of Internal Medicine, Wake Forest School of Medicine, Winston-Salem, North Carolina. D. Clemow is assistant professor, AnMed Health Family Medicine Residency Program, Anderson, South Carolina. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 90 IP - 12 PG - 1707-12 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Ambulatory Care Facilities/og [Organization & Administration] MH - Chi-Square Distribution MH - *Clinical Competence MH - Curriculum MH - Education, Medical, Graduate/mt [Methods] MH - Evidence-Based Medicine MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - *Internship and Residency/og [Organization & Administration] MH - Male MH - Mass Screening/mt [Methods] MH - Medical History Taking/mt [Methods] MH - Primary Health Care/mt [Methods] MH - Program Evaluation MH - United States AB - PURPOSE: Screening and brief intervention (SBI) is a seldom-used evidence-based practice for reducing unhealthy alcohol use among primary care patients. This project assessed the effectiveness of a regional consortium's training efforts in increasing alcohol SBI. AB - METHOD: Investigators combined alcohol SBI residency training efforts with clinic SBI implementation processes and used chart reviews to assess impact on SBI rates in four residency clinics. Data were derived from a random sample of patient charts collected before (2010; n = 662) and after (2011; n = 656) resident training/clinic implementation. Patient charts were examined for evidence that patients were asked about alcohol use by a validated screening instrument, the screening result (positive or negative), evidence that patients received a brief intervention, prescriptions for medications to assist abstinence, and referrals to alcohol treatment. Chi-square analyses identified differences in pre- and posttraining implementation of SBI practices. AB - RESULTS: Following program implementation, screening with validated instruments increased from 151/662 (22.8%) at baseline to 543/656 (82.8%, P < .01), and identification of unhealthy alcohol use increased from 12/662 (1.8%) to 41/656 (6.3%, P < .01). Performance of brief interventions more than doubled (10/662 [1.5%] versus 24/656 [3.7%], P < .01). There were no increases in the use of medications or referrals to treatment. AB - CONCLUSIONS: Resident training combined with clinic implementation efforts can increase the delivery of evidence-based practices such as alcohol SBI in residency clinics. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0000000000000846 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1097/ACM.0000000000000846 [doi] PP - ppublish LG - English DP - 2015 Dec EZ - 2015/07/23 06:00 DA - 2016/04/19 06:00 DT - 2015/07/23 06:00 YR - 2015 ED - 20160418 RD - 20151125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26200578 <205. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26091923 TI - Improving Tobacco Dependence Treatment Delivery: Medical Student Training and Assessment. SO - American Journal of Preventive Medicine. 49(2):e9-e12, 2015 Aug. AS - Am J Prev Med. 49(2):e9-e12, 2015 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Folan PA AU - Juster HR AU - Lennon SE AU - Briest PJ AU - Gero CB FA - Folan, Patricia A FA - Juster, Harlan R FA - Lennon, Susan E FA - Briest, Patricia J FA - Gero, C Beth IN - Folan, Patricia A. North Shore University Hospital, Manhasset, New York. Electronic address: pfolan@nshs.edu. IN - Juster, Harlan R. New York State Department of Health, Albany, New York. IN - Lennon, Susan E. Center for Tobacco Free Hudson Valley, White Plains, New York. IN - Briest, Patricia J. St. Joseph's Hospital, Syracuse, New York. IN - Gero, C Beth. Canton-Potsdam Hospital, Potsdam, New York. NJ - American journal of preventive medicine VO - 49 IP - 2 PG - e9-e12 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - Adult MH - Clinical Competence MH - *Education, Medical/mt [Methods] MH - Educational Measurement MH - Humans MH - Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - Smoking Prevention MH - *Students, Medical MH - *Tobacco Use Disorder/rh [Rehabilitation] MH - United States/ep [Epidemiology] AB - 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. Copyright © 2015 American Journal of Preventive Medicine. Published by Elsevier Inc. All rights reserved. ES - 1873-2607 IL - 0749-3797 DI - S0749-3797(15)00189-0 DO - https://dx.doi.org/10.1016/j.amepre.2015.04.005 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0749-3797(15)00189-0 [pii] ID - 10.1016/j.amepre.2015.04.005 [doi] PP - ppublish PH - 2015/01/08 [received] PH - 2015/03/23 [revised] PH - 2015/04/15 [accepted] LG - English EP - 20150616 DP - 2015 Aug EZ - 2015/06/21 06:00 DA - 2016/04/19 06:00 DT - 2015/06/21 06:00 YR - 2015 ED - 20160418 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26091923 <206. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25628241 TI - Screening and Brief Intervention for Alcohol Misuse in Older Adults: Training Outcomes Among Physicians and Other Healthcare Practitioners in Community-Based Settings. SO - Community Mental Health Journal. 51(5):546-53, 2015 Jul. AS - Community Ment Health J. 51(5):546-53, 2015 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coogle CL AU - Owens MG FA - Coogle, Constance L FA - Owens, Myra G IN - Coogle, Constance L. Virginia Center on Aging, School of Allied Health Professions, Virginia Commonwealth University, P.O. Box 980229, Richmond, VA, 23298-0229, USA, ccoogle@vcu.edu. NJ - Community mental health journal VO - 51 IP - 5 PG - 546-53 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dnh, 0005735 IO - Community Ment Health J SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - Analysis of Variance MH - *Attitude of Health Personnel MH - Community Mental Health Services MH - Education, Medical, Continuing/mt [Methods] MH - *Education, Medical, Continuing MH - Female MH - *Health Personnel/ed [Education] MH - *Health Personnel/px [Psychology] MH - Hospitals, Community MH - Humans MH - Male MH - Middle Aged MH - Nurses/px [Psychology] MH - Physicians/px [Psychology] MH - Social Workers/px [Psychology] MH - Virginia AB - 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. ES - 1573-2789 IL - 0010-3853 DO - https://dx.doi.org/10.1007/s10597-014-9804-x PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't ID - 10.1007/s10597-014-9804-x [doi] PP - ppublish PH - 2013/08/02 [received] PH - 2014/12/08 [accepted] LG - English EP - 20150128 DP - 2015 Jul EZ - 2015/01/30 06:00 DA - 2016/04/16 06:00 DT - 2015/01/29 06:00 YR - 2015 ED - 20160415 RD - 20171018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25628241 <207. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25526749 TI - Teachable moments and missed opportunities for smoking cessation counseling in a hospital emergency department: a mixed-methods study of patient-provider communication. SO - BMC Health Services Research. 14:651, 2014 Dec 20. AS - BMC Health Serv Res. 14:651, 2014 Dec 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Buchbinder M AU - Wilbur R AU - Zuskov D AU - McLean S AU - Sleath B FA - Buchbinder, Mara FA - Wilbur, Rachel FA - Zuskov, Diana FA - McLean, Samuel FA - Sleath, Betsy IN - Buchbinder, Mara. 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. mara.buchbinder@gmail.com. IN - Wilbur, Rachel. Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. rwilbur@live.unc.edu. IN - Zuskov, Diana. Department of Health Behavior and Health Education, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. dzuskov@live.unc.edu. IN - McLean, Samuel. Departments of Anesthesiology and Emergency Medicine, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. smclean@aims.unc.edu. IN - Sleath, Betsy. Division of Pharmaceutical Outcomes and Policy, University of North Carolina at Chapel Hill, Chapel Hill, NC, USA. betsy_sleath@unc.edu. NJ - BMC health services research VO - 14 PG - 651 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088677 IO - BMC Health Serv Res PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4300850 SB - Index Medicus CP - England MH - Adult MH - Aged MH - *Communication MH - *Counseling MH - *Emergency Service, Hospital MH - Female MH - Humans MH - Male MH - Middle Aged MH - Motivation MH - *Patient Education as Topic MH - Physicians MH - *Professional-Patient Relations MH - Queensland MH - Smoking MH - *Smoking Cessation MH - Tape Recording MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1472-6963 IL - 1472-6963 DO - https://dx.doi.org/10.1186/s12913-014-0651-9 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1186/s12913-014-0651-9 [doi] ID - s12913-014-0651-9 [pii] ID - PMC4300850 [pmc] PP - epublish PH - 2014/08/01 [received] PH - 2014/12/11 [accepted] GI - No: KL2 TR001109 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: UL1 TR001111 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: KL2TR001109 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: UL1TR001111 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English EP - 20141220 DP - 2014 Dec 20 EZ - 2014/12/21 06:00 DA - 2016/04/14 06:00 DT - 2014/12/21 06:00 YR - 2014 ED - 20160412 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25526749 <208. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25809494 TI - Needs assessment survey of addictions training in general psychiatry residency. SO - American Journal on Addictions. 24(3):191-2, 2015 Apr. AS - Am J Addict. 24(3):191-2, 2015 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Billups D AU - Shorter D FA - Billups, Dana FA - Shorter, Daryl IN - Billups, Dana. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas. NJ - The American journal on addictions VO - 24 IP - 3 PG - 191-2 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Cross-Sectional Studies MH - Forecasting MH - Health Care Surveys MH - Humans MH - *Internship and Residency/ma [Manpower] MH - *Internship and Residency/td [Trends] MH - *Needs Assessment/td [Trends] MH - *Psychiatry/ed [Education] MH - *Psychiatry/ma [Manpower] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/ajad.12211 PT - Letter PT - Research Support, Non-U.S. Gov't ID - 10.1111/ajad.12211 [doi] PP - ppublish PH - 2014/09/29 [received] PH - 2015/01/16 [revised] PH - 2015/02/07 [accepted] GI - No: IK2 CX000946 Organization: (CX) *CSRD VA* Country: United States LG - English EP - 20150324 DP - 2015 Apr EZ - 2015/03/27 06:00 DA - 2016/04/12 06:00 DT - 2015/03/27 06:00 YR - 2015 ED - 20160411 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25809494 <209. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25688454 TI - How, why, and for whom do emergency medicine providers use prescription drug monitoring programs?. SO - Pain Medicine. 16(6):1122-31, 2015 Jun. AS - PAIN MED. 16(6):1122-31, 2015 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith RJ AU - Kilaru AS AU - Perrone J AU - Paciotti B AU - Barg FK AU - Gadsden SM AU - Meisel ZF AI - Smith, Robert J; ORCID: http://orcid.org/0000-0001-9746-1230 FA - Smith, Robert J FA - Kilaru, Austin S FA - Perrone, Jeanmarie FA - Paciotti, Breah FA - Barg, Frances K FA - Gadsden, Sarah M FA - Meisel, Zachary F IN - Smith, Robert J. Department of Emergency Medicine, Center for Emergency Care Policy & Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. IN - Kilaru, Austin S. Department of Emergency Medicine, Center for Emergency Care Policy & Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. IN - Kilaru, Austin S. Department of Emergency Medicine, Highland Hospital, Oakland, California. IN - Perrone, Jeanmarie. Department of Emergency Medicine, Center for Emergency Care Policy & Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. IN - Perrone, Jeanmarie. Division of Medical Toxicology, Department of Emergency Medicine, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. IN - Paciotti, Breah. Department of Emergency Medicine, Center for Emergency Care Policy & Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. IN - Barg, Frances K. Mixed Methods Research Lab, Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. IN - Gadsden, Sarah M. Mixed Methods Research Lab, Department of Family Medicine and Community Health, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania. IN - Meisel, Zachary F. Department of Emergency Medicine, Center for Emergency Care Policy & Research, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. NJ - Pain medicine (Malden, Mass.) VO - 16 IP - 6 PG - 1122-31 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4478227 OI - Source: NLM. NIHMS658889 SB - Index Medicus CP - England MH - Adult MH - Congresses as Topic/st [Standards] MH - Drug Monitoring/mt [Methods] MH - Drug Monitoring/st [Standards] MH - *Emergency Medicine/st [Standards] MH - Female MH - Humans MH - *Inappropriate Prescribing/pc [Prevention & Control] MH - Male MH - Middle Aged MH - *Physicians/st [Standards] MH - *Prescription Drug Misuse MH - Prescription Drugs/tu [Therapeutic Use] MH - Substance Abuse Detection/mt [Methods] MH - *Substance Abuse Detection/st [Standards] MH - Surveys and Questionnaires KW - Emergency Care; Healthcare Providers; Prescription Monitoring Programs; Prescription Opioids AB - 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. AB - 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. AB - 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. AB - 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. Copyright Wiley Periodicals, Inc. RN - 0 (Prescription Drugs) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/pme.12700 PT - Journal Article ID - 10.1111/pme.12700 [doi] ID - PMC4478227 [pmc] ID - NIHMS658889 [mid] PP - ppublish GI - No: KM1 CA156715 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R18 HS021956 Organization: (HS) *AHRQ HHS* Country: United States LG - English EP - 20150217 DP - 2015 Jun EZ - 2015/02/18 06:00 DA - 2016/04/02 06:00 DT - 2015/02/18 06:00 YR - 2015 ED - 20160401 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25688454 <210. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26146757 TI - Improving Psychiatry Residents' Attitudes Toward Individuals Diagnosed with Substance Use Disorders. [Review] SO - Harvard Review of Psychiatry. 23(4):296-300, 2015 Jul-Aug. AS - Harv Rev Psychiatry. 23(4):296-300, 2015 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Avery J AU - Zerbo E FA - Avery, Jonathan FA - Zerbo, Erin IN - Avery, Jonathan. From the Departments of Psychiatry, Weill Cornell Medical College (Dr. Avery) and New York University Langone Medical Center (Dr. Zerbo). NJ - Harvard review of psychiatry VO - 23 IP - 4 PG - 296-300 PI - Journal available in: Print PI - Citation processed from: Internet JC - cow, 9312789 IO - Harv Rev Psychiatry SB - Index Medicus CP - United States MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] AB - 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. ES - 1465-7309 IL - 1067-3229 DO - https://dx.doi.org/10.1097/HRP.0000000000000047 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 10.1097/HRP.0000000000000047 [doi] ID - 00023727-201507000-00005 [pii] PP - ppublish LG - English DP - 2015 Jul-Aug EZ - 2015/07/07 06:00 DA - 2016/03/26 06:00 DT - 2015/07/07 06:00 YR - 2015 ED - 20160325 RD - 20150707 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26146757 <211. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25867533 TI - Academic Detailing Interventions Improve Tobacco Use Treatment among Physicians Working in Underserved Communities. SO - Annals of the American Thoracic Society. 12(6):854-8, 2015 Jun. AS - Ann Am Thorac Soc. 12(6):854-8, 2015 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leone FT AU - Evers-Casey S AU - Graden S AU - Schnoll R AU - Mallya G FA - Leone, Frank T FA - Evers-Casey, Sarah FA - Graden, Sarah FA - Schnoll, Robert FA - Mallya, Giridhar IN - Leone, Frank T. 1 Division of Pulmonary and Critical Care Medicine, Leonard Davis Institute of Health Economics. IN - Leone, Frank T. 2 Comprehensive Smoking Treatment Program. IN - Evers-Casey, Sarah. 2 Comprehensive Smoking Treatment Program. IN - Graden, Sarah. 2 Comprehensive Smoking Treatment Program. IN - Schnoll, Robert. 3 Center for Interdisciplinary Research on Nicotine Addiction, Department of Psychiatry, and the Abramson Cancer Center, University of Pennsylvania, Philadelphia, Pennsylvania; and. IN - Mallya, Giridhar. 4 Philadelphia Department of Public Health, Philadelphia, Pennsylvania. NJ - Annals of the American Thoracic Society VO - 12 IP - 6 PG - 854-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101600811 IO - Ann Am Thorac Soc PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4590019 SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Education, Medical, Continuing/mt [Methods] MH - Educational Measurement/mt [Methods] MH - Female MH - Health Care Surveys MH - Humans MH - Male MH - Philadelphia MH - Physicians, Primary Care/ed [Education] MH - Physicians, Primary Care/px [Psychology] MH - *Physicians, Primary Care MH - Poverty MH - *Practice Patterns, Physicians'/st [Standards] MH - Primary Health Care/mt [Methods] MH - Primary Health Care/st [Standards] MH - *Primary Health Care MH - Quality Improvement MH - Self Report MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - *Tobacco Use Disorder/th [Therapy] KW - academic training; nicotine; physician's practice patterns; smoking cessation; tobacco use disorder AB - RATIONALE: Tobacco use disproportionately affects the poor, who are, in turn, least likely to receive cessation treatment from providers. Providers caring for low-income populations perform simple components of tobacco use treatment (e.g., assessing tobacco use) with reasonable frequency. However, performance of complex treatment behaviors, such as pharmacologic prescription and follow-up arrangement, remains suboptimal. AB - OBJECTIVES: Evaluate the influence of academic detailing (AD), a university-based, noncommercial, educational outreach intervention, on primary care physicians' complex treatment practice behaviors within an urban care setting. AB - METHODS: Trained academic detailers made in-person visits to targeted primary care practices, delivering verbal and written instruction emphasizing three key messages related to tobacco treatment. Physicians' self-reported frequency of simple and complex treatment behaviors were assessed using a seven-item questionnaire, before and 2 months after AD. AB - RESULTS: Between May 2011 and March 2012, baseline AD visits were made to 217 physicians, 109 (50%) of whom also received follow-up AD. Mean frequency scores for complex behaviors increased significantly, from 2.63 to 2.92, corresponding to a clinically significant 30% increase in the number of respondents who endorsed "almost always" or "always" (P < 0.001). Improvement in mean simple behavior frequency scores was also noted (3.98 vs. 4.13; P = 0.035). Sex and practice type appear to influence reported complex behavior frequency at baseline, whereas only practice type influenced improvement in complex behavior scores at follow up. AB - CONCLUSIONS: This study demonstrates the feasibility and potential effectiveness of a low-cost and highly disseminable intervention to improve clinician behavior in the context of treating nicotine dependence in underserved communities. ES - 2325-6621 IL - 2325-6621 DO - https://dx.doi.org/10.1513/AnnalsATS.201410-466BC PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1513/AnnalsATS.201410-466BC [doi] ID - PMC4590019 [pmc] PP - ppublish GI - No: P30 CA016520 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: U58 DP003557 Organization: (DP) *NCCDPHP CDC HHS* Country: United States GI - No: 1 U58DP003557 Organization: (DP) *NCCDPHP CDC HHS* Country: United States LG - English DP - 2015 Jun EZ - 2015/04/14 06:00 DA - 2016/03/24 06:00 DT - 2015/04/14 06:00 YR - 2015 ED - 20160323 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25867533 <212. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25876751 TI - Educational interventions: equipping general practice for youth mental health and substance abuse. A discussion paper. [Review] SO - Irish Journal of Medical Science. 184(3):577-82, 2015 Sep. AS - Ir J Med Sci. 184(3):577-82, 2015 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Regan A AU - Schaffalitzky E AU - Cullen W FA - O'Regan, A FA - Schaffalitzky, E FA - Cullen, W IN - O'Regan, A. University of Limerick Graduate Entry Medical School, Limerick, Ireland, andrew.oregan@ul.ie. NJ - Irish journal of medical science VO - 184 IP - 3 PG - 577-82 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gxb, 7806864, 7806865 IO - Ir J Med Sci SB - Index Medicus CP - Ireland MH - Adolescent MH - Adolescent Health Services/st [Standards] MH - *Education, Medical, Graduate MH - *General Practice/ed [Education] MH - Humans MH - Ireland MH - *Mental Health/ed [Education] MH - Mental Health Services/st [Standards] MH - Patient Acceptance of Health Care MH - Patient Care Team MH - Primary Health Care/st [Standards] MH - Research Design MH - *Substance-Related Disorders/th [Therapy] AB - BACKGROUND: Youth mental health issues and substance abuse are important causes of morbidity and mortality in Ireland. General practice is a frequent point of contact for young people, however, reluctance amongst this population group to disclose mental health issues and a lack of confidence amongst GPs in dealing with them have been reported. Focussed training interventions with formal evaluation of their acceptability and effectiveness in achieving learning, behavioural change and impact on clinical practice are needed. AB - AIMS: This paper aims to examine the literature on general practice in youth mental health, specifically, factors for an educational intervention for those working with young people in the community. AB - METHODS: This review paper was carried out by an online search of PubMed on the recent literature on mental health and on educational interventions for health care workers in primary care. AB - RESULTS: A number of papers describing educational interventions for GPs and primary care workers were found and analysed. Key areas to be addressed when identifying and treating mental health problems were prevention, assessment, treatment, interaction with other services and ongoing support. Important elements of an educational intervention were identified. AB - DISCUSSION: Several barriers exist that prevent the identification and treatment of these problems in primary care. An educational intervention should help GPs address these issues. Any intervention should be rigorously evaluated. AB - CONCLUSION: With the shift in services to the community in Irish health policy, the GP with appropriate training could take the lead in early intervention in youth mental health and addiction. ES - 1863-4362 IL - 0021-1265 DO - https://dx.doi.org/10.1007/s11845-015-1285-6 PT - Journal Article PT - Review ID - 10.1007/s11845-015-1285-6 [doi] PP - ppublish PH - 2014/10/07 [received] PH - 2015/03/15 [accepted] LG - English EP - 20150416 DP - 2015 Sep EZ - 2015/04/17 06:00 DA - 2016/03/16 06:00 DT - 2015/04/17 06:00 YR - 2015 ED - 20160315 RD - 20171105 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25876751 <213. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25666210 TI - Primary care residents lack comfort and experience with alcohol screening and brief intervention: a multi-site survey. SO - Journal of General Internal Medicine. 30(6):790-6, 2015 Jun. AS - J Gen Intern Med. 30(6):790-6, 2015 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Le KB AU - Johnson JA AU - Seale JP AU - Woodall H AU - Clark DC AU - Parish DC AU - Miller DP FA - Le, Kristy Barnes FA - Johnson, J Aaron FA - Seale, J Paul FA - Woodall, Hunter FA - Clark, Denice C FA - Parish, David C FA - Miller, David P IN - Le, Kristy Barnes. Department of Internal Medicine, Wake Forest School of Medicine, Medical Center Boulevard, Winston-Salem, NC, USA, kle@wakehealth.edu. NJ - Journal of general internal medicine VO - 30 IP - 6 PG - 790-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441659 SB - Index Medicus CP - United States MH - Adult MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Cross-Sectional Studies MH - Early Medical Intervention MH - Health Surveys MH - Humans MH - Internal Medicine MH - *Internship and Residency/mt [Methods] MH - *Mass Screening/mt [Methods] MH - *Primary Health Care/mt [Methods] AB - BACKGROUND: Approximately one in six adults in the United States (U.S.) binge drinks. The U.S. Preventive Services Task Force recommends that primary care physicians screen patients for such hazardous alcohol use, and when warranted, deliver a brief intervention. AB - OBJECTIVE: We aimed to determine primary care residents' current practices, perceived barriers and confidence with conducting alcohol screening and brief interventions (SBI). AB - DESIGN: This was a multi-site, cross-sectional survey conducted from March 2010 through December 2012. AB - PARTICIPANTS: We invited all residents in six primary care residency programs (three internal medicine programs and three family medicine programs) to participate. Of 244 residents, 210 completed the survey (response rate 86 %). AB - MAIN MEASURES: Our survey assessed residents' alcohol screening practices (instruments used and frequency of screening), perceived barriers to discussing alcohol, brief intervention content, and self-rated ability to help hazardous drinkers. To determine the quality of brief interventions delivered, we examined how often residents reported including the three key recommended elements of feedback, advice, and goal-setting. AB - KEY RESULTS: Most residents (60 %, 125/208) reported "usually" or "always" screening patients for alcohol misuse at the initial clinic visit, but few residents routinely screened patients at subsequent acute-care (17 %, 35/208) or chronic-care visits (33 %, 68/208). Only 19 % (39/210) of residents used screening instruments capable of detecting binge drinking. The most frequently reported barrier to SBI was lack of adequate training (54 %, 108/202), and only 21 % (43/208) of residents felt confident they could help at -risk drinkers. When residents did perform a brief intervention, only 24 % (49/208) "usually" or "always" included the three recommended elements. AB - CONCLUSIONS: A minority of residents in this multi-site study appropriately screen or intervene with at-risk alcohol users. To equip residents to effectively address hazardous alcohol use, there is a critical need for educational and clinic interventions to support alcohol-related SBI. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-015-3184-y PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1007/s11606-015-3184-y [doi] ID - PMC4441659 [pmc] PP - ppublish GI - No: 1U79T1020278-01 Organization: *PHS HHS* Country: United States LG - English DP - 2015 Jun EZ - 2015/02/11 06:00 DA - 2016/03/10 06:00 DT - 2015/02/11 06:00 YR - 2015 ED - 20160308 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25666210 <214. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26375324 TI - Attitudes toward Substance Abuse Clients: An Empirical Study of Clinical Psychology Trainees. SO - Journal of Psychoactive Drugs. 47(4):293-300, 2015 Sep-Oct. AS - J Psychoactive Drugs. 47(4):293-300, 2015 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mundon CR AU - Anderson ML AU - Najavits LM FA - Mundon, Chandra R FA - Anderson, Melissa L FA - Najavits, Lisa M IN - Mundon, Chandra R. a Senior Staff Psychologist , University of Oregon Counseling Center , Eugene , OR. IN - Anderson, Melissa L. b Psychologist and Clinical Researcher, Assistant Professor of Psychiatry , University of Massachusetts Medical School , Worcester , MA. IN - Najavits, Lisa M. c Clinical Psychologist, VA Boston Healthcare System, and Professor of Psychiatry , Boston University School of Medicine , Boston , MA. NJ - Journal of psychoactive drugs VO - 47 IP - 4 PG - 293-300 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4698883 OI - Source: NLM. NIHMS747387 SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Education, Medical, Graduate MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Psychology, Clinical MH - *Substance-Related Disorders MH - Young Adult KW - clinical psychology training; stigma; substance abuse; substance use disorder AB - 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. IS - 0279-1072 IL - 0279-1072 DO - https://dx.doi.org/10.1080/02791072.2015.1076090 PT - Journal Article ID - 10.1080/02791072.2015.1076090 [doi] ID - PMC4698883 [pmc] ID - NIHMS747387 [mid] PP - ppublish GI - No: KL2 TR000160 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: KL2 TR001455 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English EP - 20150916 DP - 2015 Sep-Oct EZ - 2015/09/17 06:00 DA - 2016/03/02 06:00 DT - 2015/09/17 06:00 YR - 2015 ED - 20160229 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26375324 <215. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25542435 TI - The effect of an educational program on opioid prescription patterns in hand surgery: a quality improvement program. SO - Journal of Hand Surgery - American Volume. 40(2):341-6, 2015 Feb. AS - J Hand Surg [Am]. 40(2):341-6, 2015 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stanek JJ AU - Renslow MA AU - Kalliainen LK FA - Stanek, Joel J FA - Renslow, Mark A FA - Kalliainen, Loree K IN - Stanek, Joel J. Department of Plastic and Hand Surgery, Institute for Education and Research, Regions Hospital, St. Paul, MN; HealthPartners, Bloomington, MN; Office of Education, University of Minnesota School of Medicine, Minneapolis, MN. IN - Renslow, Mark A. Department of Plastic and Hand Surgery, Institute for Education and Research, Regions Hospital, St. Paul, MN; HealthPartners, Bloomington, MN; Office of Education, University of Minnesota School of Medicine, Minneapolis, MN. IN - Kalliainen, Loree K. Department of Plastic and Hand Surgery, Institute for Education and Research, Regions Hospital, St. Paul, MN; HealthPartners, Bloomington, MN; Office of Education, University of Minnesota School of Medicine, Minneapolis, MN. Electronic address: lkkllnn@aol.com. NJ - The Journal of hand surgery VO - 40 IP - 2 PG - 341-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ia9, 7609631 IO - J Hand Surg Am SB - Index Medicus CP - United States MH - Adult MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - *Education, Medical, Continuing MH - Guideline Adherence MH - *Hand/su [Surgery] MH - Humans MH - *Orthopedic Procedures/ed [Education] MH - *Pain Management/st [Standards] MH - *Pain, Postoperative/dt [Drug Therapy] MH - Patient Education as Topic MH - *Practice Patterns, Physicians' MH - *Quality Improvement KW - Attitude of health personnel; education; opioids; physician's practice patterns; practice guideline AB - 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. AB - 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. AB - 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. AB - 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. AB - TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic III. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1531-6564 IL - 0363-5023 DI - S0363-5023(14)01506-8 DO - https://dx.doi.org/10.1016/j.jhsa.2014.10.054 PT - Journal Article ID - S0363-5023(14)01506-8 [pii] ID - 10.1016/j.jhsa.2014.10.054 [doi] PP - ppublish PH - 2014/07/17 [received] PH - 2014/10/27 [revised] PH - 2014/10/27 [accepted] LG - English EP - 20141224 DP - 2015 Feb EZ - 2014/12/30 06:00 DA - 2016/02/24 06:00 DT - 2014/12/28 06:00 YR - 2015 ED - 20160222 RD - 20150127 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25542435 <216. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26816007 TI - Opioid Prescribing for Chronic Pain--Achieving the Right Balance through Education. SO - New England Journal of Medicine. 374(4):301-3, 2016 Jan 28. AS - N Engl J Med. 374(4):301-3, 2016 Jan 28. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alford DP FA - Alford, Daniel P IN - Alford, Daniel P. From the Boston University School of Medicine and Boston Medical Center - both in Boston. NJ - The New England journal of medicine VO - 374 IP - 4 PG - 301-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0255562, now IO - N. Engl. J. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Chronic Pain/dt [Drug Therapy] MH - Delayed-Action Preparations/tu [Therapeutic Use] MH - *Drug Prescriptions/st [Standards] MH - *Education, Medical, Continuing MH - Government Regulation MH - Humans MH - Legislation, Drug MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians' MH - Prescription Drug Misuse/lj [Legislation & Jurisprudence] MH - *Prescription Drug Misuse/pc [Prevention & Control] MH - Referral and Consultation MH - United States RN - 0 (Analgesics, Opioid) RN - 0 (Delayed-Action Preparations) ES - 1533-4406 IL - 0028-4793 DO - https://dx.doi.org/10.1056/NEJMp1512932 PT - Journal Article ID - 10.1056/NEJMp1512932 [doi] PP - ppublish LG - English DP - 2016 Jan 28 EZ - 2016/01/28 06:00 DA - 2016/02/18 06:00 DT - 2016/01/28 06:00 YR - 2016 ED - 20160216 RD - 20160128 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26816007 <217. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25706485 TI - The complex impact of risk and protective factors on suicide mortality: a study of the Ukrainian general population. SO - Archives of Suicide Research. 19(2):249-59, 2015. AS - ARCH. SUICIDE RES.. 19(2):249-59, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yur'yev A AU - Yur'yeva L AU - Varnik P AU - Lumiste K AU - Varnik A FA - Yur'yev, Andriy FA - Yur'yeva, Lyudmyla FA - Varnik, Peeter FA - Lumiste, Kaur FA - Varnik, Airi IN - Yur'yev, Andriy. a Harlem Hospital Center, College of Physicians and Surgeons of Columbia University , New York , New York , USA. NJ - Archives of suicide research : official journal of the International Academy for Suicide Research VO - 19 IP - 2 PG - 249-59 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9504451 IO - Arch Suicide Res SB - Index Medicus CP - England MH - Adult MH - Demography MH - Female MH - Humans MH - Male MH - Models, Psychological MH - Mortality MH - Protective Factors MH - Risk Factors MH - Sex Factors MH - Socioeconomic Factors MH - *Substance-Related Disorders/ep [Epidemiology] MH - Suicide/pc [Prevention & Control] MH - Suicide/px [Psychology] MH - Suicide/sn [Statistics & Numerical Data] MH - *Suicide MH - *Suicide, Attempted/sn [Statistics & Numerical Data] MH - Ukraine/ep [Epidemiology] KW - European Social Survey; Ukraine; protective factors; risk factors; structural equation model; suicide AB - 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. ES - 1543-6136 IL - 1381-1118 DO - https://dx.doi.org/10.1080/13811118.2015.1004471 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/13811118.2015.1004471 [doi] PP - ppublish LG - English DP - 2015 EZ - 2015/02/24 06:00 DA - 2016/02/13 06:00 DT - 2015/02/24 06:00 YR - 2015 ED - 20160211 RD - 20150512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25706485 <218. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25657066 TI - The effect of training level on opioid utilization efficiency. SO - Journal of Clinical Anesthesia. 27(3):233-6, 2015 May. AS - J Clin Anesth. 27(3):233-6, 2015 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roberman D AU - Ahmad M AU - Green MS FA - Roberman, Dmitry FA - Ahmad, Mian FA - Green, Michael S IN - Roberman, Dmitry. Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA, USA 19102. IN - Ahmad, Mian. Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA, USA 19102. IN - Green, Michael S. Drexel University College of Medicine/Hahnemann University Hospital, Philadelphia, PA, USA 19102. Electronic address: Michael.Green@Drexelmed.edu. NJ - Journal of clinical anesthesia VO - 27 IP - 3 PG - 233-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - an9, 8812166 IO - J Clin Anesth SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Anesthesiology/ed [Education] MH - Humans MH - *Internship and Residency MH - Retrospective Studies KW - Clinical audit; Education; Internship and residency; Narcotic and drug control; Utilization AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2015 Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1873-4529 IL - 0952-8180 DI - S0952-8180(14)00415-2 DO - https://dx.doi.org/10.1016/j.jclinane.2014.12.003 PT - Journal Article ID - S0952-8180(14)00415-2 [pii] ID - 10.1016/j.jclinane.2014.12.003 [doi] PP - ppublish PH - 2014/05/19 [received] PH - 2014/10/29 [revised] PH - 2014/12/26 [accepted] LG - English EP - 20150203 DP - 2015 May EZ - 2015/02/07 06:00 DA - 2016/02/05 06:00 DT - 2015/02/07 06:00 YR - 2015 ED - 20160204 RD - 20150413 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25657066 <219. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25402834 TI - Evaluating training of screening, brief intervention, and referral to treatment (SBIRT) for substance use: Reliability of the MD3 SBIRT Coding Scale. SO - Psychology of Addictive Behaviors. 29(1):218-24, 2015 Mar. AS - Psychol Addict Behav. 29(1):218-24, 2015 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DiClemente CC AU - Crouch TB AU - Norwood AE AU - Delahanty J AU - Welsh C FA - DiClemente, Carlo C FA - Crouch, Taylor Berens FA - Norwood, Amber E Q FA - Delahanty, Janine FA - Welsh, Christopher IN - DiClemente, Carlo C. Department of Psychology. IN - Crouch, Taylor Berens. Department of Psychology. IN - Norwood, Amber E Q. Office of Forensic Services, Springfield Hospital Center. IN - Delahanty, Janine. Department of Psychiatry, University of Maryland. IN - Welsh, Christopher. Department of Psychiatry, University of Maryland. NJ - Psychology of addictive behaviors : journal of the Society of Psychologists in Addictive Behaviors VO - 29 IP - 1 PG - 218-24 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dlk, 8802734 IO - Psychol Addict Behav SB - Index Medicus CP - United States MH - Adult MH - *Clinical Coding MH - Clinical Competence MH - Curriculum MH - *Family Practice/ed [Education] MH - Female MH - Guideline Adherence MH - Humans MH - *Internship and Residency MH - Male MH - *Mass Screening MH - Motivational Interviewing/mt [Methods] MH - Patient Compliance/px [Psychology] MH - Patient Simulation MH - Physician-Patient Relations MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - Reproducibility of Results MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Videotape Recording AB - 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. (PsycINFO Database Record Copyright (c) 2015 APA, all rights reserved). ES - 1939-1501 IL - 0893-164X DO - https://dx.doi.org/10.1037/adb0000022 PT - Evaluation Studies PT - Journal Article ID - 2014-48750-001 [pii] ID - 10.1037/adb0000022 [doi] PP - ppublish LG - English EP - 20141117 DP - 2015 Mar EZ - 2014/11/18 06:00 DA - 2016/02/04 06:00 DT - 2014/11/18 06:00 YR - 2015 ED - 20160203 RD - 20150407 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25402834 <220. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25416610 TI - A Medical Student's Education in Addiction. SO - Academic Psychiatry. 39(3):342-3, 2015 Jun. AS - Acad Psychiatry. 39(3):342-3, 2015 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Palma N FA - Palma, Nadia IN - Palma, Nadia. University of Florida College of Medicine, Gainesville, FL, USA, npalma@ufl.edu. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 39 IP - 3 PG - 342-3 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Adult MH - *Education, Medical/st [Standards] MH - Female MH - Humans MH - Male MH - *Students, Medical MH - *Substance-Related Disorders ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-014-0246-0 PT - Journal Article PT - Personal Narratives ID - 10.1007/s40596-014-0246-0 [doi] PP - ppublish PH - 2014/10/16 [received] PH - 2014/10/22 [accepted] LG - English EP - 20141122 DP - 2015 Jun EZ - 2014/11/25 06:00 DA - 2016/01/30 06:00 DT - 2014/11/23 06:00 YR - 2015 ED - 20160129 RD - 20150507 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25416610 <221. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26740468 TI - Online Tobacco Cessation Training and Competency Assessment for Complementary and Alternative Medicine (CAM) Practitioners: Protocol for the CAM Reach Web Study. SO - JMIR Research Protocols. 5(1):e2, 2016 Jan 06. AS - JMIR Res Protoc. 5(1):e2, 2016 Jan 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Muramoto ML AU - Howerter A AU - Eaves ER AU - Hall JR AU - Buller DB AU - Gordon JS AI - Muramoto, Myra L; ORCID: http://orcid.org/0000-0001-8307-0642 AI - Howerter, Amy; ORCID: http://orcid.org/0000-0003-0012-3951 AI - Eaves, Emery R; ORCID: http://orcid.org/0000-0003-0692-7213 AI - Hall, John R; ORCID: http://orcid.org/0000-0002-6230-8612 AI - Buller, David B; ORCID: http://orcid.org/0000-0001-7902-9129 AI - Gordon, Judith S; ORCID: http://orcid.org/0000-0002-5911-4219 FA - Muramoto, Myra L FA - Howerter, Amy FA - Eaves, Emery R FA - Hall, John R FA - Buller, David B FA - Gordon, Judith S IN - Muramoto, Myra L. University of Arizona, Department of Family & Community Medicine, Tucson, AZ, United States. myram@email.arizona.edu. NJ - JMIR research protocols VO - 5 IP - 1 PG - e2 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101599504 IO - JMIR Res Protoc PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720835 CP - Canada KW - acupuncture; brief intervention; chiropractic; communication; massage therapy; online training; tobacco cessation AB - BACKGROUND: Complementary and alternative medicine (CAM) practitioners, such as chiropractors, acupuncturists, and massage therapists, are a growing presence in the US health care landscape and already provide health and wellness care to significant numbers of patients who use tobacco. For decades, conventional biomedical practitioners have received training to provide evidence-based tobacco cessation brief interventions (BIs) and referrals to cessation services as part of routine clinical care, whereas CAM practitioners have been largely overlooked for BI training. Web-based training has clear potential to meet large-scale training dissemination needs. However, despite the exploding use of Web-based training for health professionals, Web-based evaluation of clinical skills competency remains underdeveloped. AB - OBJECTIVE: In pursuit of a long-term goal of helping CAM practitioners integrate evidence-based practices from US Public Health Service Tobacco Dependence Treatment Guideline into routine clinical care, this pilot protocol aims to develop and test a Web-based tobacco cessation training program tailored for CAM practitioners. AB - METHODS: In preparation for a larger trial to examine the effect of training on CAM practitioner clinical practice behaviors around tobacco cessation, this developmental study will (1) adapt an existing in-person tobacco cessation BI training program that is specifically tailored for CAM therapists for delivery via the Internet; (2) develop a novel, Web-based tool to assess CAM practitioner competence in tobacco cessation BI skills, and conduct a pilot validation study comparing the competency assessment tool to live video role plays with a standardized patient; (3) pilot test the Web-based training with 120 CAM practitioners (40 acupuncturists, 40 chiropractors, 40 massage therapists) for usability, accessibility, acceptability, and effects on practitioner knowledge, self-efficacy, and competency with tobacco cessation; and (4) conduct qualitative and quantitative formative research on factors influencing practitioner tobacco cessation clinical behaviors (eg, practice environment, peer social influence, and insurance reimbursement). AB - RESULTS: Web-training and competency assessment tool development and study enrollment and training activities are complete (N=203 practitioners enrolled). Training completion rates were lower than expected (36.9%, 75/203), necessitating over enrollment to ensure a sufficient number of training completers. Follow-up data collection is in progress. Data analysis will begin immediately after data collection is complete. AB - CONCLUSIONS: To realize CAM practitioners' potential to promote tobacco cessation and use of evidence-based treatments, there is a need to know more about the facilitative and inhibitory factors influencing CAM practitioner tobacco intervention behaviors (eg, social influence and insurance reimbursement). Given marked differences between conventional and CAM practitioners, extant knowledge about factors influencing conventional practitioner adoption of tobacco cessation behaviors cannot be confidently extrapolated to CAM practitioners. The potential impact of this study is to expand tobacco cessation and health promotion infrastructure in a new group of health practitioners who can help combat the continuing epidemic of tobacco use. IS - 1929-0748 IL - 1929-0748 DO - https://dx.doi.org/10.2196/resprot.5061 PT - Journal Article ID - v5i1e2 [pii] ID - 10.2196/resprot.5061 [doi] ID - PMC4720835 [pmc] PP - epublish PH - 2015/08/21 [received] PH - 2015/10/07 [accepted] PH - 2015/10/07 [revised] GI - No: R21 CA175450 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20160106 DP - 2016 Jan 06 EZ - 2016/01/08 06:00 DA - 2016/01/08 06:01 DT - 2016/01/08 06:00 YR - 2016 ED - 20160107 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26740468 <222. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25889566 TI - Can medical students identify a potentially serious acetaminophen dosing error in a simulated encounter? a case control study. SO - BMC Medical Education. 15:13, 2015 Feb 11. AS - BMC Med Educ. 15:13, 2015 Feb 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dudas RA AU - Barone MA FA - Dudas, Robert A FA - Barone, Michael A IN - Dudas, Robert A. Department of pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. rdudas@jhmi.edu. IN - Barone, Michael A. Department of pediatrics, Johns Hopkins University School of Medicine, Baltimore, MD, USA. mbarone@jhmi.edu. NJ - BMC medical education VO - 15 PG - 13 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4335408 SB - Index Medicus CP - England MH - *Acetaminophen/tu [Therapeutic Use] MH - Adult MH - *Analgesics, Non-Narcotic/tu [Therapeutic Use] MH - Case-Control Studies MH - Child, Preschool MH - Clinical Clerkship MH - Clinical Competence MH - Curriculum MH - *Drug Overdose/di [Diagnosis] MH - *Education, Medical, Undergraduate MH - Humans MH - *Medication Errors MH - *Patient Simulation AB - BACKGROUND: In an effort to assess medical students' abilities to identify a medication administration error in an outpatient setting, we designed and implemented a standardized patient simulation exercise which included a medication overdose. AB - METHODS: Fourth year medical students completed a standardized patient (SP) simulation of a parent bringing a toddler to an outpatient setting. In this case-control study, the majority of students had completed a patient safety curriculum about pediatric medication errors prior to their SP encounter. If asked about medications, the SP portraying a parent was trained to disclose that she was administering acetaminophen and to produce a package with dosing instructions on the label. The administered dose represented an overdose. Upon completion, students were asked to complete an encounter note. AB - RESULTS: Three hundred forty students completed this simulation. Two hundred ninety-one students previously completed a formal patient safety curriculum while 49 had not. A total of two hundred thirty-four students (69%) ascertained that the parent had been administering acetaminophen to their child. Thirty-seven students (11%) determined that the dosage exceeded recommended dosages. There was no significant difference in the error detection rates of students who completed the patient safety curriculum and those who had not. AB - CONCLUSIONS: Despite a formal patient safety curriculum concerning medication errors, 89% of medical students did not identify an overdose of a commonly used over the counter medication during a standardized patient simulation. Further educational interventions are needed for students to detect medication errors. Additionally, 31% of students did not ask about the administration of over the counter medications suggesting that students may not view such medications as equally important to prescription medications. Simulation may serve as a useful tool to assess students' competency in identifying medication administration errors. RN - 0 (Analgesics, Non-Narcotic) RN - 362O9ITL9D (Acetaminophen) ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/s12909-015-0288-3 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1186/s12909-015-0288-3 [doi] ID - 10.1186/s12909-015-0288-3 [pii] ID - PMC4335408 [pmc] PP - epublish PH - 2014/06/09 [received] PH - 2015/01/09 [accepted] LG - English EP - 20150211 DP - 2015 Feb 11 EZ - 2015/04/19 06:00 DA - 2016/01/05 06:00 DT - 2015/04/19 06:00 YR - 2015 ED - 20160104 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25889566 <223. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26638595 TI - Tobacco Use, Exposure to Secondhand Smoke and Cessation Training among Third-Year Medical Technology Students in Thailand. SO - Journal of the Medical Association of Thailand. 98(10):1028-34, 2015 Oct. AS - J Med Assoc Thai. 98(10):1028-34, 2015 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Namjuntra P AU - Suriyaprom K FA - Namjuntra, Pisit FA - Suriyaprom, Kanjana NJ - Journal of the Medical Association of Thailand = Chotmaihet thangphaet VO - 98 IP - 10 PG - 1028-34 PI - Journal available in: Print PI - Citation processed from: Print JC - izr, 7507216 IO - J Med Assoc Thai SB - Index Medicus CP - Thailand MH - Adult MH - Attitude to Health MH - Counseling/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Prevalence MH - Schools, Medical MH - *Smoking/ep [Epidemiology] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Smoking Prevention MH - *Students, Health Occupations/sn [Statistics & Numerical Data] MH - Thailand/ep [Epidemiology] MH - Tobacco Smoke Pollution/pc [Prevention & Control] MH - *Tobacco Smoke Pollution/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - 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. AB - 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%. AB - 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. AB - 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. RN - 0 (Tobacco Smoke Pollution) IS - 0125-2208 IL - 0125-2208 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2015 Oct EZ - 2015/12/08 06:00 DA - 2016/01/01 06:00 DT - 2015/12/08 06:00 YR - 2015 ED - 20151231 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26638595 <224. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25644592 TI - Cost-effectiveness analysis of smoking-cessation counseling training for physicians and pharmacists. SO - Addictive Behaviors. 45:79-86, 2015 Jun. AS - Addict Behav. 45:79-86, 2015 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cantor SB AU - Deshmukh AA AU - Luca NS AU - Nogueras-Gonzalez GM AU - Rajan T AU - Prokhorov AV FA - Cantor, Scott B FA - Deshmukh, Ashish A FA - Luca, Nancy Stancic FA - Nogueras-Gonzalez, Graciela M FA - Rajan, Tanya FA - Prokhorov, Alexander V IN - Cantor, Scott B. Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. Electronic address: sbcantor@mdanderson.org. IN - Deshmukh, Ashish A. Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. IN - Luca, Nancy Stancic. Office of Research, Texas Woman's University, Houston, TX, USA. IN - Nogueras-Gonzalez, Graciela M. Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. IN - Rajan, Tanya. Department of Health Services Research, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. IN - Prokhorov, Alexander V. Department of Behavioral Science, The University of Texas MD Anderson Cancer Center, Houston, TX, USA. NJ - Addictive behaviors VO - 45 PG - 79-86 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 2gw, 7603486 IO - Addict Behav PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4373998 OI - Source: NLM. NIHMS655749 SB - Index Medicus CP - England MH - Adult MH - Aged MH - Cost-Benefit Analysis MH - *Counseling/ed [Education] MH - *Education, Continuing/ec [Economics] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Pharmacists MH - *Physicians MH - Quality-Adjusted Life Years MH - Smoking/ec [Economics] MH - *Smoking/th [Therapy] MH - Smoking Cessation/ec [Economics] MH - *Smoking Cessation/mt [Methods] KW - Costs and cost analysis; Medical decision making; Nicotine; Smoking cessation AB - 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. AB - PURPOSE: To evaluate the cost-effectiveness of interventions that train physicians and/or pharmacists to counsel their patients on smoking-cessation techniques. AB - 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%. AB - 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. AB - CONCLUSION: Synergistic educational training for physicians and pharmacists could be a cost-effective method for smoking cessation in the community. Copyright Published by Elsevier Ltd. ES - 1873-6327 IL - 0306-4603 DI - S0306-4603(15)00005-2 DO - https://dx.doi.org/10.1016/j.addbeh.2015.01.004 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - S0306-4603(15)00005-2 [pii] ID - 10.1016/j.addbeh.2015.01.004 [doi] ID - PMC4373998 [pmc] ID - NIHMS655749 [mid] PP - ppublish PH - 2014/07/22 [received] PH - 2014/11/18 [revised] PH - 2015/01/07 [accepted] GI - No: P30 CA016672 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA093969 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: CA016672 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01-CA093969 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20150114 DP - 2015 Jun EZ - 2015/02/04 06:00 DA - 2015/12/17 06:00 DT - 2015/02/04 06:00 YR - 2015 ED - 20151215 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25644592 <225. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26263431 TI - Risk and Outcomes of Substance Use Disorder among Anesthesiology Residents: A Matched Cohort Analysis. SO - Anesthesiology. 123(4):929-36, 2015 Oct. AS - Anesthesiology. 123(4):929-36, 2015 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Warner DO AU - Berge K AU - Sun H AU - Harman A AU - Hanson A AU - Schroeder DR FA - Warner, David O FA - Berge, Keith FA - Sun, Huaping FA - Harman, Ann FA - Hanson, Andrew FA - Schroeder, Darrell R IN - Warner, David O. From the Departments of Anesthesiology (D.O.W., K.B.) and Health Sciences Research (A. Hanson, D.R.S.), Mayo Clinic, Rochester, Minnesota; and American Board of Anesthesiology, Raleigh, North Carolina (D.O.W., H.S., A. Harman). NJ - Anesthesiology VO - 123 IP - 4 PG - 929-36 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4sg, 1300217 IO - Anesthesiology PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4573227 OI - Source: NLM. NIHMS713964 [Available on 10/01/16] SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Anesthesiology/ed [Education] MH - Anesthesiology/td [Trends] MH - Case-Control Studies MH - Cohort Studies MH - Female MH - Humans MH - Internship and Residency/td [Trends] MH - *Internship and Residency MH - Male MH - Risk Factors MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Treatment Outcome AB - BACKGROUND: The goal of this work is to evaluate selected risk factors and outcomes for substance use disorder (SUD) in physicians enrolled in anesthesiology residencies approved by the Accreditation Council for Graduate Medical Education. AB - METHODS: For each of 384 individuals with evidence of SUD while in primary residency training in anesthesiology from 1975 to 2009, two controls (n = 768) who did not develop SUD were identified and matched for sex, age, primary residency program, and program start date. Risk factors evaluated included location of medical school training (United States vs. other) and anesthesia knowledge as assessed by In-Training Examination performance. Outcomes (assessed to December 31, 2013, with a median follow-up time of 12.2 and 15.1 yr for cases and controls, respectively) included mortality and profession-related outcomes. AB - RESULTS: Receiving medical education within the United States, but not performance on the first in-training examination, was associated with an increased risk of developing SUD as a resident. Cases demonstrated a marked increase in the risk of death after training (hazard ratio, 7.9; 95% CI, 3.1 to 20.5), adverse training outcomes including failure to complete residency (odds ratio, 14.9; 95% CI, 9.0 to 24.6) or become board certified (odds ratio, 10.4; 95% CI, 7.0 to 15.5), and adverse medical licensure actions subsequent to residency (hazard ratio, 6.8; 95% CI, 3.8 to 12.2). As of the end of follow-up, 54 cases (14.1%) were deceased compared with 10 controls (1.3%); 28 cases and no controls died during residency. AB - CONCLUSION: The attributable risk of SUD to several adverse outcomes during and after residency training, including death and adverse medical license actions, is substantial. ES - 1528-1175 IL - 0003-3022 DO - https://dx.doi.org/10.1097/ALN.0000000000000810 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1097/ALN.0000000000000810 [doi] ID - PMC4573227 [pmc] ID - NIHMS713964 [mid] PP - ppublish GI - No: KL2 TR000136 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: UL1 TR000135 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: UL1TR000135 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English DP - 2015 Oct EZ - 2015/08/12 06:00 DA - 2015/12/15 06:00 DT - 2015/08/12 06:00 YR - 2015 ED - 20151214 RD - 20161202 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26263431 <226. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25821025 TI - Socio-demographic characteristics associated with cigarettes smoking, drug abuse and alcohol drinking among male medical university students in Iran. SO - Journal of Research in Health Sciences. 15(1):42-6, 2015. AS - J. res. health sci.. 15(1):42-6, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jalilian F AU - Karami Matin B AU - Ahmadpanah M AU - Ataee M AU - Ahmadi Jouybari T AU - Eslami AA AU - Mirzaei Alavijeh M FA - Jalilian, Farzad FA - Karami Matin, Behzad FA - Ahmadpanah, Mohammad FA - Ataee, Mari FA - Ahmadi Jouybari, Touraj FA - Eslami, Ahmad Ali FA - Mirzaei Alavijeh, Mehdi IN - Jalilian, Farzad. Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. IN - Karami Matin, Behzad. Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. IN - Ahmadpanah, Mohammad. Research Center for Behavioral Disorders and Substances Abuse, Hamadan University of Medical Sciences, Hamadan, Iran. IN - Ataee, Mari. Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. IN - Ahmadi Jouybari, Touraj. Substance Abuse Prevention Research Center, Kermanshah University of Medical Sciences, Kermanshah, Iran. IN - Eslami, Ahmad Ali. Department of Health Education and Promotion, School of Health, Isfahan University of Medical Sciences, Isfahan, Iran. eslamiaa@gmail.com. IN - Mirzaei Alavijeh, Mehdi. Social Determinants of Health Research Center, Yasuj University of Medical Sciences, Yasuj, Iran. NJ - Journal of research in health sciences VO - 15 IP - 1 PG - 42-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101480094 IO - J Res Health Sci SB - Index Medicus CP - Iran MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Cross-Sectional Studies MH - Divorce MH - Educational Status MH - *Health Behavior MH - Humans MH - Iran/ep [Epidemiology] MH - Logistic Models MH - Male MH - Mothers MH - Prevalence MH - Residence Characteristics MH - Risk Factors MH - *Smoking/ep [Epidemiology] MH - *Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Universities MH - Young Adult KW - Alcohol Drinking; Drug Abuse; Iran; Smoking; University AB - 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. AB - 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. AB - 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 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 were the most influential predictive factors on substance abuse. AB - 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. ES - 2228-7809 IL - 2228-7795 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1828 [pii] PP - ppublish PH - 2014/10/10 [received] PH - 2015/01/03 [accepted] PH - 2014/12/19 [revised] LG - English DP - 2015 EZ - 2015/03/31 06:00 DA - 2015/12/15 06:00 DT - 2015/03/31 06:00 YR - 2015 ED - 20151214 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25821025 <227. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25747927 TI - The globalization of addiction research: capacity-building mechanisms and selected examples. [Review] SO - Harvard Review of Psychiatry. 23(2):147-56, 2015 Mar-Apr. AS - Harv Rev Psychiatry. 23(2):147-56, 2015 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rawson RA AU - Woody G AU - Kresina TF AU - Gust S FA - Rawson, Richard A FA - Woody, George FA - Kresina, Thomas F FA - Gust, Steven IN - Rawson, Richard A. From Semel Institute for Neuroscience and Human Behavior and UCLA Integrated Substance Abuse Programs, David Geffen School of Medicine, University of California at Los Angeles (Dr. Rawson); Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania (Dr. Woody); Division of Pharmacologic Therapies, Center for Substance Abuse Treatment, Substance Abuse and Mental Health Services Administration (Dr. Kresina); and International Program, National Institute on Drug Abuse (Dr. Gust). NJ - Harvard review of psychiatry VO - 23 IP - 2 PG - 147-56 PI - Journal available in: Print PI - Citation processed from: Internet JC - cow, 9312789 IO - Harv Rev Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4356020 OI - Source: NLM. NIHMS644385 SB - Index Medicus CP - United States MH - *Behavior, Addictive/th [Therapy] MH - *Biomedical Research/td [Trends] MH - Capacity Building MH - Clinical Trials as Topic MH - Cooperative Behavior MH - Health Services Research MH - Humans MH - *Internationality MH - *National Institute on Drug Abuse (U.S.)/og [Organization & Administration] MH - *Substance-Related Disorders/th [Therapy] MH - United States AB - 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. ES - 1465-7309 IL - 1067-3229 DO - https://dx.doi.org/10.1097/HRP.0000000000000067 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review ID - 10.1097/HRP.0000000000000067 [doi] ID - 00023727-201503000-00009 [pii] ID - PMC4356020 [pmc] ID - NIHMS644385 [mid] PP - ppublish GI - No: K05 DA017009 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: UD1 TI023603 Organization: (TI) *CSAT SAMHSA HHS* Country: United States GI - No: D43 TW009102 Organization: (TW) *FIC NIH HHS* Country: United States GI - No: R01 DA032733 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA013043 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA027633 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K05 DA-17009 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA027633 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA032733 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA-13043 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2015 Mar-Apr EZ - 2015/03/10 06:00 DA - 2015/12/15 06:00 DT - 2015/03/10 06:00 YR - 2015 ED - 20151214 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25747927 <228. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25456811 TI - A randomized trial to evaluate primary care clinician training to use the Teachable Moment Communication Process for smoking cessation counseling. SO - Preventive Medicine. 69:267-73, 2014 Dec. AS - Prev Med. 69:267-73, 2014 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flocke SA AU - Step MM AU - Antognoli E AU - Lawson PJ AU - Smith S AU - Jackson B AU - Krejci S AU - Parran T AU - Marsh S FA - Flocke, Susan A FA - Step, Mary M FA - Antognoli, Elizabeth FA - Lawson, Peter J FA - Smith, Samantha FA - Jackson, Brigid FA - Krejci, Sue FA - Parran, Theodore FA - Marsh, Sybil IN - Flocke, Susan A. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA; Department of Epidemiology and Biostatistics, Case Western Reserve University, Cleveland, OH, USA; Case Comprehensive Cancer Center, Cleveland, OH, USA; Prevention Research Center for Healthy Neighborhoods, Case Western Reserve University, Cleveland, OH, USA. Electronic address: susan.flocke@case.edu. IN - Step, Mary M. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA; Case Comprehensive Cancer Center, Cleveland, OH, USA; Division of Medicine, MetroHealth Medical Center, Cleveland, OH, USA. IN - Antognoli, Elizabeth. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA. IN - Lawson, Peter J. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA. IN - Smith, Samantha. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA. IN - Jackson, Brigid. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA. IN - Krejci, Sue. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA. IN - Parran, Theodore. Department of Medicine, Case Western Reserve University, Cleveland, OH, USA. IN - Marsh, Sybil. Department of Family Medicine & Community Health, Case Western Reserve University, Cleveland, OH, USA. NJ - Preventive medicine VO - 69 PG - 267-73 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pm4, 0322116 IO - Prev Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4312229 OI - Source: NLM. NIHMS641696 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Counseling/mt [Methods] MH - *Education, Medical, Continuing/mt [Methods] MH - Female MH - Health Communication MH - Humans MH - Male MH - Middle Aged MH - Ohio MH - *Physician-Patient Relations MH - Physicians MH - Primary Health Care MH - Smoking/px [Psychology] MH - *Smoking/th [Therapy] MH - *Smoking Cessation/mt [Methods] MH - Young Adult KW - Audio recordings; Brief advice; Cluster randomized trial; Primary care; Tobacco counseling AB - OBJECTIVE: To implement and evaluate the impact of a Teachable Moment Communication Process (TMCP) training intervention on clinicians' smoking cessation counseling behaviors in practice. AB - METHOD: Using a group randomized trial, 31 community-based, primary care clinicians in Northeast Ohio received either TMCP training or an attention control (2010-2012). TMCP training consisted of two, three-hour sessions involving didactic instruction, skill practice with standardized patients, and coaching. Clinician performance of TMCP elements was assessed by coding audio-recordings of routine visits with smokers at baseline and post-intervention (n=806). AB - RESULTS: Baseline performance of all TMCP elements was similar in the two groups. After the intervention, TMCP-trained clinicians were more often observed advising patients to quit while linking smoking to the patient's concern (58% vs. 44%, p=0.01), expressing optimism (36% vs. 3%, p<0.001), expressing partnership (40% vs. 12%, p=0.003) and eliciting the patient's readiness to quit (84% vs. 65%, p=0.006) than clinicians in the comparison group. TMCP-trained clinician responses were also better aligned with patients' expressed readiness to quit smoking than comparison group clinicians (p<0.001). AB - CONCLUSION: The intervention significantly changed the content of clinicians' smoking cessation communication in ways consistent with the TMCP model for health behavior change. Copyright © 2014 Elsevier Inc. All rights reserved. ES - 1096-0260 IL - 0091-7435 DI - S0091-7435(14)00387-9 DO - https://dx.doi.org/10.1016/j.ypmed.2014.10.020 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - S0091-7435(14)00387-9 [pii] ID - 10.1016/j.ypmed.2014.10.020 [doi] ID - PMC4312229 [pmc] ID - NIHMS641696 [mid] PP - ppublish PH - 2014/06/04 [received] PH - 2014/10/13 [revised] PH - 2014/10/14 [accepted] GI - No: R01 CA 105292 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P30 CA043703 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: UL1 TR000439 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: P30 CA43703 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA105292 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20141030 DP - 2014 Dec EZ - 2014/12/03 06:00 DA - 2015/12/15 06:00 DT - 2014/12/03 06:00 YR - 2014 ED - 20151202 RD - 20161215 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25456811 <229. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25219419 TI - How does an undergraduate pain course influence future physicians' awareness of chronic pain concepts? A comparative study. SO - Pain Medicine. 16(2):301-11, 2015 Feb. AS - PAIN MED. 16(2):301-11, 2015 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Argyra E AU - Siafaka I AU - Moutzouri A AU - Papadopoulos V AU - Rekatsina M AU - Vadalouca A AU - Theodoraki K FA - Argyra, Eriphylli FA - Siafaka, Ioanna FA - Moutzouri, Astero FA - Papadopoulos, Vassilios FA - Rekatsina, Martina FA - Vadalouca, Athina FA - Theodoraki, Kassiani IN - Argyra, Eriphylli. Department of Anesthesiology, Pain Relief and Palliative Care, Aretaieion Hospital, University of Athens, Athens, Greece. NJ - Pain medicine (Malden, Mass.) VO - 16 IP - 2 PG - 301-11 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - Adult MH - *Chronic Pain MH - *Education, Medical, Undergraduate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Pain Management/mt [Methods] MH - Students, Medical/px [Psychology] MH - *Students, Medical MH - Surveys and Questionnaires KW - Chronic Pain; Medical Students; Pain; Pain Education; Patient-Centered Care; Undergraduate Teaching AB - 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. AB - 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. AB - 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. AB - 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. Copyright Wiley Periodicals, Inc. ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/pme.12568 PT - Comparative Study PT - Journal Article ID - 10.1111/pme.12568 [doi] PP - ppublish LG - English EP - 20140915 DP - 2015 Feb EZ - 2014/09/16 06:00 DA - 2015/12/15 06:00 DT - 2014/09/16 06:00 YR - 2015 ED - 20151123 RD - 20150214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25219419 <230. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25651434 TI - Analysis of barriers to adoption of buprenorphine maintenance therapy by family physicians. [Review] SO - Rural & Remote Health. 15:3019, 2015. AS - RURAL REMOTE HEALTH. 15:3019, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DeFlavio JR AU - Rolin SA AU - Nordstrom BR AU - Kazal LA Jr FA - DeFlavio, Jeffrey R FA - Rolin, Stephanie A FA - Nordstrom, Benjamin R FA - Kazal, Louis A Jr IN - DeFlavio, Jeffrey R. Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. jeffrey.r.deflavio@dartmouth.edu. IN - Rolin, Stephanie A. Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. stephanie.a.rolin@dartmouth.edu. IN - Nordstrom, Benjamin R. Department of Psychiatry, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. benjamin.r.nordstrom@hitchcock.org. IN - Kazal, Louis A Jr. Department of Community and Family Medicine, Geisel School of Medicine at Dartmouth, Hanover, New Hampshire, USA. louis.a.kazal.jr@dartmouth.edu. NJ - Rural and remote health VO - 15 PG - 3019 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101174860 IO - Rural Remote Health SB - Index Medicus CP - Australia MH - *Buprenorphine/ad [Administration & Dosage] MH - Buprenorphine/tu [Therapeutic Use] MH - Confidentiality MH - Female MH - Health Knowledge, Attitudes, Practice MH - Health Services Accessibility MH - Humans MH - Inservice Training MH - Male MH - Narcotic Antagonists/ad [Administration & Dosage] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Perception MH - *Physicians, Family/px [Psychology] MH - *Physicians, Family/sn [Statistics & Numerical Data] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Primary Health Care/sn [Statistics & Numerical Data] MH - Time Factors MH - Trust KW - Alcohol and Drug; Epidemiology; Evidence-based Care; General/Family Practice; Health Needs Assessment; Health Service reform; Medical; Mental Health; North America; Primary Health Care; Psychiatry; Public Health; Qualitative Research AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1445-6354 IL - 1445-6354 PT - Journal Article PT - Review ID - 3019 [pii] PP - ppublish LG - English EP - 20150204 DP - 2015 EZ - 2015/02/05 06:00 DA - 2015/11/18 06:00 DT - 2015/02/05 06:00 YR - 2015 ED - 20151117 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25651434 <231. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25887187 TI - Review and evaluation of online tobacco dependence treatment training programs for health care practitioners. SO - Journal of Medical Internet Research. 17(4):e97, 2015 Apr 17. AS - J Med Internet Res. 17(4):e97, 2015 Apr 17. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Selby P AU - Goncharenko K AU - Barker M AU - Fahim M AU - Timothy V AU - Dragonetti R AU - Kemper K AU - Herie M AU - Hays JT AI - Selby, Peter; ORCID: http://orcid.org/0000-0001-5401-2996 AI - Goncharenko, Karina; ORCID: http://orcid.org/0000-0001-5735-4123 AI - Barker, Megan; ORCID: http://orcid.org/0000-0003-2774-4395 AI - Fahim, Myra; ORCID: http://orcid.org/0000-0003-2240-878X AI - Timothy, Valerie; ORCID: http://orcid.org/0000-0002-0722-7991 AI - Dragonetti, Rosa; ORCID: http://orcid.org/0000-0002-8539-1762 AI - Kemper, Katherine; ORCID: http://orcid.org/0000-0002-8908-4903 AI - Herie, Marilyn; ORCID: http://orcid.org/0000-0002-9333-5664 AI - Hays, J Taylor; ORCID: http://orcid.org/0000-0002-6110-3121 FA - Selby, Peter FA - Goncharenko, Karina FA - Barker, Megan FA - Fahim, Myra FA - Timothy, Valerie FA - Dragonetti, Rosa FA - Kemper, Katherine FA - Herie, Marilyn FA - Hays, J Taylor IN - Selby, Peter. Centre for Addiction and Mental Health, Addictions Division, Toronto, ON, Canada. peter.selby@camh.ca. NJ - Journal of medical Internet research VO - 17 IP - 4 PG - e97 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100959882 IO - J. Med. Internet Res. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4417133 SB - Index Medicus CP - Canada MH - Adult MH - *Education, Continuing/mt [Methods] MH - *Education, Distance MH - Education, Medical, Continuing/mt [Methods] MH - Female MH - Health Personnel MH - Humans MH - *Internet MH - *Smoking Cessation MH - *Tobacco Use Disorder/th [Therapy] KW - continuing medical education; distance education; health care; program evaluation; smoking cessation; tobacco dependence; tobacco use AB - BACKGROUND: Training health care professionals is associated with increased capacity to deliver evidence-based smoking cessation interventions and increased quit rates among their patients. Online training programs hold promise to provide training but questions remain regarding the quality and usability of available programs. AB - OBJECTIVE: The aim was to assess the quality of English-language online courses in tobacco dependence treatment using a validated instrument. AB - METHODS: An environmental scan was conducted using the Google search engine to identify available online tobacco dependence treatment courses. The identified courses were then evaluated using the Peer Review Rubric for Online Learning, which was selected based on its ability to evaluate instructional design. It also has clear and concise criteria descriptions to ensure uniformity of evaluations by trained experts. AB - RESULTS: A total of 39 courses were identified, of which 24 unique courses were assessed based on their accessibility and functionality during the period of evaluation. Overall, the course ratings indicated that 17 of 24 courses evaluated failed to meet minimal quality standards and none of the courses evaluated could be ranked as superior. However, many excelled in providing effective navigation, course rationale, and content. Many were weak in the use of instructional design elements, such as teaching effectiveness, learning strategies, instructor's role, and assessment and evaluation. Evaluation results and suggestions for improvement were shared with course administrators. AB - CONCLUSIONS: Based on the courses evaluated in this review, course developers are encouraged to employ best practices in instructional design, such as cohesiveness of material, linearity of design, practice exercises, problem solving, and ongoing evaluation to improve existing courses and in the design of new online learning opportunities. ES - 1438-8871 IL - 1438-8871 DO - https://dx.doi.org/10.2196/jmir.3284 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - v17i4e97 [pii] ID - 10.2196/jmir.3284 [doi] ID - PMC4417133 [pmc] PP - epublish PH - 2014/02/01 [received] PH - 2014/12/20 [accepted] PH - 2014/10/01 [revised] LG - English EP - 20150417 DP - 2015 Apr 17 EZ - 2015/04/19 06:00 DA - 2015/11/13 06:00 DT - 2015/04/19 06:00 YR - 2015 ED - 20151112 RD - 20150514 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25887187 <232. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26434247 TI - Using Population Based Data on Drugs Abuse to Estimate the Relative Need for Medical Services in Thailand. SO - Journal of the Medical Association of Thailand. 98 Suppl 6:S25-33, 2015 Jul. AS - J Med Assoc Thai. 98 Suppl 6:S25-33, 2015 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leyatikul P AU - Kanato M FA - Leyatikul, Poonrut FA - Kanato, Manop NJ - Journal of the Medical Association of Thailand = Chotmaihet thangphaet VO - 98 Suppl 6 PG - S25-33 PI - Journal available in: Print PI - Citation processed from: Print JC - izr, 7507216 IO - J Med Assoc Thai SB - Index Medicus CP - Thailand MH - Epidemiologic Methods MH - Factor Analysis, Statistical MH - *Health Services Needs and Demand/sn [Statistics & Numerical Data] MH - Humans MH - *Needs Assessment/og [Organization & Administration] MH - Residence Characteristics MH - *Substance-Related Disorders/ep [Epidemiology] MH - Thailand/ep [Epidemiology] AB - BACKGROUND AND OBJECTIVE: Epidemiological background shows a trend in drug abuse and essential need for revising its strategic plans, allocating resources, and advocating services for populations. The relative need for drug abuse prevention and medical services across different geographic areas of Thailand, which has been examined through an analysis of existing population-based datasets and reported routinely. The objective was to develop an indicator of relative need for drug abuse prevention and medical services. AB - MATERIAL AND METHOD: Qualitative data were collected as primary data sources from 10 focus group discussions throughout Thailand. The primary data were integrated into study framework with the result from literature review. Data sets in 2011 were retrieved from the national databank to obtain variables regarding drug abuse. Multiple regression and factor analysis were undertaken using the district as the unit of analysis. AB - RESULTS: A factor analysis, which revealed six factors that explained 64% of the variance in the data set. Factors identified in the analysis were taken as indicators of variation in the need for services as all of the drugs-related variables loaded strongly on these factors. The distribution of ranks for factor scores (determined through regression) obtained for these factors across districts in Thailand showed that scores were highest in urban and suburban areas. AB - CONCLUSION: In terms of practical implications, the study results could be used for resource allocation in medical service plans for community drug abuse. IS - 0125-2208 IL - 0125-2208 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2015 Jul EZ - 2015/10/06 06:00 DA - 2015/11/07 06:00 DT - 2015/10/06 06:00 YR - 2015 ED - 20151106 RD - 20151005 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26434247 <233. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25148650 TI - Baylor Pediatric SBIRT Medical Residency Training Program: model description and evaluation. SO - Substance Abuse. 35(4):442-9, 2014. AS - Subst Abus. 35(4):442-9, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bray JH AU - Kowalchuk A AU - Waters V AU - Allen E AU - Laufman L AU - Shilling EH FA - Bray, James H FA - Kowalchuk, Alicia FA - Waters, Vicki FA - Allen, Erin FA - Laufman, Larry FA - Shilling, Elizabeth H IN - Bray, James H. a Department of Family & Community Medicine , Baylor College of Medicine , Houston , Texas , USA. NJ - Substance abuse VO - 35 IP - 4 PG - 442-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Clinical Competence MH - *Curriculum MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - *Pediatrics/ed [Education] MH - *Program Development MH - *Program Evaluation MH - Psychotherapy, Brief/ed [Education] MH - Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Texas KW - Adolescent alcohol use; SBIRT; adolescent substance use; brief intervention; motivational interviewing; residency training AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: SBIRT skills training can be incorporated into pediatric residency training, and residents are able to learn and implement the skills in clinical practice. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2014.954026 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2014.954026 [doi] PP - ppublish GI - No: 5UT79TI0202 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2014 EZ - 2014/08/26 06:00 DA - 2015/11/07 06:00 DT - 2014/08/23 06:00 YR - 2014 ED - 20151106 RD - 20141216 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25148650 <234. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25271657 TI - Responding to opioid overdose in Rhode Island: where the medical community has gone and where we need to go. SO - Rhode Island Medicine. 97(10):29-33, 2014 Oct 01. AS - R I Med. 97(10):29-33, 2014 Oct 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green TC AU - Bratberg J AU - Dauria EF AU - Rich JD FA - Green, Traci C FA - Bratberg, Jef FA - Dauria, Emily F FA - Rich, Josiah D IN - Green, Traci 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. IN - Bratberg, Jef. Clinical Professor of Pharmacy Practice, University of Rhode Island College of Pharmacy. IN - Dauria, Emily F. Postdoctoral Fellow in the Department of Psychiatry and Human Behavior at the Warren Alpert Medical School of Brown University. IN - Rich, Josiah 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. NJ - Rhode Island medical journal (2013) VO - 97 IP - 10 PG - 29-33 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - bbe, 9203052, 101605827 IO - R I Med J (2013) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/to [Toxicity] MH - Drug Overdose/ep [Epidemiology] MH - *Drug Overdose/pc [Prevention & Control] MH - *Emergency Medical Services/sn [Statistics & Numerical Data] MH - *Health Education/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Health Services Accessibility/sn [Statistics & Numerical Data] MH - Health Services Needs and Demand MH - Humans MH - *Naloxone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - Practice Patterns, Physicians' MH - *Prescription Drug Misuse/sn [Statistics & Numerical Data] MH - Rhode Island/ep [Epidemiology] KW - Opiate addiction; healthcare professionals; opioid; overdose AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) ES - 2327-2228 IL - 0363-7913 PT - Journal Article PP - epublish GI - No: K24 DA022112 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20141001 DP - 2014 Oct 01 EZ - 2014/10/02 06:00 DA - 2015/11/06 06:00 DT - 2014/10/02 06:00 YR - 2014 ED - 20151105 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25271657 <235. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26130770 TI - Teaching family medicine residents brief interventions for alcohol misuse. SO - International Journal of Psychiatry in Medicine. 50(1):81-91, 2015. AS - Int J Psychiatry Med. 50(1):81-91, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rule JC AU - Samuel P FA - Rule, J Chris FA - Samuel, Pearl IN - Rule, J Chris. Department of Psychiatry, University of Arkansas for Medical Sciences, Little Rock, AR, USA Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA JCRule@uams.edu. IN - Samuel, Pearl. Department of Family and Preventive Medicine, University of Arkansas for Medical Sciences, Little Rock, AR, USA. NJ - International journal of psychiatry in medicine VO - 50 IP - 1 PG - 81-91 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 0365646, gsj IO - Int J Psychiatry Med SB - Index Medicus CP - United States MH - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/th [Therapy] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Curriculum MH - *Family Practice/ed [Education] MH - Humans MH - Mass Screening MH - *Motivational Interviewing/mt [Methods] MH - *Primary Health Care KW - Primary care; alcohol misuse; brief interventions; curriculum; motivational interviewing AB - 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. Copyright © The Author(s) 2015. IS - 0091-2174 IL - 0091-2174 DO - https://dx.doi.org/10.1177/0091217415592363 PT - Journal Article ID - 0091217415592363 [pii] ID - 10.1177/0091217415592363 [doi] PP - ppublish LG - English EP - 20150630 DP - 2015 EZ - 2015/07/02 06:00 DA - 2015/10/31 06:00 DT - 2015/07/02 06:00 YR - 2015 ED - 20151030 RD - 20150806 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26130770 <236. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25654219 TI - Patient perspectives on tobacco use treatment in primary care. SO - Preventing Chronic Disease. 12:E14, 2015 Feb 05. AS - Prev Chronic Dis. 12:E14, 2015 Feb 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Halladay JR AU - Vu M AU - Ripley-Moffitt C AU - Gupta SK AU - O'Meara C AU - Goldstein AO FA - Halladay, Jacqueline R FA - Vu, Maihan FA - Ripley-Moffitt, Carol FA - Gupta, Sachin K FA - O'Meara, Christine FA - Goldstein, Adam O IN - Halladay, Jacqueline 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. IN - Vu, Maihan. University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. IN - Ripley-Moffitt, Carol. University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. IN - Gupta, Sachin K. Community-Based Family Practice Physicians, Cary, North Carolina. IN - O'Meara, Christine. Community-Based Family Practice Physicians, Cary, North Carolina. IN - Goldstein, Adam O. University of North Carolina at Chapel Hill, Chapel Hill, North Carolina. NJ - Preventing chronic disease VO - 12 PG - E14 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101205018 IO - Prev Chronic Dis PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4318687 SB - Index Medicus CP - United States MH - *Counseling/mt [Methods] MH - Focus Groups MH - Humans MH - Incidence MH - Motivation MH - *Primary Health Care/mt [Methods] MH - *Smoking/ae [Adverse Effects] MH - Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - 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. AB - 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. AB - 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. AB - 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. ES - 1545-1151 IL - 1545-1151 DO - https://dx.doi.org/10.5888/pcd12.140408 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't ID - 10.5888/pcd12.140408 [doi] ID - E14 [pii] ID - PMC4318687 [pmc] PP - epublish GI - No: UL1 TR001111 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English EP - 20150205 DP - 2015 Feb 05 EZ - 2015/02/06 06:00 DA - 2015/10/07 06:00 DT - 2015/02/06 06:00 YR - 2015 ED - 20151006 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25654219 <237. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26430687 TI - Nejat Briefcase: A tool for drug education. SO - Journal of Education & Health Promotion. 4:60, 2015. AS - J. educ. health promot.. 4:60, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Najafi M AU - Mollabashi R AU - Mollabashi Z AU - Mousavi A FA - Najafi, Mostafa FA - Mollabashi, Roya FA - Mollabashi, Zahra FA - Mousavi, Arefeh IN - Najafi, Mostafa. Behavioral Sciences Research Center, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran. IN - Mollabashi, Roya. Medical Education Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. IN - Mollabashi, Zahra. Department of Microbiology, Qom Branch, Islamic Azad University, Qom, Iran. IN - Mousavi, Arefeh. Department of Disaster and Emergency Health, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. NJ - Journal of education and health promotion VO - 4 PG - 60 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101593794 IO - J Educ Health Promot PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4579775 CP - India KW - Drugs abuse; continuing medical education; educational tool; psychoactive substances and drugs AB - BACKGROUND: On account of the prevalence of psychoactive substances and drug abuse and its diversity of forms and methods of use, along with the reduction in the age of drug abuse, a continuing medical educationof physicians with these issues is necessary. Although it is legally forbidden, most physicians have no close contact to these drugs, and this is not effective for training, prevention and treatment of drug addiction. In this regard, offering an educational tool is needed, if in close contact to these drugs. The 'Nejat Briefcase' is a tool designed for the purpose of training and familiarization of psychoactive substances and drugs. The aim of this study is to investigate the points of view of the participants in the continuing medical education program, 'Introduction to types of psychoactive substances and drugs' and about the Nejat Briefcase, in the Isfahan University of Medical Sciences (IUMS). AB - MATERIALS AND METHODS: In this descriptive, cross-sectional study, all the general physicians (108 people) who participated in the continuing medical education program, 'Introducing types of psychoactive substances and drugs,' in the Isfahan University of Medical Sciences (IUMS), in 2012 - 2013, were considered. In this program, in order to introduce various types of psychoactive substances and drugs to the physicians, as well as acquaint them with their forms, methods of use, and prices, the new educational tool (Nejat Briefcase), containing various types of psychoactive substances and drugs and the related educational packages, such as, booklets and brochures, was used. A researcher-made, valid and reliable questionnaire was distributed at the end of program to gather the participants' points of view about the educational program. Data was analyzed by the SPSS and t-test and descriptive statistical tests. AB - RESULTS AND DISCUSSION: The response rate to the questionnaire was 83%. Forty-four people (41%) were women and 64 (59%) were men. The mean total score of the participants' points of view was 4/58 +/- 0/45 (out of 5), which indicated the positive points of view of the participants. Ninety-seven people (90%) were satisfied with the program. AB - CONCLUSIONS: On account of the participants' positive points of view on the Nejat Briefcase and their consent to it, using varied and attractive educational tools for psychoactive substances and drug training and producing tools similar to the Nejat Briefcase are proposed. IS - 2277-9531 IL - 2277-9531 DO - https://dx.doi.org/10.4103/2277-9531.162379 PT - Journal Article ID - 10.4103/2277-9531.162379 [doi] ID - JEHP-4-60 [pii] ID - PMC4579775 [pmc] PP - epublish LG - English EP - 20150806 DP - 2015 EZ - 2015/10/03 06:00 DA - 2015/10/03 06:01 DT - 2015/10/03 06:00 YR - 2015 ED - 20151002 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26430687 <238. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26220548 TI - Training in addiction medicine should be standardised and scaled up. SO - BMJ. 351:h4027, 2015 Jul 28. AS - BMJ. 351:h4027, 2015 Jul 28. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klimas J FA - Klimas, J NJ - BMJ (Clinical research ed.) VO - 351 PG - h4027 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 8900488, bmj, 101090866 IO - BMJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4707523 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Behavior, Addictive/th [Therapy] MH - Clinical Competence MH - Fellowships and Scholarships MH - Health Services Needs and Demand MH - Humans MH - *Primary Health Care/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/th [Therapy] ES - 1756-1833 IL - 0959-535X DO - https://dx.doi.org/10.1136/bmj.h4027 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - PMC4707523 [pmc] PP - epublish GI - No: R25 DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20150728 DP - 2015 Jul 28 EZ - 2015/07/30 06:00 DA - 2015/09/30 06:00 DT - 2015/07/30 06:00 YR - 2015 ED - 20150929 RD - 20170118 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26220548 <239. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25133364 TI - Inside special care. SO - Annals of Internal Medicine. 161(4):302-3, 2014 Aug 19. AS - Ann Intern Med. 161(4):302-3, 2014 Aug 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benson JC FA - Benson, John C NJ - Annals of internal medicine VO - 161 IP - 4 PG - 302-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/px [Psychology] MH - *Emergency Service, Hospital MH - Homeless Persons/px [Psychology] MH - Hospitals, County MH - Humans MH - *Internship and Residency MH - Minnesota MH - *Physician-Patient Relations ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/M14-0279 PT - Journal Article PT - Personal Narratives ID - 1897111 [pii] ID - 10.7326/M14-0279 [doi] PP - ppublish LG - English DP - 2014 Aug 19 EZ - 2014/08/19 06:00 DA - 2015/09/30 06:00 DT - 2014/08/19 06:00 YR - 2014 ED - 20150929 RD - 20140819 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25133364 <240. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24857633 TI - A Canadian perspective on addiction treatment. [Review] SO - Substance Abuse. 35(3):298-303, 2014. AS - Subst Abus. 35(3):298-303, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - El-Guebaly N FA - El-Guebaly, Nady IN - El-Guebaly, Nady. a Addiction Division , University of Calgary , Calgary , Alberta , Canada. NJ - Substance abuse VO - 35 IP - 3 PG - 298-303 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Behavior, Addictive/dt [Drug Therapy] MH - Canada MH - *Health Policy MH - Humans MH - *National Health Programs MH - North America MH - *Substance-Related Disorders/th [Therapy] KW - Addiction treatment; Canada; drug strategy AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2014.923362 PT - Journal Article PT - Review ID - 10.1080/08897077.2014.923362 [doi] PP - ppublish LG - English DP - 2014 EZ - 2014/05/27 06:00 DA - 2015/09/30 06:00 DT - 2014/05/27 06:00 YR - 2014 ED - 20150929 RD - 20140809 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24857633 <241. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25572623 TI - Medical school curriculum characteristics associated with intentions and frequency of tobacco dependence treatment among 3rd year U.S. medical students. SO - Preventive Medicine. 72:56-63, 2015 Mar. AS - Prev Med. 72:56-63, 2015 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hayes RB AU - Geller AC AU - Crawford SL AU - Jolicoeur DG AU - Churchill LC AU - Okuyemi KS AU - David SP AU - Adams M AU - Waugh J AU - Allen SS AU - Leone FT AU - Fauver R AU - Leung K AU - Liu Q AU - Ockene JK FA - Hayes, Rashelle B FA - Geller, Alan C FA - Crawford, Sybil L FA - Jolicoeur, Denise G FA - Churchill, Linda C FA - Okuyemi, Kolawole S FA - David, Sean P FA - Adams, Michael FA - Waugh, Jonathan FA - Allen, Sharon S FA - Leone, Frank T FA - Fauver, Randy FA - Leung, Katherine FA - Liu, Qin FA - Ockene, Judith K IN - Hayes, Rashelle B. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: Rashelle.Hayes@umassmed.edu. IN - Geller, Alan C. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA, United States. IN - Crawford, Sybil L. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. IN - Jolicoeur, Denise G. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. IN - Churchill, Linda C. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. IN - Okuyemi, Kolawole S. Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, United States. IN - David, Sean 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, CA, United States. IN - Adams, Michael. Division of General Internal Medicine, Department of Medicine, Georgetown University Hospital, United States. IN - Waugh, Jonathan. Department of Clinical and Diagnostics Sciences/UAB Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, United States. IN - Allen, Sharon S. Family Medicine and Community Health, University of Minnesota Medical School, Minneapolis, MN, United States. IN - Leone, Frank T. Division of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States. IN - Fauver, Randy. Center for Education & Research in Family and Community Medicine, Division of General Medical Disciplines, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States. IN - Leung, Katherine. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. IN - Liu, Qin. Wistar Institute, Philadelphia, PA, United States. IN - Ockene, Judith K. Division of Preventive and Behavioral Medicine, Department of Medicine, University of Massachusetts Medical School, Worcester, MA, United States. NJ - Preventive medicine VO - 72 PG - 56-63 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pm4, 0322116 IO - Prev Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4562320 OI - Source: NLM. NIHMS653632 SB - Index Medicus CP - United States MH - Adult MH - Clinical Clerkship MH - *Clinical Competence MH - Cross-Sectional Studies MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - Middle Aged MH - Regression Analysis MH - Self Efficacy MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/th [Therapy] MH - United States MH - Young Adult KW - Medical school curriculum and education; Medical students; Tobacco dependence treatment AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2015 Elsevier Inc. All rights reserved. ES - 1096-0260 IL - 0091-7435 DI - S0091-7435(14)00517-9 DO - https://dx.doi.org/10.1016/j.ypmed.2014.12.035 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - S0091-7435(14)00517-9 [pii] ID - 10.1016/j.ypmed.2014.12.035 [doi] ID - PMC4562320 [pmc] ID - NIHMS653632 [mid] PP - ppublish PH - 2014/07/25 [received] PH - 2014/12/20 [revised] PH - 2014/12/26 [accepted] GI - No: P30 CA010815 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 5R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 5R01CA136888-S Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20150105 DP - 2015 Mar EZ - 2015/01/13 06:00 DA - 2015/09/25 06:00 DT - 2015/01/10 06:00 YR - 2015 ED - 20150924 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25572623 <242. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25262064 TI - Pre-registration nursing students' perceptions and experiences of violence in a nursing education institution in South Africa. SO - Nurse Education in Practice. 14(6):666-73, 2014 Nov. AS - NURSE EDUC PRACT. 14(6):666-73, 2014 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Villiers T AU - Mayers PM AU - Khalil D FA - de Villiers, Tania FA - Mayers, Pat M FA - Khalil, Doris IN - de Villiers, Tania. 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. IN - Mayers, Pat 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. IN - Khalil, Doris. Division of Nursing & Midwifery, Department of Health & Rehabilitation Sciences, Faculty of Health Sciences, University of Cape Town, Observatory, Cape Town, South Africa. Electronic address: Doris.khalil@uct.ac.za. NJ - Nurse education in practice VO - 14 IP - 6 PG - 666-73 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101090848 IO - Nurse Educ Pract SB - Index Medicus SB - Nursing Journal CP - England MH - Adolescent MH - Adult MH - Attitude MH - Female MH - Focus Groups MH - Humans MH - Male MH - Middle Aged MH - *Schools, Nursing MH - South Africa MH - *Students, Nursing/px [Psychology] MH - Surveys and Questionnaires MH - *Violence MH - Young Adult KW - Horizontal violence; Nursing education; Nursing students; South Africa; Verbal abuse AB - 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. Copyright © 2014 Elsevier Ltd. All rights reserved. ES - 1873-5223 IL - 1471-5953 DI - S1471-5953(14)00120-6 DO - https://dx.doi.org/10.1016/j.nepr.2014.08.006 PT - Journal Article ID - S1471-5953(14)00120-6 [pii] ID - 10.1016/j.nepr.2014.08.006 [doi] PP - ppublish PH - 2013/04/22 [received] PH - 2014/08/26 [revised] PH - 2014/08/29 [accepted] LG - English EP - 20140906 DP - 2014 Nov EZ - 2014/09/30 06:00 DA - 2015/09/16 06:00 DT - 2014/09/29 06:00 YR - 2014 ED - 20150915 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25262064 <243. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25583888 TI - Geographic and specialty distribution of US physicians trained to treat opioid use disorder. SO - Annals of Family Medicine. 13(1):23-6, 2015 Jan-Feb. AS - Ann Fam Med. 13(1):23-6, 2015 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosenblatt RA AU - Andrilla CH AU - Catlin M AU - Larson EH FA - Rosenblatt, Roger A FA - Andrilla, C Holly A FA - Catlin, Mary FA - Larson, Eric H IN - Rosenblatt, Roger A. WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington. IN - Andrilla, C Holly A. WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington hollya@uw.edu. IN - Catlin, Mary. 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. IN - Larson, Eric H. WWAMI Rural Health Research Center, Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington. NJ - Annals of family medicine VO - 13 IP - 1 PG - 23-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101167762 IO - Ann Fam Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4291261 SB - Index Medicus CP - United States MH - Adult MH - *Buprenorphine/tu [Therapeutic Use] MH - Buprenorphine, Naloxone Drug Combination MH - *Education, Medical MH - Family Practice/ed [Education] MH - Family Practice/ma [Manpower] MH - Female MH - Humans MH - Internal Medicine/ed [Education] MH - Internal Medicine/ma [Manpower] MH - Male MH - Middle Aged MH - *Naloxone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - Opiate Substitution Treatment MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Opioid-Related Disorders/ep [Epidemiology] MH - Physical and Rehabilitation Medicine/ed [Education] MH - Physical and Rehabilitation Medicine/ma [Manpower] MH - *Physicians/sd [Supply & Distribution] MH - Psychiatry/ed [Education] MH - Psychiatry/ma [Manpower] MH - Rural Population MH - United States/ep [Epidemiology] MH - Urban Population KW - buprenorphine; opiate addiction; opiate substitution treatment; opioid treatment programs; primary health care; rural health AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2015 Annals of Family Medicine, Inc. RN - 0 (Buprenorphine, Naloxone Drug Combination) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) ES - 1544-1717 IL - 1544-1709 DO - https://dx.doi.org/10.1370/afm.1735 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 13/1/23 [pii] ID - 10.1370/afm.1735 [doi] ID - PMC4291261 [pmc] PP - ppublish GI - No: U1CRH03712 Organization: *PHS HHS* Country: United States LG - English DP - 2015 Jan-Feb EZ - 2015/01/15 06:00 DA - 2015/09/15 06:00 DT - 2015/01/14 06:00 YR - 2015 ED - 20150914 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25583888 <244. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26255415 TI - Development of a dual diagnosis undergraduate elective. SO - Australian Nursing & Midwifery Journal. 22(10):44, 2015 May. AS - Aust Nurs Midwifery J. 22(10):44, 2015 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Maude P FA - Maude, Phil NJ - Australian nursing & midwifery journal VO - 22 IP - 10 PG - 44 PI - Journal available in: Print PI - Citation processed from: Print JC - 101619146 IO - Aust Nurs Midwifery J SB - Nursing Journal CP - Australia MH - Curriculum MH - *Diagnosis, Dual (Psychiatry)/sn [Statistics & Numerical Data] MH - *Education, Medical, Undergraduate/og [Organization & Administration] MH - Humans MH - Mental Disorders/co [Complications] MH - *Mental Disorders/di [Diagnosis] MH - *Psychiatry/ed [Education] MH - Schools, Medical/og [Organization & Administration] MH - Students, Medical MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/di [Diagnosis] IS - 2202-7114 IL - 2202-7114 PT - Journal Article PP - ppublish LG - English DP - 2015 May EZ - 2015/08/11 06:00 DA - 2015/09/12 06:00 DT - 2015/08/11 06:00 YR - 2015 ED - 20150910 RD - 20150810 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26255415 <245. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24187678 TI - Opioid prescribing: guidelines, laws, rules, regulations, policies, best practices. SO - Rhode Island Medicine. 96(11):38-41, 2013 Nov 01. AS - R I Med. 96(11):38-41, 2013 Nov 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDonald J FA - McDonald, James IN - McDonald, James. Chief Administrative Officer of the Board of Medical Licensure and Discipline for the State of Rhode Island. NJ - Rhode Island medical journal (2013) VO - 96 IP - 11 PG - 38-41 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - bbe, 9203052, 101605827 IO - R I Med J (2013) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Drug Prescriptions/st [Standards] MH - Health Policy MH - Humans MH - Legislation, Drug MH - Practice Guidelines as Topic MH - Rhode Island KW - Prescription drug abuse; accidental deaths; www.health.ri.giov/saferx; www.health.ri.gov/painmeds AB - 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. RN - 0 (Analgesics, Opioid) ES - 2327-2228 IL - 0363-7913 PT - Journal Article PP - epublish LG - English EP - 20131101 DP - 2013 Nov 01 EZ - 2013/11/05 06:00 DA - 2015/09/05 06:00 DT - 2013/11/05 06:00 YR - 2013 ED - 20150904 RD - 20131104 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24187678 <246. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25257981 TI - Smoking cessation education and training in U.K. medical schools: a national survey. SO - Nicotine & Tobacco Research. 17(3):372-5, 2015 Mar. AS - Nicotine Tob Res. 17(3):372-5, 2015 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Raupach T AU - Al-Harbi G AU - McNeill A AU - Bobak A AU - McEwen A FA - Raupach, Tobias FA - Al-Harbi, Ghada FA - McNeill, Ann FA - Bobak, Alex FA - McEwen, Andy IN - Raupach, Tobias. Department of Epidemiology and Public Health, Cancer Research UK Health Behaviour Research Centre, University College London, London, UK; Department of Cardiology and Pneumology, University Medical Centre Gottingen, Gottingen, Germany; raupach@med.uni-goettingen.de. IN - Al-Harbi, Ghada. Department of Service Development and Health Promotion, Primary Health Care Corporation, Doha, Qatar; IN - McNeill, Ann. National Addiction Centre, Institute of Psychiatry, King's College London, UK Centre for Tobacco and Alcohol Studies, London,UK; IN - Bobak, Alex. Wandsworth Medical Centre, London, UK; IN - McEwen, Andy. Department of Epidemiology and Public Health, Cancer Research UK Health Behaviour Research Centre, University College London, London, UK; National Centre for Smoking Cessation and Training, London, UK. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 17 IP - 3 PG - 372-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - *Counseling/ed [Education] MH - Cross-Sectional Studies/mt [Methods] MH - *Education, Medical, Undergraduate/mt [Methods] MH - Female MH - Humans MH - Male MH - *Schools, Medical MH - Smoking/ep [Epidemiology] MH - Smoking/th [Therapy] MH - *Smoking Cessation/mt [Methods] MH - United Kingdom/ep [Epidemiology] AB - 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. AB - 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. AB - 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. AB - 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. Copyright © The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com. ES - 1469-994X IL - 1462-2203 DO - https://dx.doi.org/10.1093/ntr/ntu199 PT - Journal Article ID - ntu199 [pii] ID - 10.1093/ntr/ntu199 [doi] ID - PMC5479510 [pmc] PP - ppublish GI - No: MR/K023195/1 Organization: *Medical Research Council* Country: United Kingdom LG - English EP - 20140925 DP - 2015 Mar EZ - 2014/09/27 06:00 DA - 2015/08/19 06:00 DT - 2014/09/27 06:00 YR - 2015 ED - 20150817 RD - 20170922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25257981 <247. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24818539 TI - Smoking cessation counseling by surgical and nonsurgical residents: opportunities for health promotion education. SO - Journal of Surgical Education. 71(6):892-5, 2014 Nov-Dec. AS - J Surg Educ. 71(6):892-5, 2014 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Turner SR AU - Lai H AU - Bedard EL FA - Turner, Simon R FA - Lai, Hollis FA - Bedard, Eric L R IN - Turner, Simon R. Department of Surgery, University of Alberta, Edmonton, Alberta, Canada. IN - Lai, Hollis. Department of Undergraduate Medical Education, University of Alberta, Edmonton, Alberta, Canada. IN - Bedard, Eric L R. Department of Surgery, University of Alberta, Edmonton, Alberta, Canada. Electronic address: elbedard@gmail.com. NJ - Journal of surgical education VO - 71 IP - 6 PG - 892-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101303204 IO - J Surg Educ SB - Index Medicus CP - United States MH - Alberta MH - *Counseling MH - *Health Knowledge, Attitudes, Practice MH - *Health Promotion MH - Humans MH - Internet MH - *Internship and Residency MH - *Smoking Cessation MH - Surveys and Questionnaires KW - Interpersonal and Communication Skills; Patient Care; Professionalism; competence; professional; public advocacy; residency; smoking; tobacco AB - 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 Graduate Medical 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. AB - 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. AB - 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. AB - 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. Copyright © 2014 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved. ES - 1878-7452 IL - 1878-7452 DI - S1931-7204(14)00096-8 DO - https://dx.doi.org/10.1016/j.jsurg.2014.03.011 PT - Journal Article ID - S1931-7204(14)00096-8 [pii] ID - 10.1016/j.jsurg.2014.03.011 [doi] PP - ppublish PH - 2013/04/25 [received] PH - 2014/03/06 [revised] PH - 2014/03/24 [accepted] LG - English EP - 20140510 DP - 2014 Nov-Dec EZ - 2014/05/14 06:00 DA - 2015/08/19 06:00 DT - 2014/05/14 06:00 YR - 2014 ED - 20150817 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24818539 <248. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26099770 TI - Substance use disorder amongst Australian and New Zealand anaesthetic trainees: an analysis of 30 years of data. SO - Anaesthesia & Intensive Care. 43(4):530, 2015 Jul. AS - Anaesth Intensive Care. 43(4):530, 2015 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fry RA AU - Fry LE AU - Weeks A FA - Fry, R A FA - Fry, L E FA - Weeks, A IN - Fry, R A. Auckland, New Zealand. IN - Fry, L E. Auckland, New Zealand. IN - Weeks, A. Auckland, New Zealand. NJ - Anaesthesia and intensive care VO - 43 IP - 4 PG - 530 PI - Journal available in: Print PI - Citation processed from: Print JC - 4m5, 0342017 IO - Anaesth Intensive Care SB - Index Medicus CP - Australia MH - Adult MH - *Anesthesiology/sn [Statistics & Numerical Data] MH - Australia/ep [Epidemiology] MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - New Zealand/ep [Epidemiology] MH - Retrospective Studies MH - *Substance-Related Disorders/ep [Epidemiology] IS - 0310-057X IL - 0310-057X PT - Letter ID - 20150097 [pii] PP - ppublish LG - English DP - 2015 Jul EZ - 2015/06/24 06:00 DA - 2015/08/14 06:00 DT - 2015/06/24 06:00 YR - 2015 ED - 20150813 RD - 20150623 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=26099770 <249. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25299484 TI - The influence of medical student gender and drug use on the detection of addiction in patients. SO - Journal of Addictive Diseases. 33(4):277-88, 2014. AS - J Addict Dis. 33(4):277-88, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roncero C AU - Rodriguez-Cintas L AU - Egido A AU - Barral C AU - Perez-Pazos J AU - Collazos F AU - Grau-Lopez L AU - Casas M FA - Roncero, Carlos FA - Rodriguez-Cintas, Laia FA - Egido, Angel FA - Barral, Carmen FA - Perez-Pazos, Jesus FA - Collazos, Francisco FA - Grau-Lopez, Lara FA - Casas, Miquel IN - Roncero, Carlos. a Outpatient Drug Clinic (CAS) Vall Hebron, Psychiatry Services Hospital , Universitario Vall Hebron-ASPB , Barcelona , Spain. NJ - Journal of addictive diseases VO - 33 IP - 4 PG - 277-88 PI - Journal available in: Print PI - Citation processed from: Internet JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - *Alcohol Drinking/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Sex Factors MH - *Smoking/ep [Epidemiology] MH - Spain/ep [Epidemiology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance Abuse Detection MH - *Substance-Related Disorders/ep [Epidemiology] KW - Medical students; addiction; drug dependence; education; gender AB - 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. ES - 1545-0848 IL - 1055-0887 DO - https://dx.doi.org/10.1080/10550887.2014.969600 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/10550887.2014.969600 [doi] PP - ppublish LG - English DP - 2014 EZ - 2014/10/10 06:00 DA - 2015/08/12 06:00 DT - 2014/10/10 06:00 YR - 2014 ED - 20150811 RD - 20141223 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25299484 <250. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25439420 TI - Training for perioperative smoking cessation interventions: a national survey of anesthesiology program directors and residents. SO - Journal of Clinical Anesthesia. 26(7):563-9, 2014 Nov. AS - J Clin Anesth. 26(7):563-9, 2014 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schultz CR AU - Benson JJ AU - Cook DA AU - Warner DO FA - Schultz, Caleb R FA - Benson, Jeffrey J FA - Cook, David A FA - Warner, David O IN - Schultz, Caleb R. Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA. Electronic address: caleb.r.schultz@gmail.com. IN - Benson, Jeffrey J. Department of Anesthesiology, Mayo Clinic, Rochester, MN 55905, USA. IN - Cook, David A. Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA. IN - Warner, David O. Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA. NJ - Journal of clinical anesthesia VO - 26 IP - 7 PG - 563-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - an9, 8812166 IO - J Clin Anesth SB - Index Medicus CP - United States MH - *Anesthesiology/ed [Education] MH - Attitude of Health Personnel MH - Clinical Competence MH - *Education, Medical, Graduate/og [Organization & Administration] MH - *Health Promotion/mt [Methods] MH - Humans MH - Internship and Residency MH - *Perioperative Care/ed [Education] MH - Perioperative Care/mt [Methods] MH - *Smoking Cessation MH - Smoking Prevention MH - United States KW - Anesthesiology residency; Perioperative tobacco control; Residency education; Smoking cessation programs AB - 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. AB - DESIGN: Electronically distributed survey instrument of anesthesiology residency program directors and residents. AB - SETTING: University medical center. AB - 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. AB - CONCLUSIONS: A need exists for expanded formal education on perioperative tobacco cessation interventions for anesthesiology residents. Copyright Published by Elsevier Inc. ES - 1873-4529 IL - 0952-8180 DI - S0952-8180(14)00179-2 DO - https://dx.doi.org/10.1016/j.jclinane.2014.04.008 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0952-8180(14)00179-2 [pii] ID - 10.1016/j.jclinane.2014.04.008 [doi] PP - ppublish PH - 2012/12/28 [received] PH - 2014/04/01 [revised] PH - 2014/04/07 [accepted] LG - English EP - 20141023 DP - 2014 Nov EZ - 2014/12/03 06:00 DA - 2015/07/23 06:00 DT - 2014/12/03 06:00 YR - 2014 ED - 20150722 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25439420 <251. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25392286 TI - Barriers to implementation of treatment guidelines for ADHD in adults with substance use disorder. SO - Journal of Dual Diagnosis. 10(3):130-8, 2014. AS - J Dual Diagn. 10(3):130-8, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Matthys F AU - Soyez V AU - van den Brink W AU - Joostens P AU - Tremmery S AU - Sabbe B FA - Matthys, Frieda FA - Soyez, Veerle FA - van den Brink, Wim FA - Joostens, Peter FA - Tremmery, Sabine FA - Sabbe, Bernard IN - Matthys, Frieda. a Department Psychiatry, Vrije Universiteit Brussel (VUB) , University Hospital, Brussels and MSOC Free Clinic , Antwerp , Belgium. NJ - Journal of dual diagnosis VO - 10 IP - 3 PG - 130-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101197457 IO - J Dual Diagn SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Ambulatory Care/mt [Methods] MH - *Attention Deficit Disorder with Hyperactivity/co [Complications] MH - Attention Deficit Disorder with Hyperactivity/di [Diagnosis] MH - *Attention Deficit Disorder with Hyperactivity/th [Therapy] MH - Belgium MH - Caregivers MH - Comorbidity MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Focus Groups MH - Humans MH - Male MH - Middle Aged MH - Physicians MH - *Practice Guidelines as Topic MH - *Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/th [Therapy] KW - ADHD; addiction; attention deficit hyperactivity disorder; barriers to implementing; guideline; qualitative research; substance use disorder AB - 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. AB - 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. AB - 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. AB - 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. ES - 1550-4271 IL - 1550-4271 DO - https://dx.doi.org/10.1080/15504263.2014.926691 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/15504263.2014.926691 [doi] PP - ppublish LG - English DP - 2014 EZ - 2014/11/14 06:00 DA - 2015/07/18 06:00 DT - 2014/11/14 06:00 YR - 2014 ED - 20150717 RD - 20141113 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25392286 <252. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25938998 TI - Not my place?. SO - Annals of Internal Medicine. 162(9):666-7, 2015 May 05. AS - Ann Intern Med. 162(9):666-7, 2015 May 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Solomon DA FA - Solomon, Daniel A NJ - Annals of internal medicine VO - 162 IP - 9 PG - 666-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Confidentiality MH - *Hepatitis, Alcoholic/px [Psychology] MH - Humans MH - *Internship and Residency MH - Male MH - *Physician's Role MH - *Physician-Patient Relations ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/M14-2139 PT - Journal Article PT - Personal Narratives ID - 2288532 [pii] ID - 10.7326/M14-2139 [doi] PP - ppublish LG - English DP - 2015 May 05 EZ - 2015/05/06 06:00 DA - 2015/07/15 06:00 DT - 2015/05/05 06:00 YR - 2015 ED - 20150709 RD - 20150505 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25938998 <253. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24575160 TI - "Alcohol and nicotine"--Concept and evaluation of an interdisciplinary elective course with OSPE in preclinical medical education. SO - GMS Zeitschrift Fur Medizinische Ausbildung. 31(1):Doc9, 2014. AS - GMS Z Med Ausbild. 31(1):Doc9, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bergelt C AU - Lauke H AU - Petersen-Ewert C AU - Jucker M AU - Bauer CK FA - Bergelt, Corinna FA - Lauke, Heidrun FA - Petersen-Ewert, Corinna FA - Jucker, Manfred FA - Bauer, Christiane K IN - Bergelt, Corinna. University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany. IN - Lauke, Heidrun. University Medical Center Hamburg-Eppendorf, Department of Anatomy and Experimental Morphology, Hamburg, Germany. IN - Petersen-Ewert, Corinna. University Medical Center Hamburg-Eppendorf, Department of Medical Psychology, Hamburg, Germany ; University of Applied Sciences, Department of Nursing and Management, Hamburg, Germany. IN - Jucker, Manfred. University Medical Center Hamburg-Eppendorf, Department of Biochemistry and Signal Transduction, Hamburg, Germany. IN - Bauer, Christiane K. University Medical Center Hamburg-Eppendorf, Department of Cellular and Integrative Physiology, Hamburg, Germany. NJ - GMS Zeitschrift fur medizinische Ausbildung VO - 31 IP - 1 PG - Doc9 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Internet JC - 101276035 IO - GMS Z Med Ausbild PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3935170 SB - Index Medicus CP - Germany MH - Attitude of Health Personnel MH - Clinical Competence/lj [Legislation & Jurisprudence] MH - *Cooperative Behavior MH - Curriculum MH - *Education, Medical, Undergraduate/og [Organization & Administration] MH - *Educational Measurement/mt [Methods] MH - *Ethanol MH - *Faculty, Medical MH - Germany MH - Humans MH - *Interdisciplinary Communication MH - Licensure, Medical/lj [Legislation & Jurisprudence] MH - National Health Programs/lj [Legislation & Jurisprudence] MH - *Nicotine MH - Students, Medical/px [Psychology] KW - Medical education; OSPE; Team-teaching; elective course; interdisciplinary AB - 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. OA - Publisher: In der medizinischen Ausbildung wird in den letzten Jahren bei Lehrveranstaltungen zunehmend Wert auf Interdisziplinaritat und praktische Bezuge gelegt. In dieser Arbeit werden Implementierung, Prufungsergebnisse und Evaluation eines vorklinischen interdisziplinaren Wahlfachs mit Teamteaching-Konzept vorgestellt, das von FachvertreterInnen der Medizinischen Psychologie, Anatomie, Physiologie und Biochemie entwickelt und realisiert wurde. Wegen der besonderen Berucksichtigung praktischer Unterrichtsanteile erfolgte die fachubergreifende Notenfindung anhand einer abschliesenden gemeinsamen OSPE-Prufung. Die fachspezifische Auswertung der OSPE-Resultate spiegelt die unterschiedlichen Kompetenzfelder der Lehr- und Prufungsinhalte der Medizinischen Psychologie im Vergleich zu den medizinischen Grundlagenfachern Anatomie, Physiologie und Biochemie wider. Die positiven Ergebnisse der studentischen Evaluation dieses Wahlfachs mit OSPE und die Erfahrungen der Lehrenden zeigen eine erfolgreiche Umsetzung des entwickelten interdisziplinaren Konzepts, das auch als Modell fur die Entwicklung anderer Lehrveranstaltungen mit interdisziplinarem Charakter dienen kann.; Language: German RN - 3K9958V90M (Ethanol) RN - 6M3C89ZY6R (Nicotine) ES - 1860-3572 IL - 1860-3572 DO - https://dx.doi.org/10.3205/zma000901 PT - Journal Article ID - 10.3205/zma000901 [doi] ID - zma000901 [pii] ID - PMC3935170 [pmc] PP - epublish PH - 2013/06/14 [received] PH - 2013/11/20 [revised] PH - 2014/01/06 [accepted] LG - English EP - 20140217 DP - 2014 EZ - 2014/02/28 06:00 DA - 2015/07/08 06:00 DT - 2014/02/28 06:00 YR - 2014 ED - 20150707 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24575160 <254. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25208198 TI - Alcohol use disorder clinical course research: informing clinicians' treatment planning now and in the future. [Review] SO - Journal of Studies on Alcohol & Drugs. 75(5):799-807, 2014 Sep. AS - J Stud Alcohol. 75(5):799-807, 2014 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Maisto SA AU - Kirouac M AU - Witkiewitz K FA - Maisto, Stephen A FA - Kirouac, Megan FA - Witkiewitz, Katie IN - Maisto, Stephen A. Department of Psychology, Syracuse University, Syracuse, New York. IN - Kirouac, Megan. Department of Psychology, University of New Mexico, Albuquerque, New Mexico. IN - Witkiewitz, Katie. Department of Psychology, University of New Mexico, Albuquerque, New Mexico. NJ - Journal of studies on alcohol and drugs VO - 75 IP - 5 PG - 799-807 PI - Journal available in: Print PI - Citation processed from: Internet JC - k76, 101295847 IO - J Stud Alcohol Drugs PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4161700 SB - Index Medicus CP - United States MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/ep [Epidemiology] MH - *Alcohol-Related Disorders/th [Therapy] MH - *Biomedical Research/mt [Methods] MH - Biomedical Research/td [Trends] MH - *Clinical Protocols MH - Forecasting MH - Humans MH - Physicians/td [Trends] MH - *Physicians AB - 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. AB - METHOD: An overview, a critical analysis, and a discussion of AUD clinical course research are presented. AB - 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. AB - 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. ES - 1938-4114 IL - 1937-1888 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review ID - PMC4161700 [pmc] PP - ppublish GI - No: K05 AA016928 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 AA022328 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: T32 AA018108 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: 1R01 AA022328 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2014 Sep EZ - 2014/09/11 06:00 DA - 2015/06/16 06:00 DT - 2014/09/11 06:00 YR - 2014 ED - 20150615 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25208198 <255. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25065457 TI - Preliminary survey of office-based opioid treatment practices and attitudes among psychiatrists never receiving buprenorphine training to those who received training during residency. SO - American Journal on Addictions. 23(6):618-22, 2014 Nov-Dec. AS - Am J Addict. 23(6):618-22, 2014 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suzuki J AU - Connery HS AU - Ellison TV AU - Renner JA FA - Suzuki, Joji FA - Connery, Hilary S FA - Ellison, Tatyana V FA - Renner, John A IN - Suzuki, Joji. Brigham and Women's Hospital, Boston, Massachusetts; Harvard Medical School, Boston, Massachusetts. NJ - The American journal on addictions VO - 23 IP - 6 PG - 618-22 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4391742 OI - Source: NLM. NIHMS674220 SB - Index Medicus CP - England MH - Adult MH - Ambulatory Care MH - *Attitude of Health Personnel MH - *Buprenorphine/tu [Therapeutic Use] MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opiate Substitution Treatment MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Psychiatry/ed [Education] MH - *Psychiatry/sn [Statistics & Numerical Data] AB - 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. AB - METHODS: A total of 359 psychiatrists completing residency training between 2008 and 2011 were recruited to complete an on-line survey. AB - 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. AB - 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. AB - 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. Copyright © American Academy of Addiction Psychiatry. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/j.1521-0391.2014.12143.x PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1111/j.1521-0391.2014.12143.x [doi] ID - PMC4391742 [pmc] ID - NIHMS674220 [mid] PP - ppublish PH - 2013/04/23 [received] PH - 2013/11/26 [revised] PH - 2014/02/04 [accepted] GI - No: U10 DA015831 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10DA15831 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20140725 DP - 2014 Nov-Dec EZ - 2014/07/30 06:00 DA - 2015/06/16 06:00 DT - 2014/07/29 06:00 YR - 2014 ED - 20150615 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25065457 <256. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25065389 TI - Stimulating and evaluating acquired knowledge of addiction among residents through repeat testing: a pilot study. SO - American Journal on Addictions. 23(6):576-81, 2014 Nov-Dec. AS - Am J Addict. 23(6):576-81, 2014 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Karam-Hage M AU - Ouyang F AU - Ghorayeb J AU - Mullan P AU - Brower K AU - Gruppen L FA - Karam-Hage, Maher FA - Ouyang, Fangqian FA - Ghorayeb, Jihane FA - Mullan, Patricia FA - Brower, Kirk FA - Gruppen, Larry IN - Karam-Hage, Maher. Department of Behavioral Science, University of Texas MD Anderson Cancer Center, Houston, Texas; Department of Psychiatry, University of Texas MD Anderson Cancer Center, Houston, Texas. NJ - The American journal on addictions VO - 23 IP - 6 PG - 576-81 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - *Behavior, Addictive MH - *Clinical Competence MH - Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - *Educational Measurement/mt [Methods] MH - Female MH - Humans MH - *Internship and Residency/mt [Methods] MH - Male MH - Pilot Projects MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders AB - BACKGROUND: Addictive disorders receive little attention in medical school and residency program curricula. AB - 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. AB - 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. AB - 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). AB - 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. AB - SCIENTIFIC SIGNIFICANCE: This study offers support for testing as a learning guide and as a means of stimulating residents' learning. Copyright © American Academy of Addiction Psychiatry. ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/j.1521-0391.2014.12141.x PT - Journal Article ID - 10.1111/j.1521-0391.2014.12141.x [doi] PP - ppublish PH - 2013/07/23 [received] PH - 2014/02/20 [revised] PH - 2014/04/12 [accepted] LG - English EP - 20140725 DP - 2014 Nov-Dec EZ - 2014/07/30 06:00 DA - 2015/06/16 06:00 DT - 2014/07/29 06:00 YR - 2014 ED - 20150615 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25065389 <257. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25115136 TI - Web-based training for primary care providers on screening, brief intervention, and referral to treatment (SBIRT) for alcohol, tobacco, and other drugs. SO - Journal of Substance Abuse Treatment. 47(5):362-70, 2014 Nov-Dec. AS - J Subst Abuse Treat. 47(5):362-70, 2014 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stoner SA AU - Mikko AT AU - Carpenter KM FA - Stoner, Susan A FA - Mikko, A Tasha FA - Carpenter, Kelly M IN - Stoner, Susan A. Talaria, Inc., Seattle, Washington; The Alcohol and Drug Abuse Institute, University of Washington, Seattle, Washington. Electronic address: sastoner@uw.edu. IN - Mikko, A Tasha. Talaria, Inc., Seattle, Washington. IN - Carpenter, Kelly M. Talaria, Inc., Seattle, Washington. NJ - Journal of substance abuse treatment VO - 47 IP - 5 PG - 362-70 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4196703 OI - Source: NLM. NIHMS622222 SB - Index Medicus CP - United States MH - *Education, Medical, Continuing/mt [Methods] MH - Humans MH - *Internet MH - Mass Screening MH - *Primary Health Care MH - *Referral and Consultation MH - Self Efficacy MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] KW - Brief intervention; Primary care; SBIRT; Substance use disorders; Web-based training AB - 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. Copyright © 2014 Elsevier Inc. All rights reserved. ES - 1873-6483 IL - 0740-5472 DI - S0740-5472(14)00119-6 DO - https://dx.doi.org/10.1016/j.jsat.2014.06.009 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - S0740-5472(14)00119-6 [pii] ID - 10.1016/j.jsat.2014.06.009 [doi] ID - PMC4196703 [pmc] ID - NIHMS622222 [mid] PP - ppublish PH - 2013/10/10 [received] PH - 2014/05/20 [revised] PH - 2014/06/30 [accepted] GI - No: HHSN271200900035C Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: HHSN271200900035C Organization: *PHS HHS* Country: United States LG - English EP - 20140712 DP - 2014 Nov-Dec EZ - 2014/08/15 06:00 DA - 2015/06/11 06:00 DT - 2014/08/14 06:00 YR - 2014 ED - 20150610 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25115136 <258. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25845176 TI - [A physician, his patients and alcohol. Forty years of training]. [French] OT - Un medecin, ses patients et l'alcool. Quarante annees d'apprentissage. SO - Revue Medicale Suisse. 11(459):278-9, 2015 Jan 28. AS - Rev Med Suisse. 11(459):278-9, 2015 Jan 28. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beyeler Y FA - Beyeler, Yves NJ - Revue medicale suisse VO - 11 IP - 459 PG - 278-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 101219148 IO - Rev Med Suisse SB - Index Medicus CP - Switzerland MH - Age Factors MH - Aged MH - *Alcoholism/hi [History] MH - Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - Depressive Disorder/hi [History] MH - Depressive Disorder/px [Psychology] MH - Depressive Disorder/th [Therapy] MH - *Education, Medical, Continuing MH - Female MH - Geriatric Assessment/hi [History] MH - History, 20th Century MH - History, 21st Century MH - Humans MH - Male MH - *Physician-Patient Relations IS - 1660-9379 IL - 1660-9379 PT - Historical Article PT - Journal Article PT - Personal Narratives PP - ppublish LG - French DP - 2015 Jan 28 EZ - 2015/04/08 06:00 DA - 2015/05/30 06:00 DT - 2015/04/08 06:00 YR - 2015 ED - 20150529 RD - 20150407 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25845176 <259. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24828968 TI - Candidate metrics for evaluating the impact of prescriber education on the safe use of extended-release/long-acting (ER/LA) opioid analgesics. SO - Pain Medicine. 15(9):1558-68, 2014 Sep. AS - PAIN MED. 15(9):1558-68, 2014 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Willy ME AU - Graham DJ AU - Racoosin JA AU - Gill R AU - Kropp GF AU - Young J AU - Yang J AU - Choi J AU - MaCurdy TE AU - Worrall C AU - Kelman JA FA - Willy, Mary E FA - Graham, David J FA - Racoosin, Judith A FA - Gill, Rajdeep FA - Kropp, Garner F FA - Young, Jessica FA - Yang, Jeff FA - Choi, Joyce FA - MaCurdy, Thomas E FA - Worrall, Chris FA - Kelman, Jeffrey A IN - Willy, Mary E. Center for Drug Evaluation and Research, Food and Drug Administration, Silver Spring, Maryland, USA. NJ - Pain medicine (Malden, Mass.) VO - 15 IP - 9 PG - 1558-68 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - Adult MH - Aged MH - Aged, 80 and over MH - Chronic Pain/dt [Drug Therapy] MH - Chronic Pain/ep [Epidemiology] MH - Comorbidity MH - Delayed-Action Preparations MH - Dose-Response Relationship, Drug MH - Drug Monitoring/ut [Utilization] MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Drug Tolerance MH - *Education, Medical, Continuing MH - Female MH - Humans MH - Inappropriate Prescribing/pc [Prevention & Control] MH - Inappropriate Prescribing/sn [Statistics & Numerical Data] MH - Kidney Failure, Chronic/ep [Epidemiology] MH - Male MH - Medicare/sn [Statistics & Numerical Data] MH - Middle Aged MH - *Narcotics/ad [Administration & Dosage] MH - Narcotics/an [Analysis] MH - Narcotics/tu [Therapeutic Use] MH - *Oxycodone/ad [Administration & Dosage] MH - Oxycodone/an [Analysis] MH - Oxycodone/tu [Therapeutic Use] MH - Practice Guidelines as Topic MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - United States KW - Evaluation; Metrics; Opioids; REMS AB - OBJECTIVE: The objective of this study was to develop metrics to assess opioid prescribing behavior as part of the evaluation of the Extended-Release/Long-Acting (ER/LA) Opioid Analgesic Risk Evaluation and Mitigation Strategies (REMS). AB - DESIGN: Candidate metrics were selected using published guidelines, examined using sensitivity analyses, and applied to cross-sectional rolling cohorts of Medicare patients prescribed with extended-release oxycodone (ERO) between July 2, 2006 and July 1, 2011. Potential metrics included prescribing opioid-tolerant-only ER/LA opioid analgesics to non-opioid-tolerant patients, prescribing early fills to patients, and ordering drug screens. AB - RESULTS: Proposed definitions for opioid tolerance were seven continuous days of opioid usage of at least 30 mg oxycodone equivalents, within the 7 days (primary) or 30 days (secondary) prior to first opioid-tolerant-only ERO prescription. Forty-four percent of opioid-tolerant-only ERO episodes met the primary opioid tolerance definition; 56% met the secondary definition. Fills were deemed "early" if a prescription was filled before 70% (primary) or 50% (secondary) of the prior prescription's days' supply was to be consumed. Five percent (primary) and 2% (secondary) of episodes had more than or equal to two early fills during treatment. At least one drug screen was billed in 14% of episodes. Stratified analyses indicated that older patients were less likely to be opioid tolerant at the time of the first opioid-tolerant-only ERO prescription. AB - CONCLUSIONS: Investigators propose three metrics to monitor changes in prescribing behaviors for opioid analgesics that might be used to evaluate the ER/LA Opioid Analgesics REMS. Low frequencies of patients, particularly those >85 years, were likely to be opioid tolerant prior to receiving prescriptions for opioid-tolerant-only ERO. Copyright Wiley Periodicals, Inc. RN - 0 (Delayed-Action Preparations) RN - 0 (Narcotics) RN - CD35PMG570 (Oxycodone) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/pme.12459 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1111/pme.12459 [doi] PP - ppublish LG - English EP - 20140515 DP - 2014 Sep EZ - 2014/05/16 06:00 DA - 2015/05/29 06:00 DT - 2014/05/16 06:00 YR - 2014 ED - 20150528 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24828968 <260. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26005357 TI - Prevalence and correlation of hypertension among adult population in Bahir Dar city, northwest Ethiopia: a community based cross-sectional study. SO - International journal of general medicine. 8:175-85, 2015. AS - Int J Gen Med. 8:175-85, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Anteneh ZA AU - Yalew WA AU - Abitew DB FA - Anteneh, Zelalem Alamrew FA - Yalew, Worku Awoke FA - Abitew, Dereje Birhanu IN - Anteneh, Zelalem Alamrew. School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. IN - Yalew, Worku Awoke. School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. IN - Abitew, Dereje Birhanu. School of Public Health, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia. NJ - International journal of general medicine VO - 8 PG - 175-85 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101515487 IO - Int J Gen Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4427605 CP - New Zealand KW - blood pressure; body mass index; noncommunicable disease; salt consumption AB - 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. AB - 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. AB - 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. AB - 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. IS - 1178-7074 IL - 1178-7074 DO - https://dx.doi.org/10.2147/IJGM.S81513 PT - Journal Article ID - 10.2147/IJGM.S81513 [doi] ID - ijgm-8-175 [pii] ID - PMC4427605 [pmc] PP - epublish LG - English EP - 20150506 DP - 2015 EZ - 2015/05/26 06:00 DA - 2015/05/26 06:01 DT - 2015/05/26 06:00 YR - 2015 ED - 20150525 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=26005357 <261. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25623851 TI - The role of reactive oxygen species in morphine addiction of SH-SY5Y cells. SO - Life Sciences. 124:128-35, 2015 Mar 01. AS - Life Sci. 124:128-35, 2015 Mar 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ma J AU - Yuan X AU - Qu H AU - Zhang J AU - Wang D AU - Sun X AU - Zheng Q FA - Ma, Jun FA - Yuan, Xuan FA - Qu, Hengyi FA - Zhang, Juan FA - Wang, Dong FA - Sun, Xiling FA - Zheng, Qiusheng IN - Ma, Jun. Binzhou Medical University, Yantai 264000, Shandong, China; Life Science School, Yantai University, Yantai 264000, Shandong, China. IN - Yuan, Xuan. Key Laboratory of Xinjiang Endemic Phytomedicine Resources, Ministry of Education, School of Pharmacy, Shihezi University, Shihezi 832002, Xinjiang, China. IN - Qu, Hengyi. Binzhou Medical University, Yantai 264000, Shandong, China. IN - Zhang, Juan. Key Laboratory of Xinjiang Endemic Phytomedicine Resources, Ministry of Education, School of Pharmacy, Shihezi University, Shihezi 832002, Xinjiang, China. IN - Wang, Dong. Qianfoshan Hospital of Shandong Province, Jinan 250014, China. IN - Sun, Xiling. Binzhou Medical University, Yantai 264000, Shandong, China. Electronic address: Sunxiling@sohu.com. IN - Zheng, Qiusheng. Binzhou Medical University, Yantai 264000, Shandong, China; Life Science School, Yantai University, Yantai 264000, Shandong, China. Electronic address: zqsyt@sohu.com. NJ - Life sciences VO - 124 PG - 128-35 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - l62, 0375521 IO - Life Sci. SB - Index Medicus CP - Netherlands MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/pd [Pharmacology] MH - Antioxidants/pd [Pharmacology] MH - Cell Differentiation/de [Drug Effects] MH - Cell Line, Tumor MH - Cyclic AMP/me [Metabolism] MH - Dose-Response Relationship, Drug MH - Humans MH - Morphine/ad [Administration & Dosage] MH - *Morphine/pd [Pharmacology] MH - *Morphine Dependence/pp [Physiopathology] MH - Naloxone/pd [Pharmacology] MH - Narcotic Antagonists/pd [Pharmacology] MH - Neuroblastoma/me [Metabolism] MH - RNA, Messenger/me [Metabolism] MH - *Reactive Oxygen Species/me [Metabolism] MH - *Receptors, Opioid, mu/ge [Genetics] MH - Time Factors MH - Tretinoin/pd [Pharmacology] KW - Morphine addiction; Reactive oxygen species (ROS); mu-Opioid receptor (MOR) AB - 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 mu-opioid receptor (MOR) in differentiated SH-SY5Y cells. AB - 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 mu-opioid receptor (MOR) was evaluated by qRT-PCR. AB - 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. AB - 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. Copyright © 2015 Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) RN - 0 (Antioxidants) RN - 0 (Narcotic Antagonists) RN - 0 (RNA, Messenger) RN - 0 (Reactive Oxygen Species) RN - 0 (Receptors, Opioid, mu) RN - 36B82AMQ7N (Naloxone) RN - 5688UTC01R (Tretinoin) RN - 76I7G6D29C (Morphine) RN - E0399OZS9N (Cyclic AMP) ES - 1879-0631 IL - 0024-3205 DI - S0024-3205(15)00040-5 DO - https://dx.doi.org/10.1016/j.lfs.2015.01.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0024-3205(15)00040-5 [pii] ID - 10.1016/j.lfs.2015.01.003 [doi] PP - ppublish PH - 2014/07/03 [received] PH - 2015/01/13 [revised] PH - 2015/01/14 [accepted] LG - English EP - 20150123 DP - 2015 Mar 01 EZ - 2015/01/28 06:00 DA - 2015/05/20 06:00 DT - 2015/01/28 06:00 YR - 2015 ED - 20150519 RD - 20150310 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25623851 <262. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25084806 TI - Addressing a training gap through addiction research education for medical students: letter to the editor. SO - Substance Abuse. 36(1):3-5, 2015. AS - Subst Abus. 36(1):3-5, 2015. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klimas J AU - Cullen W FA - Klimas, Jan FA - Cullen, Walter IN - Klimas, Jan. a School of Medicine and Medical Science , University College Dublin , Dublin , Ireland. CM - Comment on: Subst Abus. 2012;33(3):227-30; PMID: 22737999 NJ - Substance abuse VO - 36 IP - 1 PG - 3-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Curriculum/st [Standards] MH - *Health Personnel/ed [Education] MH - Humans MH - *Psychotherapy, Brief MH - *Referral and Consultation MH - *Substance Abuse Detection ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2014.939802 PT - Comment PT - Letter PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2014.939802 [doi] PP - ppublish LG - English EP - 20140801 DP - 2015 EZ - 2014/08/03 06:00 DA - 2015/05/20 06:00 DT - 2014/08/03 06:00 YR - 2015 ED - 20150518 RD - 20150320 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25084806 <263. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24879656 TI - Addiction to sugar and its link to health morbidity: a primer for newer primary care and public health initiatives in Malaysia. SO - Journal of Primary Care & Community Health. 5(4):263-70, 2014 Oct. AS - J. prim. care community health. 5(4):263-70, 2014 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Swarna Nantha Y FA - Swarna Nantha, Yogarabindranath IN - Swarna Nantha, Yogarabindranath. Seremban Primary Care Health Clinic, Seremban, Malaysia yogarabin@gmail.com. NJ - Journal of primary care & community health VO - 5 IP - 4 PG - 263-70 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101518419 IO - J Prim Care Community Health SB - Index Medicus CP - United States MH - Behavior, Addictive/th [Therapy] MH - *Behavior, Addictive MH - Cardiovascular Diseases/et [Etiology] MH - Cardiovascular Diseases/pc [Prevention & Control] MH - Diabetes Mellitus, Type 2/et [Etiology] MH - Diabetes Mellitus, Type 2/pc [Prevention & Control] MH - *Dietary Sucrose/ae [Adverse Effects] MH - Health Policy MH - Health Promotion MH - Humans MH - Malaysia MH - Obesity/et [Etiology] MH - Obesity/pc [Prevention & Control] MH - *Primary Health Care/mt [Methods] MH - Public Health KW - dietary habits; food environment; health policies; health promotion; non communicable diseases; sugar addiction AB - OBJECTIVES: The average consumption of sugar in the Malaysian population has reached an alarming rate, exceeding the benchmark recommended by experts. This article argues the need of a paradigm shift in the management of sugar consumption in the country through evidence derived from addiction research. AB - METHODS: "Food addiction" could lead to high levels of sugar consumption. This probable link could accelerate the development of diabetes and obesity in the community. A total of 94 reports and studies that describe the importance of addiction theory-based interventions were found through a search on PubMed, Google Scholar, and Academic Search Complete. AB - RESULTS: Research in the field of addiction medicine has revealed the addictive potential of high levels of sugar intake. Preexisting health promotion strategies could benefit from the integration of the concept of sugar addiction. A targeted intervention could yield more positive results in health outcomes within the country. AB - CONCLUSION: Current literature seems to support food environment changes, targeted health policies, and special consultation skills as cost-effective remedies to curb the rise of sugar-related health morbidities. Copyright © The Author(s) 2014. RN - 0 (Dietary Sucrose) ES - 2150-1327 IL - 2150-1319 DO - https://dx.doi.org/10.1177/2150131914536988 PT - Journal Article ID - 2150131914536988 [pii] ID - 10.1177/2150131914536988 [doi] PP - ppublish LG - English EP - 20140529 DP - 2014 Oct EZ - 2014/06/01 06:00 DA - 2015/05/15 06:00 DT - 2014/06/01 06:00 YR - 2014 ED - 20150514 RD - 20140919 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24879656 <264. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24423760 TI - [Relations between attitude and practice of smoking and the training program regarding tobacco control among community medical staff members in Hangzhou, Zhejiang province]. [Chinese] SO - Chung-Hua Liu Hsing Ping Hsueh Tsa Chih Chinese Journal of Epidemiology. 34(8):770-3, 2013 Aug. AS - Chung Hua Liu Hsing Ping Hsueh Tsa Chih. 34(8):770-3, 2013 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Liu QM AU - Ren YJ AU - Cao CJ AU - Liu B AU - Lv J AU - Li LM FA - Liu, Qing-Min FA - Ren, Yan-Jun FA - Cao, Cheng-Jian FA - Liu, Bing FA - Lv, Jun FA - Li, Li-Ming IN - Liu, Qing-Min. Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China. IN - Ren, Yan-Jun. Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China. IN - Cao, Cheng-Jian. Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China. IN - Liu, Bing. Hangzhou Center for Disease Control and Prevention, Hangzhou 310021, China. IN - Lv, Jun. Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center. IN - Li, Li-Ming. Department of Epidemiology and Biostatistics, School of Public Health, Peking University Health Science Center. NJ - Zhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi VO - 34 IP - 8 PG - 770-3 PI - Journal available in: Print PI - Citation processed from: Print JC - cqg, 8208604 IO - Zhonghua Liu Xing Bing Xue Za Zhi SB - Index Medicus CP - China MH - Adult MH - *Allied Health Personnel/px [Psychology] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Inservice Training MH - Male MH - Medical Staff MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - *Smoking Prevention MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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%. AB - 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. IS - 0254-6450 IL - 0254-6450 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - Chinese DP - 2013 Aug EZ - 2014/01/16 06:00 DA - 2015/04/22 06:00 DT - 2014/01/16 06:00 YR - 2013 ED - 20150421 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24423760 <265. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25295964 TI - 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. SO - Academic Medicine. 90(3):345-54, 2015 Mar. AS - Acad Med. 90(3):345-54, 2015 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lanken PN AU - Novack DH AU - Daetwyler C AU - Gallop R AU - Landis JR AU - Lapin J AU - Subramaniam GA AU - Schindler BA FA - Lanken, Paul N FA - Novack, Dennis H FA - Daetwyler, Christof FA - Gallop, Robert FA - Landis, J Richard FA - Lapin, Jennifer FA - Subramaniam, Geetha A FA - Schindler, Barbara A IN - Lanken, Paul N. 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. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 90 IP - 3 PG - 345-54 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Clinical Competence MH - Cluster Analysis MH - *Communication MH - *Computer-Assisted Instruction MH - *Curriculum MH - Education, Distance MH - Humans MH - Internet MH - *Internship and Residency MH - Self Efficacy MH - Self-Assessment MH - *Substance-Related Disorders/th [Therapy] AB - 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). AB - 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. AB - 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). AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0000000000000506 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - 10.1097/ACM.0000000000000506 [doi] PP - ppublish GI - No: HHSN271200900021C Organization: *PHS HHS* Country: United States LG - English DP - 2015 Mar EZ - 2014/10/09 06:00 DA - 2015/04/22 06:00 DT - 2014/10/09 06:00 YR - 2015 ED - 20150420 RD - 20150225 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25295964 <266. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24821351 TI - A validated questionnaire to assess the knowledge of psychiatric aspects of alcohol use disorder. SO - Substance Abuse. 35(2):147-52, 2014. AS - Subst Abus. 35(2):147-52, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jaworowski S AU - Walter G AU - Soh N AU - Freier Dror Y AU - Mergui J AU - Gropp C AU - Haber PS FA - Jaworowski, Sol FA - Walter, Garry FA - Soh, Nerissa FA - Freier Dror, Yossi FA - Mergui, Joseph FA - Gropp, Cornelius FA - Haber, Paul S IN - Jaworowski, Sol. a Department of Consultation and Liaison Psychiatry , Shaare Zedek Medical Centre, Hebrew University , Jerusalem , Israel. NJ - Substance abuse VO - 35 IP - 2 PG - 147-52 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcohol-Related Disorders/px [Psychology] MH - Education, Medical, Undergraduate MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Psychometrics MH - Reproducibility of Results MH - *Students, Medical/px [Psychology] MH - *Surveys and Questionnaires KW - Alcoholism; dual-diagnosis psychiatry; education AB - BACKGROUND: To the best of our knowledge, there is no validated instrument for measuring knowledge of psychiatric aspects of alcohol use disorder (AUD) amongst medical students. Our aim was to develop an instrument for this purpose and to describe the instrument's psychometric properties. We also investigated whether the instrument could demonstrate a significant change in scores following an educational intervention consisting of a 60-minute PowerPoint lecture on AUD, associated handouts, and role-plays. AB - METHODS: The Knowledge of Psychiatric Aspects of Alcohol Questionnaire (KPAAQ) was developed from the Kaplan and Saddock textbook synopsis chapter on alcohol related disorders. The questionnaire included 6 categories of clinically relevant material: metabolism of alcohol, short-term effects of alcohol, long-term effects of alcohol, AUD, alcohol withdrawal, and alcohol use in pregnancy. The KPAAQ was administered to 75 medical students in Years 4 and 5 from the Hebrew University in Jerusalem, Israel, during a relevant clinical rotation. Following the initial administration of the KPAAQ, the students attended a 60-minute lecture (in Hebrew) based on material from the University of Sydney's learning module on alcohol. The KPAAQ was readministered to the students immediately following the lecture. AB - RESULTS: The KPAAQ demonstrated good reliability (Cronbach alpha =.92 for all questions) and validity r(209) =.674, P <.001. Knowledge of alcohol and alcoholism significantly increased after the educational intervention (F(2, 154) = 151.60, P <.001). Post hoc comparisons using the Scheffe test revealed a significant positive change in knowledge after students received the intervention (mean difference = 33, P <.001). AB - CONCLUSIONS: These initial findings suggest that the KPAAQ is a reliable and valid instrument for assessing medical student knowledge of psychiatric aspects of AUD over 6 clinical categories. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2013.822053 PT - Journal Article PT - Validation Studies ID - 10.1080/08897077.2013.822053 [doi] PP - ppublish LG - English DP - 2014 EZ - 2014/05/14 06:00 DA - 2015/04/14 06:00 DT - 2014/05/14 06:00 YR - 2014 ED - 20150413 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24821351 <267. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24588286 TI - Association between addiction treatment staff professional and educational levels and perceptions of organizational climate and resources. SO - Substance Abuse. 35(1):3-6, 2014. AS - Subst Abus. 35(1):3-6, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krull I AU - Lundgren L AU - Beltrame C FA - Krull, Ivy FA - Lundgren, Lena FA - Beltrame, Clelia IN - Krull, Ivy. a Center for Addictions Research and Services , Boston University, School of Social Work , Boston , Massachusetts , USA. NJ - Substance abuse VO - 35 IP - 1 PG - 3-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Educational Status MH - Evidence-Based Practice MH - Female MH - Health Resources MH - Humans MH - Male MH - Organizational Innovation MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - CONCLUSION: It cannot be inferred that higher levels of education among treatment staff is necessarily associated with high levels of organizational readiness for change. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2013.792313 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2013.792313 [doi] PP - ppublish LG - English DP - 2014 EZ - 2014/03/05 06:00 DA - 2015/04/14 06:00 DT - 2014/03/05 06:00 YR - 2014 ED - 20150413 RD - 20140304 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24588286 <268. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25799852 TI - [Patterns of drinking alcohol tobacco smoking among 6th year students of the faculty of medicine in Bialstok]. [Polish] OT - Wzorce picia alkoholu i palenie tytoniu wsrod studentow VI roku Wydzialu Lekarskiego Uniwersytetu Medycznego w Bialymstoku. SO - Przeglad Lekarski. 71(11):597-600, 2014. AS - Przegl Lek. 71(11):597-600, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bielska D AU - Kurpas D AU - Oltarzewska A AU - Piotrowska-Depta M AU - Gomolka E AU - Wojtal M AU - Florek E FA - Bielska, Dorota FA - Kurpas, Donata FA - Oltarzewska, Alicja FA - Piotrowska-Depta, Maria FA - Gomolka, Ewa FA - Wojtal, Mariola FA - Florek, Ewa NJ - Przeglad lekarski VO - 71 IP - 11 PG - 597-600 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - *Alcoholic Intoxication/ep [Epidemiology] MH - Alcoholism/ep [Epidemiology] MH - Behavior, Addictive/ep [Epidemiology] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Incidence MH - Male MH - Poland/ep [Epidemiology] MH - Population Surveillance MH - *Smoking/ep [Epidemiology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - INTRODUCTION: Alcohol and tobacco are legal, easily available addictive substances. There are no universal criteria of safe alcohol consumption but some scientific studies have allowed for determination of consumption levels helpful in evaluation of the pattern of drinking and evoking readiness to limit the amount of consumed alcohol. AB - THE AIM: The aim of the work was to evaluate and compare the knowledge of 6th year students of the Faculty of Medicine of the Medical University of Biatystok in the academic years 2011/12 and 2012/13 concerning the effects of alcohol abuse, as well as to determine their drinking patterns and tobacco smoking structure. AB - MATERIALS AND METHODS: The study material was collected by means of anonymous voluntary surveys carried out before classes concerning the issues of addictions within the framework of family medicine subject block. AB - RESULTS: 356 students took part in the study: 226 (63.5%) women and 130 (36.5%) men (p<0.000). 4.86% of the respondents displayed a high level of knowledge on the harmfulness of alcohol abuse; 63.43% had an average level of knowledge and 31.71% - a low one. 51,32% women and 62,3% men drank alcohol in a hazardous way. A relation was found between a low level of knowledge and the amount of alcohol consumed on a typical drinking day (rS=-0.15, p=0.03) as well as between a low level of knowledge and hazardous drinking (rS=-0.13, p=0.03). Among the respondents, 18,58% women and 14,63% men smoked cigarettes regularly. Those who are 6th year students in the academic year 2012/13 usually had started smoking within the first three years of study at the Medical University and drank greater amounts of alcohol on a typical drinking day than students surveyed in the 2011/12 year. A correlation was found between tobacco smoking and a greater frequency of getting drunk occasionally (rS=-0.18, p=0.002) among students of both years. AB - CONCLUSION: Insufficient knowledge on the effects of alcohol abuse and smoking coexist with a higher risk of drinking alcohol. IS - 0033-2240 IL - 0033-2240 PT - English Abstract PT - Journal Article PP - ppublish LG - Polish DP - 2014 EZ - 2014/01/01 00:00 DA - 2015/04/10 06:00 DT - 2015/03/25 06:00 YR - 2014 ED - 20150409 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25799852 <269. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23461668 TI - Prescription medication misuse among adolescents with severe mental health problems in Ontario, Canada. SO - Substance Use & Misuse. 48(5):404-14, 2013 Apr. AS - Subst Use Misuse. 48(5):404-14, 2013 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stewart SL AU - Baiden P AU - den Dunnen W FA - Stewart, Shannon L FA - Baiden, Philip FA - den Dunnen, Wendy IN - Stewart, Shannon L. Applied Research and Education, Child and Parent Resource Institute, London, Ontario, Canada. shannon.stewart@ontario.ca NJ - Substance use & misuse VO - 48 IP - 5 PG - 404-14 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cgg, 9602153 IO - Subst Use Misuse SB - Index Medicus CP - England MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Child MH - Female MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - Mental Disorders/px [Psychology] MH - Ontario/ep [Epidemiology] MH - *Prescription Drug Misuse/sn [Statistics & Numerical Data] MH - Prevalence MH - Risk Factors MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] AB - 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. ES - 1532-2491 IL - 1082-6084 DO - https://dx.doi.org/10.3109/10826084.2013.765482 PT - Journal Article ID - 10.3109/10826084.2013.765482 [doi] PP - ppublish LG - English EP - 20130305 DP - 2013 Apr EZ - 2013/03/07 06:00 DA - 2015/04/10 06:00 DT - 2013/03/07 06:00 YR - 2013 ED - 20150409 RD - 20130314 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23461668 <270. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24164582 TI - Does research into medical education on tobacco and alcohol get the respect it deserves?. SO - Addiction. 109(2):173-4, 2014 Feb. AS - Addiction. 109(2):173-4, 2014 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Raupach T AU - Krampe H AU - Brown J FA - Raupach, Tobias FA - Krampe, Henning FA - Brown, Jamie IN - Raupach, Tobias. Department of Cardiology and Pneumology, University Hospital Gottingen, Robert-Koch-Strase 40, D-37075, Gottingen, Germany; Cancer Research UK Health Behaviour Research Centre, University College London, London, UK. raupach@med.uni-goettingen.de. NJ - Addiction (Abingdon, England) VO - 109 IP - 2 PG - 173-4 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Biomedical Research MH - *Education, Medical MH - Global Health MH - Humans MH - *Smoking Prevention KW - Impact; journal; medical education; policy; research; smoking AB - 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. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/add.12357 PT - Editorial ID - 10.1111/add.12357 [doi] PP - ppublish GI - No: MR/K023195/1 Organization: *Medical Research Council* Country: United Kingdom LG - English EP - 20131024 DP - 2014 Feb EZ - 2013/10/30 06:00 DA - 2015/04/08 06:00 DT - 2013/10/30 06:00 YR - 2014 ED - 20150407 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24164582 <271. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25127880 TI - An inevitable wave of prescription drug monitoring programs in the context of prescription opioids: pros, cons and tensions. SO - BMC Pharmacology & Toxicology. 15:46, 2014 Aug 16. AS - BMC Pharmacol Toxicol. 15:46, 2014 Aug 16. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Islam MM AU - McRae IS FA - Islam, M Mofizul FA - McRae, Ian S IN - Islam, M Mofizul. Australian Primary Health Care Research Institute, Australian National University, Building 63, corner of Mills & Eggleston Roads, Canberra, ACTON ACT 0200, Australia. mofizul.islam@anu.edu.au. NJ - BMC pharmacology & toxicology VO - 15 PG - 46 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101590449 IO - BMC Pharmacol Toxicol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4138942 SB - Index Medicus CP - England MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - *Drug Monitoring MH - Humans AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) ES - 2050-6511 IL - 2050-6511 DO - https://dx.doi.org/10.1186/2050-6511-15-46 PT - Editorial PT - Research Support, Non-U.S. Gov't ID - 2050-6511-15-46 [pii] ID - 10.1186/2050-6511-15-46 [doi] ID - PMC4138942 [pmc] PP - epublish PH - 2014/04/25 [received] PH - 2014/08/06 [accepted] LG - English EP - 20140816 DP - 2014 Aug 16 EZ - 2014/08/17 06:00 DA - 2015/04/01 06:00 DT - 2014/08/17 06:00 YR - 2014 ED - 20150331 RD - 20150804 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25127880 <272. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24874783 TI - Partnering with health care systems to assess tobacco treatment practices and beliefs among clinicians: evaluating the process. SO - Preventing Chronic Disease. 11:E91, 2014 May 29. AS - Prev Chronic Dis. 11:E91, 2014 May 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Celestin MD Jr AU - Hart A Jr AU - Moody-Thomas S FA - Celestin, Michael D Jr FA - Hart, Alton Jr FA - Moody-Thomas, Sarah IN - Celestin, Michael D Jr. 2020 Gravier St, 3rd Fl, New Orleans, LA 70112. Telephone: 504-568-5742. E-mail: mceles@lsuhsc.edu. IN - Hart, Alton Jr. Virginia Department of Health Crater Health District, Petersburg, Virginia. IN - Moody-Thomas, Sarah. Louisiana State University Health Sciences Center School of Public Health, New Orleans, Louisiana. NJ - Preventing chronic disease VO - 11 PG - E91 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101205018 IO - Prev Chronic Dis PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4042712 SB - Index Medicus CP - United States MH - *Community-Institutional Relations MH - Data Collection/mt [Methods] MH - Education, Medical, Continuing MH - Electronic Health Records MH - Health Care Surveys MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/px [Psychology] MH - *Health Services Research MH - Humans MH - Louisiana MH - Nurses/px [Psychology] MH - Organizational Case Studies MH - Physicians/px [Psychology] MH - *Process Assessment (Health Care)/mt [Methods] MH - Smoking Cessation/mt [Methods] MH - Time Factors MH - *Tobacco Use Disorder/th [Therapy] AB - BACKGROUND: Tobacco is a major cause of preventable illness and death. However, clinician use of an evidence-based guideline for treatment of tobacco use is low. This case study describes the process for conducting a pre-intervention assessment of clinician practices and beliefs regarding treatment of tobacco use. AB - COMMUNITY CONTEXT: Louisiana State University Health System, one of the largest safety-net public hospital systems in the United States, consists of 10 facilities in population centers across the state of Louisiana. The system serves a large proportion of the state's underinsured and uninsured, low-income, and racial/ethnic minority populations, groups that have high rates of tobacco use. AB - METHODS: Activities included 1) partnering with hospital administrators to generate support for conducting a clinician assessment, 2) identifying and adapting a survey tool to assess clinicians' practices and beliefs regarding treatment of tobacco use, 3) developing a survey protocol and obtaining approval from the institutional review board, and 4) administering the survey electronically, using the hospital's e-mail system. AB - OUTCOME: Existing partnerships and system resources aided survey administration. Use of the hospital's internal e-mail system and distribution of an online survey were effective means to engage clinicians. Following notification, 43.6% of 4,508 clinicians opened their e-mail containing the invitation letter with a Web link to the survey; of these, 83.1% (1,634) completed the survey. AB - INTERPRETATION: Partnering with stakeholders and using existing resources within the health care system are essential to successful implementation of a system-wide survey of clinician practices and beliefs regarding treatment of tobacco use. ES - 1545-1151 IL - 1545-1151 DO - https://dx.doi.org/10.5888/pcd11.130277 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.5888/pcd11.130277 [doi] ID - E91 [pii] ID - PMC4042712 [pmc] PP - epublish LG - English EP - 20140529 DP - 2014 May 29 EZ - 2014/05/31 06:00 DA - 2015/03/31 06:00 DT - 2014/05/31 06:00 YR - 2014 ED - 20150330 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24874783 <273. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25713588 TI - Relationship of Coping Styles with Suicidal Behavior in Hospitalized Asthma and Chronic Obstructive Pulmonary Disease Patients: Substance Abusers versus Non- Substance Abusers. SO - Tanaffus. 13(3):23-30, 2014. AS - Tanaffos. 13(3):23-30, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Safa M AU - Boroujerdi FG AU - Talischi F AU - Masjedi MR FA - Safa, Mitra FA - Boroujerdi, Fatemeh Ghassem FA - Talischi, Firouzeh FA - Masjedi, Mohammad Reza IN - Safa, Mitra. Clinical Tuberculosis and Epidemiology Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. IN - Boroujerdi, Fatemeh Ghassem. Chronic Respiratory Diseases Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. IN - Talischi, Firouzeh. Nursing and Respiratory Health Management Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. IN - Masjedi, Mohammad Reza. Telemedicine Research Center, National Research Institute of Tuberculosis and Lung Diseases (NRITLD), Shahid Beheshti University of Medical Sciences, Tehran, Iran. NJ - Tanaffos VO - 13 IP - 3 PG - 23-30 PI - Journal available in: Print PI - Citation processed from: Print JC - 101308232 IO - Tanaffos PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4338049 CP - Iran KW - Coping; Pulmonary disease; Substance abuse; Suicide AB - 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). AB - 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. AB - 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). AB - 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. IS - 1735-0344 IL - 1735-0344 PT - Journal Article ID - PMC4338049 [pmc] PP - ppublish PH - 2014/06/03 [received] PH - 2014/07/23 [accepted] LG - English DP - 2014 EZ - 2015/02/26 06:00 DA - 2015/02/26 06:01 DT - 2015/02/26 06:00 YR - 2014 ED - 20150225 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25713588 <274. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24809369 TI - Prevalence of binge drinking and associated co-factors among medical students in a U.S. Jesuit University. SO - American Journal of Drug & Alcohol Abuse. 40(4):336-41, 2014 Jul. AS - Am J Drug Alcohol Abuse. 40(4):336-41, 2014 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Trostler M AU - Li Y AU - Plankey MW FA - Trostler, Michael FA - Li, Ying FA - Plankey, Michael W IN - Trostler, Michael. Office of Medical Education, Georgetown University School of Medicine , Washington, DC and. NJ - The American journal of drug and alcohol abuse VO - 40 IP - 4 PG - 336-41 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3gw, 7502510 IO - Am J Drug Alcohol Abuse SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - *Binge Drinking/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Prevalence MH - Risk Factors MH - Sex Factors MH - *Students, Medical/sn [Statistics & Numerical Data] MH - United States MH - *Universities/sn [Statistics & Numerical Data] MH - Young Adult KW - Binge drinking; survey AB - BACKGROUND: Alcohol consumption is the third leading cause of preventable death in the U.S. Limited research has been conducted examining drinking habits of medical students. AB - OBJECTIVE: This study was designed to measure the prevalence and associated risk factors of binge drinking among a sample of medical students. AB - METHODS: A total of 485 medical students at a private, Jesuit medical school in the US participated in a confidential web-based survey in April 2011. Univariate and multivariate generalized linear regressions with robust error variance were performed for estimated prevalence ratio (PR) of binge drinking. AB - RESULTS: The prevalence of binge drinking was 58.1% among the sampled medical students with the majority being white (67.0%) and between 18 and 25 years old (60.0%). After adjusting for age, gender, race/ethnicity, and year in medical school, there were statistically significant (p<0.05) associations of drinking during an after-exam party (PR=2.82), protective behavioral strategy (PR=0.97 per 1-score increase), self-reported diagnosis of depression (PR=1.19), tobacco use (PR=1.21 for previous use, 1.39 for current use), and previous illicit drug use (PR=1.24) with binge drinking. In addition, the prevalence of binge drinking decreased among this sample of the medical students with older age (PR=0.80 for 26-28, 0.60 for >28, p<0.01) compared to those of 18-25 years old. AB - CONCLUSION: Binge drinking was highly prevalent among the sampled medical students, especially during an after-exam party. Identifying healthy coping strategies among medical students is warranted to reduce binge drinking. ES - 1097-9891 IL - 0095-2990 DO - https://dx.doi.org/10.3109/00952990.2014.907302 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.3109/00952990.2014.907302 [doi] PP - ppublish LG - English EP - 20140508 DP - 2014 Jul EZ - 2014/05/09 06:00 DA - 2015/02/24 06:00 DT - 2014/05/10 06:00 YR - 2014 ED - 20150220 RD - 20140626 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24809369 <275. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24738494 TI - Health care workers and ICU pain perceptions. SO - Pain Medicine. 15(6):1027-35, 2014 Jun. AS - PAIN MED. 15(6):1027-35, 2014 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tarigopula R AU - Tyagi NK AU - Jackson J AU - Gupte C AU - Raju P AU - LaRosa J FA - Tarigopula, Ravali FA - Tyagi, Naveen K FA - Jackson, Jill FA - Gupte, Chaitali FA - Raju, Pooja FA - LaRosa, Jennifer IN - Tarigopula, Ravali. Department of Pulmonary and Critical Care Medicine, Newark Beth Israel Medical Center, Newark, USA. NJ - Pain medicine (Malden, Mass.) VO - 15 IP - 6 PG - 1027-35 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Female MH - *Health Personnel/px [Psychology] MH - Humans MH - *Intensive Care Units MH - Male MH - Middle Aged MH - Pain Measurement/mt [Methods] MH - *Pain Measurement/px [Psychology] MH - *Pain Perception MH - Prospective Studies MH - Surveys and Questionnaires MH - Young Adult KW - Pain Management; Perception; Race Disparities; Sociocultural AB - 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. AB - 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. AB - SUBJECTS AND SETTING: The questionnaire was distributed to physicians and nurses working in the critical care setting. AB - METHODS: Responses were provided using a Likert scale and scored on subscales of hemodynamic instability, addiction and tolerance, pain expression, legal issues, and education. AB - RESULTS: The results demonstrated that characteristics such as age and race were significant predictors of perceptions regarding addiction subscale scores (beta=-0.256, P=0.006 and beta=0.183, P=0.053, respectively). Race proved to be a significant factor in pain expression scores (beta=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 (beta=-0.238, P=0.012 and beta=0.191, P=0.050, respectively). AB - CONCLUSION: Health care providers' race, age, level of education, and medical subspecialty were significant factors affecting their perceptions of pain management and intended treatment. Copyright Wiley Periodicals, Inc. ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/pme.12423 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/pme.12423 [doi] PP - ppublish LG - English EP - 20140416 DP - 2014 Jun EZ - 2014/04/18 06:00 DA - 2015/02/20 06:00 DT - 2014/04/18 06:00 YR - 2014 ED - 20150219 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24738494 <276. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24804212 TI - 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. SO - BioMed Research International. 2014:321657, 2014. AS - Biomed Res Int. 2014:321657, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grassi MC AU - Baraldo M AU - Chiamulera C AU - Culasso F AU - Raupach T AU - Ferketich AK AU - Patrono C AU - Nencini P AI - Grassi, Maria Caterina; ORCID: https://orcid.org/0000-0002-8022-0526 AI - Raupach, Tobias; ORCID: https://orcid.org/0000-0003-2555-8097 FA - Grassi, Maria Caterina FA - Baraldo, Massimo FA - Chiamulera, Christian FA - Culasso, Franco FA - Raupach, Tobias FA - Ferketich, Amy K FA - Patrono, Carlo FA - Nencini, Paolo IN - Grassi, Maria Caterina. Department of Physiology and Pharmacology "V. Erspamer", School of Medicine, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. IN - Baraldo, Massimo. Department of Experimental and Clinical Medicine, School of Medicine, University of Udine, Piazzale S. Maria della Misericordia, 33100 Udine, Italy. IN - Chiamulera, Christian. Department of Public Health and Community Medicine, Section of Pharmacology, University of Verona, Policlinico G. B. Rossi, Piazzale Scuro 10, 36134 Verona, Italy. IN - Culasso, Franco. Department of Public Health and Infectious Diseases, School of Medicine, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. IN - Raupach, Tobias. Department of Cardiology and Pneumology, University Hospital Gottingen, Robert-Koch-Strasse 40, 37075 Gottingen, Germany ; Department of Epidemiology and Public Health, Health Behaviour Research Centre, University College London, 1-19 Torrington Place, London WC1E7HB, UK. IN - Ferketich, Amy K. Division of Epidemiology, The Ohio State University College of Public Health, 1841 Neil Ave, 310 Cunz Hall, Columbus, OH 43210, USA. IN - Patrono, Carlo. Department of Pharmacology, School of Medicine, Catholic University of Rome, Largo F. Vito 1, 00168 Rome, Italy. IN - Nencini, Paolo. Department of Physiology and Pharmacology "V. Erspamer", School of Medicine, Sapienza University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy. NJ - BioMed research international VO - 2014 PG - 321657 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101600173 IO - Biomed Res Int PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3997155 SB - Index Medicus CP - United States MH - Adult MH - Female MH - Humans MH - Italy MH - Male MH - *Patient Education as Topic MH - *Smoking/ae [Adverse Effects] MH - *Smoking Cessation MH - *Surveys and Questionnaires MH - Time Factors MH - *Tobacco Use Disorder MH - Universities AB - 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. ES - 2314-6141 DO - https://dx.doi.org/10.1155/2014/321657 PT - Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1155/2014/321657 [doi] ID - PMC3997155 [pmc] PP - ppublish PH - 2014/02/04 [received] PH - 2014/02/25 [accepted] LG - English EP - 20140406 DP - 2014 EZ - 2014/05/08 06:00 DA - 2015/02/13 06:00 DT - 2014/05/08 06:00 YR - 2014 ED - 20150212 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24804212 <277. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24442788 TI - DSM-5 alcohol use disorder criteria in "Crazy Heart" (2009)-a media content analysis with teaching purposes. SO - Academic Psychiatry. 38(1):90-5, 2014 Feb. AS - Acad Psychiatry. 38(1):90-5, 2014 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - da Silva RD Jr AU - Bhugra D AU - de Andrade AG AU - Lotufo-Neto F AU - Castaldelli-Maia JM FA - da Silva, Rubens Dantas Jr FA - Bhugra, Dinesh FA - de Andrade, Arthur Guerra FA - Lotufo-Neto, Francisco FA - Castaldelli-Maia, Joao Mauricio IN - da Silva, Rubens Dantas Jr. Fundacao do ABC, Santo Andre, SP, Brazil. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 38 IP - 1 PG - 90-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - *Diagnostic and Statistical Manual of Mental Disorders MH - *Education, Medical/mt [Methods] MH - Humans MH - *Motion Pictures MH - *Psychiatry/ed [Education] AB - OBJECTIVE: The movie Crazy Heart (2009) draws our attention to alcohol disorders as it has a large number of scenes which portray alcohol consumption and fulfill the new DSM-5 Alcohol Use Disorder (DSM-5-AUD) criteria. In view of the recent launch of DSM-5, this is an appropriate opportunity to explore alcohol consumption in a large number of scenes employing the DSM-5-AUD criteria to study this. AB - METHODS: We use media content analysis to identify DSM-5 AUD criteria as portrayed by the main protagonist of the movie Bad Blake in a structured manner. We studied his behavior and attitudes in the context of the film structure and storyline. AB - RESULTS: The severity continuum of DSM-5 AUD can be demonstrated through the trajectory of the character Bad Blake. In the course of the movie, there is some reference to all the DSM-5-AUD criteria, which can be applied to this character within the 21 scenes selected for this study. AB - CONCLUSION: This film can therefore be helpful and used to introduce students and trainees to the DSM-5-AUD criteria. It also allows teachers to discuss with their students and trainees the options of treatment including decision to quit drinking (total abstinence) and the recovery and relapse of this chronic condition. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-013-0019-1 PT - Journal Article ID - 10.1007/s40596-013-0019-1 [doi] PP - ppublish PH - 2013/08/27 [received] PH - 2013/11/21 [accepted] LG - English EP - 20140118 DP - 2014 Feb EZ - 2014/01/21 06:00 DA - 2015/02/13 06:00 DT - 2014/01/21 06:00 YR - 2014 ED - 20150212 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24442788 <278. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24060204 TI - Staff training makes a difference: improvements in neonatal illicit drug testing and intervention at a tertiary hospital. SO - Journal of Maternal-Fetal & Neonatal Medicine. 27(10):1049-54, 2014 Jul. AS - J Matern Fetal Neonatal Med. 27(10):1049-54, 2014 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oral R AU - Koc F AU - Jogerst K AU - Bayman L AU - Austin A AU - Sullivan S AU - Bayman EO FA - Oral, Resmiye FA - Koc, Feyza FA - Jogerst, Kristen FA - Bayman, Levent FA - Austin, Andrea FA - Sullivan, Shannon FA - Bayman, Emine Ozgur IN - Oral, Resmiye. Department of Pediatrics, University of Iowa, Carver College of Medicine , Iowa City, IA , USA . NJ - The journal of maternal-fetal & neonatal medicine : the official journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians VO - 27 IP - 10 PG - 1049-54 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101136916 IO - J. Matern. Fetal. Neonatal. Med. SB - Index Medicus CP - England MH - *Education, Medical, Continuing/mt [Methods] MH - *Education, Nursing, Continuing/mt [Methods] MH - Female MH - Humans MH - Infant, Newborn MH - *Neonatal Screening/ut [Utilization] MH - Outcome and Process Assessment (Health Care) MH - Pregnancy MH - *Pregnancy Complications/di [Diagnosis] MH - Retrospective Studies MH - Risk Assessment MH - Substance Abuse Detection/sn [Statistics & Numerical Data] MH - *Substance Abuse Detection/ut [Utilization] MH - *Substance-Related Disorders/di [Diagnosis] MH - Tertiary Care Centers KW - Illicit drug; perinatal; staff; test; training AB - OBJECTIVE: This project explored the impact of staff training on the rates of perinatal maternal and neonatal illicit drug testing. AB - METHODS: Controlled, retrospective chart review on 1186 newborn and mother dyads from 2006 (pre-training control group) and on 1861 dyads from 2009 (post-training study group) was completed. Differences between rates of infant and mother drug testing were compared. AB - RESULTS: Increased drug testing rates for the mothers and infants led to increased case finding that tripled both for the mothers (13-3.7%, p<0.001) and for the infants (0.9-2.9%, p<0.001). Missed opportunities for newborn testing was reduced by 35 times (20.9-0.6%, p<0.001). AB - CONCLUSION: This retrospective study led to an increase in the number of documented drug-exposed newborns. This research emphasizes the importance of and encourages other hospitals to analyze the efficacy of their current protocol and staff training practices in place to ensure the best child protection services. ES - 1476-4954 IL - 1476-4954 DO - https://dx.doi.org/10.3109/14767058.2013.847418 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.3109/14767058.2013.847418 [doi] PP - ppublish LG - English EP - 20131017 DP - 2014 Jul EZ - 2013/09/26 06:00 DA - 2015/02/03 06:00 DT - 2013/09/25 06:00 YR - 2014 ED - 20150202 RD - 20140606 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24060204 <279. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25606116 TI - Training program in the field of addiction medicine - an experience of learning while abroad. SO - Malaysian Family Physician. 3(1):61-3, 2008. AS - Malays Fam Physician. 3(1):61-3, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Norsiah A AU - Whelan G AU - Piterman L FA - Norsiah, A FA - Whelan, G FA - Piterman, L IN - Norsiah, A. MD (USM), MMed (Fam Med), Family Medicine Specialist / Fellow in Addiction Medicine, Tampin Health Clinic, 73000 Tampin, Negeri Sembilan, Malaysia. IN - Whelan, G. MBBS, MSc, MD, FRACP, FAFPHM, FAChAM, Professor of Addiction Medicine, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia (First supervisor for the training program). IN - Piterman, L. MBBS, MMed,MEdSt, MRCP(UK), FRACGP, Professor of General Practice & Head, School of Primary Health Care, Faculty of Medicine, Nursing and Health Sciences, Monash University, Melbourne, Victoria, Australia (Second supervisor for the training program). NJ - Malaysian family physician : the official journal of the Academy of Family Physicians of Malaysia VO - 3 IP - 1 PG - 61-3 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101466855 IO - Malays Fam Physician PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4267030 CP - Malaysia KW - Monash University; School of Primary Care; Training; addiction medicine AB - This paper illustrates the training program in the field of Addiction Medicine designed for primary care doctors by the Department of General Practice, School of Primary Care at Monash University in Melbourne. The nine month program was based around coursework, field visits and clinical observations. There were five modules that were completed and passed, twenty six Continuous Medical Education sessions attended, twenty nine field visits on Drug & Alcohol services, forty seven clinical visits and a total of three hundred and sixty clinical observations made. The comprehensive training program has benefited the first author in several ways to improve the Drugs & Alcohol services in Malaysia. IS - 1985-207X IL - 1985-2274 PT - Journal Article ID - PMC4267030 [pmc] PP - epublish LG - English EP - 20080430 DP - 2008 EZ - 2008/01/01 00:00 DA - 2008/01/01 00:01 DT - 2015/01/22 06:00 YR - 2008 ED - 20150121 RD - 20150209 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25606116 <280. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24927958 TI - What factors determine Belgian general practitioners' approaches to detecting and managing substance abuse? A qualitative study based on the I-Change Model. SO - BMC Family Practice. 15:119, 2014 Jun 14. AS - BMC Fam Pract. 15:119, 2014 Jun 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ketterer F AU - Symons L AU - Lambrechts MC AU - Mairiaux P AU - Godderis L AU - Peremans L AU - Remmen R AU - Vanmeerbeek M FA - Ketterer, Frederic FA - Symons, Linda FA - Lambrechts, Marie-Claire FA - Mairiaux, Philippe FA - Godderis, Lode FA - Peremans, Lieve FA - Remmen, Roy FA - Vanmeerbeek, Marc IN - Vanmeerbeek, Marc. Department of General Practice/Family Medicine, University of Liege, Avenue de l'Hopital 3, CHU B23, Liege 4000, Belgium. marc.vanmeerbeek@ulg.ac.be. NJ - BMC family practice VO - 15 PG - 119 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100967792 IO - BMC Fam Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4064261 SB - Index Medicus CP - England MH - Adult MH - Belgium MH - Decision Making MH - Female MH - *General Practitioners/px [Psychology] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Interviews as Topic MH - Male MH - Models, Psychological MH - Motivation MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Qualitative Research MH - Risk Factors MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] AB - 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. AB - METHODS: Twenty Belgian GPs were interviewed. De Vries' Integrated Change Model was used to guide the interviews and qualitative data analyses. AB - 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. AB - 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. ES - 1471-2296 IL - 1471-2296 DO - https://dx.doi.org/10.1186/1471-2296-15-119 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1471-2296-15-119 [pii] ID - 10.1186/1471-2296-15-119 [doi] ID - PMC4064261 [pmc] PP - epublish PH - 2014/03/12 [received] PH - 2014/06/06 [accepted] LG - English EP - 20140614 DP - 2014 Jun 14 EZ - 2014/06/15 06:00 DA - 2015/01/17 06:00 DT - 2014/06/15 06:00 YR - 2014 ED - 20150116 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24927958 <281. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25584088 TI - Smoking cessation: a community-based approach to continuing medical education. SO - Translational Behavioral Medicine. 4(4):391-7, 2014 Dec. AS - Transl Behav Med. 4(4):391-7, 2014 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Shershneva M AU - Cohen A AU - Larrison C AU - Detzler K AU - Ales M FA - Shershneva, Marianna FA - Cohen, Adele FA - Larrison, Christopher FA - Detzler, Katie FA - Ales, Mary IN - Shershneva, Marianna. University of Wisconsin Office of Continuing Professional Development in Medicine and Public Health, Madison, WI USA ; CME Enterprise, Carmel, IN USA. IN - Cohen, Adele. Physicians' Institute for Excellence in Medicine, Atlanta, GA USA. IN - Larrison, Christopher. Healthcare Performance Consulting, Inc., Zionsville, IN USA. IN - Detzler, Katie. CME Enterprise, Carmel, IN USA. IN - Ales, Mary. Interstate Postgraduate Medical Association, Madison, WI USA. NJ - Translational behavioral medicine VO - 4 IP - 4 PG - 391-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 101554668 IO - Transl Behav Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4286545 CP - United States KW - Community-based approach; Continuing medical education; Tobacco cessation AB - 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. IS - 1869-6716 IL - 1613-9860 DO - https://dx.doi.org/10.1007/s13142-014-0288-6 PT - Journal Article ID - 10.1007/s13142-014-0288-6 [doi] ID - 288 [pii] ID - PMC4286545 [pmc] PP - ppublish LG - English DP - 2014 Dec EZ - 2015/01/15 06:00 DA - 2015/01/15 06:01 DT - 2015/01/14 06:00 YR - 2014 ED - 20150113 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25584088 <282. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24486635 TI - 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. SO - Contemporary Clinical Trials. 37(2):284-93, 2014 Mar. AS - Contemp Clin Trials. 37(2):284-93, 2014 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hayes RB AU - Geller A AU - Churchill L AU - Jolicoeur D AU - Murray DM AU - Shoben A AU - David SP AU - Adams M AU - Okuyemi K AU - Fauver R AU - Gross R AU - Leone F AU - Xiao R AU - Waugh J AU - Crawford S AU - Ockene JK FA - Hayes, Rashelle B FA - Geller, Alan FA - Churchill, Linda FA - Jolicoeur, Denise FA - Murray, David M FA - Shoben, Abigail FA - David, Sean P FA - Adams, Michael FA - Okuyemi, Kola FA - Fauver, Randy FA - Gross, Robin FA - Leone, Frank FA - Xiao, Rui FA - Waugh, Jonathan FA - Crawford, Sybil FA - Ockene, Judith K IN - Hayes, Rashelle B. Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: rashelle.hayes@umassmed.edu. IN - Geller, Alan. Department of Society of Human Development and Health, Harvard School of Public Health, Boston, MA, United States. Electronic address: ageller@hsph.harvard.edu. IN - Churchill, Linda. Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: linda.churchill@umassmed.edu. IN - Jolicoeur, Denise. Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: denise.jolicoeur@umassmed.edu. IN - Murray, David M. Biostatistics and Bioinformatics Branch, Division of Epidemiology, Statistics, and Prevention Research, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institute of Health, Bethesda, MD, United States. Electronic address: david.murray2@nih.gov. IN - Shoben, Abigail. Division of Biostatics, College of Public Health, The Ohio State University, Columbus, OH, United States. Electronic address: ashoben@cph.osu.edu. IN - David, Sean 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, CA, United States. Electronic address: spdavid@stanford.edu. IN - Adams, Michael. Division of General Internal Medicine, Department of Medicine, Georgetown University Hospital, United States. Electronic address: adams@gunet.georgetown.edu. IN - Okuyemi, Kola. Department of Medicine, University of Minnesota Medical School, Minneapolis, MN, United States. Electronic address: kokuyemi@umn.edu. IN - Fauver, Randy. Center for Education & Research in Family and Community Medicine, Division of General Medical Disciplines, Department of Medicine, Stanford University School of Medicine, Palo Alto, CA, United States. Electronic address: rfauver@stanford.edu. IN - Gross, Robin. Division of Pulmonary, Critical Care and Sleep Medicine, Department of Medicine, Georgetown University Hospital, Washington, DC, United States. Electronic address: rlg4@gunet.georgetown.edu. IN - Leone, Frank. Division of Pulmonary, Allergy and Critical Care Medicine, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, United States. Electronic address: frank.tleone@uphs.upenn.edu. IN - Xiao, Rui. Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: rui.xiao@umassmed.edu. IN - Waugh, Jonathan. Department of Clinical and Diagnostics Sciences, UAB Lung Health Center, University of Alabama at Birmingham, Birmingham, AL, United States. Electronic address: waughj@uab.edu. IN - Crawford, Sybil. Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: sybil.crawford@umassmed.edu. IN - Ockene, Judith K. Department of Medicine, Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, MA, United States. Electronic address: judith.ockene@umassmed.edu. NJ - Contemporary clinical trials VO - 37 IP - 2 PG - 284-93 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101242342 IO - Contemp Clin Trials PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4048818 OI - Source: NLM. NIHMS569966 SB - Index Medicus CP - United States MH - Clinical Clerkship/og [Organization & Administration] MH - Clinical Competence MH - *Education, Medical/og [Organization & Administration] MH - Humans MH - Models, Educational MH - *Research Design MH - *Smoking Cessation/mt [Methods] MH - Students, Medical MH - *Tobacco Use Disorder/di [Diagnosis] MH - *Tobacco Use Disorder/th [Therapy] KW - 5As; Group randomized controlled trial; Medical school education; Medical students; Tobacco control; Tobacco dependence treatment and counseling AB - 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. AB - 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. AB - 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. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved. ES - 1559-2030 IL - 1551-7144 DI - S1551-7144(14)00018-4 DO - https://dx.doi.org/10.1016/j.cct.2014.01.008 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - S1551-7144(14)00018-4 [pii] ID - 10.1016/j.cct.2014.01.008 [doi] ID - PMC4048818 [pmc] ID - NIHMS569966 [mid] PP - ppublish PH - 2013/10/21 [received] PH - 2014/01/20 [revised] PH - 2014/01/24 [accepted] GI - No: R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 5R01 CA 136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 5R01CA136888S Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20140131 DP - 2014 Mar EZ - 2014/02/04 06:00 DA - 2015/01/02 06:00 DT - 2014/02/04 06:00 YR - 2014 ED - 20150101 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24486635 <283. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24885973 TI - Cheating on examinations and its predictors among undergraduate students at Hawassa University College of Medicine and Health Science, Hawassa, Ethiopia. SO - BMC Medical Education. 14:89, 2014 Apr 30. AS - BMC Med Educ. 14:89, 2014 Apr 30. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Desalegn AA AU - Berhan A FA - Desalegn, Anteneh Assefa FA - Berhan, Asres IN - Desalegn, Anteneh Assefa. Pharmacology Unit, School of Medicine, Hawassa University, Hawassa, P,O Box-1560, Ethiopia. antepharma@yahoo.com. NJ - BMC medical education VO - 14 PG - 89 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4023498 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - *Deception MH - *Education, Medical, Undergraduate/sn [Statistics & Numerical Data] MH - *Educational Measurement MH - Ethiopia/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Prevalence MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - Self Report MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/1472-6920-14-89 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1472-6920-14-89 [pii] ID - 10.1186/1472-6920-14-89 [doi] ID - PMC4023498 [pmc] PP - epublish PH - 2013/12/02 [received] PH - 2014/04/25 [accepted] LG - English EP - 20140430 DP - 2014 Apr 30 EZ - 2014/06/03 06:00 DA - 2014/12/20 06:00 DT - 2014/06/03 06:00 YR - 2014 ED - 20141219 RD - 20150805 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24885973 <284. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25291887 TI - [Mental health professionals' representations of their practices in Rabat, Morocco]. [French] OT - La representation des professionnels de sante mentale sur leurs pratiques a Rabat, Maroc. SO - Sante Publique (Vandoeuvre-Les-Nancey). 26(3):385-91, 2014 May-Jun. AS - Sante Publique. 26(3):385-91, 2014 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - El Kirat H AU - Filali H FA - El Kirat, Houda FA - Filali, Hind NJ - Sante publique (Vandoeuvre-les-Nancy, France) VO - 26 IP - 3 PG - 385-91 PI - Journal available in: Print PI - Citation processed from: Print JC - czl, 9216153 IO - Sante Publique SB - Index Medicus CP - France MH - *Attitude of Health Personnel MH - Health Personnel/ed [Education] MH - Health Services Needs and Demand MH - Humans MH - *Mental Health Services/ma [Manpower] MH - Morocco AB - INTRODUCTION: The main challenges faced by the mental health system in Morocco are insufficient quality of care and limited human resources. Training of mental health providers therefore constitutes a way of improving quality of care. AB - METHODS: We conducted 22 semi-structured interviews with mental health practitioners, mental health senior managers and psychiatry teachers in order to identify training needs. AB - RESULTS: The main findings were the lack of communication, collaboration and updated knowledge especially concerning diagnosis, psychotropic drug prescriptions and addiction medicine. We also identified specific training needs for mental health specialists, such as geriatric psychiatry and paediatric psychiatry. AB - DISCUSSION: Consequently, better training in these areas would contribute to the success of managed care strategies in primary healthcare facilities. IS - 0995-3914 IL - 0995-3914 PT - English Abstract PT - Journal Article PP - ppublish LG - French DP - 2014 May-Jun EZ - 2014/10/09 06:00 DA - 2014/12/18 06:00 DT - 2014/10/09 06:00 YR - 2014 ED - 20141217 RD - 20141008 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25291887 <285. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24754929 TI - [School absenteeism as a signal for psychological problems]. [Review] [Dutch] OT - Schoolverzuim als signaal van psychosociale problemen. SO - Nederlands Tijdschrift voor Geneeskunde. 158:A7269, 2014. AS - Ned Tijdschr Geneeskd. 158:A7269, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haagmans ML AU - Kamphuis M FA - Haagmans, Michele L M FA - Kamphuis, Mascha IN - Haagmans, Michele L M. Veiligheids- en Gezondheidsregio (GGD) Gelderland Midden, afd. Jeugdgezondheidszorg, Arnhem. NJ - Nederlands tijdschrift voor geneeskunde VO - 158 PG - A7269 PI - Journal available in: Print PI - Citation processed from: Internet JC - nuk, 0400770 IO - Ned Tijdschr Geneeskd SB - Index Medicus CP - Netherlands MH - *Absenteeism MH - Adolescent MH - *Anxiety Disorders/di [Diagnosis] MH - Diagnosis, Differential MH - Humans MH - Male MH - *Mental Disorders/di [Diagnosis] MH - Referral and Consultation MH - Schools/sn [Statistics & Numerical Data] MH - *Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] AB - CASE DESCRIPTION: We present two patients with frequent school absences. Patient A is a 12-year-old boy, diagnosed with developmental coordination disorder. When his mother visits the youth community health doctor, he shows signs of an anxiety disorder with stress-related physical symptoms. Patient B is a 15-year-old boy whose teacher suspects a gaming and internet addiction. After consulting the youth community health doctor, he is referred to a psychologist for further diagnosis of a social anxiety disorder. AB - CONCLUSION: Frequent school absenteeism is associated with psychological problems. After excluding physical causes referral for further psychiatric assessment is recommended. As the medical advisor of the school, the youth community health doctor can play a role in this process. ES - 1876-8784 IL - 0028-2162 PT - Case Reports PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - Dutch DP - 2014 EZ - 2014/04/24 06:00 DA - 2014/12/15 06:00 DT - 2014/04/24 06:00 YR - 2014 ED - 20141201 RD - 20140423 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24754929 <286. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24622524 TI - Interdisciplinary education in the addictions: a commentary on the current status. SO - Journal of Addictions Nursing. 24(1):4-7, 2013 Jan-Mar. AS - J ADDICT NURS. 24(1):4-7, 2013 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA FA - Murphy, Shirley A IN - Murphy, Shirley A. University of Washington, Seattle. NJ - Journal of addictions nursing VO - 24 IP - 1 PG - 4-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9616159 IO - J Addict Nurs SB - Index Medicus SB - Nursing Journal CP - United States MH - *Education, Professional/mt [Methods] MH - Humans MH - *Interdisciplinary Studies MH - Interprofessional Relations MH - Patient Care Team MH - *Substance-Related Disorders/th [Therapy] AB - 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. ES - 1548-7148 IL - 1088-4602 DO - https://dx.doi.org/10.1097/JAN.0b013e31828767b7 PT - Editorial ID - 10.1097/JAN.0b013e31828767b7 [doi] ID - 00060867-201301000-00003 [pii] PP - ppublish LG - English DP - 2013 Jan-Mar EZ - 2013/01/01 00:00 DA - 2014/12/15 06:00 DT - 2014/03/14 06:00 YR - 2013 ED - 20141124 RD - 20140313 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24622524 <287. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24615308 TI - Barriers to primary care physicians prescribing buprenorphine. SO - Annals of Family Medicine. 12(2):128-33, 2014 Mar-Apr. AS - Ann Fam Med. 12(2):128-33, 2014 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hutchinson E AU - Catlin M AU - Andrilla CH AU - Baldwin LM AU - Rosenblatt RA FA - Hutchinson, Eliza FA - Catlin, Mary FA - Andrilla, C Holly A FA - Baldwin, Laura-Mae FA - Rosenblatt, Roger A IN - Hutchinson, Eliza. University of Washington, Department of Family Medicine, Research Section, Seattle, Washington. NJ - Annals of family medicine VO - 12 IP - 2 PG - 128-33 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101167762 IO - Ann Fam Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3948759 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Aged, 80 and over MH - *Buprenorphine/tu [Therapeutic Use] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Primary Health Care MH - Washington KW - buprenorphine; opiate addiction; opiate substitution treatment; primary health care; rural health AB - PURPOSE: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1544-1717 IL - 1544-1709 DO - https://dx.doi.org/10.1370/afm.1595 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 12/2/128 [pii] ID - 10.1370/afm.1595 [doi] ID - PMC3948759 [pmc] PP - ppublish LG - English DP - 2014 Mar-Apr EZ - 2014/03/13 06:00 DA - 2014/11/18 06:00 DT - 2014/03/12 06:00 YR - 2014 ED - 20141117 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24615308 <288. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24831393 TI - Experimentation with and knowledge regarding water-pipe tobacco smoking among medical students at a major university in Brazil. SO - Jornal Brasileiro De Pneumologia: Publicacao Oficial Da Sociedade Brasileira De Pneumologia E Tisilogia. 40(2):102-10, 2014 Mar-Apr. AS - J Bras Pneumol. 40(2):102-10, 2014 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martins SR AU - Paceli RB AU - Bussacos MA AU - Fernandes FL AU - Prado GF AU - Lombardi EM AU - Terra-Filho M AU - Santos UP FA - Martins, Stella Regina FA - Paceli, Renato Batista FA - Bussacos, Marco Antonio FA - Fernandes, Frederico Leon Arrabal FA - Prado, Gustavo Faibischew FA - Lombardi, Elisa Maria Siqueira FA - Terra-Filho, Mario FA - Santos, Ubiratan Paula IN - Martins, Stella Regina. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. IN - Paceli, Renato Batista. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. IN - Bussacos, Marco Antonio. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. IN - Fernandes, Frederico Leon Arrabal. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. IN - Prado, Gustavo Faibischew. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. IN - Lombardi, Elisa Maria Siqueira. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. IN - Terra-Filho, Mario. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. IN - Santos, Ubiratan Paula. Heart Institute, Hospital das Clinicas, School of Medicine, University of Sao Paulo, Sao Paulo, Brazil. NJ - Jornal brasileiro de pneumologia : publicacao oficial da Sociedade Brasileira de Pneumologia e Tisilogia VO - 40 IP - 2 PG - 102-10 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101222274 IO - J Bras Pneumol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4083634 SB - Index Medicus CP - Brazil MH - Adult MH - *Attitude to Health MH - Brazil/ep [Epidemiology] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Prevalence MH - Sex Factors MH - *Smoking/ep [Epidemiology] MH - *Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - Tobacco Products/cl [Classification] MH - Universities MH - Young Adult AB - OBJECTIVE: Water-pipe tobacco smoking is becoming increasingly more common among young people. The objective of this study was to estimate the prevalence of the use of water pipes and other forms of tobacco use, including cigarette smoking, among medical students, as well as to examine the attitudes, beliefs, and knowledge of those students regarding this issue. AB - METHODS: We administered a questionnaire to students enrolled in the University of Sao Paulo School of Medicine, in Sao Paulo, Brazil. The respondents were evaluated in their third and sixth years of medical school, between 2008 and 2013. Comparisons were drawn between the two years. AB - RESULTS: We evaluated 586 completed questionnaires. Overall, the prevalence of current cigarette smokers was low, with a decline among males (9.78% vs. 5.26%) and an increase among females (1.43% vs. 2.65%) in the 3rd and 6th year, respectively. All respondents believed that health professionals should advise patients to quit smoking. However, few of the medical students who smoked received physician advice to quit. Experimentation with other forms of tobacco use was more common among males (p<0.0001). Despite their knowledge of its harmful effects, students experimented with water-pipe tobacco smoking in high proportions (47.32% and 46.75% of the third- and sixth-year students, respectively). AB - CONCLUSIONS: The prevalence of experimentation with water-pipe tobacco smoking and other forms of tobacco use is high among aspiring physicians. Our findings highlight the need for better preventive education programs at medical schools, not only to protect the health of aspiring physicians but also to help them meet the challenge posed by this new epidemic. ES - 1806-3756 IL - 1806-3713 DI - S1806-37132014000200102 PT - Journal Article ID - S1806-37132014000200102 [pii] ID - PMC4083634 [pmc] PP - ppublish PH - 2013/12/09 [received] PH - 2014/03/12 [accepted] LG - English LG - Portuguese DP - 2014 Mar-Apr EZ - 2014/05/17 06:00 DA - 2014/11/14 06:00 DT - 2014/05/17 06:00 YR - 2014 ED - 20141113 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24831393 <289. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24209382 TI - Determinants of buprenorphine treatment for opioid dependence. SO - Journal of Substance Abuse Treatment. 46(3):315-9, 2014 Mar. AS - J Subst Abuse Treat. 46(3):315-9, 2014 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SM AU - Fishman PA AU - McPherson S AU - Dyck DG AU - Roll JR FA - Murphy, Sean M FA - Fishman, Paul A FA - McPherson, Sterling FA - Dyck, Dennis G FA - Roll, John R IN - Murphy, Sean M. Department of Health Policy and Administration, Washington State University, P.O. Box 1495, Spokane, WA 99210-1495, USA. Electronic address: sean.murphy@wsu.edu. IN - Fishman, Paul A. Group Health Research Institute, Seattle, WA 98101, USA. IN - McPherson, Sterling. College of Nursing, Washington State University, Spokane, WA 99210-1495, USA. IN - Dyck, Dennis G. Washington State University, Spokane, WA 99210-1495, USA. IN - Roll, John R. Washington State University, Spokane, WA 99210-1495, USA. NJ - Journal of substance abuse treatment VO - 46 IP - 3 PG - 315-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Buprenorphine/tu [Therapeutic Use] MH - Cohort Studies MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Retrospective Studies KW - Buprenorphine; Opioid dependence; Treatment determinants AB - 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. Copyright © 2014. RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) ES - 1873-6483 IL - 0740-5472 DI - S0740-5472(13)00221-3 DO - https://dx.doi.org/10.1016/j.jsat.2013.09.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0740-5472(13)00221-3 [pii] ID - 10.1016/j.jsat.2013.09.003 [doi] PP - ppublish PH - 2013/03/27 [received] PH - 2013/08/21 [revised] PH - 2013/09/03 [accepted] LG - English EP - 20131025 DP - 2014 Mar EZ - 2013/11/12 06:00 DA - 2014/11/13 06:00 DT - 2013/11/12 06:00 YR - 2014 ED - 20141112 RD - 20140117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24209382 <290. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25356137 TI - Evaluation of post-graduate training effect on smoking cessation practice and attitudes of family physicians towards tobacco control. SO - International journal of clinical and experimental medicine. 7(9):2763-70, 2014. AS - Int J Clin Exp Med. 7(9):2763-70, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Turker Y AU - Aydin LY AU - Baltaci D AU - Erdem O AU - Tanriverdi MH AU - Sariguzel Y AU - Alasan F FA - Turker, Yasemin FA - Aydin, Leyla Yilmaz FA - Baltaci, Davut FA - Erdem, Ozgur FA - Tanriverdi, Mehmet Halis FA - Sariguzel, Yunus FA - Alasan, Fatih IN - Turker, Yasemin. Family Health Center No. 3 Duzce, Turkey. IN - Aydin, Leyla Yilmaz. Department of Chest Diseases, School of Medicine, Duzce University Duzce, Turkey. IN - Baltaci, Davut. Department of Family Medicine, School of Medicine, Duzce University Duzce, Turkey. IN - Erdem, Ozgur. Kayapinar No. 9 Family Health Center Kayapinar, Diyarbakir, Turkey. IN - Tanriverdi, Mehmet Halis. Department of Family Medicine, School of Medicine, Dicle University Diyarbakir, Turkey. IN - Sariguzel, Yunus. Department of Family Medicine, School of Medicine, Duzce University Duzce, Turkey. IN - Alasan, Fatih. Department of Chest Diseases, School of Medicine, Duzce University Duzce, Turkey. NJ - International journal of clinical and experimental medicine VO - 7 IP - 9 PG - 2763-70 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101471010 IO - Int J Clin Exp Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4211787 CP - United States KW - Smoking; attitude; family physician; smoking cessation practice; training AB - 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. AB - 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). AB - 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). AB - 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. IS - 1940-5901 IL - 1940-5901 PT - Journal Article ID - PMC4211787 [pmc] PP - epublish PH - 2014/07/09 [received] PH - 2014/08/16 [accepted] LG - English EP - 20140915 DP - 2014 EZ - 2014/10/31 06:00 DA - 2014/10/31 06:01 DT - 2014/10/31 06:00 YR - 2014 ED - 20141030 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25356137 <291. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23969089 TI - The Institute of Medicine Report on the Mental Health and Substance Use Workforce for Older Adults: a reflection. SO - American Journal of Geriatric Psychiatry. 21(10):1038-42, 2013 Oct. AS - Am J Geriatr Psychiatry. 21(10):1038-42, 2013 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blazer DG FA - Blazer, Dan G IN - Blazer, Dan G. Department of Psychiatry and Behaviorial Sciences, Duke University Medical Center, Durham, NC. Electronic address: Blaze001@mc.duke.edu. NJ - The American journal of geriatric psychiatry : official journal of the American Association for Geriatric Psychiatry VO - 21 IP - 10 PG - 1038-42 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cm3, 9309609 IO - Am J Geriatr Psychiatry SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - *Aging/px [Psychology] MH - Health Care Costs/td [Trends] MH - Health Manpower/td [Trends] MH - *Health Planning Guidelines MH - Humans MH - *Mental Health MH - *National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division MH - *Needs Assessment MH - *Substance-Related Disorders MH - United States ES - 1545-7214 IL - 1064-7481 DI - S1064-7481(13)00257-1 DO - https://dx.doi.org/10.1016/j.jagp.2013.05.007 PT - Journal Article ID - S1064-7481(13)00257-1 [pii] ID - 10.1016/j.jagp.2013.05.007 [doi] PP - ppublish PH - 2013/05/06 [received] PH - 2013/05/11 [revised] PH - 2013/05/16 [accepted] LG - English EP - 20130819 DP - 2013 Oct EZ - 2013/08/24 06:00 DA - 2014/10/25 06:00 DT - 2013/08/24 06:00 YR - 2013 ED - 20141024 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23969089 <292. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24528462 TI - 'Being sick a lot, often on each other': students' alcohol-related provocation. SO - Medical Education. 48(3):268-79, 2014 Mar. AS - Med Educ. 48(3):268-79, 2014 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Black LF AU - Monrouxe LV FA - Black, Lori F FA - Monrouxe, Lynn V IN - Black, Lori F. Institute of Medical Education, School of Medicine, Cardiff University, Cardiff, UK. NJ - Medical education VO - 48 IP - 3 PG - 268-79 PI - Journal available in: Print PI - Citation processed from: Internet JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Binge Drinking/co [Complications] MH - *Binge Drinking/ep [Epidemiology] MH - Binge Drinking/px [Psychology] MH - *Coercion MH - Cross-Sectional Studies MH - Curriculum MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Peer Group MH - Qualitative Research MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - United Kingdom/ep [Epidemiology] MH - Vomiting/ci [Chemically Induced] MH - Vomiting/ep [Epidemiology] MH - Young Adult AB - CONTEXT: Many medical students consume alcohol in excess, which can compromise their professionalism and increase their risk of future alcohol dependency. Just one study in Japan has examined the social influences of alcohol consumption among medical students. Eighty-six per cent (n = 821) of their respondents reported experiencing some form of alcohol-related harassment since the beginning of medical school. No similar research has been conducted in the UK. AB - METHODS: A cross-sectional online questionnaire of medical students at three British medical schools. In total, 216 students answered questions regarding their experiences of alcohol-related provocation (as targets and instigators), the rate of occurrence of events and their distress following acts of provocation. An open-ended question enabled respondents to report personal experiences of alcohol-related provocation. AB - RESULTS: Seventy-five per cent (n = 162) of respondents reported experiencing alcohol-related provocation during the past year, with 49.1% (n = 106) reporting instigating acts of provocation. The most prevalent experience (both for targets and instigators) was coercion to drink an entire alcoholic beverage at once as part of a game. Most acts of alcohol-related provocation generated little or no distress. Males were significantly more likely to experience some events than females. Thirty-two personal narratives of alcohol-related provocation were reported (only three reported resisting provocation). Thematic analysis identified three themes with differing power relations: ongoing 'peer-peer provocation' as a commonplace social activity, hierarchical 'peer provocation' at initiation ceremonies and 'team-mate provocation' at sports socials as bonding exercises. The tone of the narratives depended on the context in which the events described occurred. AB - CONCLUSIONS: Alcohol-related provocation occurs among some UK medical students and may present professionalism issues to medical students. Medical schools may wish to integrate more teaching regarding behaviour around alcohol into their curricula by addressing students' explicit and implicit attitudes towards alcohol consumption. Copyright © 2014 John Wiley & Sons Ltd. ES - 1365-2923 IL - 0308-0110 DO - https://dx.doi.org/10.1111/medu.12300 PT - Journal Article ID - 10.1111/medu.12300 [doi] PP - ppublish PH - 2013/02/10 [received] PH - 2013/03/15 [revised] PH - 2013/07/02 [accepted] LG - English DP - 2014 Mar EZ - 2014/02/18 06:00 DA - 2014/10/15 06:00 DT - 2014/02/18 06:00 YR - 2014 ED - 20141014 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24528462 <293. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23790248 TI - Evaluation and treatment of sex addiction. [Review] SO - Journal of Sex & Marital Therapy. 40(2):77-91, 2014. AS - J Sex Marital Ther. 40(2):77-91, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosenberg KP AU - Carnes P AU - O'Connor S FA - Rosenberg, Kenneth Paul FA - Carnes, Patrick FA - O'Connor, Suzanne IN - Rosenberg, Kenneth Paul. a Department of Psychiatry , Weill Cornell Medical College , New York , New York , USA. NJ - Journal of sex & marital therapy VO - 40 IP - 2 PG - 77-91 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - j89, 7502387 IO - J Sex Marital Ther SB - Index Medicus CP - England MH - Adult MH - Behavior, Addictive/di [Diagnosis] MH - Behavior, Addictive/pp [Physiopathology] MH - Behavior, Addictive/px [Psychology] MH - *Behavior, Addictive/th [Therapy] MH - Brain/pp [Physiopathology] MH - Comorbidity MH - Diagnosis, Differential MH - Disruptive, Impulse Control, and Conduct Disorders/di [Diagnosis] MH - Disruptive, Impulse Control, and Conduct Disorders/pp [Physiopathology] MH - Disruptive, Impulse Control, and Conduct Disorders/px [Psychology] MH - Disruptive, Impulse Control, and Conduct Disorders/th [Therapy] MH - Humans MH - Internet MH - Male MH - Motivation/ph [Physiology] MH - Nerve Net/ph [Physiology] MH - Object Attachment MH - Obsessive-Compulsive Disorder/di [Diagnosis] MH - Obsessive-Compulsive Disorder/pp [Physiopathology] MH - Obsessive-Compulsive Disorder/px [Psychology] MH - Obsessive-Compulsive Disorder/th [Therapy] MH - Psychometrics/sn [Statistics & Numerical Data] MH - Reproducibility of Results MH - *Sexual Behavior/px [Psychology] MH - Surveys and Questionnaires MH - Treatment Outcome AB - 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. ES - 1521-0715 IL - 0092-623X DO - https://dx.doi.org/10.1080/0092623X.2012.701268 PT - Journal Article PT - Review ID - 10.1080/0092623X.2012.701268 [doi] PP - ppublish LG - English EP - 20130621 DP - 2014 EZ - 2013/06/25 06:00 DA - 2014/10/07 06:00 DT - 2013/06/25 06:00 YR - 2014 ED - 20141006 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=23790248 <294. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24270949 TI - Days out-of-role due to common physical and mental health problems: results from the Sao Paulo Megacity Mental Health Survey, Brazil. SO - Clinics (Sao Paulo, Brazil). 68(11):1392-9, 2013 Nov. AS - Clinics. 68(11):1392-9, 2013 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Andrade LH AU - Baptista MC AU - Alonso J AU - Petukhova M AU - Bruffaerts R AU - Kessler RC AU - Silveira CM AU - Siu ER AU - Wang YP AU - Viana MC FA - Andrade, Laura Helena FA - Baptista, Marcos C FA - Alonso, Jordi FA - Petukhova, Maria FA - Bruffaerts, Ronny FA - Kessler, Ronald C FA - Silveira, Camila M FA - Siu, Erica R FA - Wang, Yuan-Pang FA - Viana, Maria Carmen IN - Andrade, Laura Helena. Section of Psychiatric Epidemiology - LIM 23, Department and Institute of Psychiatry, Faculdade de Medicina, Universidade de Sao Paulo, Sao PauloSP, Brazil. NJ - Clinics (Sao Paulo, Brazil) VO - 68 IP - 11 PG - 1392-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101244734, 16240140r IO - Clinics (Sao Paulo) PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3812560 SB - Index Medicus CP - Brazil MH - *Absenteeism MH - *Activities of Daily Living MH - Adolescent MH - Adult MH - Brazil/ep [Epidemiology] MH - Chronic Pain/ep [Epidemiology] MH - Comorbidity MH - Female MH - *Health Surveys/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - *Mental Disorders/ep [Epidemiology] MH - Mental Health/sn [Statistics & Numerical Data] MH - Prevalence MH - Socioeconomic Factors MH - Time Factors MH - Urban Population/sn [Statistics & Numerical Data] MH - World Health Organization MH - Young Adult AB - 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 Sao Paulo Metropolitan Area, Brazil. AB - METHODS: The Sao 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. AB - 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. AB - 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 Sao Paulo Metropolitan Area. ES - 1980-5322 IL - 1807-5932 DI - S1807-59322013001101392 DO - https://dx.doi.org/10.6061/clinics/2013(11)02 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - S1807-59322013001101392 [pii] ID - 10.6061/clinics/2013(11)02 [doi] ID - PMC3812560 [pmc] PP - ppublish PH - 2013/02/05 [received] PH - 2013/05/22 [accepted] GI - No: R01 DA016558 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01MH070884 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01-MH069864 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R03-TW006481 Organization: (TW) *FIC NIH HHS* Country: United States GI - No: R13-MH066849 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2013 Nov EZ - 2013/11/26 06:00 DA - 2014/10/01 06:00 DT - 2013/11/26 06:00 YR - 2013 ED - 20140930 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24270949 <295. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24922156 TI - Language and stigmatization in addiction medicine. SO - American Journal of Public Health. 104(8):e1, 2014 Aug. AS - Am J Public Health. 104(8):e1, 2014 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hosea DF FA - Hosea, Devin F IN - Hosea, Devin F. Devin F. Hosea is with the Virtual Hospital for Addiction and its parent company, the Virtual Hospital Corporation, Cambridge, MA. CM - Comment on: Am J Public Health. 2013 Apr;103(4):e1-2; PMID: 23409913 NJ - American journal of public health VO - 104 IP - 8 PG - e1 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 1254074, 3xw IO - Am J Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103219 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - Male MH - *Public Health/ed [Education] MH - *Social Work/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] ES - 1541-0048 IL - 0090-0036 DO - https://dx.doi.org/10.2105/AJPH.2014.302019 PT - Comment PT - Letter ID - 10.2105/AJPH.2014.302019 [doi] ID - PMC4103219 [pmc] PP - ppublish LG - English EP - 20140612 DP - 2014 Aug EZ - 2014/06/13 06:00 DA - 2014/09/27 06:00 DT - 2014/06/13 06:00 YR - 2014 ED - 20140926 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24922156 <296. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24922121 TI - Rules and values: a coordinated regulatory and educational approach to the public health crises of chronic pain and addiction. SO - American Journal of Public Health. 104(8):1356-62, 2014 Aug. AS - Am J Public Health. 104(8):1356-62, 2014 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Katzman JG AU - Comerci GD AU - Landen M AU - Loring L AU - Jenkusky SM AU - Arora S AU - Kalishman S AU - Marr L AU - Camarata C AU - Duhigg D AU - Dillow J AU - Koshkin E AU - Taylor DE AU - Geppert CM FA - Katzman, Joanna G FA - Comerci, George D FA - Landen, Michael FA - Loring, Larry FA - Jenkusky, Steven M FA - Arora, Sanjeev FA - Kalishman, Summers FA - Marr, Lisa FA - Camarata, Chris FA - Duhigg, Daniel FA - Dillow, Jennifer FA - Koshkin, Eugene FA - Taylor, Denise E FA - Geppert, Cynthia M A IN - Katzman, Joanna 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. NJ - American journal of public health VO - 104 IP - 8 PG - 1356-62 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 1254074, 3xw IO - Am J Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4103251 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Chronic Pain/dt [Drug Therapy] MH - Drug Overdose/pc [Prevention & Control] MH - Drug Prescriptions MH - Education, Medical, Continuing/mt [Methods] MH - *Education, Medical, Continuing MH - Humans MH - New Mexico MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Pain Management MH - Public Health AB - 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. RN - 0 (Analgesics, Opioid) ES - 1541-0048 IL - 0090-0036 DO - https://dx.doi.org/10.2105/AJPH.2014.301881 PT - Journal Article ID - 10.2105/AJPH.2014.301881 [doi] ID - PMC4103251 [pmc] PP - ppublish LG - English EP - 20140612 DP - 2014 Aug EZ - 2014/06/13 06:00 DA - 2014/09/27 06:00 DT - 2014/06/13 06:00 YR - 2014 ED - 20140926 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24922121 <297. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25097167 TI - [Free of benzodiazepines with an in general practice feasible intervention]. [German] OT - Frei von Benzodiazepinen mit einer in der Allgemeinpraxis praktikablen Intervention. SO - Praxis. 103(16):971-2, 2014 Aug 06. AS - Praxis (Bern 1994). 103(16):971-2, 2014 Aug 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steurer J FA - Steurer, Johann IN - Steurer, Johann. Horten-Zentrum fur praxisorientierte Forschung und Wissenstransfer, Universitatsspital Zurich. NJ - Praxis VO - 103 IP - 16 PG - 971-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 101468093 IO - Praxis (Bern 1994) SB - Index Medicus CP - Switzerland MH - *Benzodiazepinones MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Education, Medical, Continuing MH - Follow-Up Studies MH - General Practice/ed [Education] MH - Humans MH - Randomized Controlled Trials as Topic MH - Referral and Consultation MH - Spain MH - *Substance-Related Disorders/rh [Rehabilitation] RN - 0 (Benzodiazepinones) IS - 1661-8157 IL - 1661-8157 DO - https://dx.doi.org/10.1024/1661-8157/a001736 PT - Comparative Study PT - Journal Article ID - 158W0663448773J7 [pii] ID - 10.1024/1661-8157/a001736 [doi] PP - ppublish LG - German DP - 2014 Aug 06 EZ - 2014/08/07 06:00 DA - 2014/09/26 06:00 DT - 2014/08/07 06:00 YR - 2014 ED - 20140925 RD - 20140806 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=25097167 <298. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24126686 TI - Antipsychotic prescription filling in patients with schizophrenia or schizoaffective disorder. SO - Journal of Clinical Psychopharmacology. 33(6):759-65, 2013 Dec. AS - J Clin Psychopharmacol. 33(6):759-65, 2013 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reutfors J AU - Brandt L AU - Stephansson O AU - Kieler H AU - Andersen M AU - Boden R FA - Reutfors, Johan FA - Brandt, Lena FA - Stephansson, Olof FA - Kieler, Helle FA - Andersen, Morten FA - Boden, Robert IN - Reutfors, Johan. From the *Centre for Pharmacoepidemiology, Department of Medicine Solna, Karolinska Institutet, Stockholm; and +Department of Neuroscience, Psychiatry, Uppsala University, Uppsala, Sweden. NJ - Journal of clinical psychopharmacology VO - 33 IP - 6 PG - 759-65 PI - Journal available in: Print PI - Citation processed from: Internet JC - hud, 8109496 IO - J Clin Psychopharmacol SB - Index Medicus CP - United States MH - Adult MH - Antipsychotic Agents/ad [Administration & Dosage] MH - *Antipsychotic Agents/tu [Therapeutic Use] MH - Cohort Studies MH - Female MH - Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Length of Stay MH - Male MH - *Medication Adherence/sn [Statistics & Numerical Data] MH - Proportional Hazards Models MH - *Psychotic Disorders/dt [Drug Therapy] MH - Registries MH - Regression Analysis MH - *Schizophrenia/dt [Drug Therapy] MH - Sweden MH - Time Factors MH - Young Adult AB - OBJECTIVE: Assessment of factors influencing antipsychotic prescription fills in the early phase of schizophrenia or schizoaffective disorder. AB - 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. AB - 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). AB - 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. RN - 0 (Antipsychotic Agents) ES - 1533-712X IL - 0271-0749 DO - https://dx.doi.org/10.1097/JCP.0b013e3182a1cd2e PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1097/JCP.0b013e3182a1cd2e [doi] PP - ppublish LG - English DP - 2013 Dec EZ - 2013/10/16 06:00 DA - 2014/09/16 06:00 DT - 2013/10/16 06:00 YR - 2013 ED - 20140915 RD - 20131107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24126686 <299. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24380737 TI - Decision rules for GHB (gamma-hydroxybutyric acid) detoxification: a vignette study. SO - Drug & Alcohol Dependence. 135:146-51, 2014 Feb 01. AS - Drug Alcohol Depend. 135:146-51, 2014 Feb 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kamal RM AU - van Iwaarden S AU - Dijkstra BA AU - de Jong CA FA - Kamal, Rama M FA - van Iwaarden, Sjacco FA - Dijkstra, Boukje A G FA - de Jong, Cornelis A J IN - Kamal, Rama M. Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), 6525 ED Nijmegen, The Netherlands; Novadic-Kentron Addiction Care Network, 5260 AE Vught, The Netherlands. Electronic address: rama.kamal@novadic-kentron.nl. IN - van Iwaarden, Sjacco. Dimence Mental Health Care, 8012 EN Zwolle, The Netherlands. IN - Dijkstra, Boukje A G. Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), 6525 ED Nijmegen, The Netherlands; Novadic-Kentron Addiction Care Network, 5260 AE Vught, The Netherlands. IN - de Jong, Cornelis A J. Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA), 6525 ED Nijmegen, The Netherlands. NJ - Drug and alcohol dependence VO - 135 PG - 146-51 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ebs, 7513587 IO - Drug Alcohol Depend SB - Index Medicus CP - Ireland MH - Adult MH - *Behavior, Addictive/di [Diagnosis] MH - Behavior, Addictive/th [Therapy] MH - Cohort Studies MH - Decision Making MH - Female MH - Humans MH - *Hydroxybutyrates MH - Male MH - Prospective Studies MH - Psychiatry/mt [Methods] MH - *Psychiatry MH - Substance Abuse Treatment Centers/mt [Methods] MH - *Substance Abuse Treatment Centers MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - Substance Withdrawal Syndrome/th [Therapy] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - Young Adult KW - Detoxification; GHB; Gamma-hydroxybutyric acid; Outpatient; Vignette study AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2013 Elsevier Ireland Ltd. All rights reserved. RN - 0 (Hydroxybutyrates) RN - 30IW36W5B2 (4-hydroxybutyric acid) ES - 1879-0046 IL - 0376-8716 DI - S0376-8716(13)00519-X DO - https://dx.doi.org/10.1016/j.drugalcdep.2013.12.003 PT - Journal Article ID - S0376-8716(13)00519-X [pii] ID - 10.1016/j.drugalcdep.2013.12.003 [doi] PP - ppublish PH - 2013/07/16 [received] PH - 2013/12/07 [revised] PH - 2013/12/09 [accepted] LG - English EP - 20131217 DP - 2014 Feb 01 EZ - 2014/01/02 06:00 DA - 2014/09/10 06:00 DT - 2014/01/02 06:00 YR - 2014 ED - 20140908 RD - 20140113 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24380737 <300. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24159907 TI - 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. SO - Substance Abuse. 34(4):363-70, 2013. AS - Subst Abus. 34(4):363-70, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wakeman SE AU - Baggett MV AU - Pham-Kanter G AU - Campbell EG FA - Wakeman, Sarah E FA - Baggett, Meridale V FA - Pham-Kanter, Genevieve FA - Campbell, Eric G IN - Wakeman, Sarah E. a Department of Medicine , Massachusetts General Hospital , Boston , Massachusetts , USA. NJ - Substance abuse VO - 34 IP - 4 PG - 363-70 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Clinical Competence MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - *Self Concept MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - BACKGROUND: 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. AB - METHODS: A survey was e-mailed to 184 internal medicine residents at Massachusetts General Hospital in May 2012. AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2013.797540 PT - Evaluation Studies PT - Journal Article ID - 10.1080/08897077.2013.797540 [doi] PP - ppublish LG - English DP - 2013 EZ - 2013/10/29 06:00 DA - 2014/09/10 06:00 DT - 2013/10/29 06:00 YR - 2013 ED - 20140907 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24159907 <301. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24159905 TI - Teaching and assessing residents' skills in managing heroin addiction with objective structured clinical examinations (OSCEs). SO - Substance Abuse. 34(4):350-5, 2013. AS - Subst Abus. 34(4):350-5, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Parish SJ AU - Stein MR AU - Hahn SR AU - Goldberg U AU - Arnsten JH FA - Parish, Sharon J FA - Stein, Melissa R FA - Hahn, Steven R FA - Goldberg, Uri FA - Arnsten, Julia H IN - Parish, Sharon J. a Division of General Internal Medicine, Department of Medicine , Albert Einstein College of Medicine and Montefiore Medical Center , Bronx , New York , USA. NJ - Substance abuse VO - 34 IP - 4 PG - 350-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3811017 OI - Source: NLM. NIHMS463457 SB - Index Medicus CP - United States MH - *Clinical Competence MH - *Education, Medical, Graduate MH - *Family Practice/ed [Education] MH - *Heroin Dependence/th [Therapy] MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2013.776658 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2013.776658 [doi] ID - PMC3811017 [pmc] ID - NIHMS463457 [mid] PP - ppublish GI - No: R25 DA014551 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA023021 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA 14551 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2013 EZ - 2013/10/29 06:00 DA - 2014/09/10 06:00 DT - 2013/10/29 06:00 YR - 2013 ED - 20140907 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24159905 <302. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24159906 TI - Stigmatization of substance use disorders among internal medicine residents. SO - Substance Abuse. 34(4):356-62, 2013. AS - Subst Abus. 34(4):356-62, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Meltzer EC AU - Suppes A AU - Burns S AU - Shuman A AU - Orfanos A AU - Sturiano CV AU - Charney P AU - Fins JJ FA - Meltzer, Ellen C FA - Suppes, Alexandra FA - Burns, Sam FA - Shuman, Andrew FA - Orfanos, Alex FA - Sturiano, Christopher V FA - Charney, Pamela FA - Fins, Joseph J IN - Meltzer, Ellen C. a Division of Medical Ethics, Department of Public Health , Weill Cornell Medical College , New York , New York , USA. NJ - Substance abuse VO - 34 IP - 4 PG - 356-62 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Curriculum MH - Education, Medical, Graduate MH - Female MH - Heartburn/px [Psychology] MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Pneumonia/px [Psychology] MH - Prospective Studies MH - *Stereotyping MH - *Substance-Related Disorders/px [Psychology] AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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]). AB - CONCLUSIONS: 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2013.815143 PT - Journal Article ID - 10.1080/08897077.2013.815143 [doi] PP - ppublish LG - English DP - 2013 EZ - 2013/10/29 06:00 DA - 2014/09/10 06:00 DT - 2013/10/29 06:00 YR - 2013 ED - 20140907 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24159906 <303. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24159904 TI - Team-based learning exercise efficiently teaches brief intervention skills to medicine residents. SO - Substance Abuse. 34(4):344-9, 2013. AS - Subst Abus. 34(4):344-9, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wamsley MA AU - Julian KA AU - O'Sullivan P AU - McCance-Katz EF AU - Batki SL AU - Satre DD AU - Satterfield J FA - Wamsley, Maria A FA - Julian, Katherine A FA - O'Sullivan, Patricia FA - McCance-Katz, Elinore F FA - Batki, Steven L FA - Satre, Derek D FA - Satterfield, Jason IN - Wamsley, Maria A. a Division of General Internal Medicine , University of California, San Francisco , San Francisco , California , USA. NJ - Substance abuse VO - 34 IP - 4 PG - 344-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Clinical Competence MH - *Education, Medical, Graduate MH - *Group Processes MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Program Evaluation MH - Substance-Related Disorders AB - BACKGROUND: 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. AB - METHODS: A waitlist-controlled design was employed. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2013.787958 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2013.787958 [doi] PP - ppublish LG - English DP - 2013 EZ - 2013/10/29 06:00 DA - 2014/09/10 06:00 DT - 2013/10/29 06:00 YR - 2013 ED - 20140907 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24159904 <304. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25187753 TI - Abuse and misuse of antidepressants. [Review] SO - Substance Abuse & Rehabilitation. 5:107-20, 2014. AS - Subst. abuse rehabil.. 5:107-20, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Evans EA AU - Sullivan MA FA - Evans, Elizabeth A FA - Sullivan, Maria A IN - Evans, Elizabeth A. Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA. IN - Sullivan, Maria A. Department of Psychiatry, Columbia University College of Physicians and Surgeons, New York, NY, USA. NJ - Substance abuse and rehabilitation VO - 5 PG - 107-20 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101558476 IO - Subst Abuse Rehabil PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4140701 CP - New Zealand KW - abuse; addiction; antidepressant; dependence; misuse; nonmedical use; prescription AB - BACKGROUND: Rates of prescription drug abuse have reached epidemic proportions. Large-scale epidemiologic surveys of this under-recognized clinical problem have not included antidepressants despite their contribution to morbidity and mortality. The purpose of this review is to look specifically at the misuse of antidepressants and how this behavior may fit into the growing crisis of nonmedical use of prescription drugs. AB - METHODS: We conducted a comprehensive search on PubMed, Medline, and PsycINFO using the search terms "antidepressant", "abuse", "misuse", "nonmedical use", "dependence", and "addiction", as well as individual antidepressant classes (eg, "SSRI") and individual antidepressants (eg, "fluoxetine") in various combinations, to identify articles of antidepressant misuse and abuse. AB - RESULTS: A small but growing literature on the misuse and abuse of antidepressants consists largely of case reports. Most cases of antidepressant abuse have occurred in individuals with comorbid substance use and mood disorders. The most commonly reported motivation for abuse is to achieve a psychostimulant-like effect. Antidepressants are abused at high doses and via a variety of routes of administration (eg, intranasal, intravenous). Negative consequences vary based upon antidepressant class and pharmacology, but these have included seizures, confusion, and psychotic-like symptoms. AB - CONCLUSION: The majority of individuals prescribed antidepressants do not misuse the medication. However, certain classes of antidepressants do carry abuse potential. Vulnerable patient populations include those with a history of substance abuse and those in controlled environments. Warning signs include the presence of aberrant behaviors. Physicians should include antidepressants when screening for risky prescription medication use. When antidepressant misuse is detected, a thoughtful treatment plan, including referral to an addiction specialist, should be developed and implemented. IS - 1179-8467 IL - 1179-8467 DO - https://dx.doi.org/10.2147/SAR.S37917 PT - Journal Article PT - Review ID - 10.2147/SAR.S37917 [doi] ID - sar-5-107 [pii] ID - PMC4140701 [pmc] PP - epublish GI - No: T32 DA007294 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20140814 DP - 2014 EZ - 2014/09/05 06:00 DA - 2014/09/05 06:01 DT - 2014/09/05 06:00 YR - 2014 ED - 20140904 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25187753 <305. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23873981 TI - One-hour training for general practitioners in reducing the implementation gap of smoking cessation care: a cluster-randomized controlled trial. SO - Nicotine & Tobacco Research. 16(1):1-10, 2014 Jan. AS - Nicotine Tob Res. 16(1):1-10, 2014 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Verbiest ME AU - Crone MR AU - Scharloo M AU - Chavannes NH AU - van der Meer V AU - Kaptein AA AU - Assendelft WJ FA - Verbiest, Marjolein E A FA - Crone, Mathilde R FA - Scharloo, Margreet FA - Chavannes, Niels H FA - van der Meer, Victor FA - Kaptein, Ad A FA - Assendelft, Willem J J IN - Verbiest, Marjolein E A. Department of Public Health and Primary Care, Leiden University Medical Centre, Leiden, The Netherlands; NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 16 IP - 1 PG - 1-10 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Adult MH - Counseling MH - Female MH - *General Practitioners/ed [Education] MH - *General Practitioners/px [Psychology] MH - Humans MH - Male MH - Middle Aged MH - *Smoking Cessation AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-994X IL - 1462-2203 DO - https://dx.doi.org/10.1093/ntr/ntt100 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - ntt100 [pii] ID - 10.1093/ntr/ntt100 [doi] PP - ppublish LG - English EP - 20130719 DP - 2014 Jan EZ - 2013/07/23 06:00 DA - 2014/09/04 06:00 DT - 2013/07/23 06:00 YR - 2014 ED - 20140903 RD - 20131217 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=23873981 <306. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24533849 TI - Substance misuse teaching in undergraduate medical education. SO - BMC Medical Education. 14:34, 2014 Feb 17. AS - BMC Med Educ. 14:34, 2014 Feb 17. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carroll J AU - Goodair C AU - Chaytor A AU - Notley C AU - Ghodse H AU - Kopelman P FA - Carroll, Janine FA - Goodair, Christine FA - Chaytor, Andrew FA - Notley, Caitlin FA - Ghodse, Hamid FA - Kopelman, Peter IN - Carroll, Janine. Psychology Department, University of Chester, Critchley Building, Parkgate Road, Chester, UK. j.carroll@chester.ac.uk. NJ - BMC medical education VO - 14 PG - 34 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3932109 SB - Index Medicus CP - England MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - Interviews as Topic MH - Schools, Medical MH - *Substance-Related Disorders MH - United Kingdom AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/1472-6920-14-34 PT - Journal Article ID - 1472-6920-14-34 [pii] ID - 10.1186/1472-6920-14-34 [doi] ID - PMC3932109 [pmc] PP - epublish PH - 2013/09/17 [received] PH - 2014/02/12 [accepted] LG - English EP - 20140217 DP - 2014 Feb 17 EZ - 2014/02/19 06:00 DA - 2014/08/29 06:00 DT - 2014/02/19 06:00 YR - 2014 ED - 20140828 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24533849 <307. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24383603 TI - Tobacco control education in pediatric anesthesiology fellowships. SO - Paediatric Anaesthesia. 23(12):1213-8, 2013 Dec. AS - Paediatr Anaesth. 23(12):1213-8, 2013 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peters SM AU - Pabelick CM AU - Warner DO FA - Peters, Shannon M FA - Pabelick, Christina M FA - Warner, David O IN - Peters, Shannon M. Department of Anesthesiology, Mayo Clinic, Rochester, MN, USA. NJ - Paediatric anaesthesia VO - 23 IP - 12 PG - 1213-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cg8, 9206575 IO - Paediatr Anaesth SB - Index Medicus CP - France MH - Adult MH - Age Factors MH - *Anesthesiology/ed [Education] MH - Child MH - Data Collection MH - Fellowships and Scholarships MH - Female MH - *Health Education/mt [Methods] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Pediatrics MH - Sex Factors MH - Smoking Cessation MH - *Tobacco MH - Tobacco Smoke Pollution/pc [Prevention & Control] MH - *Tobacco Use/pc [Prevention & Control] KW - anesthesia; pediatrics; perioperative care; quality improvement AB - BACKGROUND: Cigarette smoking and secondhand smoke exposure (SHS) increase the risk of perioperative complications. Traditionally, anesthesiologists have limited involvement in tobacco control. AB - OBJECTIVE: To develop and disseminate an educational curriculum that educates pediatric anesthesia fellows in tobacco control. AB - METHODS: After IRB approval, an online survey was disseminated to pediatric anesthesiology fellowship directors. AB - 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. AB - 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. Copyright © 2013 John Wiley & Sons Ltd. RN - 0 (Tobacco Smoke Pollution) ES - 1460-9592 IL - 1155-5645 DO - https://dx.doi.org/10.1111/pan.12277 PT - Journal Article ID - 10.1111/pan.12277 [doi] PP - ppublish PH - 2013/09/08 [accepted] LG - English EP - 20131012 DP - 2013 Dec EZ - 2014/01/05 06:00 DA - 2014/08/26 06:00 DT - 2014/01/04 06:00 YR - 2013 ED - 20140825 RD - 20140103 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24383603 <308. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23880837 TI - [Drugs consumption among Intern Specialists in Jaen (Spain) and their relationship to clinical counseling]. [Spanish] OT - Consumo de drogas entre los Especialistas Internos Residentes de Jaen (Espana) y su relacion con el consejo clinico. SO - Adicciones. 25(3):243-52, 2013. AS - ADICCIONES. 25(3):243-52, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Valverde Bolivar FJ AU - Perez Milena A AU - Moreno Corredor A FA - Valverde Bolivar, Francisco Javier FA - Perez Milena, Alejandro FA - Moreno Corredor, Andres IN - Valverde Bolivar, Francisco Javier. Unidad Docente de Medicina Familiar y Comunitaria de Jaen, Complejo Hospitalario de Jaen, Jaen. franciscoj.valverde.sspa@juntadeandalucia.es NJ - Adicciones VO - 25 IP - 3 PG - 243-52 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9605506 IO - Adicciones SB - Index Medicus CP - Spain MH - Adult MH - *Counseling/sn [Statistics & Numerical Data] MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Spain MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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). IS - 0214-4840 IL - 0214-4840 PT - English Abstract PT - Journal Article PT - Multicenter Study ID - 52 [pii] PP - ppublish LG - Spanish DP - 2013 EZ - 2013/07/25 06:00 DA - 2014/07/31 06:00 DT - 2013/07/25 06:00 YR - 2013 ED - 20140730 RD - 20130724 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23880837 <309. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24616136 TI - Effectiveness of training family physicians to deliver a brief intervention to address excessive substance use among young patients: a cluster randomized controlled trial. SO - CMAJ Canadian Medical Association Journal. 186(8):E263-72, 2014 May 13. AS - CMAJ. 186(8):E263-72, 2014 May 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haller DM AU - Meynard A AU - Lefebvre D AU - Ukoumunne OC AU - Narring F AU - Broers B FA - Haller, Dagmar M FA - Meynard, Anne FA - Lefebvre, Daniele FA - Ukoumunne, Obioha C FA - Narring, Francoise FA - Broers, Barbara CM - Comment in: CMAJ. 2014 May 13;186(8):565-6; PMID: 24733767 NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 186 IP - 8 PG - E263-72 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4016089 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Adolescent MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Cluster Analysis MH - Confidence Intervals MH - Female MH - Humans MH - Male MH - Odds Ratio MH - Patient Education as Topic MH - *Physicians, Family/ed [Education] MH - Pilot Projects MH - Practice Patterns, Physicians' MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - Switzerland MH - Treatment Outcome MH - Young Adult AB - 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 cannabis use among young people. AB - 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. AB - 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 between groups were also nonsignificant after we restricted 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). AB - 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. AB - TRIAL REGISTRATION: Australian New Zealand Clinical Trials Registry, no. ACTRN12608000432314. ES - 1488-2329 IL - 0820-3946 DO - https://dx.doi.org/10.1503/cmaj.131301 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - cmaj.131301 [pii] ID - 10.1503/cmaj.131301 [doi] ID - PMC4016089 [pmc] PP - ppublish SI - ANZCTR SA - ANZCTR/ACTRN12608000432314 LG - English EP - 20140310 DP - 2014 May 13 EZ - 2014/03/13 06:00 DA - 2014/07/30 06:00 DT - 2014/03/12 06:00 YR - 2014 ED - 20140729 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24616136 <310. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25031856 TI - Prevalence of internet addiction and associated factors among medical students from mashhad, iran in 2013. SO - Iranian Red Crescent Medical Journal. 16(5):e17256, 2014 May. AS - Iran. Red Crescent med. j.. 16(5):e17256, 2014 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Salehi M AU - Norozi Khalili M AU - Hojjat SK AU - Salehi M AU - Danesh A FA - Salehi, Maryam FA - Norozi Khalili, Mina FA - Hojjat, Seyed Kaveh FA - Salehi, Mahta FA - Danesh, Ali IN - Salehi, Maryam. Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran ; Research Center for Patient Safety, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran. IN - Norozi Khalili, Mina. Department of Community Medicine, School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran. IN - Hojjat, Seyed Kaveh. Department of Psychiatry, North Khorasan University of Medical Sciences, Bojnurd, IR Iran ; Addiction and Behavioral Sciences Research Center, North Khorasan University of Medical Sciences, Bojnurd, IR Iran. IN - Salehi, Mahta. School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran. IN - Danesh, Ali. School of Medicine, Mashhad University of Medical Sciences, Mashhad, IR Iran. NJ - Iranian Red Crescent medical journal VO - 16 IP - 5 PG - e17256 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101319850 IO - Iran Red Crescent Med J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4082516 CP - Iran KW - Internet; Prevalence; Students AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. IS - 2074-1804 IL - 2074-1804 DO - https://dx.doi.org/10.5812/ircmj.17256 PT - Journal Article ID - 10.5812/ircmj.17256 [doi] ID - PMC4082516 [pmc] PP - ppublish PH - 2013/12/29 [received] PH - 2014/03/09 [revised] PH - 2014/03/29 [accepted] LG - English EP - 20140505 DP - 2014 May EZ - 2014/07/18 06:00 DA - 2014/07/18 06:01 DT - 2014/07/18 06:00 YR - 2014 ED - 20140717 RD - 20170816 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=25031856 <311. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24325775 TI - Educating providers for the epidemic: the role of AOAAM. SO - Journal of Addictive Diseases. 32(4):401-2, 2013. AS - J Addict Dis. 32(4):401-2, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kotz M FA - Kotz, Margaret IN - Kotz, Margaret. a American Osteopathic Academy of Addiction Medicine. NJ - Journal of addictive diseases VO - 32 IP - 4 PG - 401-2 PI - Journal available in: Print PI - Citation processed from: Internet JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Child MH - Education, Medical/st [Standards] MH - *Epidemics MH - Humans MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] ES - 1545-0848 IL - 1055-0887 DO - https://dx.doi.org/10.1080/10550887.2013.859450 PT - Journal Article ID - 10.1080/10550887.2013.859450 [doi] PP - ppublish LG - English DP - 2013 EZ - 2013/12/12 06:00 DA - 2014/07/16 06:00 DT - 2013/12/12 06:00 YR - 2013 ED - 20140715 RD - 20131211 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24325775 <312. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23607520 TI - Test anxiety among German medical students and its impact on lifestyle and substance abuse. SO - Medical Teacher. 35(11):969, 2013 Nov. AS - Med Teach. 35(11):969, 2013 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tektas OY AU - Paulsen F AU - Sel S FA - Tektas, Ozan Yuksel FA - Paulsen, Friedrich FA - Sel, Saadetin IN - Tektas, Ozan Yuksel. Department of Anatomy II, Friedrich-Alexander-University of Erlangen-Nuremberg , Erlangen , Germany. NJ - Medical teacher VO - 35 IP - 11 PG - 969 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7909593, mf9 IO - Med Teach SB - Index Medicus CP - England MH - *Anxiety/ep [Epidemiology] MH - Anxiety/px [Psychology] MH - Cross-Sectional Studies MH - *Educational Measurement MH - Germany/ep [Epidemiology] MH - Humans MH - *Life Style MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Test Anxiety Scale ES - 1466-187X IL - 0142-159X DO - https://dx.doi.org/10.3109/0142159X.2013.786813 PT - Letter ID - 10.3109/0142159X.2013.786813 [doi] PP - ppublish LG - English EP - 20130422 DP - 2013 Nov EZ - 2013/04/24 06:00 DA - 2014/07/02 06:00 DT - 2013/04/24 06:00 YR - 2013 ED - 20140701 RD - 20131015 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23607520 <313. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24353438 TI - Mitigating the risk of opioid abuse through a balanced undergraduate pain medicine curriculum. [Review] SO - Journal of pain research. 6:791-801, 2013 Dec 04. AS - J Pain Res. 6:791-801, 2013 Dec 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Morley-Forster PK AU - Pergolizzi JV AU - Taylor R Jr AU - Axford-Gatley RA AU - Sellers EM FA - Morley-Forster, Patricia K FA - Pergolizzi, Joseph V FA - Taylor, Robert Jr FA - Axford-Gatley, Robert A FA - Sellers, Edward M IN - Morley-Forster, Patricia K. Department of Anesthesia and Perioperative Medicine, University of Western Ontario, London, ON, Canada ; Outpatient Pain Clinic, St Joseph's Hospital, London, ON, Canada. IN - Pergolizzi, Joseph V. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD, USA ; Department of Pharmacology, Temple University School of Medicine, Philadelphia, PA, USA ; NEMA Research Inc, Naples, FL, USA. IN - Taylor, Robert Jr. NEMA Research Inc, Naples, FL, USA. IN - Axford-Gatley, Robert A. Clinical Content and Editorial Services, Complete Healthcare Communications, Inc, Chadds Ford, PA, USA. IN - Sellers, Edward M. DL Global Partners Inc, Toronto, ON, Canada. NJ - Journal of pain research VO - 6 PG - 791-801 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101540514 IO - J Pain Res PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3862507 CP - New Zealand KW - chronic pain; curricular content; medical education; opioids; pain education; pain knowledge; physician training; teaching AB - 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. IS - 1178-7090 IL - 1178-7090 DO - https://dx.doi.org/10.2147/JPR.S47192 PT - Journal Article PT - Review ID - 10.2147/JPR.S47192 [doi] ID - jpr-6-791 [pii] ID - PMC3862507 [pmc] PP - epublish LG - English EP - 20131204 DP - 2013 Dec 04 EZ - 2013/12/20 06:00 DA - 2013/12/20 06:01 DT - 2013/12/20 06:00 YR - 2013 ED - 20140624 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24353438 <314. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24186493 TI - Opioid substitution treatment in pretrial prison detention: a case study from Geneva, Switzerland. SO - Swiss Medical Weekly. 143:w13898, 2013 Nov 01. AS - Swiss Med Wkly. 143:w13898, 2013 Nov 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Favrod-Coune T AU - Baroudi M AU - Casillas A AU - Rieder JP AU - Getaz L AU - Barro J AU - Gaspoz JM AU - Broers B AU - Wolff H FA - Favrod-Coune, Thierry FA - Baroudi, Mariem FA - Casillas, Alejandra FA - Rieder, Jean-Pierre FA - Getaz, Laurent FA - Barro, Javier FA - Gaspoz, Jean-Michel FA - Broers, Barbara FA - Wolff, Hans IN - Favrod-Coune, Thierry. Geneva University Hospitals, Penitentiary Medicine Service, Department of community medicine, primary care and emergency medicine, University of Geneva, Switzerland; Thierry.Favrod-Coune@hcuge.ch. NJ - Swiss medical weekly VO - 143 PG - w13898 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - d10, 100970884 IO - Swiss Med Wkly SB - Index Medicus CP - Switzerland MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Buprenorphine/tu [Therapeutic Use] MH - Continuity of Patient Care MH - Female MH - Health Services Accessibility MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - *Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Prisoners MH - *Prisons MH - Retrospective Studies MH - *Substance Abuse, Intravenous/rh [Rehabilitation] MH - Switzerland MH - Vulnerable Populations MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) RN - UC6VBE7V1Z (Methadone) ES - 1424-3997 IL - 0036-7672 DI - Swiss Med Wkly. 2013;143:w13898 DO - https://dx.doi.org/10.4414/smw.2013.13898 PT - Journal Article ID - 10.4414/smw.2013.13898 [doi] ID - smw-13898 [pii] PP - epublish LG - English EP - 20131101 DP - 2013 Nov 01 EZ - 2013/11/05 06:00 DA - 2014/06/12 06:00 DT - 2013/11/05 06:00 YR - 2013 ED - 20140611 RD - 20131104 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24186493 <315. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24682527 TI - Socioeconomic inequalities in risk of hospitalization for community-acquired bacteremia: a Danish population-based case-control study. SO - American Journal of Epidemiology. 179(9):1096-106, 2014 May 01. AS - Am J Epidemiol. 179(9):1096-106, 2014 May 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Koch K AU - Sogaard M AU - Norgaard M AU - Thomsen RW AU - Schonheyder HC AU - Danish Collaborative Bacteremia Network FA - Koch, Kristoffer FA - Sogaard, Mette FA - Norgaard, Mette FA - Thomsen, Reimar Wernich FA - Schonheyder, Henrik Carl FA - Danish Collaborative Bacteremia Network IR - Ostergaard Andersen C IR - Dahl Knudsen J IR - Arpi M IR - Pinholt M IR - Oren Gradel K IR - Jensen US IR - Koch K IR - Schonheyder HC IR - Sogaard M NJ - American journal of epidemiology VO - 179 IP - 9 PG - 1096-106 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3h3, 7910653 IO - Am. J. Epidemiol. SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Bacteremia/ep [Epidemiology] MH - Case-Control Studies MH - Chronic Disease/ep [Epidemiology] MH - Community-Acquired Infections MH - Denmark/ep [Epidemiology] MH - Emigrants and Immigrants MH - Female MH - *Health Status Disparities MH - *Healthcare Disparities/sn [Statistics & Numerical Data] MH - *Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Risk Assessment MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] KW - adult; bacteremia; case-control studies; chronic disease; community-acquired infection; risk factors; socioeconomic factors; substance-related disorders AB - 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. ES - 1476-6256 IL - 0002-9262 DO - https://dx.doi.org/10.1093/aje/kwu032 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - kwu032 [pii] ID - 10.1093/aje/kwu032 [doi] PP - ppublish LG - English EP - 20140328 DP - 2014 May 01 EZ - 2014/04/01 06:00 DA - 2014/06/10 06:00 DT - 2014/04/01 06:00 YR - 2014 ED - 20140609 RD - 20140422 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med8&AN=24682527 <316. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23844954 TI - A buprenorphine education and training program for primary care residents: implementation and evaluation. SO - Substance Abuse. 34(3):242-7, 2013. AS - Subst Abus. 34(3):242-7, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kunins HV AU - Sohler NL AU - Giovanniello A AU - Thompson D AU - Cunningham CO FA - Kunins, Hillary V FA - Sohler, Nancy L FA - Giovanniello, Angela FA - Thompson, Devin FA - Cunningham, Chinazo O IN - Kunins, Hillary V. Albert Einstein College of Medicine/Montefiore Medical Center, 111 East 210th Street, Bronx, NY 10467, USA. NJ - Substance abuse VO - 34 IP - 3 PG - 242-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3799907 OI - Source: NLM. NIHMS509769 SB - Index Medicus CP - United States MH - Adult MH - *Buprenorphine/tu [Therapeutic Use] MH - *Education, Medical, Graduate/mt [Methods] MH - Feasibility Studies MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Medication Adherence MH - Middle Aged MH - Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Practice Patterns, Physicians' MH - *Primary Health Care MH - *Program Evaluation AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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). AB - CONCLUSION: 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. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2012.752777 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2012.752777 [doi] ID - PMC3799907 [pmc] ID - NIHMS509769 [mid] PP - ppublish GI - No: P30 AI051519 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: R25 DA023021 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: NIH AI-51519 Organization: (AI) *NIAID NIH HHS* Country: United States GI - No: NIH R25DA023021 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2013 EZ - 2013/07/13 06:00 DA - 2014/06/08 06:00 DT - 2013/07/13 06:00 YR - 2013 ED - 20140607 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23844954 <317. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23557392 TI - Future physicians and tobacco: an online survey of the habits, beliefs and knowledge base of medical students at a Canadian University. SO - Tobacco Induced Diseases. 11(1):9, 2013. AS - Tob. induc. dis.. 11(1):9, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Vanderhoek AJ AU - Hammal F AU - Chappell A AU - Wild TC AU - Raupach T AU - Finegan BA FA - Vanderhoek, Amanda J FA - Hammal, Fadi FA - Chappell, Alyssa FA - Wild, T Cameron FA - Raupach, Tobias FA - Finegan, Barry A IN - Vanderhoek, Amanda J. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada. IN - Hammal, Fadi. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada. IN - Chappell, Alyssa. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada. IN - Wild, T Cameron. School of Public Health, University of Alberta, Edmonton, Canada. IN - Raupach, Tobias. Department of Cardiology and Pneumology, University Hospital Gottingen, Gottingen, Germany. IN - Finegan, Barry A. Department of Anesthesiology and Pain Medicine, University of Alberta, Edmonton, Canada. NJ - Tobacco induced diseases VO - 11 IP - 1 PG - 9 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101201591 IO - Tob Induc Dis PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3637535 CP - Greece KW - Medical education; Medical students; Tobacco cessation; Waterpipe AB - 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. AB - 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. AB - 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. AB - 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. IS - 2070-7266 IL - 1617-9625 DO - https://dx.doi.org/10.1186/1617-9625-11-9 PT - Journal Article ID - 10.1186/1617-9625-11-9 [doi] ID - 1617-9625-11-9 [pii] ID - PMC3637535 [pmc] PP - epublish PH - 2013/02/05 [received] PH - 2013/03/25 [accepted] LG - English EP - 20130404 DP - 2013 EZ - 2013/04/06 06:00 DA - 2013/04/06 06:01 DT - 2013/04/06 06:00 YR - 2013 ED - 20140520 RD - 20180122 UP - 20180123 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23557392 <318. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23904091 TI - A latent class analysis of age differences in choosing service providers to treat mental and substance use disorders. SO - Psychiatric Services. 64(11):1087-94, 2013 Nov 01. AS - Psychiatr Serv. 64(11):1087-94, 2013 Nov 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Woodward AT FA - Woodward, Amanda Toler NJ - Psychiatric services (Washington, D.C.) VO - 64 IP - 11 PG - 1087-94 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t IO - Psychiatr Serv SB - Index Medicus CP - United States MH - Age Factors MH - Behavioral Medicine MH - Female MH - Humans MH - Male MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/th [Therapy] MH - *Office Visits/sn [Statistics & Numerical Data] MH - *Patient Preference/sn [Statistics & Numerical Data] MH - Primary Health Care MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] AB - 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 service 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. ES - 1557-9700 IL - 1075-2730 PT - Journal Article ID - 1723292 [pii] ID - 10.1176/appi.ps.201200401 [doi] PP - ppublish LG - English DP - 2013 Nov 01 EZ - 2013/08/02 06:00 DA - 2014/05/16 06:00 DT - 2013/08/02 06:00 YR - 2013 ED - 20140515 RD - 20140513 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23904091 <319. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22923480 TI - Tobacco dependence curricula in Middle Eastern and North African medical education. SO - Tobacco Control. 22(6):427-8, 2013 Nov. AS - Tob Control. 22(6):427-8, 2013 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jradi H AU - Wewers ME AU - Pirie PL AU - Binkley PF AU - Ferketich AK FA - Jradi, Hoda FA - Wewers, Mary Ellen FA - Pirie, Phyllis L FA - Binkley, Philip F FA - Ferketich, Amy K IN - Jradi, Hoda. College of Public Health and Health Informatics, King Saud bin Abdulaziz University for Health Sciences, Riyadh, Saudi Arabia. NJ - Tobacco control VO - 22 IP - 6 PG - 427-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - clu, 9209612 IO - Tob Control SB - Index Medicus CP - England MH - Africa, Northern MH - *Curriculum MH - *Education, Medical MH - Humans MH - Middle East MH - *Smoking MH - *Smoking Cessation MH - *Tobacco Use Disorder KW - Tobacco education; appalachian smokers; cessation; global health; low/middle income country; medical schools; nicotine dependence; physician training; surveillance and monitoring; underserved smokers ES - 1468-3318 IL - 0964-4563 DO - https://dx.doi.org/10.1136/tobaccocontrol-2012-050500 PT - Letter ID - tobaccocontrol-2012-050500 [pii] ID - 10.1136/tobaccocontrol-2012-050500 [doi] PP - ppublish LG - English EP - 20120825 DP - 2013 Nov EZ - 2012/08/28 06:00 DA - 2014/05/13 06:00 DT - 2012/08/28 06:00 YR - 2013 ED - 20140512 RD - 20131017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22923480 <320. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23612813 TI - [Depressive symptomatology and alcohol-related problems during the academic training of medical students]. [Spanish] OT - Sintomatologia depresiva y problemas relacionados al consumo de alcohol durante la formacion academica de estudiantes de medicina. SO - Revista Peruana de Medicina Experimental y Salud Publica. 30(1):54-7, 2013 Mar. AS - Rev. peru. med. exp. salud publica. 30(1):54-7, 2013 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Valle R AU - Sanchez E AU - Perales A FA - Valle, Ruben FA - Sanchez, Elard FA - Perales, Alberto IN - Valle, Ruben. Facultad de Medicina Humana San Fernando, Universidad Nacional Mayor de San Marcos, Lima, Peru. ruben_vr12@hotmail.com NJ - Revista peruana de medicina experimental y salud publica VO - 30 IP - 1 PG - 54-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101227566 IO - Rev Peru Med Exp Salud Publica SB - Index Medicus CP - Peru MH - Adolescent MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Depression/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - *Students, Medical MH - Young Adult AB - In order to evaluate the frequency of depressive symptomatology (DS) and alcohol-related problems (ARP) during the academic training of medical students from Universidad Nacional 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. ES - 1726-4642 IL - 1726-4634 DI - S1726-46342013000100011 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S1726-46342013000100011 [pii] PP - ppublish PH - 2012/08/02 [received] PH - 2013/01/23 [accepted] LG - Spanish DP - 2013 Mar EZ - 2013/04/25 06:00 DA - 2014/05/03 06:00 DT - 2013/04/25 06:00 YR - 2013 ED - 20140430 RD - 20130424 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23612813 <321. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24645858 TI - Interview: The need to tailor pain management approaches to individual requirements. SO - Pain Management. 2(5):435-6, 2012 Sep. AS - Pain manag.. 2(5):435-6, 2012 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Barkin RL FA - Barkin, Robert L IN - Barkin, Robert L. NorthShore University HealthSystem Clinical Pharmacologist of Pain Centers of Evanston and Stokie Hospitals, IL, USA and Department of Anesthesiology, Rush University Medical Center, IL, USA and Professor of Anesthesiology, Family Medicine, Pharmacology at Rush Medical College Faculty, IL, USA. robert_barkin@rush.edu. NJ - Pain management VO - 2 IP - 5 PG - 435-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101555934 IO - Pain Manag CP - England AB - Robert L Barkin talks to Roshaine Gunawardana, Commissioning Editor: Dr Barkin has authored over 150 publications including journals, book chapters and CD-Roms. He is a reviewer for over 30 journals, on the editorial board of nine journals and is an Associate Editor of the American Journal of Therapeutics. He received his BSc. Pharmacy degree from St Louis College of Pharmacy and Allied Science St Louis, MO, USA in 1963, an MBA in Healthcare Administration at DePaul University Chicago, IL, USA in 1976 and a doctorate in Clinical Pharmacy at Purdue University, IN, USA in 1985. Dr Barkin is engaged in a very active in-patient and out-patient practice with a collaborative arrangement with five anesthesiologist and consults with physical medicine and rehabilitation, rheumatology, oncology, neurology, neurosurgery, obstetrics and gynecology, psychiatry and chemical dependency/addiction specialists. He has presented over 500 formal lectures in the USA, Poland, India, China, Taiwan, Philippines, Puerto Rico, Australia and Canada. Dr Barkin's interest lies in pain, psychiatry, geriatrics, clinical pharmacology, clinical testing for medication and pain pharmacology. He has been the first to be granted scientific status with the American Academy of Pain Medicine. ES - 1758-1877 IL - 1758-1869 DO - https://dx.doi.org/10.2217/pmt.12.45 PT - Journal Article ID - 10.2217/pmt.12.45 [doi] PP - ppublish LG - English DP - 2012 Sep EZ - 2012/09/01 00:00 DA - 2012/09/01 00:01 DT - 2014/03/21 06:00 YR - 2012 ED - 20140430 RD - 20140320 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24645858 <322. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23529769 TI - Expanding urban American Indian youths' repertoire of drug resistance skills: pilot results from a culturally adapted prevention program. SO - American Indian & Alaska Native Mental Health Research (Online). 20(1):35-54, 2013. AS - Am Indian Alsk Native Ment Health Res. 20(1):35-54, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kulis S AU - Dustman PA AU - Brown EF AU - Martinez M FA - Kulis, Stephen FA - Dustman, Patricia A FA - Brown, Eddie F FA - Martinez, Marcos IN - Kulis, Stephen. School of Social and Family Dynamics, Arizona State University, Mail code 4320, SIRC, 411, North Central Avenue, Suite 720, Phoenix, AZ 85004-0693, USA. kulis@asu.edu NJ - American Indian and Alaska native mental health research (Online) VO - 20 IP - 1 PG - 35-54 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100970957 IO - Am Indian Alsk Native Ment Health Res PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3670795 OI - Source: NLM. NIHMS473674 SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Behavior/eh [Ethnology] MH - Arizona MH - Child MH - Curriculum/st [Standards] MH - Female MH - *Health Education/mt [Methods] MH - Humans MH - *Indians, North American/eh [Ethnology] MH - Male MH - Pilot Projects MH - Schools MH - Students/px [Psychology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Treatment Outcome MH - Urban Population AB - This article examines changes in the drug resistance strategies used by urban American Indian (UAI) middle school students during a pilot test of a substance use prevention curriculum designed specifically for UAI youth, Living in 2 Worlds (L2W). L2W teaches four drug resistance strategies (refuse, explain, avoid, leave [R-E-A-L]) in culturally appropriate ways. Data come from 57 UAI students (53% female; mean age = 12.5 years) who participated in L2W during an academic enrichment class for Native youth at two Phoenix schools. Students completed a pre-test questionnaire before the L2W lessons and a post-test 7 months later. Questions assessed the use of R-E-A-L and alternative strategies commonly reported by UAI youth (change the subject, use humor). Tests of mean differences from pre-test to post-test showed significant increases in use of refuse, explain, and leave, and an expanding R-E-A-L repertoire. Use of more passive strategies (avoid, use humor) did not change significantly, except for change the subject, which increased. Changes in the use of strategies did not differ significantly by gender, age, school grades, parental education, or length of urban residence. The L2W curriculum appears effective in teaching culturally relevant communication strategies that expand UAI youths' repertoire of drug resistance skills. ES - 1533-7731 IL - 1533-7731 DO - https://dx.doi.org/10.5820/aian.2001.2013.35 PT - Clinical Trial PT - Journal Article PT - Research Support, N.I.H., Extramural ID - PMC3670795 [pmc] ID - NIHMS473674 [mid] PP - ppublish GI - No: P20 MD002316 Organization: (MD) *NIMHD NIH HHS* Country: United States GI - No: P20MD002316-030004 Organization: (MD) *NIMHD NIH HHS* Country: United States LG - English DP - 2013 EZ - 2013/03/27 06:00 DA - 2014/04/30 06:00 DT - 2013/03/27 06:00 YR - 2013 ED - 20140429 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23529769 <323. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24261551 TI - The frequency and precipitating factors for breakthrough seizures among patients with epilepsy in Uganda. SO - BMC Neurology. 13:182, 2013 Nov 21. AS - BMC Neurol. 13:182, 2013 Nov 21. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaddumukasa M AU - Kaddumukasa M AU - Matovu S AU - Katabira E FA - Kaddumukasa, Martin FA - Kaddumukasa, Mark FA - Matovu, Steven FA - Katabira, Elly IN - Kaddumukasa, Martin. Department of Medicine, College of Health Sciences, Makerere University, P, O, Box 7062, Kampala, Uganda. kaddumark@yahoo.co.uk. NJ - BMC neurology VO - 13 PG - 182 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968555 IO - BMC Neurol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4222832 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Anticonvulsants/tu [Therapeutic Use] MH - Cross-Sectional Studies MH - Epilepsy/dt [Drug Therapy] MH - *Epilepsy/ep [Epidemiology] MH - *Epilepsy/et [Etiology] MH - Epilepsy/mo [Mortality] MH - Female MH - Humans MH - Male MH - Precipitating Factors MH - Prevalence MH - Retrospective Studies MH - Risk Factors MH - Surveys and Questionnaires MH - Uganda/ep [Epidemiology] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Anticonvulsants) ES - 1471-2377 IL - 1471-2377 DO - https://dx.doi.org/10.1186/1471-2377-13-182 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1471-2377-13-182 [pii] ID - 10.1186/1471-2377-13-182 [doi] ID - PMC4222832 [pmc] PP - epublish PH - 2013/01/31 [received] PH - 2013/11/19 [accepted] GI - No: R25 TW009337 Organization: (TW) *FIC NIH HHS* Country: United States LG - English EP - 20131121 DP - 2013 Nov 21 EZ - 2013/11/23 06:00 DA - 2014/04/05 06:00 DT - 2013/11/23 06:00 YR - 2013 ED - 20140404 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24261551 <324. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24025540 TI - Team-based learning for psychiatry residents: a mixed methods study. SO - BMC Medical Education. 13:124, 2013 Sep 11. AS - BMC Med Educ. 13:124, 2013 Sep 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McMullen I AU - Cartledge J AU - Levine R AU - Iversen A FA - McMullen, Isabel FA - Cartledge, Jonathan FA - Levine, Ruth FA - Iversen, Amy IN - McMullen, Isabel. Liaison Psychiatry, South London and Maudsley NHS Foundation Trust, Guys Hospital, Weston Street, London SE1 9RT, UK. isabel.mcmullen@kcl.ac.uk. NJ - BMC medical education VO - 13 PG - 124 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3847866 SB - Index Medicus CP - England MH - Cooperative Behavior MH - Educational Measurement MH - Female MH - Humans MH - *Internship and Residency/mt [Methods] MH - Interviews as Topic MH - Male MH - Problem-Based Learning/mt [Methods] MH - Program Evaluation MH - *Psychiatry/ed [Education] MH - Surveys and Questionnaires MH - Teaching/mt [Methods] MH - United Kingdom AB - 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. AB - 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. AB - 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'. AB - 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/1472-6920-13-124 PT - Journal Article ID - 1472-6920-13-124 [pii] ID - 10.1186/1472-6920-13-124 [doi] ID - PMC3847866 [pmc] PP - epublish PH - 2013/02/20 [received] PH - 2013/09/06 [accepted] LG - English EP - 20130911 DP - 2013 Sep 11 EZ - 2013/09/13 06:00 DA - 2014/04/04 06:00 DT - 2013/09/13 06:00 YR - 2013 ED - 20140403 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24025540 <325. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24672567 TI - The assessment of hepatitis B seroprevalence in persons with intravenous drug use history in the Isfahan province: Community-based study. SO - Journal of Research in Medical Sciences. 19(1):65-8, 2014 Jan. AS - J. res. med. sci.. 19(1):65-8, 2014 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Khodadoostan M AU - Ataei B AU - Shavakhi A AU - Tavakoli T AU - Nokhodian Z AU - Yaran M FA - Khodadoostan, Mahsa FA - Ataei, Behrooz FA - Shavakhi, Ahmad FA - Tavakoli, Tahmine FA - Nokhodian, Zary FA - Yaran, Majid IN - Khodadoostan, Mahsa. Department of Gastroenterology and Hepatology, Isfahan University of Medical Sciences, Isfahan, Iran. IN - Ataei, Behrooz. Infectious Diseases and Tropical Medicine, Research Center, Isfahan Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. IN - Shavakhi, Ahmad. Department of Gastroenterology and Hepatology, Isfahan University of Medical Sciences, Isfahan, Iran. IN - Tavakoli, Tahmine. Department of Gastroenterology and Hepatology, Isfahan University of Medical Sciences, Isfahan, Iran. IN - Nokhodian, Zary. Infectious Diseases and Tropical Medicine, Research Center, Isfahan Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. IN - Yaran, Majid. Infectious Diseases and Tropical Medicine, Research Center, Isfahan Nosocomial Infection Research Center, Isfahan University of Medical Sciences, Isfahan, Iran. NJ - Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences VO - 19 IP - 1 PG - 65-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 101235599 IO - J Res Med Sci PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3963325 CP - India KW - Hepatitis B; Iran; history of IVDU AB - 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. AB - 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. AB - 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. AB - 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. IS - 1735-1995 IL - 1735-1995 PT - Journal Article ID - PMC3963325 [pmc] PP - ppublish PH - 2013/09/22 [received] PH - 2013/10/11 [revised] PH - 2013/10/31 [accepted] LG - English DP - 2014 Jan EZ - 2014/03/29 06:00 DA - 2014/03/29 06:01 DT - 2014/03/28 06:00 YR - 2014 ED - 20140327 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24672567 <326. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24122575 TI - Tobacco dependence treatment: influence of training experiences on clinical activities among otolaryngologists. SO - Laryngoscope. 123(12):3005-9, 2013 Dec. AS - Laryngoscope. 123(12):3005-9, 2013 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sutton MJ AU - Payne TJ AU - Gaughf NW AU - Crews KM AU - Elci OU AU - Peck SB AU - Schweinfurth J FA - Sutton, Monica J FA - Payne, Thomas J FA - Gaughf, Natalie W FA - Crews, Karen M FA - Elci, Okan U FA - Peck, Shannon B FA - Schweinfurth, John IN - Sutton, Monica J. Department of Pediatrics, University of Mississippi Medical Center, Jackson, Mississippi, U.S.A. NJ - The Laryngoscope VO - 123 IP - 12 PG - 3005-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8607378, l1w IO - Laryngoscope SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Aged, 80 and over MH - *Clinical Competence MH - *Delivery of Health Care/st [Standards] MH - *Education, Medical, Continuing/mt [Methods] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Otolaryngology/ed [Education] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/th [Therapy] MH - United States MH - Young Adult KW - 5A's; Level of Evidence: NA; brief tobacco treatment; survey; tobacco dependence treatment AB - 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. AB - 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). AB - METHODS: A questionnaire was mailed up to three times to active members. AB - 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. AB - 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. Copyright © 2013 The American Laryngological, Rhinological and Otological Society, Inc. ES - 1531-4995 IL - 0023-852X DO - https://dx.doi.org/10.1002/lary.23513 PT - Comparative Study PT - Journal Article ID - 10.1002/lary.23513 [doi] PP - ppublish PH - 2012/05/22 [accepted] LG - English EP - 20131001 DP - 2013 Dec EZ - 2013/10/15 06:00 DA - 2014/03/26 06:00 DT - 2013/10/15 06:00 YR - 2013 ED - 20140325 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24122575 <327. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23883356 TI - Parent report and electronic medical record agreement on asthma education provided and children's tobacco smoke exposure. SO - Journal of Asthma. 50(9):968-74, 2013 Nov. AS - J Asthma. 50(9):968-74, 2013 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harrington KF AU - Haven KM AU - Nuno VL AU - Magruder T AU - Bailey WC AU - Gerald LB FA - Harrington, Kathleen F FA - Haven, Kristen M FA - Nuno, Velia Leybas FA - Magruder, Theresa FA - Bailey, William C FA - Gerald, Lynn B IN - Harrington, Kathleen F. Division of Pulmonary, Allergy and Critical Care Medicine, Department of Medicine, School of Medicine, University of Alabama , Birmingham, AL , USA . NJ - The Journal of asthma : official journal of the Association for the Care of Asthma VO - 50 IP - 9 PG - 968-74 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - hf7, 8106454 IO - J Asthma SB - Index Medicus CP - England MH - Alabama/ep [Epidemiology] MH - *Asthma/ep [Epidemiology] MH - Chi-Square Distribution MH - Child MH - Cross-Sectional Studies MH - *Electronic Health Records/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - Parents MH - *Patient Education as Topic/sn [Statistics & Numerical Data] MH - Socioeconomic Factors MH - *Tobacco Smoke Pollution/sn [Statistics & Numerical Data] AB - 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. AB - 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. AB - 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 (kappa=0.410 versus 0.205), asthma diagnosis/disease process (kappa=0.213 versus -0.016) and devices reviewed (kappa=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. AB - 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. RN - 0 (Tobacco Smoke Pollution) ES - 1532-4303 IL - 0277-0903 DO - https://dx.doi.org/10.3109/02770903.2013.828303 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. ID - 10.3109/02770903.2013.828303 [doi] PP - ppublish GI - No: R40MC8728 Organization: *PHS HHS* Country: United States LG - English EP - 20130829 DP - 2013 Nov EZ - 2013/07/26 06:00 DA - 2014/03/22 06:00 DT - 2013/07/26 06:00 YR - 2013 ED - 20140321 RD - 20131015 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23883356 <328. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24174505 TI - Tobacco dependence curricula in US osteopathic medical schools: a follow-up study. SO - Journal of the American Osteopathic Association. 113(11):838-48, 2013 Nov. AS - J Am Osteopath Assoc. 113(11):838-48, 2013 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffith BN AU - Montalto NJ AU - Ridpath L AU - Sullivan K FA - Griffith, Brian N FA - Montalto, Norman J FA - Ridpath, Lance FA - Sullivan, Kendra IN - Griffith, Brian N. Department of Biomedical Sciences, West Virginia School of Osteopathic Medicine, 400 N Lee St, Lewisburg, WV 24901-1128. bgriffith@osteo.wvsom.edu. NJ - The Journal of the American Osteopathic Association VO - 113 IP - 11 PG - 838-48 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - Curriculum MH - Data Collection MH - *Education, Medical, Undergraduate/mt [Methods] MH - Follow-Up Studies MH - Humans MH - *Osteopathic Medicine/ed [Education] MH - Smoking Cessation/mt [Methods] MH - Tobacco Use Disorder/dt [Drug Therapy] MH - Tobacco Use Disorder/th [Therapy] MH - *Tobacco Use Disorder MH - United States AB - 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. AB - OBJECTIVE: To assess the current content and extent of tobacco dependence education and intervention skills in US osteopathic medical school curricula. AB - DESIGN: An electronic survey. AB - SETTING: Osteopathic medical schools with students enrolled for the 2009-2010 academic year. AB - PARTICIPANTS: Twenty-seven osteopathic medical school deans or their designated administrators. AB - 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. AB - 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%). AB - 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. ES - 1945-1997 IL - 0098-6151 DO - https://dx.doi.org/10.7556/jaoa.2013.059 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 113/11/838 [pii] ID - 10.7556/jaoa.2013.059 [doi] PP - ppublish LG - English DP - 2013 Nov EZ - 2013/11/01 06:00 DA - 2014/03/19 06:00 DT - 2013/11/01 06:00 YR - 2013 ED - 20140318 RD - 20131031 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24174505 <329. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23820908 TI - Education and training in psychiatry in the U.K. SO - Academic Psychiatry. 37(4):243-7, 2013 Jul 01. AS - Acad Psychiatry. 37(4):243-7, 2013 Jul 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carney S AU - Bhugra DK FA - Carney, Stuart FA - Bhugra, Dinesh K IN - Carney, Stuart. Institute of Psychiatry, HSRD, London, U.K. CM - Comment in: Acad Psychiatry. 2013 Jul 1;37(4):229-32; PMID: 23820906 NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 37 IP - 4 PG - 243-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Education, Medical, Undergraduate/mt [Methods] MH - General Practice/ed [Education] MH - Humans MH - *Psychiatry/ed [Education] MH - United Kingdom AB - 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. AB - 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. AB - 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. AB - 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.12060109 PT - Journal Article ID - 1700749 [pii] ID - 10.1176/appi.ap.12060109 [doi] PP - ppublish LG - English DP - 2013 Jul 01 EZ - 2013/07/04 06:00 DA - 2014/03/13 06:00 DT - 2013/07/04 06:00 YR - 2013 ED - 20140310 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23820908 <330. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22864843 TI - [Long-term prescription of benzodiazepines and non-benzodiazepines]. [German] OT - Langzeitverschreibung von Benzodiazepinen und Non-Benzodiazepinen. SO - Gesundheitswesen. 75(7):430-7, 2013 Jul. AS - Gesundheitswesen. 75(7):430-7, 2013 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Verthein U AU - Martens MS AU - Raschke P AU - Holzbach R FA - Verthein, U FA - Martens, M S FA - Raschke, P FA - Holzbach, R IN - Verthein, U. Zentrum fur Interdisziplinare Suchtforschung der Universitat Hamburg, Universitatsklinikum Hamburg-Eppendorf, Hamburg. u.verthein@uke.uni-hamburg.de NJ - Gesundheitswesen (Bundesverband der Arzte des Offentlichen Gesundheitsdienstes (Germany)) VO - 75 IP - 7 PG - 430-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bfd, 9204210 IO - Gesundheitswesen SB - Index Medicus CP - Germany MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Benzodiazepines MH - *Drug Utilization Review MH - Female MH - Germany/ep [Epidemiology] MH - Guideline Adherence MH - Humans MH - *Inappropriate Prescribing/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - Practice Guidelines as Topic MH - *Prescriptions/st [Standards] MH - *Prescriptions/sn [Statistics & Numerical Data] MH - *Registries MH - *Tranquilizing Agents MH - Young Adult AB - BACKGROUND: 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. AB - OBJECTIVE: This study aims to determine the extent of the problematic prescription of benzodiazepines and non-benzodiazepines. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. Copyright © Georg Thieme Verlag KG Stuttgart . New York. RN - 0 (Tranquilizing Agents) RN - 12794-10-4 (Benzodiazepines) ES - 1439-4421 IL - 0941-3790 DO - https://dx.doi.org/10.1055/s-0032-1321756 PT - English Abstract PT - Journal Article ID - 10.1055/s-0032-1321756 [doi] PP - ppublish LG - German EP - 20120803 DP - 2013 Jul EZ - 2012/08/07 06:00 DA - 2014/03/13 06:00 DT - 2012/08/07 06:00 YR - 2013 ED - 20140310 RD - 20130716 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22864843 <331. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24574555 TI - Physician's practices and perspectives regarding tobacco cessation in a teaching hospital in Mysore City, Karnataka. SO - Indian Journal of Psychiatry. 56(1):24-8, 2014 Jan. AS - Indian J Psychiatry. 56(1):24-8, 2014 Jan. VI - 1 RO - PIP ST - PubMed-not-MEDLINE AU - Saud M AU - Madhu B AU - Srinath KM AU - Ashok NC AU - Renuka M FA - Saud, Mohammed FA - Madhu, B FA - Srinath, K M FA - Ashok, N C FA - Renuka, M IN - Saud, Mohammed. MBBS Student, JSS Medical College (JSS University), Mysore, Karnataka, India. IN - Madhu, B. Department of Community Medicine, JSS Medical College (JSS University), Mysore, Karnataka, India. IN - Srinath, K M. Department of Medicine, JSS Medical College (JSS University), Mysore, Karnataka, India. IN - Ashok, N C. Department of Community Medicine, JSS Medical College (JSS University), Mysore, Karnataka, India. IN - Renuka, M. Department of Community Medicine, JSS Medical College (JSS University), Mysore, Karnataka, India. NJ - Indian journal of psychiatry VO - 56 IP - 1 PG - 24-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 0013255 IO - Indian J Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3927241 CP - India KW - Karnataka; Mysore; physician's practices and perspectives; smoking; tobacco; tobacco cessation AB - 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. AB - 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. AB - SETTINGS AND DESIGN: A descriptive study was conducted in a hospital attached to Medical College in Mysore city, Karnataka. AB - 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. AB - 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. AB - 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. IS - 0019-5545 IL - 0019-5545 DO - https://dx.doi.org/10.4103/0019-5545.124710 PT - Journal Article ID - 10.4103/0019-5545.124710 [doi] ID - IJPsy-56-24 [pii] ID - PMC3927241 [pmc] PP - ppublish LG - English DP - 2014 Jan EZ - 2014/02/28 06:00 DA - 2014/02/28 06:01 DT - 2014/02/28 06:00 YR - 2014 ED - 20140227 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24574555 <332. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23995159 TI - The cost of alcohol in the workplace in Belgium. [Review] SO - Psychiatria Danubina. 25 Suppl 2:S118-23, 2013 Sep. AS - PSYCHIATR. DANUB.. 25 Suppl 2:S118-23, 2013 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tecco J AU - Jacques D AU - Annemans L FA - Tecco, Juan FA - Jacques, Denis FA - Annemans, Lieven IN - Tecco, Juan. Department of Psychiatry, CHUP-MB, 2 Bd Kennedy, 7000 Mons, Belgium, JuanMartin.Tecco@hap.be. NJ - Psychiatria Danubina VO - 25 Suppl 2 PG - S118-23 PI - Journal available in: Print PI - Citation processed from: Print JC - 9424753 IO - Psychiatr Danub SB - Index Medicus CP - Croatia MH - *Alcoholism/ec [Economics] MH - Belgium MH - Efficiency, Organizational/ec [Economics] MH - Efficiency, Organizational/lj [Legislation & Jurisprudence] MH - *Efficiency, Organizational/sn [Statistics & Numerical Data] MH - Humans MH - Industry/ec [Economics] MH - Industry/lj [Legislation & Jurisprudence] MH - *Industry/sn [Statistics & Numerical Data] MH - Occupational Health/ec [Economics] MH - Occupational Health/lj [Legislation & Jurisprudence] MH - *Occupational Health/sn [Statistics & Numerical Data] MH - Workplace/px [Psychology] AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0353-5053 IL - 0353-5053 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2013 Sep EZ - 2013/10/23 06:00 DA - 2014/02/26 06:00 DT - 2013/09/03 06:00 YR - 2013 ED - 20140225 RD - 20130902 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23995159 <333. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24554994 TI - Putting tobacco cessation and prevention into undergraduate medical education. SO - International Journal of Preventive Medicine. 5(1):69-75, 2014 Jan. AS - Int J Prev Med. 5(1):69-75, 2014 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Pati S FA - Pati, Sanghamitra IN - Pati, Sanghamitra. Indian Institute of Public Health, Bhubaneswar, Public Health Foundation of India, Bhubaneswar, Orissa, India. NJ - International journal of preventive medicine VO - 5 IP - 1 PG - 69-75 PI - Journal available in: Print PI - Citation processed from: Print JC - 101535380 IO - Int J Prev Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3915476 CP - Iran KW - Medical curriculum; physician education; student learning; tobacco prevention AB - 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. AB - 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. AB - 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. AB - 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. IS - 2008-7802 IL - 2008-7802 PT - Journal Article ID - PMC3915476 [pmc] PP - ppublish PH - 2012/05/29 [received] PH - 2012/11/26 [accepted] LG - English DP - 2014 Jan EZ - 2014/02/21 06:00 DA - 2014/02/21 06:01 DT - 2014/02/21 06:00 YR - 2014 ED - 20140220 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24554994 <334. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24353044 TI - Aberrant behaviors in a primary care-based cohort of patients with chronic pain identified as misusing prescription opioids. SO - Journal of Opioid Management. 9(5):315-24, 2013 Sep-Oct. AS - J Opioid Manag. 9(5):315-24, 2013 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cheatle MD AU - O'Brien CP AU - Mathai K AU - Hansen M AU - Grasso M AU - Yi P FA - Cheatle, Martin D FA - O'Brien, Charles P FA - Mathai, Koshy FA - Hansen, Matthew FA - Grasso, Mario FA - Yi, Peter IN - Cheatle, Martin D. Center for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine University of Pennsylvania, Philadelphia, Pennsylvania; Behavioral Medicine Center, Reading Health System, West Reading, Pennsylvania. IN - O'Brien, Charles P. Center for Studies of Addiction, Department of Psychiatry, Perelman School of Medicine University of Pennsylvania, Philadelphia, Pennsylvania. IN - Mathai, Koshy. Comprehensive Pain Management, Baton Rouge, Louisiana. IN - Hansen, Matthew. Department of Pain Management, MedStar Franklin Square Medical Center, Baltimore, Maryland. IN - Grasso, Mario. Morris Anesthesia Group, Phillipsburg, New Jersey. IN - Yi, Peter. Department of Anesthesia, Perelman School of Medicine University of Pennsylvania, Philadelphia, Pennsylvania. NJ - Journal of opioid management VO - 9 IP - 5 PG - 315-24 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Chronic Pain/dt [Drug Therapy] MH - Female MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - *Opioid-Related Disorders/ep [Epidemiology] MH - *Primary Health Care MH - Retrospective Studies AB - 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. AB - 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. AB - SETTING: Community primary care clinic. AB - 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. AB - 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). AB - 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. IS - 1551-7489 IL - 1551-7489 DI - jom.2013.0174 DO - https://dx.doi.org/10.5055/jom.2013.0174 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - jom.2013.0174 [pii] ID - 10.5055/jom.2013.0174 [doi] PP - ppublish PH - 2012/12/31 [received] PH - 2013/03/08 [revised] PH - 2013/07/02 [revised] PH - 2013/07/08 [accepted] GI - No: 5-P60-DA-005186-22 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2013 Sep-Oct EZ - 2013/12/20 06:00 DA - 2014/02/19 06:00 DT - 2013/12/20 06:00 YR - 2013 ED - 20140218 RD - 20131219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24353044 <335. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24443155 TI - Comparison of child psychiatry residents' and training directors' perceptions of training for alcohol and substance abuse treatment. SO - Academic Psychiatry. 16(2):103-8, 1992 Jun. AS - Acad Psychiatry. 16(2):103-8, 1992 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Steg JA AU - Mann LS AU - Schwartz RH AU - Wise TN AU - Bailey GW FA - Steg, J A FA - Mann, L S FA - Schwartz, R H FA - Wise, T N FA - Bailey, G W IN - Steg, J A. The Kellar Center, Fairfax, VA, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 16 IP - 2 PG - 103-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry CP - United States AB - Residents anddirectors of accredited child and adolescent psychiatry programs (N = 117) in the United States were surveyed (with a response rate of 89% and 76.9%, respectively) to determine the extent and adequacy of training offered for the identification and management of substance abuse disorders. Of the responders, 24% of the residents indicated some exposure (>=1 hour) to an adolescent drug abuse treatment facility during their training. In contrast, 46% of the directors reported that their residents had such exposure. Residents consistently reported training to be less adequate than did directors. Only half of the residents reported that they felt adequately prepared to identify and initially manage a substance-abusing adolescent, whereas a somewhat higher percentage of the directors (59%) felt that their residents were adequately prepared for this function. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1007/BF03341376 PT - Journal Article ID - 10.1007/BF03341376 [doi] PP - ppublish LG - English DP - 1992 Jun EZ - 1992/06/01 00:00 DA - 1992/06/01 00:01 DT - 2014/01/21 06:00 YR - 1992 ED - 20140122 RD - 20170909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24443155 <336. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24442976 TI - Implementing a substance abuse curriculum in a medical school. SO - Academic Psychiatry. 13(1):44-7, 1989 Mar. AS - Acad Psychiatry. 13(1):44-7, 1989 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Arredondo R AU - Weddige RL AU - Pollard S AU - McCorkle AJ FA - Arredondo, R FA - Weddige, R L FA - Pollard, S FA - McCorkle, A J IN - Arredondo, R. Department of Psychiatry, Texas Tech University Health Sciences Center, Lubbock, Texas, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 13 IP - 1 PG - 44-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry CP - United States AB - Recent attention to the need for integration of substance abuse education throughout medical education prompted this description of one such program. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1007/BF03341840 PT - Journal Article ID - 10.1007/BF03341840 [doi] PP - ppublish LG - English DP - 1989 Mar EZ - 1989/03/01 00:00 DA - 1989/03/01 00:01 DT - 2014/01/21 06:00 YR - 1989 ED - 20140122 RD - 20170909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24442976 <337. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23673603 TI - Effect of a course-based intervention and effect of medical regulation on physicians' opioid prescribing. SO - Canadian Family Physician. 59(5):e231-9, 2013 May. AS - Can Fam Physician. 59(5):e231-9, 2013 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahan M AU - Gomes T AU - Juurlink DN AU - Manno M AU - Wilson L AU - Mailis-Gagnon A AU - Srivastava A AU - Reardon R AU - Dhalla IA AU - Mamdani MM FA - Kahan, Meldon FA - Gomes, Tara FA - Juurlink, David N FA - Manno, Michael FA - Wilson, Lynn FA - Mailis-Gagnon, Angela FA - Srivastava, Anita FA - Reardon, Rhoda FA - Dhalla, Irfan A FA - Mamdani, Muhammad M IN - Kahan, Meldon. Department of Family and Community Medicine, University of Toronto (U of T), Ontario, Canada. meldon.kahan@wchospital.ca NJ - Canadian family physician Medecin de famille canadien VO - 59 IP - 5 PG - e231-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - blo, 0120300 IO - Can Fam Physician PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3653672 SB - Index Medicus CP - Canada MH - Adolescent MH - Adult MH - Aged MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Cohort Studies MH - *Drug Prescriptions/st [Standards] MH - *Education, Medical, Continuing MH - Female MH - Humans MH - Male MH - Middle Aged MH - Ontario MH - *Practice Patterns, Physicians'/st [Standards] MH - Retrospective Studies MH - Young Adult AB - OBJECTIVE: To examine the effects of an intensive 2-day course on physicians' prescribing of opioids. AB - DESIGN: Population-based retrospective observational study. AB - SETTING: College of Physicians and Surgeons of Ontario (CPSO) in Toronto. AB - PARTICIPANTS: Ontario physicians who took the course between April 1, 2000, and May 30, 2008. AB - 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. AB - 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. AB - RESULTS: One hundred thirty-eight course participants (120 family physicians, 15 specialists, and 3 physicians whose status was uncertain) were eligible for analysis. Of these, 68.1% were self-referred and 31.9% were referred by the CPSO. Overall, among physicians referred by the CPSO, the rate of opioid prescribing decreased dramatically in the year before course participation compared with matched control physicians. The course had no added effect on the rate of physicians' opioid prescribing in the subsequent 2 years. There was no statistically significant effect on the rate of opioid prescribing observed among the self-referred physicians. Among 15 of the self-referred physicians who, owing to the high quantities of opioids they prescribed, were not matched with control physicians, the rate of opioid prescribing decreased by 43.9% in the year following course completion. AB - CONCLUSION: Physicians markedly reduced the quantities of opioids they prescribed after medical regulators referred them to an opioid-prescribing course. The course itself did not lead to significant additional reductions; however, a subgroup of physicians who prescribed high quantities of opioids might have responded to what was taught in the course. RN - 0 (Analgesics, Opioid) ES - 1715-5258 IL - 0008-350X PT - Journal Article ID - 59/5/e231 [pii] ID - PMC3653672 [pmc] PP - ppublish LG - English DP - 2013 May EZ - 2013/05/16 06:00 DA - 2014/01/22 06:00 DT - 2013/05/16 06:00 YR - 2013 ED - 20140121 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23673603 <338. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24435350 TI - Interactive teaching, medical students, and substance abuse : university and community come together in a new endeavor. SO - Academic Psychiatry. 16(3):160-9, 1992 Sep. AS - Acad Psychiatry. 16(3):160-9, 1992 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Ungerleider JT AU - Pechnick RN AU - Wallbom AS AU - Siegel N AU - Fairbanks L AU - Ziedonis DM FA - Ungerleider, J T FA - Pechnick, R N FA - Wallbom, A S FA - Siegel, N FA - Fairbanks, L FA - Ziedonis, D M IN - Ungerleider, J T. UCLA School of Medicine, Los Angeles, CA, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 16 IP - 3 PG - 160-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry CP - United States AB - The authors present an innovative approach for providing freshman and sophomore medical students with their initial exposure to the problems of alcohol and other drug abuse. Students in small interactive group seminars teach each other about the major areas of substance abuse: treatment, prevention/education, research, and law enforcement. They are aided by group moderators, by resource professionals, and by recovery teachers as they make field trips, attend 12-step meetings, and get background material. They utilize audiovisuals, role-plays, and programmed patients in a report/debate format. Effects of this seminar on their attitudes have been measured and are presented. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1007/BF03341386 PT - Journal Article ID - 10.1007/BF03341386 [doi] PP - ppublish LG - English DP - 1992 Sep EZ - 1992/09/01 00:00 DA - 1992/09/01 00:01 DT - 2014/01/18 06:00 YR - 1992 ED - 20140120 RD - 20170909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24435350 <339. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24435311 TI - International medical graduates' attitudes toward substance abuse. SO - Academic Psychiatry. 15(4):195-8, 1991 Dec. AS - Acad Psychiatry. 15(4):195-8, 1991 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Fernandez-Pol B AU - Juthani NV AU - Bluestone H AU - Muzruchi MS FA - Fernandez-Pol, B FA - Juthani, N V FA - Bluestone, H FA - Muzruchi, M S IN - Fernandez-Pol, B. Department of Psychiatry, Albert Einstein College of Medicine, Bronx, NY, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 15 IP - 4 PG - 195-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry CP - United States AB - After developing a hypothesis that international medical graduates (IMGs)from different ethno-cultural backgrounds would have different attitudes toward substance abuse, we compared the attitudes of 79 IMG applicants to our psychiatry residency training program using Chappel's Substance Abuse Attitude Survey. Except for the finding that men were less moralistic about substance abuse than women, we found no significant attitudinal differences among these IMGs despite their diverse backgrounds. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1007/BF03341363 PT - Journal Article ID - 10.1007/BF03341363 [doi] PP - ppublish LG - English DP - 1991 Dec EZ - 1991/12/01 00:00 DA - 1991/12/01 00:01 DT - 2014/01/18 06:00 YR - 1991 ED - 20140120 RD - 20170909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24435311 <340. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22992028 TI - Physician detection of unhealthy substance use on inpatient teaching and hospitalist medical services. SO - American Journal of Drug & Alcohol Abuse. 39(2):121-9, 2013 Mar. AS - Am J Drug Alcohol Abuse. 39(2):121-9, 2013 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holt SR AU - Ramos J AU - Harma M AU - Cabrera F AU - Louis-Ashby C AU - Dinh A AU - Fiellin DA AU - Tetrault JM FA - Holt, Stephen R FA - Ramos, Jorge FA - Harma, Michael FA - Cabrera, Felix FA - Louis-Ashby, Coeurlida FA - Dinh, An FA - Fiellin, David A FA - Tetrault, Jeanette M IN - Holt, Stephen R. Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520-8025, USA. stephen.holt@yale.edu NJ - The American journal of drug and alcohol abuse VO - 39 IP - 2 PG - 121-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3gw, 7502510 IO - Am J Drug Alcohol Abuse SB - Index Medicus CP - England MH - Aged MH - Cross-Sectional Studies MH - Female MH - *Hospitalists MH - Hospitals, Teaching MH - Humans MH - *Inpatients/ed [Education] MH - Male MH - Middle Aged MH - *Physicians MH - *Professional Competence MH - Referral and Consultation MH - *Substance Abuse Detection AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: Our study suggests that unhealthy substance use is more likely to be detected on a Teaching Service than on a Hospitalist Service. ES - 1097-9891 IL - 0095-2990 DO - https://dx.doi.org/10.3109/00952990.2012.715703 PT - Journal Article ID - 10.3109/00952990.2012.715703 [doi] PP - ppublish LG - English EP - 20120919 DP - 2013 Mar EZ - 2012/09/21 06:00 DA - 2014/01/18 06:00 DT - 2012/09/21 06:00 YR - 2013 ED - 20140117 RD - 20130220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22992028 <341. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24066988 TI - Assessing the readiness to integrate tobacco control in medical curriculum: experiences from five medical colleges in Southern India. SO - National Medical Journal of India. 26(1):18-23, 2013 Jan-Feb. AS - Natl Med J India. 26(1):18-23, 2013 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thankappan KR AU - Yamini TR AU - Mini GK AU - Arthur C AU - Sairu P AU - Leelamoni K AU - Sani M AU - Unnikrishnan B AU - Basha SR AU - Nichter M FA - Thankappan, K R FA - Yamini, T R FA - Mini, G K FA - Arthur, C FA - Sairu, P FA - Leelamoni, K FA - Sani, M FA - Unnikrishnan, B FA - Basha, S R FA - Nichter, M IN - Thankappan, K R. Achutha Menon Centre for Health Science Studies (AMCHSS), Sree Chitra Tirunal Institute for Medical Science and Technology (SCTIMST), Thiruvananthapuram 695011, Kerala, India. Quit Tobacco India Project. NJ - The National medical journal of India VO - 26 IP - 1 PG - 18-23 PI - Journal available in: Print PI - Citation processed from: Print JC - bnt, 8809315 IO - Natl Med J India SB - Index Medicus CP - India MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Medical MH - *Faculty, Medical MH - Female MH - Humans MH - India MH - Male MH - Smoking MH - *Smoking Cessation MH - *Students, Medical/px [Psychology] AB - 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. AB - 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. AB - 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 pecialists (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. AB - 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. Copyright 2012, NMJI. IS - 0970-258X IL - 0970-258X PT - Journal Article PT - Research Support, N.I.H., Extramural PP - ppublish GI - No: R01TW005969-01 Organization: (TW) *FIC NIH HHS* Country: United States LG - English DP - 2013 Jan-Feb EZ - 2013/09/27 06:00 DA - 2014/01/10 06:00 DT - 2013/09/27 06:00 YR - 2013 ED - 20140109 RD - 20130926 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24066988 <342. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23704836 TI - Effect of direct physician involvement on tobacco abstinence rates and other variables affecting participants of a freedom from tobacco class. SO - Permanente Journal. 17(2):4-11, 2013. AS - Perm. j.. 17(2):4-11, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ismail MH AU - Ho NJ AU - Lara NI FA - Ismail, Mohamed H FA - Ho, Ngoc J FA - Lara, Nancy Irazu IN - Ismail, Mohamed H. Physician in the Preventive Medicine Department, Kaiser Permanente Riverside Medical Center, CA, USA. mohamed.h.ismail@kp.org NJ - The Permanente journal VO - 17 IP - 2 PG - 4-11 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9800474 IO - Perm J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3662277 SB - Index Medicus CP - United States MH - Adult MH - California MH - *Counseling/mt [Methods] MH - Female MH - Health Maintenance Organizations MH - Humans MH - Male MH - Middle Aged MH - Patient Education as Topic/mt [Methods] MH - *Physician's Role MH - Retrospective Studies MH - Sex Factors MH - *Tobacco Use/pc [Prevention & Control] MH - *Tobacco Use Cessation/mt [Methods] AB - CONTEXT: Kaiser Permanente measures how often tobacco users are offered strategies to quit but not the success of such strategies. AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1552-5775 IL - 1552-5767 DO - https://dx.doi.org/10.7812/TPP/12-063 PT - Journal Article ID - 10.7812/TPP/12-063 [doi] ID - permj17_2p0004 [pii] ID - PMC3662277 [pmc] PP - ppublish LG - English DP - 2013 EZ - 2013/05/25 06:00 DA - 2014/01/01 06:00 DT - 2013/05/25 06:00 YR - 2013 ED - 20131231 RD - 20150426 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23704836 <343. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23398302 TI - Conversation with Juan Carlos Negrete. SO - Addiction. 108(8):1367-75, 2013 Aug. AS - Addiction. 108(8):1367-75, 2013 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Negrete JC FA - Negrete, Juan Carlos NJ - Addiction (Abingdon, England) VO - 108 IP - 8 PG - 1367-75 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/td [Trends] MH - Argentina MH - Biomedical Research/td [Trends] MH - Career Choice MH - Education, Medical, Graduate MH - Harm Reduction MH - Humans MH - *Psychiatry MH - Substance-Related Disorders/dt [Drug Therapy] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Juan Carlos Negrete is Emeritus Professor of Psychiatry, McGill University; Founding Director, Addictions Unit, Montreal General Hospital; former President, Canadian Society of Addiction Medicine; and former WHO/PAHO Consultant on Alcoholism, Drug Addiction and Mental Health. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/add.12053 PT - Interview ID - 10.1111/add.12053 [doi] PP - ppublish LG - English EP - 20130211 DP - 2013 Aug EZ - 2013/02/13 06:00 DA - 2013/12/19 06:00 DT - 2013/02/13 06:00 YR - 2013 ED - 20131218 RD - 20130712 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23398302 <344. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24302092 TI - Substance use disorder among anesthesiology residents, 1975-2009. SO - JAMA. 310(21):2289-96, 2013 Dec 04. AS - JAMA. 310(21):2289-96, 2013 Dec 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Warner DO AU - Berge K AU - Sun H AU - Harman A AU - Hanson A AU - Schroeder DR FA - Warner, David O FA - Berge, Keith FA - Sun, Huaping FA - Harman, Ann FA - Hanson, Andrew FA - Schroeder, Darrell R IN - Warner, David O. Department of Anesthesiology, Mayo Clinic, Rochester, Minnesota3American Board of Anesthesiology, Raleigh, North Carolina. NJ - JAMA VO - 310 IP - 21 PG - 2289-96 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3993973 OI - Source: NLM. NIHMS567922 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Anesthesiology/ed [Education] MH - Cohort Studies MH - Female MH - Humans MH - Incidence MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Kaplan-Meier Estimate MH - Male MH - Recurrence MH - Retrospective Studies MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/mo [Mortality] MH - Survivors/px [Psychology] MH - United States/ep [Epidemiology] AB - IMPORTANCE: Substance use disorder (SUD) among anesthesiologists and other physicians poses serious risks to both physicians and patients. Formulation of policy and individual treatment plans is hampered by lack of data regarding the epidemiology and outcomes of physician SUD. AB - OBJECTIVE: To describe the incidence and outcomes of SUD among anesthesiology residents. AB - DESIGN, SETTING, AND PARTICIPANTS: Retrospective cohort study of physicians who began training in United States anesthesiology residency programs from July 1, 1975, to July 1, 2009, including 44,612 residents contributing 177,848 resident-years to analysis. Follow-up for incidence and relapse was to the end of training and December 31, 2010, respectively. AB - MAIN OUTCOMES AND MEASURES: Cases of SUD (including initial SUD episode and any relapse, vital status and cause of death, and professional consequences of SUD) ascertained through training records of the American Board of Anesthesiology, including information from the Disciplinary Action Notification Service of the Federation of State Medical Boards and cause of death information from the National Death Index. AB - RESULTS: Of the residents, 384 had evidence of SUD during training, with an overall incidence of 2.16 (95% CI, 1.95-2.39) per 1000 resident-years (2.68 [95% CI, 2.41-2.98] men and 0.65 [95% CI, 0.44-0.93] women per 1000 resident-years). During the study period, an initial rate increase was followed by a period of lower rates in 1996-2002, but the highest incidence has occurred since 2003 (2.87 [95% CI, 2.42-3.39] per 1000 resident-years). The most common substance category was intravenous opioids, followed by alcohol, marijuana or cocaine, anesthetics/hypnotics, and oral opioids. Twenty-eight individuals (7.3%; 95% CI, 4.9%-10.4%) died during the training period; all deaths were related to SUD. The Kaplan-Meier estimate of the cumulative proportion of survivors experiencing at least 1 relapse by 30 years after the initial episode (based on a median follow-up of 8.9 years [interquartile range, 5.0-18.8 years]) was 43% (95% CI, 34%-51%). Rates of relapse and death did not depend on the category of substance used. Relapse rates did not change over the study period. AB - CONCLUSIONS AND RELEVANCE: Among anesthesiology residents entering primary training from 1975 to 2009, 0.86% had evidence of SUD during training. Risk of relapse over the follow-up period was high, indicating persistence of risk after training. ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2013.281954 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 1787405 [pii] ID - 10.1001/jama.2013.281954 [doi] ID - PMC3993973 [pmc] ID - NIHMS567922 [mid] PP - ppublish GI - No: KL2 TR000136 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: UL1 TR000135 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: UL1TR000135 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English DP - 2013 Dec 04 EZ - 2013/12/05 06:00 DA - 2013/12/18 06:00 DT - 2013/12/05 06:00 YR - 2013 ED - 20131213 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24302092 <345. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23442402 TI - 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. SO - Indian Journal of Cancer. 49(4):379-86, 2012 Oct-Dec. AS - Indian J Cancer. 49(4):379-86, 2012 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sinha DN AU - Rinchen S AU - Palipudi KM AU - Naing Shein NN AU - de Silva P AU - Khadka BB AU - Pednekar M AU - Singh G AU - Pitayarangsarit S AU - Bhattad VB AU - Lee KA AU - Asma S AU - Singh PK FA - Sinha, D N FA - Rinchen, S FA - Palipudi, K M FA - Naing Shein, Nang Naing FA - de Silva, P FA - Khadka, B B FA - Pednekar, M FA - Singh, G FA - Pitayarangsarit, S FA - Bhattad, V B FA - Lee, K A FA - Asma, S FA - Singh, P K IN - Sinha, D N. World Health Organization, Regional Office for South-East Asia, New Delhi, India. sinhad@who.int NJ - Indian journal of cancer VO - 49 IP - 4 PG - 379-86 PI - Journal available in: Print PI - Citation processed from: Internet JC - ghy, 0112040 IO - Indian J Cancer SB - Index Medicus CP - India MH - Asia, Southeastern/ep [Epidemiology] MH - Data Collection MH - Environmental Exposure/ae [Adverse Effects] MH - Female MH - Health Occupations MH - Humans MH - Male MH - Prevalence MH - Smoke-Free Policy MH - *Smoking Cessation/mt [Methods] MH - Students, Dental MH - Students, Medical MH - *Tobacco MH - Tobacco Smoke Pollution/ae [Adverse Effects] MH - *Tobacco Smoke Pollution/pc [Prevention & Control] MH - Tobacco Smoke Pollution/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Tobacco Smoke Pollution) ES - 1998-4774 IL - 0019-509X DO - https://dx.doi.org/10.4103/0019-509X.107743 PT - Journal Article ID - IndianJournalofCancer_2012_49_4_379_107743 [pii] ID - 10.4103/0019-509X.107743 [doi] PP - ppublish LG - English DP - 2012 Oct-Dec EZ - 2013/02/28 06:00 DA - 2013/12/16 06:00 DT - 2013/02/28 06:00 YR - 2012 ED - 20131211 RD - 20130227 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23442402 <346. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23594832 TI - Distance-based training in two community health centers to address tobacco smoke exposure of children. SO - BMC Pediatrics. 13:56, 2013 Apr 17. AS - BMC Pediatr. 13:56, 2013 Apr 17. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hipple B AU - Nabi-Burza E AU - Hall N AU - Regan S AU - Winickoff JP FA - Hipple, Bethany FA - Nabi-Burza, Emara FA - Hall, Nicole FA - Regan, Susan FA - Winickoff, Jonathan P IN - Hipple, Bethany. Center for Child and Adolescent Health Research and Policy, Massachusetts General Hospital, 50 Staniford Street Suite 901, Boston, MA 02144, USA. NJ - BMC pediatrics VO - 13 PG - 56 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100967804 IO - BMC Pediatr PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3644276 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Boston MH - Child MH - Child Welfare MH - *Community Health Centers MH - *Education, Distance MH - *Education, Medical, Continuing MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Parents/ed [Education] MH - *Patient Education as Topic MH - *Pediatrics/ed [Education] MH - Poverty MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Self Report MH - Smoking/th [Therapy] MH - Smoking Prevention MH - Telemedicine MH - *Tobacco Smoke Pollution/pc [Prevention & Control] MH - Young Adult AB - BACKGROUND: The CEASE (Clinical Effort Against Secondhand Smoke Exposure) intervention was developed to help pediatricians routinely and effectively address the harms of family smoking behaviors. Based on paper versions of CEASE, we partnered with the American Academy of Pediatrics' online education department and developed a completely distance-based training, including an online CME training, handouts and education materials for families, and phone and email support. AB - METHODS: The pediatric offices of two low income health clinics with primarily Medicaid populations were selected for the study. Pre and post intervention data by survey of the parents was collected in both practices (Practice 1 n = 470; Practice 2 n = 177). The primary outcome for this study was a comparison of rates of clinician's asking and advising parents about smoking and smoke-free home and cars. AB - RESULTS: Exit surveys of parents revealed statistically significant increases in rates of clinicians asking about parental smoking (22% vs. 41%), smoke-free rules (25% vs. 44%), and asking about other smoking household members (26% vs. 48%). AB - CONCLUSIONS: Through a completely distance based intervention, we were able to train pediatricians who see low income children to ask parents about smoking, smoke-free home and car rules, and whether other household members smoke. Implementing a system to routinely ask about family tobacco use and smoke-free home and car rules is a first step to effectively addressing tobacco in a pediatric office setting. By knowing which family members use tobacco, pediatricians can take the next steps to help families become completely tobacco-free. AB - TRIAL REGISTRATION: Clinical trials number: NCT01087177. RN - 0 (Tobacco Smoke Pollution) ES - 1471-2431 IL - 1471-2431 DO - https://dx.doi.org/10.1186/1471-2431-13-56 PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't ID - 1471-2431-13-56 [pii] ID - 10.1186/1471-2431-13-56 [doi] ID - PMC3644276 [pmc] PP - epublish PH - 2012/11/08 [received] PH - 2013/04/08 [accepted] SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01087177 SL - https://clinicaltrials.gov/search/term=NCT01087177 LG - English EP - 20130417 DP - 2013 Apr 17 EZ - 2013/04/19 06:00 DA - 2013/12/16 06:00 DT - 2013/04/19 06:00 YR - 2013 ED - 20131203 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23594832 <347. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23429281 TI - The maternal drinking history guide: development of a national educational tool. SO - Journal of Population Therapeutics & Clinical Pharmacology. 20(1):e42-3, 2013. AS - J Popul Ther Clin Pharmacol. 20(1):e42-3, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Koren G AU - Sarkar M AU - Rosenbaum C AU - Orrbine E FA - Koren, Gideon FA - Sarkar, Moumita FA - Rosenbaum, Charlotte FA - Orrbine, Elaine IN - Koren, Gideon. Motherisk Program, Hospital for Sick Children, University of Toronto. gkoren@sickkids.ca NJ - Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharamcologie clinique VO - 20 IP - 1 PG - e42-3 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101530023 IO - J Popul Ther Clin Pharmacol SB - Index Medicus CP - Canada MH - Alcohol Drinking/ae [Adverse Effects] MH - *Alcohol Drinking/ep [Epidemiology] MH - Education, Medical, Continuing/mt [Methods] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Focus Groups MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Mass Screening/mt [Methods] MH - *Practice Patterns, Physicians' MH - Pregnancy MH - Surveys and Questionnaires AB - BACKGROUND: The National Taskforce for the development of screening tools for FASD has identified maternal drinking as a critical area that should be screened. We describe the steps of development and implementation of a knowledge translation program for health care providers. The slide presentation is attached in English and French to allow its maximal use. AB - METHODS: In 2010, the National Taskforce for the development of screening tools for FASD identified maternal drinking as a critical area that should be screened. The systematic review and associated recommendations have been published and were included in the toolkit developed by the Canadian Association of Paediatric Health Centres with funding support from the Public Health Agency of Canada. Effective inquiry of maternal drinking can be conducted at three levels: Primary level, as part of practice-based screening; Level 2 use of structured questionnaires; and Level 3 laboratory-based screening. AB - CONCLUSION: It was acknowledged that most physicians do not ask women of reproductive age questions regarding their drinking habits, and the Taskforce was seriously concerned that even an effective guide may not change practice at the primary level. To that end, the Taskforce developed a three phase Knowledge Translation plan, to ensure that the educational program developed will be optimally effective for Canadian healthcare providers. ES - 1710-6222 PT - Journal Article PP - ppublish LG - English EP - 20130207 DP - 2013 EZ - 2013/02/23 06:00 DA - 2013/11/19 06:00 DT - 2013/02/23 06:00 YR - 2013 ED - 20131118 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23429281 <348. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23392849 TI - Fetal alcohol spectrum disorders: knowledge and screening practices of university hospital medical students and residents. SO - Journal of Population Therapeutics & Clinical Pharmacology. 20(1):e18-25, 2013. AS - J Popul Ther Clin Pharmacol. 20(1):e18-25, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arnold K AU - Burke M AU - Decker A AU - Herzberg E AU - Maher M AU - Motz K AU - Nandu H AU - O'Donnel L AU - Pirmohamed A AU - Ybarra M FA - Arnold, Kate FA - Burke, Megan FA - Decker, Ashley FA - Herzberg, Emily FA - Maher, Michael FA - Motz, Kevin FA - Nandu, Hari FA - O'Donnel, Luke FA - Pirmohamed, Altaf FA - Ybarra, Michael IN - Arnold, Kate. Georgetown University School of Medicine, Washington, DC, USA. NJ - Journal of population therapeutics and clinical pharmacology = Journal de la therapeutique des populations et de la pharamcologie clinique VO - 20 IP - 1 PG - e18-25 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101530023 IO - J Popul Ther Clin Pharmacol SB - Index Medicus CP - Canada MH - Alcohol Drinking/ae [Adverse Effects] MH - *Alcohol Drinking/ep [Epidemiology] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Care Surveys MH - *Health Knowledge, Attitudes, Practice MH - Hospitals, University MH - Humans MH - Internship and Residency/sn [Statistics & Numerical Data] MH - *Mass Screening/mt [Methods] MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Pregnancy MH - Pregnancy Complications/di [Diagnosis] MH - Pregnancy Complications/pc [Prevention & Control] MH - Prenatal Care/mt [Methods] MH - Students, Medical/sn [Statistics & Numerical Data] MH - United States AB - BACKGROUND: Fetal alcohol spectrum disorder (FASD) is the leading cause of preventable intellectual disabilities in the United States and a significant public health issue. AB - OBJECTIVES: The purpose of this study is to evaluate the knowledge and screening practices of pre-clinical medical students and clinical providers on FAS, FASD, and alcohol consumption. AB - METHODS: A short survey sent to medical students and residents on the campus of a large medical school and university hospital. AB - RESULTS: On the survey of clinical providers, 38% of respondents stated they always survey pregnant women about their alcohol consumption, 34% stated they always screen patients planning to get pregnant, and 9% screen women of childbearing age. There were a significant percentage of providers who never screen women. When questioned regarding safe amounts of alcohol consumption during pregnancy, 69% of pre-clinical medical students and 67% of clinical providers stated there is no safe amount of alcohol consumption. Clinical providers were much more likely to correctly select the facial features necessary for the diagnosis (p-value < 0.01). AB - CONCLUSIONS: Significant differences exist in the knowledge and screening practices of these different healthcare providers and trainees. Future interventions should seek to improve knowledge on FAS, FASD, and alcohol consumption, in order for practitioners to be more consistent with national guidelines and the Surgeon General recommendations. ES - 1710-6222 PT - Journal Article PP - ppublish LG - English EP - 20130123 DP - 2013 EZ - 2013/02/09 06:00 DA - 2013/11/19 06:00 DT - 2013/02/09 06:00 YR - 2013 ED - 20131118 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23392849 <349. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24151655 TI - [Addiction medicine: more doctors needed for medical supervision of opioid replacement therapy]. [German] OT - Suchtmedizin: Mehr Arzte fur die Substitutionsbehandlung benotigt. SO - Deutsche Medizinische Wochenschrift. 138(38):1874-5, 2013 Sep. AS - Dtsch Med Wochenschr. 138(38):1874-5, 2013 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weis J FA - Weis, Johannes NJ - Deutsche medizinische Wochenschrift (1946) VO - 138 IP - 38 PG - 1874-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - ecl, 0006723 IO - Dtsch. Med. Wochenschr. SB - Index Medicus CP - Germany MH - Adult MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - Education, Medical, Graduate MH - Evidence-Based Medicine MH - Female MH - General Practice/ed [Education] MH - *General Practice/ma [Manpower] MH - Germany MH - Humans MH - Male MH - Middle Aged MH - *Opiate Substitution Treatment/px [Psychology] MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/px [Psychology] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Patient Satisfaction MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] ES - 1439-4413 IL - 0012-0472 PT - Journal Article PP - ppublish LG - German DP - 2013 Sep EZ - 2013/10/24 06:00 DA - 2013/11/13 06:00 DT - 2013/10/24 06:00 YR - 2013 ED - 20131112 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=24151655 <350. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23984605 TI - [Comorbidity in organic depressive disorders in patients Specialist Hospital Dr. J. Babinski in Cracow in the years 2008-2010]. [Polish] OT - Wspolchorobowosc w organicznych zaburzeniach depresyjnych u pacjentow Szpitala Specjalistycznego im. Dr. J. Babinskiego w Krakowie w latach 2008-2010. SO - Polski Merkuriusz Lekarski. 35(205):43-6, 2013 Jul. AS - Pol Merkuriusz Lek. 35(205):43-6, 2013 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Noga M AU - Gruszczynski W FA - Noga, Monika FA - Gruszczynski, Wojciech IN - Noga, Monika. Szpital Specjalistyczny im. dr. J. Babinskiego w Krakowie, Oddzial Leczenia Alkoholowych Zespolow Abstynencyjnych. monika0510@wp.pl NJ - Polski merkuriusz lekarski : organ Polskiego Towarzystwa Lekarskiego VO - 35 IP - 205 PG - 43-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 9705469 IO - Pol. Merkur. Lekarski SB - Index Medicus CP - Poland MH - Aged MH - Alcoholism/ep [Epidemiology] MH - Cardiovascular Diseases/ep [Epidemiology] MH - Comorbidity MH - Depressive Disorder/di [Diagnosis] MH - *Depressive Disorder/ep [Epidemiology] MH - Female MH - Hospitals, Psychiatric/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Marital Status/sn [Statistics & Numerical Data] MH - Medical History Taking MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/ep [Epidemiology] MH - Middle Aged MH - Poland MH - Retirement/sn [Statistics & Numerical Data] MH - Sex Distribution MH - Sex Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - UNLABELLED: 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. AB - MATERIALS AND METHODS: 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. Babinski in Cracow. We analyzed the medical records of outpatient treatment of the above. Analyses were made medical history by questionnaire of our own design. AB - RESULTS: 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. AB - CONCLUSIONS: 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). IS - 1426-9686 IL - 1426-9686 PT - English Abstract PT - Journal Article PP - ppublish LG - Polish DP - 2013 Jul EZ - 2013/08/30 06:00 DA - 2013/11/08 06:00 DT - 2013/08/30 06:00 YR - 2013 ED - 20131107 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23984605 <351. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23940897 TI - The chronic pain initiative and community care of North Carolina. SO - North Carolina Medical Journal. 74(3):237-41, 2013 May-Jun. AS - N C Med J. 74(3):237-41, 2013 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lancaster M AU - McKee J AU - Mahan A FA - Lancaster, Michael FA - McKee, Jerry FA - Mahan, Amelia IN - Lancaster, Michael. Community Care of North Carolina, Raleigh, North Carolina, USA. NJ - North Carolina medical journal VO - 74 IP - 3 PG - 237-41 PI - Journal available in: Print PI - Citation processed from: Print JC - ntx, 2984805r IO - N C Med J SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Chronic Pain/dt [Drug Therapy] MH - *Community Networks/og [Organization & Administration] MH - Community Participation MH - *Drug Overdose/pc [Prevention & Control] MH - Education, Medical, Continuing MH - Humans MH - North Carolina AB - The rate of unintentional deaths from opioid poisoning has reached epidemic proportions. One model of successful intervention is Project Lazarus, an integrated-care pilot program in Wilkes County, North Carolina. Community Care of North Carolina, supported by a grant of $1.3 million from the Kate B. Reynolds Charitable Trust and matching funds of $1.3 million from the North Carolina Office of Rural Health and Community Care, is now expanding the Project Lazarus approach statewide. RN - 0 (Analgesics, Opioid) IS - 0029-2559 IL - 0029-2559 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2013 May-Jun EZ - 2013/08/15 06:00 DA - 2013/11/08 06:00 DT - 2013/08/15 06:00 YR - 2013 ED - 20131107 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23940897 <352. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23940896 TI - Educating medical practitioners about safe opioid prescribing: training from the Governor's Institute on Substance Abuse. SO - North Carolina Medical Journal. 74(3):233-4, 2013 May-Jun. AS - N C Med J. 74(3):233-4, 2013 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Finch JW AU - McEwen S FA - Finch, James W FA - McEwen, Sara IN - Finch, James W. Governor's Institute on Substance Abuse, Raleigh, North Carolina, USA. jwfinch@nc.rr.com NJ - North Carolina medical journal VO - 74 IP - 3 PG - 233-4 PI - Journal available in: Print PI - Citation processed from: Print JC - ntx, 2984805r IO - N C Med J SB - Index Medicus CP - United States MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Education, Medical, Continuing MH - Humans MH - North Carolina MH - Practice Patterns, Physicians' MH - Public-Private Sector Partnerships RN - 0 (Analgesics, Opioid) IS - 0029-2559 IL - 0029-2559 PT - Journal Article PP - ppublish LG - English DP - 2013 May-Jun EZ - 2013/08/15 06:00 DA - 2013/11/08 06:00 DT - 2013/08/15 06:00 YR - 2013 ED - 20131107 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23940896 <353. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23621310 TI - Lessons learned in the abuse of pain-relief medication: a focus on healthcare costs. [Review] SO - Expert Review of Neurotherapeutics. 13(5):527-43; quiz 544, 2013 May. AS - Expert rev. neurotherapeutics. 13(5):527-43; quiz 544, 2013 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Manchikanti L AU - Boswell MV AU - Hirsch JA FA - Manchikanti, Laxmaiah FA - Boswell, Mark V FA - Hirsch, Joshua A IN - Manchikanti, Laxmaiah. Pain Management Center of Paducah, Paducah, KY 42003, USA. drlm@thepainmd.com NJ - Expert review of neurotherapeutics VO - 13 IP - 5 PG - 527-43; quiz 544 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101129944 IO - Expert Rev Neurother SB - Index Medicus CP - England MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Chronic Pain/ec [Economics] MH - *Chronic Pain/ep [Epidemiology] MH - Education, Medical, Continuing MH - *Health Care Costs MH - Humans MH - *Opioid-Related Disorders/ec [Economics] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Prevalence AB - The increasing prevalence of chronic pain with its major societal impact and the escalating use of opioids in managing it, along with their misuse, abuse, associated fatalities and costs, are epidemics in modern medicine. Over the past two decades, multiple lessons have been learned addressing various issues of abuse. Multiple measures have already been incorporated and more are expected to be incorporated in the future, which in turn may curtail the abuse of drugs and reduce healthcare costs, but these measures may also jeopardize access to appropriate pain treatment. This manuscript describes the lessons learned from the misuse, abuse and diversion of opioids, escalating healthcare costs and the means to control this epidemic. RN - 0 (Analgesics, Opioid) ES - 1744-8360 IL - 1473-7175 DO - https://dx.doi.org/10.1586/ern.13.33 PT - Journal Article PT - Review ID - 10.1586/ern.13.33 [doi] PP - ppublish LG - English DP - 2013 May EZ - 2013/04/30 06:00 DA - 2013/11/08 06:00 DT - 2013/04/30 06:00 YR - 2013 ED - 20131107 RD - 20130429 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23621310 <354. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23887001 TI - A randomized trial of two e-learning strategies for teaching substance abuse management skills to physicians. SO - Academic Medicine. 88(9):1357-62, 2013 Sep. AS - Acad Med. 88(9):1357-62, 2013 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harris JM Jr AU - Sun H FA - Harris, John M Jr FA - Sun, Huaping IN - Harris, John M Jr. University of Arizona College of Medicine, Tucson, AZ 85724-5121, USA. jharris@medadmin.arizona.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 88 IP - 9 PG - 1357-62 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3769087 OI - Source: NLM. NIHMS501571 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - *Clinical Competence MH - Computer Simulation MH - Decision Making MH - Education, Distance MH - Female MH - Humans MH - *Internship and Residency/mt [Methods] MH - Male MH - *Patient Simulation MH - *Physicians, Primary Care/ed [Education] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - United States AB - 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. AB - 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. AB - 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. AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0b013e31829e7ec6 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - PMC3769087 [pmc] ID - NIHMS501571 [mid] ID - 10.1097/ACM.0b013e31829e7ec6 [doi] PP - ppublish GI - No: R44 DA026218 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2013 Sep EZ - 2013/07/28 06:00 DA - 2013/11/06 06:00 DT - 2013/07/27 06:00 YR - 2013 ED - 20131105 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23887001 <355. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24150462 TI - Physician education in addiction medicine. SO - JAMA. 310(16):1673-4, 2013 Oct 23. AS - JAMA. 310(16):1673-4, 2013 Oct 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wood E AU - Samet JH AU - Volkow ND FA - Wood, Evan FA - Samet, Jeffrey H FA - Volkow, Nora D IN - Wood, Evan. Department of Medicine, University of British Columbia, Vancouver, British Columbia, Canada. NJ - JAMA VO - 310 IP - 16 PG - 1673-4 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Cost of Illness MH - *Education, Medical MH - Humans MH - Medicine/td [Trends] MH - *Physicians MH - Quality of Health Care MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2013.280377 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1758759 [pii] ID - 10.1001/jama.2013.280377 [doi] ID - PMC4827345 [pmc] ID - NIHMS763043 [mid] PP - ppublish GI - No: Z99 DA999999 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2013 Oct 23 EZ - 2013/10/24 06:00 DA - 2013/10/31 06:00 DT - 2013/10/24 06:00 YR - 2013 ED - 20131030 RD - 20180429 UP - 20180430 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=24150462 <356. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23632924 TI - Web-streamed didactic instruction on substance use disorders compares favorably with live-lecture format.[Erratum appears in Acad Psychiatry. 2013 Sep;37(5):351; PMID: 27518084], [Erratum appears in Acad Psychiatry. 2013 Sep 1;37(5):351 Note: Maher, Karam-Hage [corrected to Karam-Hage, M]] SO - Academic Psychiatry. 37(3):165-70, 2013 May 01. AS - Acad Psychiatry. 37(3):165-70, 2013 May 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Karam-Hage M AU - Brower KJ AU - Mullan PB AU - Gay T AU - Gruppen LD FA - Karam-Hage, M FA - Brower, Kirk J FA - Mullan, Patricia B FA - Gay, Tamara FA - Gruppen, Larry D IN - Karam-Hage, M. University of Texas, M.D. Anderson Cancer Center, Dept of Psychiatry and Behavioral Science, Houston, TX, USA. maherkaram@mdanderson.org IN - Maher, Karam-Hage. University of Texas, M.D. Anderson Cancer Center, Dept of Psychiatry and Behavioral Science, Houston, TX, USA. maherkaram@mdanderson.org NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 37 IP - 3 PG - 165-70 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Adult MH - *Computer-Assisted Instruction/mt [Methods] MH - Computer-Assisted Instruction/sn [Statistics & Numerical Data] MH - *Curriculum MH - *Education, Medical/mt [Methods] MH - Education, Medical/sn [Statistics & Numerical Data] MH - *Educational Measurement/mt [Methods] MH - Educational Measurement/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - *Internet MH - Male MH - Michigan MH - Prospective Studies MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Young Adult AB - OBJECTIVE: 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. AB - METHOD: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.12010001 PT - Journal Article ID - 1681716 [pii] ID - 10.1176/appi.ap.12010001 [doi] PP - ppublish LG - English DP - 2013 May 01 EZ - 2013/05/02 06:00 DA - 2013/10/29 06:00 DT - 2013/05/02 06:00 YR - 2013 ED - 20131028 RD - 20160815 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23632924 <357. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23542854 TI - Elevation: developing a mentorship model to raise the next generation of plastic surgery professionals. SO - Annals of Plastic Surgery. 70(5):606-12, 2013 May. AS - Ann Plast Surg. 70(5):606-12, 2013 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wagner IJ AU - Hultman CS FA - Wagner, Ida Janelle FA - Hultman, Charles Scott IN - Wagner, Ida Janelle. Division of Plastic Surgery, University of North Carolina School of Medicine, Chapel Hill, NC 27599, USA. NJ - Annals of plastic surgery VO - 70 IP - 5 PG - 606-12 PI - Journal available in: Print PI - Citation processed from: Internet JC - 5vb, 7805336 IO - Ann Plast Surg SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Anesthesiology/ed [Education] MH - Anesthesiology/es [Ethics] MH - *Attitude of Health Personnel MH - *Ethics, Medical/ed [Education] MH - Female MH - Humans MH - Male MH - *Mentors MH - Middle Aged MH - North Carolina MH - *Physician's Role MH - *Physician-Patient Relations/es [Ethics] MH - *Surgery, Plastic/ed [Education] MH - Surgery, Plastic/es [Ethics] AB - PURPOSE: 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. AB - METHODS: 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). AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 1536-3708 IL - 0148-7043 DO - https://dx.doi.org/10.1097/SAP.0b013e31827ead57 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1097/SAP.0b013e31827ead57 [doi] PP - ppublish LG - English DP - 2013 May EZ - 2013/04/02 06:00 DA - 2013/10/26 06:00 DT - 2013/04/02 06:00 YR - 2013 ED - 20131025 RD - 20130412 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23542854 <358. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24155823 TI - Pharmacy residents and students as an adjunct to current smoking cessation education. SO - Pharmacy Practice. 10(2):92-6, 2012 Apr. AS - Pharm. pract.. 10(2):92-6, 2012 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Franks AS AU - Givens CB AU - Barger-Stevens A FA - Franks, Andrea S FA - Givens, Carrie B FA - Barger-Stevens, Amy IN - Franks, Andrea S. Department of Clinical Pharmacy, College of Pharmacy; and Department of Family Medicine, Graduate School of Medicine, University of Tennessee . Knoxville, TN ( United States ). NJ - Pharmacy practice VO - 10 IP - 2 PG - 92-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101530029 IO - Pharm Pract (Granada) PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3780479 CP - Spain KW - Health Education; Smoking Cessation; Students, Pharmacy; United States AB - 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. AB - 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. AB - 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. AB - 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. IS - 1885-642X IL - 1885-642X PT - Journal Article ID - PMC3780479 [pmc] PP - ppublish PH - 2011/10/12 [received] PH - 2012/05/07 [accepted] LG - English EP - 20120630 DP - 2012 Apr EZ - 2012/04/01 00:00 DA - 2012/04/01 00:01 DT - 2013/10/25 06:00 YR - 2012 ED - 20131024 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=24155823 <359. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23338735 TI - Using selected scenes from Brazilian films to teach about substance use disorders, within medical education. SO - Sao Paulo Medical Journal = Revista Paulista de Medicina. 130(6):380-91, 2012. AS - Sao Paulo Med J. 130(6):380-91, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Castaldelli-Maia JM AU - Oliveira HP AU - Andrade AG AU - Lotufo-Neto F AU - Bhugra D FA - Castaldelli-Maia, Joao Mauricio FA - Oliveira, Hercilio Pereira FA - Andrade, Arthur Guerra FA - Lotufo-Neto, Francisco FA - Bhugra, Dinesh IN - Castaldelli-Maia, Joao Mauricio. Faculdade de Medicina do ABC, Santo Andre, Sao Paulo, Brazil. jmcmaia2@gmail.com NJ - Sao Paulo medical journal = Revista paulista de medicina VO - 130 IP - 6 PG - 380-91 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100897261, dio IO - Sao Paulo Med J SB - Index Medicus CP - Brazil MH - *Alcoholism/px [Psychology] MH - Brazil MH - *Education, Medical/mt [Methods] MH - Humans MH - *Motion Pictures MH - Observer Variation MH - Statistics, Nonparametric MH - *Substance-Related Disorders/px [Psychology] AB - 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). AB - DESIGN AND SETTING: Qualitative study at two universities in the state of Sao Paulo. AB - 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". AB - 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. AB - 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. ES - 1806-9460 IL - 1516-3180 DI - S1516-31802012000600005 PT - Journal Article ID - S1516-31802012000600005 [pii] PP - ppublish LG - English DP - 2012 EZ - 2013/01/23 06:00 DA - 2013/09/27 06:00 DT - 2013/01/23 06:00 YR - 2012 ED - 20130926 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23338735 <360. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23887474 TI - [Experience of teaching the questions of alcoholism to medical students]. [Review] [Russian] SO - Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova. 113(6 Pt 2):75-9, 2013. AS - Zh Nevrol Psikhiatr Im S S Korsakova. 113(6 Pt 2):75-9, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Golenkov AV FA - Golenkov, A V NJ - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova VO - 113 IP - 6 Pt 2 PG - 75-9 PI - Journal available in: Print PI - Citation processed from: Print JC - cwz, 9712194 IO - Zh Nevrol Psikhiatr Im S S Korsakova SB - Index Medicus CP - Russia (Federation) MH - *Alcoholism MH - *Education, Medical, Undergraduate/og [Organization & Administration] MH - Humans MH - *Psychiatry/ed [Education] MH - Schools, Medical MH - *Students, Medical AB - 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. IS - 1997-7298 IL - 1997-7298 PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - Russian DP - 2013 EZ - 2013/07/28 06:00 DA - 2013/09/26 06:00 DT - 2013/07/27 06:00 YR - 2013 ED - 20130924 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23887474 <361. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23623894 TI - Tobacco dependence treatment teaching by medical school clerkship preceptors: survey responses from more than 1,000 US medical students. SO - Preventive Medicine. 57(2):81-6, 2013 Aug. AS - Prev Med. 57(2):81-6, 2013 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Geller AC AU - Hayes RB AU - Leone F AU - Churchill LC AU - Leung K AU - Reed G AU - Jolicoeur D AU - Okuliar C AU - Adams M AU - Murray DM AU - Liu Q AU - Waugh J AU - David S AU - Ockene JK FA - Geller, Alan C FA - Hayes, Rashelle B FA - Leone, Frank FA - Churchill, Linda C FA - Leung, Katherine FA - Reed, George FA - Jolicoeur, Denise FA - Okuliar, Catherine FA - Adams, Michael FA - Murray, David M FA - Liu, Qin FA - Waugh, Jonathan FA - David, Sean FA - Ockene, Judith K IN - Geller, Alan C. Department of Social and Behavioral Sciences, Harvard School of Public Health, Boston, MA 02115, USA. ageller@hsph.harvard.edu NJ - Preventive medicine VO - 57 IP - 2 PG - 81-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pm4, 0322116 IO - Prev Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3767283 OI - Source: NLM. NIHMS481203 SB - Index Medicus CP - United States MH - Adult MH - Clinical Clerkship MH - Clinical Competence MH - *Counseling/st [Standards] MH - Counseling/sn [Statistics & Numerical Data] MH - *Education, Medical, Undergraduate/st [Standards] MH - Education, Medical, Undergraduate/sn [Statistics & Numerical Data] MH - Educational Measurement MH - Female MH - Health Care Surveys MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Preceptorship MH - Self Report MH - *Smoking Cessation MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/th [Therapy] MH - United States KW - Education; Medical schools; Smoking AB - OBJECTIVE: To determine factors associated with tobacco cessation counseling in medical school clerkships. AB - 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"). AB - 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. AB - CONCLUSIONS: Future educational interventions intended to help students adopt effective tobacco dependence treatment techniques should be engineered to facilitate these critical precepting components. Copyright © 2013 Elsevier Inc. All rights reserved. ES - 1096-0260 IL - 0091-7435 DI - S0091-7435(13)00115-1 DO - https://dx.doi.org/10.1016/j.ypmed.2013.04.006 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0091-7435(13)00115-1 [pii] ID - 10.1016/j.ypmed.2013.04.006 [doi] ID - PMC3767283 [pmc] ID - NIHMS481203 [mid] PP - ppublish PH - 2013/01/11 [received] PH - 2013/04/10 [revised] PH - 2013/04/15 [accepted] GI - No: R01 CA136888 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA136888-04 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20130425 DP - 2013 Aug EZ - 2013/04/30 06:00 DA - 2013/09/26 06:00 DT - 2013/04/30 06:00 YR - 2013 ED - 20130924 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23623894 <362. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23517813 TI - Enhancing screening, brief intervention, and referral to treatment among socioeconomically disadvantaged patients: study protocol for a knowledge exchange intervention involving patients and physicians. SO - BMC Health Services Research. 13:108, 2013 Mar 22. AS - BMC Health Serv Res. 13:108, 2013 Mar 22. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Salvalaggio G AU - Dong K AU - Vandenberghe C AU - Kirkland S AU - Mramor K AU - Brown T AU - Taylor M AU - McKim R AU - Cummings GG AU - Wild TC FA - Salvalaggio, Ginetta FA - Dong, Kathryn FA - Vandenberghe, Christine FA - Kirkland, Scott FA - Mramor, Kelsey FA - Brown, Taryn FA - Taylor, Marliss FA - McKim, Robert FA - Cummings, Greta G FA - Wild, T Cameron IN - Salvalaggio, Ginetta. Department of Family Medicine, University of Alberta, 1702 College Plaza, Edmonton, AB T6G 2C8, Canada. ginetta@ualberta.ca NJ - BMC health services research VO - 13 PG - 108 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088677 IO - BMC Health Serv Res PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3610268 SB - Index Medicus CP - England MH - Alberta MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - Humans MH - *Mass Screening MH - *Physician-Patient Relations MH - *Poverty Areas MH - *Referral and Consultation MH - Self Report MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - BACKGROUND: 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. AB - METHODS/DESIGN: 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. AB - DISCUSSION: 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. AB - TRIAL REGISTRATION: Northern Alberta Clinical Trials and Research Centre #30094. ES - 1472-6963 IL - 1472-6963 DO - https://dx.doi.org/10.1186/1472-6963-13-108 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1472-6963-13-108 [pii] ID - 10.1186/1472-6963-13-108 [doi] ID - PMC3610268 [pmc] PP - epublish PH - 2013/03/04 [received] PH - 2013/03/11 [accepted] LG - English EP - 20130322 DP - 2013 Mar 22 EZ - 2013/03/23 06:00 DA - 2013/09/21 06:00 DT - 2013/03/23 06:00 YR - 2013 ED - 20130919 RD - 20150427 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23517813 <363. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23930466 TI - Moving addiction treatment into the 21st century. Our treatment system needs an overhaul. SO - Minnesota Medicine. 96(3):34-5, 2013 Mar. AS - Minn Med. 96(3):34-5, 2013 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pylkas A FA - Pylkas, Anne IN - Pylkas, Anne. Hennepin County Medical Center, USA. NJ - Minnesota medicine VO - 96 IP - 3 PG - 34-5 PI - Journal available in: Print PI - Citation processed from: Print JC - nby, 8000173 IO - Minn Med SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ec [Economics] MH - *Alcoholism/rh [Rehabilitation] MH - Cost-Benefit Analysis MH - Curriculum MH - *Evidence-Based Practice/ec [Economics] MH - Humans MH - Internship and Residency MH - Mass Screening/ec [Economics] MH - Minnesota MH - Primary Health Care MH - Referral and Consultation/ec [Economics] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0026-556X IL - 0026-556X PT - Journal Article PP - ppublish LG - English DP - 2013 Mar EZ - 2013/08/13 06:00 DA - 2013/09/18 06:00 DT - 2013/08/13 06:00 YR - 2013 ED - 20130917 RD - 20130812 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23930466 <364. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23930460 TI - The medicine of addiction. SO - Minnesota Medicine. 96(3):10-1, 2013 Mar. AS - Minn Med. 96(3):10-1, 2013 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frisch S FA - Frisch, Suzy NJ - Minnesota medicine VO - 96 IP - 3 PG - 10-1 PI - Journal available in: Print PI - Citation processed from: Print JC - nby, 8000173 IO - Minn Med SB - Index Medicus CP - United States MH - Accreditation MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/rh [Rehabilitation] MH - Career Choice MH - Fellowships and Scholarships MH - Humans MH - Internal Medicine/ed [Education] MH - Internship and Residency MH - Minnesota MH - *Physician's Role MH - Specialization MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0026-556X IL - 0026-556X PT - Journal Article PP - ppublish LG - English DP - 2013 Mar EZ - 2013/08/13 06:00 DA - 2013/09/18 06:00 DT - 2013/08/13 06:00 YR - 2013 ED - 20130917 RD - 20130812 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23930460 <365. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23391959 TI - Phenibut dependence. SO - BMJ Case Reports. 2013, 2013 Feb 06. AS - BMJ Case Rep. 2013, 2013 Feb 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Samokhvalov AV AU - Paton-Gay CL AU - Balchand K AU - Rehm J FA - Samokhvalov, Andriy V FA - Paton-Gay, C Lindsay FA - Balchand, Kam FA - Rehm, Jurgen IN - Samokhvalov, Andriy V. Centre for Addiction and Mental Health, Toronto, Ontario, Canada. NJ - BMJ case reports VO - 2013 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101526291 IO - BMJ Case Rep PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3604470 SB - Index Medicus CP - England MH - Adult MH - *Baclofen/tu [Therapeutic Use] MH - *GABA-B Receptor Agonists/tu [Therapeutic Use] MH - Humans MH - *Hypnotics and Sedatives MH - Male MH - Russia MH - *Substance-Related Disorders/dt [Drug Therapy] MH - *gamma-Aminobutyric Acid/aa [Analogs & Derivatives] AB - Phenibut is a gamma-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 self-medicate 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. RN - 0 (GABA-B Receptor Agonists) RN - 0 (Hypnotics and Sedatives) RN - 56-12-2 (gamma-Aminobutyric Acid) RN - H789N3FKE8 (Baclofen) RN - T2M58D6LA8 (4-amino-3-phenylbutyric acid) ES - 1757-790X IL - 1757-790X DI - bcr2012008381 DO - https://dx.doi.org/10.1136/bcr-2012-008381 PT - Case Reports PT - Journal Article ID - bcr-2012-008381 [pii] ID - 10.1136/bcr-2012-008381 [doi] ID - PMC3604470 [pmc] PP - epublish LG - English EP - 20130206 DP - 2013 Feb 06 EZ - 2013/02/09 06:00 DA - 2013/09/10 06:00 DT - 2013/02/09 06:00 YR - 2013 ED - 20130909 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23391959 <366. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23448579 TI - Impact of system-level changes and training on alcohol screening and brief intervention in a family medicine residency clinic: a pilot study. SO - Substance Abuse Treatment, Prevention, & Policy. 8:9, 2013 Feb 28. AS - Subst Abuse Treat Prev Policy. 8:9, 2013 Feb 28. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson JA AU - Seale JP AU - Shellenberger S AU - Hamrick M AU - Lott R FA - Johnson, James Aaron FA - Seale, James Paul FA - Shellenberger, Sylvia FA - Hamrick, Maribeth FA - Lott, Robert IN - Johnson, James Aaron. Department of Family Medicine, Mercer University School of Medicine and Medical Center of Central Georgia, 3780 Eisenhower Parkway, Suite 3, Macon, GA 31206, USA. Johnson.Aaron@mccg.org NJ - Substance abuse treatment, prevention, and policy VO - 8 PG - 9 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258060 IO - Subst Abuse Treat Prev Policy PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3599914 SB - Index Medicus CP - England MH - Adult MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/nu [Nursing] MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Chi-Square Distribution MH - Education, Nursing, Continuing MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Family Practice/td [Trends] MH - Female MH - Georgia MH - *Health Behavior MH - Humans MH - Internship and Residency/mt [Methods] MH - Internship and Residency/td [Trends] MH - Male MH - Mass Screening/mt [Methods] MH - Mass Screening/nu [Nursing] MH - *Mass Screening/st [Standards] MH - Middle Aged MH - Pilot Projects MH - Program Evaluation MH - Surveys and Questionnaires AB - BACKGROUND: Although screening and brief intervention (SBI) are effective in reducing unhealthy alcohol use, major challenges exist in implementing clinician-delivered SBI in primary care settings. This 2006-2007 pilot study describes the impact of systems changes and booster trainings designed to increase SBI rates in a family medicine residency clinic which annually screened adults with a self-administered AUDIT-C questionnaire and used paper prompts to encourage physician interventions for patients with positive screens. AB - METHODS: Investigators added the Single Alcohol Screening Question (SASQ) to nursing vital signs forms, added a checkbox for documenting brief interventions to the clinicians' outpatient encounter form, and conducted one-hour nurse and clinician booster trainings. Impact was measured using chart reviews conducted before implementing systems changes, then six weeks and six months post-implementation. AB - RESULTS: At all three time points screening rates using AUDIT-C plus SASQ exceeded 90%, however AUDIT-C screening decreased to 85% after 6 months (p=.025). Identification of unhealthy alcohol users increased from 4% to 22.9% at six weeks and 18.8% at six months (p=.002) using both screens. Nursing vital signs screening using the SASQ reached 71.4% six weeks after implementation but decreased to 45.5% at six months. Changes in clinician brief intervention rates did not achieve statistical significance. AB - CONCLUSIONS: This is the second study reporting sustained primary care alcohol screening rates of more than 90%. Screening patients with SASQ and/or AUDIT-C identified a higher percentage of patients with unhealthy alcohol use. Dissemination of effective strategies for identifying unhealthy alcohol users should continue, while future research should focus on identifying more effective strategies for increasing intervention rates. ES - 1747-597X IL - 1747-597X DO - https://dx.doi.org/10.1186/1747-597X-8-9 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 1747-597X-8-9 [pii] ID - 10.1186/1747-597X-8-9 [doi] ID - PMC3599914 [pmc] PP - epublish PH - 2012/05/29 [received] PH - 2013/02/08 [accepted] GI - No: T1020278 Organization: *PHS HHS* Country: United States LG - English EP - 20130228 DP - 2013 Feb 28 EZ - 2013/03/02 06:00 DA - 2013/09/07 06:00 DT - 2013/03/02 06:00 YR - 2013 ED - 20130906 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23448579 <367. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23814068 TI - Reefer madness: doctors need more drugs training. SO - BMJ. 346:f4105, 2013 Jun 27. AS - BMJ. 346:f4105, 2013 Jun 27. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spence D FA - Spence, Des IN - Spence, Des. destwo@yahoo.co.uk NJ - BMJ (Clinical research ed.) VO - 346 PG - f4105 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 8900488, bmj, 101090866 IO - BMJ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Education, Medical, Continuing MH - Humans MH - *Street Drugs MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders RN - 0 (Street Drugs) ES - 1756-1833 IL - 0959-535X DI - bmj.f4105 DO - https://dx.doi.org/10.1136/bmj.f4105 PT - Journal Article PP - epublish LG - English EP - 20130627 DP - 2013 Jun 27 EZ - 2013/07/03 06:00 DA - 2013/09/04 06:00 DT - 2013/07/02 06:00 YR - 2013 ED - 20130903 RD - 20130701 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23814068 <368. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23997892 TI - Training general psychiatry residents to prescribe buprenorphine in treatment of patients with opioid dependence. SO - Journal of Graduate Medical Education. 4(3):391, 2012 Sep. AS - J Grad Med Educ. 4(3):391, 2012 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Sharma TR AU - Kablinger AS FA - Sharma, Taral R FA - Kablinger, Anita S IN - Sharma, Taral R. Chief Resident in Psychiatry, Psychiatry Residency Program, Carilion School of Medicine. NJ - Journal of graduate medical education VO - 4 IP - 3 PG - 391 PI - Journal available in: Print PI - Citation processed from: Print JC - 101521733 IO - J Grad Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3444201 CP - United States IS - 1949-8349 IL - 1949-8357 DO - https://dx.doi.org/10.4300/JGME-D-12-00046.1 PT - Journal Article ID - 10.4300/JGME-D-12-00046.1 [doi] ID - JGME-D-12-00046 [pii] ID - PMC3444201 [pmc] PP - ppublish LG - English DP - 2012 Sep EZ - 2013/09/03 06:00 DA - 2013/09/03 06:01 DT - 2013/09/03 06:00 YR - 2012 ED - 20130902 RD - 20130904 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23997892 <369. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23967426 TI - Descriptive Aspects of Injection Drug Users in Iran's National Harm Reduction Program by Methadone Maintenance Treatment. SO - Iranian Journal of Public Health. 42(6):588-93, 2013. AS - Iran J Public Health. 42(6):588-93, 2013. VI - 1 RO - PIP ST - PubMed-not-MEDLINE AU - Eskandarieh S AU - Nikfarjam A AU - Tarjoman T AU - Nasehi A AU - Jafari F AU - Saberi-Zafarghandi MB FA - Eskandarieh, Sharareh FA - Nikfarjam, Ali FA - Tarjoman, Termeh FA - Nasehi, Abassali FA - Jafari, Firoozeh FA - Saberi-Zafarghandi, Mohammad-Bagher IN - Eskandarieh, Sharareh. Bureau of Mental & Social Health and Addiction, Ministry of Health, Treatment and Medical Education, Tehran, Iran. NJ - Iranian journal of public health VO - 42 IP - 6 PG - 588-93 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 7505531 IO - Iran. J. Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3744255 CP - Iran KW - Harm reduction; IDUs; Iran; Methadone maintenance treatment AB - BACKGROUND: The Ministry of Health, Treatment and Medical Education of Iran has recently announced an estimated figure of 200,000 injecting drug users (IDUs). The aim of this study was to pilot a national program using demographics, types of drug abuse and prevalence of blood-borne infections among IDUs. AB - METHODS: In order to elicit data on demographics, types of drug abuse and prevalence of blood-borne infections among IDUs, a questionnaire was designed in the Bureau of Mental-Social Health and Addiction in collaboration with Iran's Drug Control Headquarters of the Police Department. Therapeutical alliance of addiction in Shafagh Center was based on Methadone Maintenance Therapy (MMT). AB - RESULTS: Among 402 reported IDUs most of them were male, single and in age range of 20 to 39 years old with 72.7% history of imprisonment. Most of them had elementary and high school education and a history of addiction treatment. The majority were current users of opioid, heroin and crack. The prevalence of blood-borne infections was 65.9% and 18.8% for HCV and HIV/AIDS infections, respectively. AB - CONCLUSION: Prevention programs about harm reduction, treatment and counseling should include young IDUs as a core focus of their intervention structure. IS - 2251-6085 IL - 2251-6085 PT - Journal Article ID - PMC3744255 [pmc] PP - epublish PH - 2012/12/21 [received] PH - 2013/03/19 [accepted] LG - English EP - 20130601 DP - 2013 EZ - 2013/08/24 06:00 DA - 2013/08/24 06:01 DT - 2013/08/23 06:00 YR - 2013 ED - 20130822 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23967426 <370. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22814835 TI - Evaluation of the burden of type 2 diabetes mellitus in population of Puducherry, South India. SO - Diabetes & Metabolic Syndrome. 5(1):12-6, 2011 Jan-Mar. AS - Diabetes Metab Syndr. 5(1):12-6, 2011 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bharati DR AU - Pal R AU - Rekha R AU - Yamuna TV FA - Bharati, D R FA - Pal, Ranabir FA - Rekha, R FA - Yamuna, T V IN - Bharati, D R. Department of Community Medicine, Mahatma Gandhi Medical College and Research Institute, Pondy-Cuddalore Main Road, Pillayarkuppam, Puducherry - 607402, India. NJ - Diabetes & metabolic syndrome VO - 5 IP - 1 PG - 12-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101462250 IO - Diabetes Metab Syndr SB - Index Medicus CP - Netherlands MH - Adult MH - Aged MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/bl [Blood] MH - *Diabetes Mellitus, Type 2/di [Diagnosis] MH - *Diabetes Mellitus, Type 2/ep [Epidemiology] MH - Female MH - Humans MH - India/ep [Epidemiology] MH - Male MH - Middle Aged MH - *Population Surveillance/mt [Methods] MH - Risk Factors AB - AIMS: To find out the prevalence of undiagnosed diabetes mellitus and the correlates among the adult population of Puducherry, South India. AB - 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. AB - 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. AB - 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. Copyright © 2010 Diabetes India. Published by Elsevier Ltd. All rights reserved. ES - 1878-0334 IL - 1871-4021 DO - https://dx.doi.org/10.1016/j.dsx.2010.05.008 PT - Evaluation Studies PT - Journal Article ID - S1871-4021(10)00031-7 [pii] ID - 10.1016/j.dsx.2010.05.008 [doi] PP - ppublish LG - English EP - 20100531 DP - 2011 Jan-Mar EZ - 2011/01/01 00:00 DA - 2013/08/21 06:00 DT - 2012/07/21 06:00 YR - 2011 ED - 20130819 RD - 20120720 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22814835 <371. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23714292 TI - [Training in addiction medicine]. [Dutch] OT - Verslavingsartsen opleiden. SO - Nederlands Tijdschrift voor Geneeskunde. 157(22):A5751, 2013. AS - Ned Tijdschr Geneeskd. 157(22):A5751, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - de Jong CA AU - Luycks L AU - Delicat JW FA - de Jong, Cor A J FA - Luycks, Lonneke FA - Delicat, Jan-Wilm IN - de Jong, Cor A J. Radboud Universiteit Nijmegen, afd. SPON Postdoctorale Opleidingen, Nijmegen. nispa.dejong@gmail.com NJ - Nederlands tijdschrift voor geneeskunde VO - 157 IP - 22 PG - A5751 PI - Journal available in: Print PI - Citation processed from: Internet JC - nuk, 0400770 IO - Ned Tijdschr Geneeskd SB - Index Medicus CP - Netherlands MH - *Behavior, Addictive MH - *Clinical Competence MH - *Education, Medical, Continuing MH - Education, Medical, Graduate MH - Educational Measurement MH - Humans MH - Netherlands AB - 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. ES - 1876-8784 IL - 0028-2162 PT - English Abstract PT - Journal Article PP - ppublish LG - Dutch DP - 2013 EZ - 2013/05/30 06:00 DA - 2013/08/13 06:00 DT - 2013/05/30 06:00 YR - 2013 ED - 20130812 RD - 20130529 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23714292 <372. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23713020 TI - Alcohol-related disorders among medical and surgical in-patients in a Nigerian teaching hospital. SO - Annals of African Medicine. 12(2):120-6, 2013 Apr-Jun. AS - Ann Afr Med. 12(2):120-6, 2013 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Abiodun OA AU - Ajiboye PO AU - Buhari ON AU - Ayanda KA AU - Adefalu OM AU - Adegboye LO FA - Abiodun, Olatunji A FA - Ajiboye, Peter O FA - Buhari, Oluwabunmi N FA - Ayanda, Kazeem A FA - Adefalu, Oluwatosin M FA - Adegboye, Lukman O IN - Abiodun, Olatunji A. Department of Behavioural Sciences, University of Ilorin, Ilorin, Nigeria. NJ - Annals of African medicine VO - 12 IP - 2 PG - 120-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101231417 IO - Ann Afr Med SB - Index Medicus CP - India MH - Adolescent MH - Adult MH - Age Distribution MH - Aged MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/px [Psychology] MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/ep [Epidemiology] MH - Alcohol-Related Disorders/px [Psychology] MH - Diagnostic and Statistical Manual of Mental Disorders MH - Female MH - Hospitals, Teaching MH - Humans MH - Inpatients/px [Psychology] MH - *Inpatients/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - Nigeria/ep [Epidemiology] MH - Prevalence MH - Psychiatric Status Rating Scales MH - Sex Distribution MH - Socioeconomic Factors MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 0975-5764 IL - 0975-5764 DO - https://dx.doi.org/10.4103/1596-3519.112407 PT - Journal Article ID - AnnAfrMed_2013_12_2_120_112407 [pii] ID - 10.4103/1596-3519.112407 [doi] PP - ppublish LG - English DP - 2013 Apr-Jun EZ - 2013/05/29 06:00 DA - 2013/08/13 06:00 DT - 2013/05/29 06:00 YR - 2013 ED - 20130812 RD - 20130528 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23713020 <373. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22823955 TI - Work-ability assessment in young adults with disabilities applying for disability benefits. SO - Disability & Rehabilitation. 35(6):498-505, 2013 Mar. AS - Disabil Rehabil. 35(6):498-505, 2013 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holwerda A AU - Groothoff JW AU - de Boer MR AU - van der Klink JJ AU - Brouwer S FA - Holwerda, Anja FA - Groothoff, Johan W FA - de Boer, Michiel R FA - van der Klink, Jac J L FA - Brouwer, Sandra IN - Holwerda, Anja. Department of Health Sciences, Community & Occupational Medicine, University Medical Center Groningen, University of Groningen, The Netherlands. a.holwerda01@umcg.nl NJ - Disability and rehabilitation VO - 35 IP - 6 PG - 498-505 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9207179, a8i IO - Disabil Rehabil SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - *Disability Evaluation MH - Employment MH - Humans MH - Netherlands MH - *Social Security MH - Social Support MH - Young Adult AB - PURPOSE: 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. AB - METHOD: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1464-5165 IL - 0963-8288 DO - https://dx.doi.org/10.3109/09638288.2012.702846 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.3109/09638288.2012.702846 [doi] PP - ppublish LG - English EP - 20120723 DP - 2013 Mar EZ - 2012/07/25 06:00 DA - 2013/08/13 06:00 DT - 2012/07/25 06:00 YR - 2013 ED - 20130812 RD - 20130218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22823955 <374. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23785983 TI - The preparation of graduate health professionals for working with bereaved clients: an Australian perspective. SO - Omega - Journal of Death & Dying. 66(4):313-32, 2012-2013. AS - Omega (Westport). 66(4):313-32, 2012-2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Breen LJ AU - Fernandez M AU - O'Connor M AU - Pember AJ FA - Breen, Lauren J FA - Fernandez, Maria FA - O'Connor, Moira FA - Pember, Amiee-Jade IN - Breen, Lauren J. School of Psychology and Speech Pathology, Curtin University, Perth, Western Australia, Australia. lauren.breen@curtin.edu.au NJ - Omega VO - 66 IP - 4 PG - 313-32 PI - Journal available in: Print PI - Citation processed from: Print JC - 1272106 IO - Omega (Westport) SB - Index Medicus CP - United States MH - Adaptation, Psychological MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Death MH - Australia MH - Curriculum MH - Female MH - *Grief MH - Health Personnel/px [Psychology] MH - *Health Personnel/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Needs Assessment MH - *Professional-Family Relations MH - Students, Health Occupations/px [Psychology] MH - *Students, Health Occupations/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. IS - 0030-2228 IL - 0030-2228 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2012-2013 EZ - 2012/01/01 00:00 DA - 2013/08/09 06:00 DT - 2013/06/22 06:00 YR - 2012-2013 ED - 20130808 RD - 20130621 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23785983 <375. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23279722 TI - An evaluation of the prescription of opioids for chronic nonmalignant pain by Australian general practitioners. SO - Pain Medicine. 14(1):62-74, 2013 Jan. AS - PAIN MED. 14(1):62-74, 2013 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holliday S AU - Magin P AU - Dunbabin J AU - Oldmeadow C AU - Henry JM AU - Lintzeris N AU - Attia J AU - Goode S AU - Dunlop A FA - Holliday, Simon FA - Magin, Parker FA - Dunbabin, Janet FA - Oldmeadow, Christopher FA - Henry, Julie-Marie FA - Lintzeris, Nicholas FA - Attia, John FA - Goode, Susan FA - Dunlop, Adrian IN - Holliday, Simon. Albert St Medical Centre, Taree, Australia. simon.holliday@albertstmc.com NJ - Pain medicine (Malden, Mass.) VO - 14 IP - 1 PG - 62-74 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Australia/ep [Epidemiology] MH - *Chronic Pain/ep [Epidemiology] MH - *Chronic Pain/pc [Prevention & Control] MH - Female MH - *General Practitioners/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - Neoplasms/ep [Epidemiology] MH - Neoplasms/rh [Rehabilitation] MH - Pain Measurement/de [Drug Effects] MH - Pain Measurement/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Prescriptions/sn [Statistics & Numerical Data] MH - Prevalence MH - Treatment Outcome AB - OBJECTIVE: Our objective was to evaluate the quality of opioid analgesia prescribing in chronic nonmalignant pain (CNMP) by general practitioners (GPs, family physicians). AB - DESIGN: An anonymous, cross-sectional questionnaire-based survey. AB - SETTING: The setting was five Australian divisions of general practice (geographically based associations of GPs). AB - METHODS: A questionnaire was mailed to all division members. Outcome measures were adherence to individual recommendations of locally derived CNMP practice guidelines. AB - 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. AB - 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. Copyright Wiley Periodicals, Inc. RN - 0 (Analgesics, Opioid) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/j.1526-4637.2012.01527.x PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/j.1526-4637.2012.01527.x [doi] PP - ppublish LG - English EP - 20121228 DP - 2013 Jan EZ - 2013/01/03 06:00 DA - 2013/08/02 06:00 DT - 2013/01/03 06:00 YR - 2013 ED - 20130801 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23279722 <376. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23417218 TI - Stress: pregnancy considerations. [Review] SO - Obstetrical & Gynecological Survey. 68(2):119-29, 2013 Feb. AS - Obstet Gynecol Surv. 68(2):119-29, 2013 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cardwell MS FA - Cardwell, Michael S IN - Cardwell, Michael S. Associate Professor, Department of Obstetrics & Gynecology, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX 79905, USA. Michael.cardwell@ttuhsc.edu NJ - Obstetrical & gynecological survey VO - 68 IP - 2 PG - 119-29 PI - Journal available in: Print PI - Citation processed from: Internet JC - ocm, 0401007 IO - Obstet Gynecol Surv SB - Index Medicus CP - United States MH - Female MH - Humans MH - Peripartum Period/ph [Physiology] MH - Peripartum Period/px [Psychology] MH - Pregnancy MH - Pregnancy Complications/pp [Physiopathology] MH - *Pregnancy Complications/pc [Prevention & Control] MH - *Pregnancy Outcome MH - *Prenatal Diagnosis/mt [Methods] MH - Risk Factors MH - Stress, Physiological MH - Stress, Psychological/pp [Physiopathology] MH - *Stress, Psychological/pc [Prevention & Control] MH - Stress, Psychological/px [Psychology] AB - UNLABELLED: 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. AB - TARGET AUDIENCE: Obstetricians and gynecologists, family physicians. AB - LEARNING 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. ES - 1533-9866 IL - 0029-7828 DO - https://dx.doi.org/10.1097/OGX.0b013e31827f2481 PT - Journal Article PT - Review ID - 10.1097/OGX.0b013e31827f2481 [doi] PP - ppublish LG - English DP - 2013 Feb EZ - 2013/02/19 06:00 DA - 2013/07/28 06:00 DT - 2013/02/19 06:00 YR - 2013 ED - 20130726 RD - 20130218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23417218 <377. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23861587 TI - Nigerian medical students' opinions about individuals who use and abuse psychoactive substances. SO - Substance Abuse. 7:109-16, 2013. AS - Subst Abus. 7:109-16, 2013. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - James BO AU - Omoaregba JO FA - James, Bawo O FA - Omoaregba, Joyce O IN - James, Bawo O. Department of Clinical Services, Federal Neuro-Psychiatric Hospital, Benin City, Edo State, Nigeria. NJ - Substance abuse : research and treatment VO - 7 PG - 109-16 PI - Journal available in: Electronic-Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abuse PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3682755 CP - United States KW - Substance Abuse Attitude Scale; attitudes; medical students; substance misuse AB - 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. IS - 1178-2218 IL - 1178-2218 DO - https://dx.doi.org/10.4137/SART.S12129 PT - Journal Article ID - 10.4137/SART.S12129 [doi] ID - sart-7-2013-109 [pii] ID - PMC3682755 [pmc] PP - epublish LG - English EP - 20130527 DP - 2013 EZ - 2013/07/19 06:00 DA - 2013/07/19 06:01 DT - 2013/07/18 06:00 YR - 2013 ED - 20130717 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23861587 <378. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22950844 TI - Reluctant to train, reluctant to prescribe: barriers to general practitioner prescribing of opioid substitution therapy. SO - Australian Journal of Primary Health. 18(4):346-51, 2012. AS - Aust J Prim Health. 18(4):346-51, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Longman C AU - Temple-Smith M AU - Gilchrist G AU - Lintzeris N FA - Longman, Christine FA - Temple-Smith, Meredith FA - Gilchrist, Gail FA - Lintzeris, Nicholas IN - Longman, Christine. Department of General Practice and Primary Health Care Academic Centre, Faculty of Medicine, Dentistry and Health Sciences, University of Melbourne, 200 Berkeley Street, Carlton, Vic. 3053, Australia. chrislongman22@gmail.com NJ - Australian journal of primary health VO - 18 IP - 4 PG - 346-51 PI - Journal available in: Print PI - Citation processed from: Print JC - 101123037 IO - Aust J Prim Health SB - Index Medicus CP - Australia MH - Adult MH - *Attitude of Health Personnel MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - Middle Aged MH - *Opiate Substitution Treatment/mt [Methods] MH - *Physicians, Family MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Victoria AB - Opioid substitution therapy (OST) is a well-recognised, evidence-based treatment for opioid dependence. Since the early 1990s, Australia has used a community-based general practitioner (GP) model ofprescribing, particularly within the state of Victoria, where over 85% of OST prescribing is undertaken by GPs in community settings. Yet the majority of GPs invited to complete the required OST training decline the offer, while of those who complete training, the majority prescribe to few or no patients. This study aimed to determine the reasons for this. Twenty-two in-depth interviews were conducted with Victorian GPs exploring the reasons why the majority declined training, and for trained GPs, why they prescribed to few or no patients in the first 12 months after training. General practitioners who declined to train were predominantly influenced by negative experiences with drug-seeking patients, although other secondary reasons also affected their decision. Some GPs who completed the training were prevented from prescribing by several structural and operational barriers, many of which could be addressed. Fear of deskilling with time became a further impediment. General practitioners who became regular prescribers were highly committed with lengthy general practice experience. Concerns exist about the recruitment process for OST prescriber training, where nearly all GPs decline the offer of training, and the barriers that prevent GPs prescribing after training. Action is needed to address barriers to GP OST training and prescribing, and further research is necessary to ascertain measures required to facilitate long-term prescribing. IS - 1448-7527 IL - 1448-7527 PT - Journal Article ID - PY11100 [pii] ID - 10.1071/PY11100 [doi] PP - ppublish PH - 2011/08/17 [received] PH - 2011/12/13 [accepted] LG - English DP - 2012 EZ - 2012/09/07 06:00 DA - 2013/07/16 06:00 DT - 2012/09/07 06:00 YR - 2012 ED - 20130712 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22950844 <379. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23429770 TI - Lifetime Prevalence, age and gender distribution and age-of-onset of psychiatric disorders in the Sao Paulo Metropolitan Area, Brazil: results from the Sao Paulo Megacity Mental Health Survey. SO - Revista Brasileira de Psiquiatria. 34(3):249-60, 2012 Oct. AS - Rev Bras Psiquiatr. 34(3):249-60, 2012 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Viana MC AU - Andrade LH FA - Viana, Maria Carmen FA - Andrade, Laura Helena IN - Viana, Maria Carmen. Department of Social Medicine Post-Graduate Program in Public Health, Health Sciences Center, Universidade Federal do Espirito Santo, Vitoria, Brazil. mcviana@uol.com.br CM - Comment in: Rev Bras Psiquiatr. 2012 Oct;34(3):241-2; PMID: 23429768 NJ - Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) VO - 34 IP - 3 PG - 249-60 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100895975 IO - Rev Bras Psiquiatr SB - Index Medicus CP - Brazil MH - Adolescent MH - Adult MH - Age Distribution MH - Age of Onset MH - Aged MH - Brazil/ep [Epidemiology] MH - Educational Status MH - Epidemiologic Methods MH - Female MH - Humans MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/ep [Epidemiology] MH - Middle Aged MH - Sex Distribution MH - Young Adult AB - OBJECTIVES: To estimate prevalence, age-of-onset, gender distribution and identify correlates of lifetime psychiatric disorders in the Sao Paulo Metropolitan Area (SPMA). AB - METHODS: The Sao 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%. AB - 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. AB - 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. ES - 1809-452X IL - 1516-4446 DI - S1516-44462012000300004 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - S1516-44462012000300004 [pii] PP - ppublish PH - 2011/03/04 [received] PH - 2012/03/27 [accepted] GI - No: R01 DA016558 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01-MH069864 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01MH070884 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R03-TW006481 Organization: (TW) *FIC NIH HHS* Country: United States GI - No: R13-MH066849 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2012 Oct EZ - 2013/02/23 06:00 DA - 2013/07/10 06:00 DT - 2013/02/23 06:00 YR - 2012 ED - 20130709 RD - 20130222 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23429770 <380. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23581001 TI - Improving physician assistant education and practice in SUD and policy recommendations on substance abuse education for physician assistants. [Review] SO - Substance Abuse. 23(3 Suppl):273-87, 2002 Sep. AS - Subst Abus. 23(3 Suppl):273-87, 2002 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Judd CR AU - Hooker R AU - Morgan P FA - Judd, Catherine R FA - Hooker, Roderick FA - Morgan, Perri IN - Judd, Catherine R. Department of Physician Assistant Studies, University of Texas Allied Health Sciences School, Desoto, TX, USA. NJ - Substance abuse VO - 23 IP - 3 Suppl PG - 273-87 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/rh [Rehabilitation] MH - Certification/lj [Legislation & Jurisprudence] MH - Controlled Substances MH - Curriculum/st [Standards] MH - Education, Medical/lj [Legislation & Jurisprudence] MH - Education, Medical/st [Standards] MH - Education, Medical, Continuing/lj [Legislation & Jurisprudence] MH - Education, Medical, Continuing/st [Standards] MH - *Health Policy/lj [Legislation & Jurisprudence] MH - Humans MH - *Physician Assistants/ed [Education] MH - Physician Assistants/lj [Legislation & Jurisprudence] MH - Prescription Drugs MH - Professional Competence/lj [Legislation & Jurisprudence] MH - Quality Assurance, Health Care/lj [Legislation & Jurisprudence] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - 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. RN - 0 (Controlled Substances) RN - 0 (Prescription Drugs) IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2002 Sep EZ - 2002/09/01 00:00 DA - 2013/07/03 06:00 DT - 2013/04/13 06:00 YR - 2002 ED - 20130701 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23581001 <381. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580996 TI - The physician's role in caring for patients with substance use disorders: implications for medical education and training. [Review] SO - Substance Abuse. 23(3 Suppl):207-22, 2002 Sep. AS - Subst Abus. 23(3 Suppl):207-22, 2002 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fiellin DA AU - Butler R AU - D'Onofrio G AU - Brown RL AU - O'Connor PG FA - Fiellin, David A FA - Butler, Richard FA - D'Onofrio, Gail FA - Brown, Richard L FA - O'Connor, Patrick G IN - Fiellin, David A. Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA. NJ - Substance abuse VO - 23 IP - 3 Suppl PG - 207-22 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Alcoholism/co [Complications] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - Cooperative Behavior MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Medical MH - Faculty, Medical MH - Humans MH - Interdisciplinary Communication MH - Mass Screening MH - *Physician's Role MH - Referral and Consultation MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2002 Sep EZ - 2002/09/01 00:00 DA - 2013/07/03 06:00 DT - 2013/04/13 06:00 YR - 2002 ED - 20130701 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580996 <382. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580992 TI - Recognizing and treating dual diagnosis in general health care settings: core competencies and how to achieve them. [Review] SO - Substance Abuse. 23(3 Suppl):143-54, 2002 Sep. AS - Subst Abus. 23(3 Suppl):143-54, 2002 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brady KT FA - Brady, Kathleen T IN - Brady, Kathleen T. Department of Psychiatry, Medical University of South Carolina, Charleston, SC, USA. NJ - Substance abuse VO - 23 IP - 3 Suppl PG - 143-54 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - Cooperative Behavior MH - Cross-Sectional Studies MH - Diagnosis, Differential MH - Education, Medical, Continuing MH - Humans MH - Interdisciplinary Communication MH - Mass Screening/sn [Statistics & Numerical Data] MH - *Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/px [Psychology] MH - Mental Disorders/rh [Rehabilitation] MH - Patient Care Team MH - Primary Health Care/sn [Statistics & Numerical Data] MH - Psychotherapy MH - Psychotropic Drugs/ae [Adverse Effects] MH - Psychotropic Drugs/tu [Therapeutic Use] MH - Secondary Prevention MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States RN - 0 (Psychotropic Drugs) IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2002 Sep EZ - 2002/09/01 00:00 DA - 2013/07/03 06:00 DT - 2013/04/13 06:00 YR - 2002 ED - 20130701 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580992 <383. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580991 TI - Substance use disorders in children and adolescents and the impact on children in families affected by substance use. SO - Substance Abuse. 23(3 Suppl):133-41, 2002 Sep. AS - Subst Abus. 23(3 Suppl):133-41, 2002 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Adger H Jr AU - Leff MK FA - Adger, Hoover Jr FA - Leff, Michelle K IN - Adger, Hoover Jr. School of Medicine, Johns Hopkins University, Baltimore, MD, USA. NJ - Substance abuse VO - 23 IP - 3 Suppl PG - 133-41 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adolescent MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/px [Psychology] MH - Child MH - *Child of Impaired Parents/px [Psychology] MH - Child of Impaired Parents/sn [Statistics & Numerical Data] MH - Clinical Competence MH - Comorbidity MH - Cross-Sectional Studies MH - Education, Medical, Continuing MH - Humans MH - Mass Screening/sn [Statistics & Numerical Data] MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/px [Psychology] MH - Primary Health Care/sn [Statistics & Numerical Data] MH - *Street Drugs MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/px [Psychology] MH - United States RN - 0 (Street Drugs) IS - 0889-7077 IL - 0889-7077 PT - Journal Article PP - ppublish LG - English DP - 2002 Sep EZ - 2002/09/01 00:00 DA - 2013/07/03 06:00 DT - 2013/04/13 06:00 YR - 2002 ED - 20130701 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580991 <384. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23580990 TI - Substance abuse in older adults: review and recommendations for education and practice in medical settings. [Review] SO - Substance Abuse. 23(3 Suppl):105-31, 2002 Sep. AS - Subst Abus. 23(3 Suppl):105-31, 2002 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barry KL AU - Blow FC AU - Oslin DW FA - Barry, Kristen Lawton FA - Blow, Frederic C FA - Oslin, David W IN - Barry, Kristen Lawton. Department of Psychiatry, University of Michigan, Ann Arbor, MI, USA. NJ - Substance abuse VO - 23 IP - 3 Suppl PG - 105-31 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Aged MH - Alcoholism/co [Complications] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/rh [Rehabilitation] MH - Cohort Studies MH - Comorbidity MH - Cooperative Behavior MH - Cross-Sectional Studies MH - Curriculum MH - Education, Medical, Continuing MH - *Health Promotion MH - Humans MH - Interdisciplinary Communication MH - *Life Style MH - Mass Screening MH - Patient Care Team MH - Psychotherapy, Brief/ed [Education] MH - *Street Drugs MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] RN - 0 (Street Drugs) IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2002 Sep EZ - 2002/09/01 00:00 DA - 2013/07/03 06:00 DT - 2013/04/13 06:00 YR - 2002 ED - 20130701 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=23580990 <385. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21777321 TI - Ketamine use: a review. [Review] SO - Addiction. 107(1):27-38, 2012 Jan. AS - Addiction. 107(1):27-38, 2012 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morgan CJ AU - Curran HV AU - Independent Scientific Committee on Drugs FA - Morgan, Celia J A FA - Curran, H Valerie FA - Independent Scientific Committee on Drugs IN - Morgan, Celia J A. Clinical Psychopharmacology Unit, Clinical Health Psychology, University College London, London, UK. CM - Comment in: Addiction. 2013 Aug;108(8):1515; PMID: 23714219 CM - Comment in: Addiction. 2013 Aug;108(8):1515-6; PMID: 23714249 NJ - Addiction (Abingdon, England) VO - 107 IP - 1 PG - 27-38 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Abdominal Pain/ci [Chemically Induced] MH - Acute Disease MH - Anesthetics, Dissociative/ae [Adverse Effects] MH - Anesthetics, Dissociative/pd [Pharmacology] MH - *Anesthetics, Dissociative/tu [Therapeutic Use] MH - Animals MH - Behavior, Addictive/ep [Epidemiology] MH - Behavior, Addictive/px [Psychology] MH - Child MH - Chronic Disease MH - Cognitive Dysfunction/ci [Chemically Induced] MH - *Cystitis/ci [Chemically Induced] MH - Educational Status MH - Humans MH - Ketamine/ae [Adverse Effects] MH - Ketamine/pd [Pharmacology] MH - *Ketamine/tu [Therapeutic Use] MH - Male MH - *Memory Disorders/ci [Chemically Induced] MH - Rats MH - Risk-Taking MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Young Adult AB - AIMS: 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. AB - METHOD: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. Copyright © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction. RN - 0 (Anesthetics, Dissociative) RN - 690G0D6V8H (Ketamine) ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2011.03576.x PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 10.1111/j.1360-0443.2011.03576.x [doi] PP - ppublish LG - English EP - 20110722 DP - 2012 Jan EZ - 2011/07/23 06:00 DA - 2013/06/20 06:00 DT - 2011/07/23 06:00 YR - 2012 ED - 20130619 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21777321 <386. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23233054 TI - Opioid addiction in pregnancy. [Review] SO - Obstetrical & Gynecological Survey. 67(12):817-25, 2012 Dec. AS - Obstet Gynecol Surv. 67(12):817-25, 2012 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shainker SA AU - Saia K AU - Lee-Parritz A FA - Shainker, Scott A FA - Saia, Kelley FA - Lee-Parritz, Aviva IN - Shainker, Scott A. Boston University School of Medicine, Department of Obstetrics and Gynecology, Boston Medical Center, Boston, MA 02118, USA. scott.shainker@bmc.org NJ - Obstetrical & gynecological survey VO - 67 IP - 12 PG - 817-25 PI - Journal available in: Print PI - Citation processed from: Internet JC - ocm, 0401007 IO - Obstet Gynecol Surv SB - Index Medicus CP - United States MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Breast Feeding MH - Buprenorphine/tu [Therapeutic Use] MH - Female MH - Humans MH - Infant, Newborn MH - Methadone/tu [Therapeutic Use] MH - *Neonatal Abstinence Syndrome/et [Etiology] MH - Opiate Substitution Treatment MH - Opioid-Related Disorders/co [Complications] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Pain Management MH - Pregnancy MH - *Pregnancy Complications/dt [Drug Therapy] AB - UNLABELLED: The purpose of this review is to discuss the incidence, risks, pregnancy complications, and maintenance options for treatment of opioid addiction in pregnancy. AB - SUMMARY: Opioid dependence in pregnancy carries clear identifiable maternal and fetal risk. Providing care for patients with dependence is best done in a multidisciplinary care model addressing the particular needs of this population. There are limited data on maternal detoxification, with data still emerging surrounding the safety profile of this practice. Historically, methadone has been the recommended maintenance treatment; however, recent data on buprenorphine identify this as a safe and effective option. The majority of births from women with opioid dependence result in neonatal abstinence syndrome requiring prolonged neonatal hospitalization. Intrapartum pain management should not differ from the general obstetric population. Postpartum pain is magnified in this population, and particular attention should be focused on this issue. Breast-feeding is recommended regardless of maintenance dose, unless other conditions restricting breast-feeding are present. Comprehensive postpartum care and transition of care to addiction specialists are highly recommended. AB - TARGET AUDIENCE: Obstetricians and gynecologists, family physicians, addiction specialists. AB - LEARNING OBJECTIVES: After completing this CME activity, physicians should be better able to assess the treatment options available to patients with opioid addiction during pregnancy, compare the risk/safety profiles of methadone and buprenorphine, and evaluate the recommendations and current data surrounding breast-feeding while on opioid maintenance treatment. RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) RN - UC6VBE7V1Z (Methadone) ES - 1533-9866 IL - 0029-7828 DO - https://dx.doi.org/10.1097/OGX.0b013e3182788e8c PT - Journal Article PT - Review ID - 10.1097/OGX.0b013e3182788e8c [doi] PP - ppublish LG - English DP - 2012 Dec EZ - 2012/12/13 06:00 DA - 2013/06/12 06:00 DT - 2012/12/13 06:00 YR - 2012 ED - 20130610 RD - 20140731 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23233054 <387. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23200612 TI - [Chemical and behavioural addiction of medical students. Comparative study in Lebanese students]. [French] OT - La dependance chimique et comportementale chez les etudiants en medecine. Etude comparative chez une population d'etudiants libanais. SO - Encephale. 38(6):467-72, 2012 Dec. AS - Encephale. 38(6):467-72, 2012 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moaouad J AU - Kazour F AU - Haddad R AU - Rouhayem J AU - Chammai R AU - Richa S FA - Moaouad, J FA - Kazour, F FA - Haddad, R FA - Rouhayem, J FA - Chammai, R FA - Richa, S IN - Moaouad, J. Hotel-Dieu de France, Achrafieh, Liban. NJ - L'Encephale VO - 38 IP - 6 PG - 467-72 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - efb, 7505643 IO - Encephale SB - Index Medicus CP - France MH - Adolescent MH - *Alcoholism/ep [Epidemiology] MH - *Alcoholism/eh [Ethnology] MH - Alcoholism/px [Psychology] MH - *Behavior, Addictive/ep [Epidemiology] MH - *Behavior, Addictive/eh [Ethnology] MH - Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - Gambling MH - Humans MH - Internet MH - Lebanon MH - Male MH - Schools, Medical/sn [Statistics & Numerical Data] MH - Sex Factors MH - Stress, Psychological/co [Complications] MH - *Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/eh [Ethnology] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - Young Adult AB - OBJECTIVE: Evaluate chemical and behavioural dependence of medical students, and compare it to a control group (students in non-medical faculties), in order to underline the harmful effect of university on medical students' dependence. AB - METHODS: A three-part questionnaire was distributed to a sample of 140 medical students at the Saint-Joseph university of Beirut (USJ), and to 140 students in many other USJ faculties, and filled in anonymously. The first part is about demographic criteria and the second and third parts are respectively about chemical and behavioural dependence, based on DSM IV criteria. AB - RESULTS: There is no statistically significant difference between the two studied populations concerning the dependence on alcohol, cannabis, sedatives, opiates, amphetamines, workaholism, gambling and Internet. However, the prevalence of addiction to caffeine, cocaine, nicotine; sexual addiction, and compulsive buying are significantly lower in medical students when compared to the control group. Men, compared to women, did not show significantly higher levels of dependence on chemical substances. Workaholism is not significantly more prevalent in women. Sexual addiction and compulsive buying are not significantly higher in men. However, pathological gambling and Internet addiction are significantly more prevalent in men. Finally, this study does not show a variation in dependence through the years of medical studies. AB - DISCUSSION: Most studies show that medical students have high levels of dependence on alcohol, opiates and sedatives. The results of our study show greater dependence on caffeine followed by nicotine, alcohol and sedatives. Medical students in our population did not reveal higher dependence rates compared to other university students. Overall, substance addiction in medical students may be related to the stress of medical studies, and easy access to drugs and prescriptions. These factors may be balanced by perfectionist traits, ethical standards and knowledge of adverse effects seen in medical students resulting in more adjusted prevalence of addiction when compared to other university students. AB - CONCLUSION: The prevalence of chemical and behavioural dependency of medical students is not higher than the other population. Copyright © 2011 L'Encephale, Paris. Published by Elsevier Masson SAS. All rights reserved. IS - 0013-7006 IL - 0013-7006 DI - S0013-7006(11)00235-1 DO - https://dx.doi.org/10.1016/j.encep.2011.12.010 PT - English Abstract PT - Journal Article ID - S0013-7006(11)00235-1 [pii] ID - 10.1016/j.encep.2011.12.010 [doi] PP - ppublish PH - 2010/04/28 [received] PH - 2011/09/28 [accepted] LG - French EP - 20120124 DP - 2012 Dec EZ - 2012/12/04 06:00 DA - 2013/06/05 06:00 DT - 2012/12/04 06:00 YR - 2012 ED - 20130604 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23200612 <388. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23548994 TI - GHPSS multicenter Italian survey: smoking prevalence, knowledge and attitudes, and tobacco cessation training among third-year medical students. SO - Tumori. 99(1):17-22, 2013 Jan-Feb. AS - Tumori. 99(1):17-22, 2013 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saulle R AU - Bontempi C AU - Baldo V AU - Boccia G AU - Bonaccorsi G AU - Brusaferro S AU - Donato F AU - Firenze A AU - Gregorio P AU - Pelissero G AU - Sella A AU - Siliquini R AU - Boccia A AU - La Torre G FA - Saulle, Rosella FA - Bontempi, Claudio FA - Baldo, Vincenzo FA - Boccia, Giovanni FA - Bonaccorsi, Guglielmo FA - Brusaferro, Silvio FA - Donato, Francesco FA - Firenze, Alberto FA - Gregorio, Pasquale FA - Pelissero, Gabriele FA - Sella, Alberto FA - Siliquini, Roberta FA - Boccia, Antonio FA - La Torre, Giuseppe IN - Saulle, Rosella. Department of Public Health and Infectious Diseases, Sapienza University, Rome, Italy. NJ - Tumori VO - 99 IP - 1 PG - 17-22 PI - Journal available in: Print PI - Citation processed from: Internet JC - wjs, 0111356 IO - Tumori SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Curriculum MH - Education, Medical, Undergraduate MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Italy/ep [Epidemiology] MH - Logistic Models MH - Male MH - Multivariate Analysis MH - Odds Ratio MH - *Physician's Role MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Smoking Cessation MH - Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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). AB - 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. ES - 2038-2529 IL - 0300-8916 DO - https://dx.doi.org/10.1700/1248.13782 PT - Journal Article PT - Multicenter Study ID - 10.1700/1248.13782 [doi] PP - ppublish LG - English DP - 2013 Jan-Feb EZ - 2013/04/04 06:00 DA - 2013/05/22 06:00 DT - 2013/04/04 06:00 YR - 2013 ED - 20130520 RD - 20171213 UP - 20171214 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=23548994 <389. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22554310 TI - A Teachable Moment Communication Process for smoking cessation talk: description of a group randomized clinician-focused intervention. SO - BMC Health Services Research. 12:109, 2012 May 03. AS - BMC Health Serv Res. 12:109, 2012 May 03. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flocke SA AU - Antognoli E AU - Step MM AU - Marsh S AU - Parran T AU - Mason MJ FA - Flocke, Susan A FA - Antognoli, Elizabeth FA - Step, Mary M FA - Marsh, Sybil FA - Parran, Theodore FA - Mason, Mary Jane IN - Flocke, Susan A. Department of Family Medicine, Case Western Reserve University, Cleveland, OH, USA. susan.flocke@case.edu NJ - BMC health services research VO - 12 PG - 109 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088677 IO - BMC Health Serv Res PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3529679 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Communication MH - Female MH - Humans MH - Male MH - Middle Aged MH - Patient Education as Topic/mt [Methods] MH - *Physician-Patient Relations MH - *Physicians, Primary Care/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - Teaching/mt [Methods] MH - Treatment Outcome MH - Video Recording MH - Young Adult AB - BACKGROUND: 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. AB - METHODS/DESIGN: 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. AB - DISCUSSION: 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. AB - TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT01575886. ES - 1472-6963 IL - 1472-6963 DO - https://dx.doi.org/10.1186/1472-6963-12-109 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - 1472-6963-12-109 [pii] ID - 10.1186/1472-6963-12-109 [doi] ID - PMC3529679 [pmc] PP - epublish PH - 2012/03/28 [received] PH - 2012/05/03 [accepted] SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT01575886 SL - https://clinicaltrials.gov/search/term=NCT01575886 GI - No: P30 CA43703 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 CA 105292 Organization: (CA) *NCI NIH HHS* Country: United States LG - English EP - 20120503 DP - 2012 May 03 EZ - 2012/05/05 06:00 DA - 2013/05/22 06:00 DT - 2012/05/05 06:00 YR - 2012 ED - 20130520 RD - 20161215 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22554310 <390. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23409913 TI - Language and addiction: choosing words wisely. SO - American Journal of Public Health. 103(4):e1-2, 2013 Apr. AS - Am J Public Health. 103(4):e1-2, 2013 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wakeman SE FA - Wakeman, Sarah E CM - Comment in: Am J Public Health. 2014 Aug;104(8):e1; PMID: 24922156 CM - Comment on: Am J Public Health. 2012 Aug;102(8):e30-6; PMID: 22698040 CM - Comment on: Am J Public Health. 2012 Jul;102(7):e37-8; PMID: 22594734 NJ - American journal of public health VO - 103 IP - 4 PG - e1-2 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 1254074, 3xw IO - Am J Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3673235 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - Male MH - *Public Health/ed [Education] MH - *Social Work/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] ES - 1541-0048 IL - 0090-0036 DO - https://dx.doi.org/10.2105/AJPH.2012.301191 PT - Comment PT - Letter ID - 10.2105/AJPH.2012.301191 [doi] ID - PMC3673235 [pmc] PP - ppublish LG - English EP - 20130214 DP - 2013 Apr EZ - 2013/02/16 06:00 DA - 2013/05/17 06:00 DT - 2013/02/16 06:00 YR - 2013 ED - 20130516 RD - 20160304 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23409913 <391. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22579033 TI - Attitudes towards nicotine, alcohol and drug dependence among physicians in Israel. SO - Journal of Substance Abuse Treatment. 44(1):84-9, 2013 Jan. AS - J Subst Abuse Treat. 44(1):84-9, 2013 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lev-Ran S AU - Adler L AU - Nitzan U AU - Fennig S FA - Lev-Ran, Shaul FA - Adler, Limor FA - Nitzan, Uri FA - Fennig, Shmuel IN - Lev-Ran, Shaul. Shalvata Mental Health Center, Hod-Hasharon, 45100, Israel. shauli.levran@gmail.com NJ - Journal of substance abuse treatment VO - 44 IP - 1 PG - 84-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Education, Medical/mt [Methods] MH - Female MH - Health Care Surveys MH - Humans MH - Israel/ep [Epidemiology] MH - Male MH - Middle Aged MH - Practice Patterns, Physicians' MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Young Adult AB - 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. Copyright © 2013 Elsevier Inc. All rights reserved. ES - 1873-6483 IL - 0740-5472 DI - S0740-5472(12)00076-1 DO - https://dx.doi.org/10.1016/j.jsat.2012.04.001 PT - Journal Article ID - S0740-5472(12)00076-1 [pii] ID - 10.1016/j.jsat.2012.04.001 [doi] PP - ppublish PH - 2011/11/22 [received] PH - 2012/03/05 [revised] PH - 2012/04/05 [accepted] LG - English EP - 20120509 DP - 2013 Jan EZ - 2012/05/15 06:00 DA - 2013/05/11 06:00 DT - 2012/05/15 06:00 YR - 2013 ED - 20130510 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22579033 <392. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23488713 TI - Federalizing medical campaigns against alcoholism and drug abuse. SO - Milbank Quarterly. 91(1):123-62, 2013 Mar. AS - Milbank Q. 91(1):123-62, 2013 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Metlay G FA - Metlay, Grischa IN - Metlay, Grischa. Office of NIH History, National Institutes of Health, Bethesda MD, USA. grischa.metlay@nih.gov NJ - The Milbank quarterly VO - 91 IP - 1 PG - 123-62 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8607003, m9q IO - Milbank Q PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3607128 SB - Index Medicus CP - United States MH - Alcoholics Anonymous/hi [History] MH - *Alcoholism/pc [Prevention & Control] MH - Health Policy MH - *Health Promotion/og [Organization & Administration] MH - History, 20th Century MH - Humans MH - Lobbying MH - National Institute of Mental Health (U.S.) MH - National Institute on Alcohol Abuse and Alcoholism (U.S.) MH - Societies MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - CONTEXT: The formation of the National Institute on Alcohol Abuse and Alcoholism (NIAAA) and the Special Action Office for Drug Abuse Prevention (SAODAP) in the early 1970s dramatically expanded scientific and medical efforts to control alcoholism and drug abuse in the United States. AB - METHODS: Drawing on a variety of primary, secondary, and archival sources, this article describes the creation and early years of these agencies. AB - FINDINGS: I show that while the agencies appeared at roughly the same time, their creation involved separate sets of issues and actors. In addition, I show that SAODAP received more money and resources, even though advocates for alcoholics mobilized a stronger lobbying campaign. AB - CONCLUSIONS: Two factors explain this discrepancy in money and resources: (1) alcoholism was framed as a public health problem, whereas drug abuse was drawn into broader debates about crime and social decline; and (2) alcohol programs relied on congressional support, whereas drug programs found champions at high levels of the Nixon administration. These political and cultural factors help explain why current programs for illegal drugs receive more federal support, despite alcohol's greater public health burden. Copyright © 2013 Milbank Memorial Fund. ES - 1468-0009 IL - 0887-378X DO - https://dx.doi.org/10.1111/milq.12004 PT - Historical Article PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1111/milq.12004 [doi] ID - PMC3607128 [pmc] PP - ppublish LG - English DP - 2013 Mar EZ - 2013/03/16 06:00 DA - 2013/05/03 06:00 DT - 2013/03/16 06:00 YR - 2013 ED - 20130502 RD - 20150218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23488713 <393. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23154692 TI - Medical students' comfort with pregnant women with substance-use disorders: a randomized educational study. SO - Academic Psychiatry. 36(6):457-60, 2012 Nov 01. AS - Acad Psychiatry. 36(6):457-60, 2012 Nov 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Albright B AU - Skipper B AU - Riley S AU - Wilhelm P AU - Rayburn WF FA - Albright, Brittany FA - Skipper, Betty FA - Riley, Shawne FA - Wilhelm, Peggy FA - Rayburn, William F IN - Albright, Brittany. Dept. of Family & Community Medicine, University of New Mexico School of Medicine, Albuquerque, NM, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 36 IP - 6 PG - 457-60 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Animals MH - Attitude of Health Personnel MH - Female MH - *Obstetrics/ed [Education] MH - Pregnancy MH - Pregnancy Complications/px [Psychology] MH - *Pregnancy Complications/rh [Rehabilitation] MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires AB - OBJECTIVE: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.11070134 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 1390357 [pii] ID - 10.1176/appi.ap.11070134 [doi] PP - ppublish LG - English DP - 2012 Nov 01 EZ - 2012/11/17 06:00 DA - 2013/05/03 06:00 DT - 2012/11/17 06:00 YR - 2012 ED - 20130502 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23154692 <394. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22986801 TI - Toxicology fellow's perspective: filling a void in medical education regarding opioids. SO - Journal of Medical Toxicology: Official Journal of the American College of Medical Toxicology. 8(4):333-4, 2012 Dec. AS - J Med Toxicol. 8(4):333-4, 2012 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lank PM FA - Lank, Patrick M NJ - Journal of medical toxicology : official journal of the American College of Medical Toxicology VO - 8 IP - 4 PG - 333-4 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101284598 IO - J Med Toxicol PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3550257 SB - Index Medicus CP - United States MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/pd [Pharmacology] MH - Drug-Related Side Effects and Adverse Reactions MH - *Education, Medical MH - Pain Management/mt [Methods] MH - Prescription Drug Misuse MH - Risk Factors MH - *Toxicology/ed [Education] RN - 0 (Analgesics, Opioid) ES - 1937-6995 IL - 1556-9039 DO - https://dx.doi.org/10.1007/s13181-012-0271-x PT - Editorial ID - 10.1007/s13181-012-0271-x [doi] ID - PMC3550257 [pmc] PP - ppublish LG - English DP - 2012 Dec EZ - 2012/09/19 06:00 DA - 2013/05/03 06:00 DT - 2012/09/19 06:00 YR - 2012 ED - 20130502 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22986801 <395. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23544288 TI - Knowledge of addiction medicine among internal medicine residents and medical students. SO - Tennessee Medicine. 106(3):31-3, 2013 Mar. AS - Tenn Med. 106(3):31-3, 2013 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown AT AU - Kolade VO AU - Staton LJ AU - Patel NK FA - Brown, Angel T FA - Kolade, Victor O FA - Staton, Lisa J FA - Patel, Neha K IN - Brown, Angel T. Division of Pulmonary, Allergy and Critical Care Medicine, University of Alabama at Birmingham, AL, USA. NJ - Tennessee medicine : journal of the Tennessee Medical Association VO - 106 IP - 3 PG - 31-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 9609310 IO - Tenn Med SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism MH - *Clinical Competence MH - Curriculum MH - Educational Measurement MH - Female MH - Foreign Medical Graduates MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - *Students, Medical MH - *Substance-Related Disorders MH - Tennessee MH - United States AB - OBJECTIVES: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. IS - 1088-6222 IL - 1088-6222 PT - Journal Article PP - ppublish LG - English DP - 2013 Mar EZ - 2013/04/03 06:00 DA - 2013/05/02 06:00 DT - 2013/04/03 06:00 YR - 2013 ED - 20130501 RD - 20130402 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23544288 <396. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22980449 TI - Prescription opioid abuse, chronic pain, and primary care: a Co-occurring Disorders Clinic in the chronic disease model. SO - Journal of Substance Abuse Treatment. 43(4):446-50, 2012 Dec. AS - J Subst Abuse Treat. 43(4):446-50, 2012 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pade PA AU - Cardon KE AU - Hoffman RM AU - Geppert CM FA - Pade, Patricia A FA - Cardon, Karen E FA - Hoffman, Richard M FA - Geppert, Cynthia M A IN - Pade, Patricia A. Raymond G. Murphy New Mexico Veterans' Affairs Health Care System, Albuquerque, NM 87108, USA. patricia.pade@va.gov NJ - Journal of substance abuse treatment VO - 43 IP - 4 PG - 446-50 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Buprenorphine/ad [Administration & Dosage] MH - *Buprenorphine/tu [Therapeutic Use] MH - Buprenorphine, Naloxone Drug Combination MH - Chronic Pain/co [Complications] MH - *Chronic Pain/dt [Drug Therapy] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Naloxone/ad [Administration & Dosage] MH - *Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/ad [Administration & Dosage] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - Opioid-Related Disorders/co [Complications] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Pain Measurement MH - Prescription Drugs/ae [Adverse Effects] MH - Primary Health Care/og [Organization & Administration] MH - Quality Improvement MH - Retrospective Studies MH - Treatment Outcome AB - 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. Copyright Published by Elsevier Inc. RN - 0 (Analgesics, Opioid) RN - 0 (Buprenorphine, Naloxone Drug Combination) RN - 0 (Narcotic Antagonists) RN - 0 (Prescription Drugs) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) ES - 1873-6483 IL - 0740-5472 DI - S0740-5472(12)00145-6 DO - https://dx.doi.org/10.1016/j.jsat.2012.08.010 PT - Journal Article ID - S0740-5472(12)00145-6 [pii] ID - 10.1016/j.jsat.2012.08.010 [doi] PP - ppublish PH - 2012/02/29 [received] PH - 2012/07/28 [revised] PH - 2012/08/09 [accepted] LG - English EP - 20120911 DP - 2012 Dec EZ - 2012/09/18 06:00 DA - 2013/05/02 06:00 DT - 2012/09/18 06:00 YR - 2012 ED - 20130501 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22980449 <397. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22931146 TI - The impact of tobacco cessation training of medical students on their attitude towards smoking. SO - Medical Teacher. 34(11):1000, 2012. AS - Med Teach. 34(11):1000, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yentz S AU - Klein RJ AU - Oliverio AL AU - Andrijasevic L AU - Likic R AU - Kelava I AU - Kokic M FA - Yentz, Sarah FA - Klein, Rachel J FA - Oliverio, Andrea L FA - Andrijasevic, Lidija FA - Likic, Robert FA - Kelava, Iva FA - Kokic, Marina NJ - Medical teacher VO - 34 IP - 11 PG - 1000 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7909593, mf9 IO - Med Teach SB - Index Medicus CP - England MH - *Attitude of Health Personnel MH - Croatia MH - Humans MH - Michigan MH - Patient Simulation MH - *Physician's Role MH - *Students, Medical/px [Psychology] MH - Tobacco Smoke Pollution MH - *Tobacco Use Cessation RN - 0 (Tobacco Smoke Pollution) ES - 1466-187X IL - 0142-159X DO - https://dx.doi.org/10.3109/0142159X.2012.716555 PT - Letter ID - 10.3109/0142159X.2012.716555 [doi] PP - ppublish LG - English EP - 20120830 DP - 2012 EZ - 2012/08/31 06:00 DA - 2013/04/30 06:00 DT - 2012/08/31 06:00 YR - 2012 ED - 20130429 RD - 20121112 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22931146 <398. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22107877 TI - Mandatory naltrexone treatment prevents relapse among opiate-dependent anesthesiologists returning to practice. SO - Journal of Addiction Medicine. 5(4):279-83, 2011 Dec. AS - J Addict Med. 5(4):279-83, 2011 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Merlo LJ AU - Greene WM AU - Pomm R FA - Merlo, Lisa J FA - Greene, William M FA - Pomm, Raymond IN - Merlo, Lisa J. University of Florida, Gainesville, FL, USA. lmerlo@ufl.edu NJ - Journal of addiction medicine VO - 5 IP - 4 PG - 279-83 PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 IO - J Addict Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3223377 OI - Source: NLM. NIHMS285798 SB - Index Medicus CP - United States MH - Adult MH - Anesthesiology/ed [Education] MH - *Anesthesiology MH - Contracts/lj [Legislation & Jurisprudence] MH - Drug Evaluation, Preclinical MH - Female MH - Florida MH - Follow-Up Studies MH - Humans MH - Internship and Residency MH - Male MH - *Mandatory Programs/lj [Legislation & Jurisprudence] MH - Middle Aged MH - Naltrexone/ae [Adverse Effects] MH - *Naltrexone/tu [Therapeutic Use] MH - Narcotic Antagonists/ae [Adverse Effects] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opiate Substitution Treatment/mt [Methods] MH - Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Physician Impairment/lj [Legislation & Jurisprudence] MH - Physician Impairment/px [Psychology] MH - *Rehabilitation, Vocational MH - Secondary Prevention AB - OBJECTIVE: Anesthesiologists with opioid use disorders are at high risk for relapse. In 2005, the impaired professionals monitoring program of the State of Florida implemented a policy whereby anesthesiologists referred for opiate use disorders were contractually obligated to take naltrexone for 2 years. Naltrexone ingestion was witnessed and verified via random urine drugs screens or administered via intramuscular injection. AB - METHOD: Charts were reviewed for the 11 anesthesiologists who underwent mandated pharmacotherapy with naltrexone, and 11 anesthesiologists who began monitoring immediately before implementation of this policy. AB - RESULTS: Eight of 11 anesthesiologists who did not take naltrexone experienced a relapse on opiates. Only 1 of 11 anesthesiologists experienced a relapse on opiates after taking naltrexone, whereas another relapsed on an inhalant (nitrous oxide). It is noteworthy that 5 of the 11 anesthesiologists who took naltrexone had relapsed before naltrexone treatment, and 7 of the 11 anesthesiologists who did not take naltrexone experienced multiple documented relapses. Only 1 of the 11 anesthesiologists who did not take naltrexone successfully returned to the practice of anesthesiology. This individual suffered primarily from alcohol dependence, and suspected opiate abuse was never verified. Others who attempted return to anesthesiology (n = 7) suffered a relapse. In comparison, 9 of the 11 anesthesiologists who took naltrexone have returned to the practice of anesthesiology without a relapse (as verified by continued random urine and hair testing). AB - CONCLUSION: Mandatory naltrexone treatment may provide anesthesiologists with an additional safeguard to successfully return to work. RN - 0 (Narcotic Antagonists) RN - 5S6W795CQM (Naltrexone) IS - 1932-0620 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0b013e31821852a0 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1097/ADM.0b013e31821852a0 [doi] ID - 01271255-201112000-00006 [pii] ID - PMC3223377 [pmc] ID - NIHMS285798 [mid] PP - ppublish GI - No: T32 DA007313 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: T32 DA007313-10 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: T32-DA07313-10 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 Dec EZ - 2011/11/24 06:00 DA - 2013/04/24 06:00 DT - 2011/11/24 06:00 YR - 2011 ED - 20130423 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22107877 <399. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22752312 TI - The negative impact of attention-deficit/hyperactivity disorder on occupational health in adults and adolescents. [Review] SO - International Archives of Occupational & Environmental Health. 85(8):837-47, 2012 Nov. AS - Int Arch Occup Environ Health. 85(8):837-47, 2012 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kupper T AU - Haavik J AU - Drexler H AU - Ramos-Quiroga JA AU - Wermelskirchen D AU - Prutz C AU - Schauble B FA - Kupper, Thomas FA - Haavik, Jan FA - Drexler, Hans FA - Ramos-Quiroga, Josep Antoni FA - Wermelskirchen, Detlef FA - Prutz, Christin FA - Schauble, Barbara IN - Kupper, Thomas. Institute of Occupational & Social Medicine, RWTH Aachen University, Pauwelstr. 30, 52074, Aachen, Germany. tkuepper@ukaachen.de NJ - International archives of occupational and environmental health VO - 85 IP - 8 PG - 837-47 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gpn, 7512134 IO - Int Arch Occup Environ Health SB - Index Medicus CP - Germany MH - Accidents, Traffic MH - Adolescent MH - Adult MH - *Attention Deficit Disorder with Hyperactivity/co [Complications] MH - Attention Deficit Disorder with Hyperactivity/dt [Drug Therapy] MH - *Attention Deficit Disorder with Hyperactivity/px [Psychology] MH - Crime MH - Educational Status MH - *Efficiency MH - Humans MH - Irritable Mood MH - *Occupational Health MH - *Occupational Injuries/et [Etiology] MH - Substance-Related Disorders/co [Complications] MH - Unemployment AB - PURPOSE: To review the negative effects of attention-deficit/hyperactivity disorder (ADHD) in adolescence and adulthood on work productivity and occupational health. AB - METHODS: A review of the MEDLINE database was carried out to identify direct and indirect effects of ADHD on work, employment and occupational health. AB - 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. AB - 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. ES - 1432-1246 IL - 0340-0131 DO - https://dx.doi.org/10.1007/s00420-012-0794-0 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 10.1007/s00420-012-0794-0 [doi] PP - ppublish PH - 2012/01/24 [received] PH - 2012/06/18 [accepted] LG - English EP - 20120703 DP - 2012 Nov EZ - 2012/07/04 06:00 DA - 2013/04/20 06:00 DT - 2012/07/04 06:00 YR - 2012 ED - 20130418 RD - 20121025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22752312 <400. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23082842 TI - Circadian dysregulation, zolpidem dependence, and withdrawal seizure in a resident physician performing shift work. SO - American Journal on Addictions. 21(6):576-7, 2012 Nov-Dec. AS - Am J Addict. 21(6):576-7, 2012 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keuroghlian AS AU - Barry AS AU - Weiss RD FA - Keuroghlian, Alex S FA - Barry, Alan S FA - Weiss, Roger D NJ - The American journal on addictions VO - 21 IP - 6 PG - 576-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3744365 OI - Source: NLM. NIHMS500127 SB - Index Medicus CP - England MH - Adult MH - *Bipolar Disorder/co [Complications] MH - Humans MH - *Hypnotics and Sedatives/ae [Adverse Effects] MH - Internship and Residency MH - Male MH - Physicians MH - *Pyridines/ae [Adverse Effects] MH - *Seizures/et [Etiology] MH - *Sleep Disorders, Circadian Rhythm/co [Complications] MH - Sleep Disorders, Circadian Rhythm/dt [Drug Therapy] MH - *Substance Withdrawal Syndrome/co [Complications] MH - *Substance-Related Disorders/co [Complications] RN - 0 (Hypnotics and Sedatives) RN - 0 (Pyridines) RN - 7K383OQI23 (zolpidem) ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/j.1521-0391.2012.00273.x PT - Case Reports PT - Letter ID - 10.1111/j.1521-0391.2012.00273.x [doi] ID - PMC3744365 [pmc] ID - NIHMS500127 [mid] PP - ppublish GI - No: K24 DA022288 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 MH094612 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English EP - 20120921 DP - 2012 Nov-Dec EZ - 2012/10/23 06:00 DA - 2013/04/17 06:00 DT - 2012/10/23 06:00 YR - 2012 ED - 20130416 RD - 20170715 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23082842 <401. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23247946 TI - Prescriber education on opioids. SO - Annals of Internal Medicine. 157(12):917; author reply 917, 2012 Dec 18. AS - Ann Intern Med. 157(12):917; author reply 917, 2012 Dec 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Webster J FA - Webster, James CM - Comment on: Ann Intern Med. 2012 Aug 7;157(3):205-6; PMID: 22868838 NJ - Annals of internal medicine VO - 157 IP - 12 PG - 917; author reply 917 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid MH - *Drug Industry MH - *Drug Prescriptions MH - *Education, Medical, Continuing MH - Humans MH - *Legislation, Drug MH - *Opioid-Related Disorders/pc [Prevention & Control] RN - 0 (Analgesics, Opioid) ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/0003-4819-157-12-201212180-00018 PT - Comment PT - Letter ID - 1485317 [pii] ID - 10.7326/0003-4819-157-12-201212180-00018 [doi] PP - ppublish LG - English DP - 2012 Dec 18 EZ - 2012/12/19 06:00 DA - 2013/04/13 06:00 DT - 2012/12/19 06:00 YR - 2012 ED - 20130412 RD - 20121218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23247946 <402. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23441494 TI - Internet addiction in a group of medical students: a cross sectional study. SO - Nepal Medical College Journal: NMCJ. 14(1):46-8, 2012 Mar. AS - Nepal Med Coll J. 14(1):46-8, 2012 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pramanik T AU - Sherpa MT AU - Shrestha R FA - Pramanik, T FA - Sherpa, M T FA - Shrestha, R IN - Pramanik, T. Department of Physiology, Nepal Medical College, Kathmandu, Nepal. drpramanik@hotmail.com NJ - Nepal Medical College journal : NMCJ VO - 14 IP - 1 PG - 46-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 101129937 IO - Nepal Med Coll J SB - Index Medicus CP - Nepal MH - Adult MH - *Behavior, Addictive/ep [Epidemiology] MH - *Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Internet/ut [Utilization] MH - Male MH - Nepal/ep [Epidemiology] MH - *Students, Medical/px [Psychology] AB - 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. PT - Journal Article PP - ppublish LG - English DP - 2012 Mar EZ - 2013/02/28 06:00 DA - 2013/04/10 06:00 DT - 2013/02/28 06:00 YR - 2012 ED - 20130409 RD - 20130227 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23441494 <403. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22162598 TI - Medical School Hotline: Tobacco dependence and the management of tobacco-related disorders: how John A. Burns School of Medicine is preparing our future physicians. SO - Hawaii Medical Journal. 70(10):220-1, 2011 Oct. AS - Hawaii Med J. 70(10):220-1, 2011 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Omori JS AU - Kramer K FA - Omori, Jill S M FA - Kramer, Kenton IN - Omori, Jill S M. Office of Medical Education, John A. Burns School of Medicine, University of Hawai'i, USA. NJ - Hawaii medical journal VO - 70 IP - 10 PG - 220-1 PI - Journal available in: Print PI - Citation processed from: Internet JC - g1d, 2984209r IO - Hawaii Med J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3215983 SB - Index Medicus CP - United States MH - *Clinical Competence MH - Community-Institutional Relations MH - *Curriculum MH - Female MH - Humans MH - Male MH - Registries MH - *Schools, Medical MH - *Smoking/ep [Epidemiology] MH - *Students, Medical MH - Tobacco MH - *Tobacco Use Disorder/ep [Epidemiology] MH - United States/ep [Epidemiology] IS - 0017-8594 IL - 0017-8594 PT - Journal Article ID - PMC3215983 [pmc] PP - ppublish LG - English DP - 2011 Oct EZ - 2011/12/14 06:00 DA - 2013/04/06 06:00 DT - 2011/12/14 06:00 YR - 2011 ED - 20130405 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22162598 <404. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22864401 TI - Engaging health professional students in substance abuse research: development and early evaluation of the SARET program. SO - Journal of Addiction Medicine. 6(3):196-204, 2012 Sep. AS - J Addict Med. 6(3):196-204, 2012 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Truncali A AU - Kalet AL AU - Gillespie C AU - More F AU - Naegle M AU - Lee JD AU - Huben L AU - Kerr D AU - Gourevitch MN FA - Truncali, Andrea FA - Kalet, Adina L FA - Gillespie, Colleen FA - More, Frederick FA - Naegle, Madeline FA - Lee, Joshua D FA - Huben, Laura FA - Kerr, David FA - Gourevitch, Marc N IN - Truncali, Andrea. Martin's Point Health Center, 331 Veranda St, Portland, ME 04102, USA. andreatruncali@yahoo.com NJ - Journal of addiction medicine VO - 6 IP - 3 PG - 196-204 PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 IO - J Addict Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417229 OI - Source: NLM. NIHMS386317 SB - Index Medicus CP - United States MH - Computer-Assisted Instruction MH - Cooperative Behavior MH - Curriculum MH - *Education, Dental MH - *Education, Medical MH - *Education, Nursing MH - Humans MH - Interdisciplinary Communication MH - Internet MH - *Mentors MH - Program Evaluation MH - *Research MH - Research Support as Topic MH - *Substance-Related Disorders AB - 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. AB - 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 interest in conducting SA research by tracking participation and conducting participant focus groups and online surveys. AB - 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). AB - CONCLUSIONS: The SARET program stimulates SA clinical and research interest among students of nursing, medicine, and dentistry and may lend itself to dissemination. IS - 1932-0620 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0b013e31825f77db PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1097/ADM.0b013e31825f77db [doi] ID - PMC3417229 [pmc] ID - NIHMS386317 [mid] PP - ppublish GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2012 Sep EZ - 2012/08/07 06:00 DA - 2013/04/03 06:00 DT - 2012/08/07 06:00 YR - 2012 ED - 20130402 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22864401 <405. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22534417 TI - Evaluation of an experiential curriculum for addiction education among medical students. SO - Journal of Addiction Medicine. 6(2):131-6, 2012 Jun. AS - J Addict Med. 6(2):131-6, 2012 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barron R AU - Frank E AU - Gitlow S FA - Barron, Rebecca FA - Frank, Erica FA - Gitlow, Stuart IN - Barron, Rebecca. Department of Emergency Medicine, The Warren Alpert Medical School of Brown University, Providence, RI 02903, USA. rebecca_barron_1@brown.edu NJ - Journal of addiction medicine VO - 6 IP - 2 PG - 131-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 IO - J Addict Med SB - Index Medicus CP - United States MH - Adult MH - British Columbia MH - Career Choice MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Physicians, Primary Care/ed [Education] MH - Problem-Based Learning MH - Psychiatry/ed [Education] MH - *Substance-Related Disorders AB - 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. AB - 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). AB - 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. AB - 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. IS - 1932-0620 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0b013e3182548abd PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1097/ADM.0b013e3182548abd [doi] PP - ppublish LG - English DP - 2012 Jun EZ - 2012/04/27 06:00 DA - 2013/04/03 06:00 DT - 2012/04/27 06:00 YR - 2012 ED - 20130402 RD - 20120511 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22534417 <406. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22367499 TI - Human immunodeficiency virus testing practices among buprenorphine-prescribing physicians. SO - Journal of Addiction Medicine. 6(2):159-65, 2012 Jun. AS - J Addict Med. 6(2):159-65, 2012 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edelman EJ AU - Dinh AT AU - Moore BA AU - Schottenfeld RS AU - Fiellin DA AU - Sullivan LE FA - Edelman, E Jennifer FA - Dinh, An T FA - Moore, Brent A FA - Schottenfeld, Richard S FA - Fiellin, David A FA - Sullivan, Lynn E IN - Edelman, E Jennifer. Robert Wood Johnson Foundation Clinical Scholars Program, Yale School of Public Health, New Haven, CT 06520, USA. ejennifer.edelmam@yale.edu NJ - Journal of addiction medicine VO - 6 IP - 2 PG - 159-65 PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 IO - J Addict Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3447983 OI - Source: NLM. NIHMS399281 SB - Index Medicus CP - United States MH - *AIDS Serodiagnosis/ut [Utilization] MH - Adolescent MH - Adult MH - *Buprenorphine/tu [Therapeutic Use] MH - Comorbidity MH - Cross-Sectional Studies MH - Female MH - *HIV Infections/di [Diagnosis] MH - *HIV Infections/ep [Epidemiology] MH - Humans MH - Male MH - *Mass Screening/ut [Utilization] MH - Middle Aged MH - *Narcotics/tu [Therapeutic Use] MH - *Opiate Substitution Treatment/ut [Utilization] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Practice Patterns, Physicians'/ut [Utilization] MH - Risk-Taking MH - Surveys and Questionnaires MH - United States MH - Utilization Review MH - Young Adult AB - 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. AB - OBJECTIVE: To describe HIV testing practices among buprenorphine-prescribing physicians. AB - 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. AB - 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. AB - CONCLUSIONS: Interventions to increase HIV testing among physicians prescribing buprenorphine are needed. RN - 0 (Narcotics) RN - 40D3SCR4GZ (Buprenorphine) IS - 1932-0620 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0b013e31824339fc PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 10.1097/ADM.0b013e31824339fc [doi] ID - PMC3447983 [pmc] ID - NIHMS399281 [mid] PP - ppublish GI - No: DA009803 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA019511 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA019511-01 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: Z01 DA000445 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA022398 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K01 DA022398 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA020576-01A1 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA009803 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA025991 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K24 DA000445 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA020576 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA025991 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2012 Jun EZ - 2012/03/01 06:00 DA - 2013/04/03 06:00 DT - 2012/02/28 06:00 YR - 2012 ED - 20130402 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22367499 <407. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23246287 TI - The stress of residency: recognizing the signs of depression and suicide in you and your fellow residents. SO - American Journal of Surgery. 205(2):141-6, 2013 Feb. AS - Am J Surg. 205(2):141-6, 2013 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hochberg MS AU - Berman RS AU - Kalet AL AU - Zabar SR AU - Gillespie C AU - Pachter HL FA - Hochberg, Mark S FA - Berman, Russell S FA - Kalet, Adina L FA - Zabar, Sondra R FA - Gillespie, Colleen FA - Pachter, H Leon IN - Hochberg, Mark S. Department of Surgery, New York University Medical Center, NY 10016, USA. mark.hochberg@nyumc.org NJ - American journal of surgery VO - 205 IP - 2 PG - 141-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3z4, 0370473 IO - Am. J. Surg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/et [Etiology] MH - Burnout, Professional/et [Etiology] MH - *Depression/di [Diagnosis] MH - *Depression/et [Etiology] MH - Family MH - Fatigue/et [Etiology] MH - Female MH - Friends MH - *General Surgery/ed [Education] MH - Goals MH - Humans MH - *Internship and Residency MH - Interpersonal Relations MH - Male MH - Peer Group MH - *Stress, Psychological/et [Etiology] MH - Substance-Related Disorders/et [Etiology] MH - *Suicidal Ideation MH - *Suicide/pc [Prevention & Control] MH - Surveys and Questionnaires AB - 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. AB - 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). AB - 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 alpha was calculated to be .67 for the pretest and .76 for the post-test, suggesting a moderate to high degree of internal consistency. AB - 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. Copyright © 2013 Elsevier Inc. All rights reserved. ES - 1879-1883 IL - 0002-9610 DI - S0002-9610(12)00543-0 DO - https://dx.doi.org/10.1016/j.amjsurg.2012.08.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0002-9610(12)00543-0 [pii] ID - 10.1016/j.amjsurg.2012.08.003 [doi] PP - ppublish PH - 2012/03/30 [received] PH - 2012/06/05 [revised] PH - 2012/08/08 [accepted] LG - English EP - 20121213 DP - 2013 Feb EZ - 2012/12/19 06:00 DA - 2013/03/09 06:00 DT - 2012/12/19 06:00 YR - 2013 ED - 20130308 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23246287 <408. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23306412 TI - A review of pharmacotherapy for chronic low back pain with considerations for sports medicine. [Review] SO - Physician & Sportsmedicine. 40(4):21-32, 2012 Nov. AS - Phys Sportsmed. 40(4):21-32, 2012 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peniston JH FA - Peniston, John H IN - Peniston, John H. Feasterville Family Health Care Center, Feasterville, PA, USA. jhpdo@aol.com NJ - The Physician and sportsmedicine VO - 40 IP - 4 PG - 21-32 PI - Journal available in: Print PI - Citation processed from: Print JC - 0427461 IO - Phys Sportsmed SB - Index Medicus CP - England MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Anti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use] MH - Chronic Pain MH - Evidence-Based Medicine MH - Humans MH - *Low Back Pain/dt [Drug Therapy] MH - Low Back Pain/et [Etiology] MH - *Pain Measurement/mt [Methods] MH - *Sports Medicine/mt [Methods] AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) IS - 0091-3847 IL - 0091-3847 DO - https://dx.doi.org/10.3810/psm.2012.11.1985 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 10.3810/psm.2012.11.1985 [doi] PP - ppublish LG - English DP - 2012 Nov EZ - 2013/01/12 06:00 DA - 2013/03/06 06:00 DT - 2013/01/12 06:00 YR - 2012 ED - 20130305 RD - 20130111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23306412 <409. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23451308 TI - Equipping Residents to Address Alcohol and Drug Abuse: The National SBIRT Residency Training Project. SO - Journal of Graduate Medical Education. 4(1):58-63, 2012 Mar. AS - J Grad Med Educ. 4(1):58-63, 2012 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Pringle JL AU - Kowalchuk A AU - Meyers JA AU - Seale JP FA - Pringle, Janice L FA - Kowalchuk, Alicia FA - Meyers, Jessica Adams FA - Seale, J Paul NJ - Journal of graduate medical education VO - 4 IP - 1 PG - 58-63 PI - Journal available in: Print PI - Citation processed from: Print JC - 101521733 IO - J Grad Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3312535 CP - United States AB - BACKGROUND: The Screening, Brief Intervention and Referral to Treatment (SBIRT) service for unhealthy alcohol use has been shown to be one of the most cost-effective medical preventive services and has been associated with long-term reductions in alcohol use and health care utilization. Recent studies also indicate that SBIRT reduces illicit drug use. In 2008 and 2009, the Substance Abuse Mental Health Service Administration funded 17 grantees to develop and implement medical residency training programs that teach residents how to provide SBIRT services for individuals with alcohol and drug misuse conditions. This paper presents the curricular activities associated with this initiative. AB - METHODS: We used an online survey delivery application (Qualtrics) to e-mail a survey instrument developed by the project directors of 4 SBIRT residency programs to each residency grantee's director. The survey included both quantitative and qualitative data. AB - RESULTS: All 17 (100%) grantees responded. Respondents encompassed residency programs in emergency medicine, family medicine, pediatrics, obstetrics-gynecology, psychiatry, surgery, and preventive medicine. Thirteen of 17 (76%) grantee programs used both online and in-person approaches to deliver the curriculum. All 17 grantees incorporated motivational interviewing and validated screening instruments in the curriculum. As of June 2011, 2867 residents had been trained, and project directors reported all residents were incorporating SBIRT into their practices. Consistently mentioned challenges in implementing an SBIRT curriculum included finding time in residents' schedules for the modules and the need for trained faculty to verify resident competence. AB - CONCLUSIONS: The SBIRT initiative has resulted in rapid development of educational programs and a cohort of residents who utilize SBIRT in practice. Skills verification, program dissemination, and sustainability after grant funding ends remain ongoing challenges. IS - 1949-8349 IL - 1949-8357 DO - https://dx.doi.org/10.4300/JGME-D-11-00019.1 PT - Journal Article ID - 10.4300/JGME-D-11-00019.1 [doi] ID - JGME-D-11-00019 [pii] ID - PMC3312535 [pmc] PP - ppublish PH - 2011/01/14 [received] PH - 2011/12/01 [revised] PH - 2011/12/06 [accepted] LG - English DP - 2012 Mar EZ - 2013/03/02 06:00 DA - 2013/03/02 06:01 DT - 2013/03/02 06:00 YR - 2012 ED - 20130304 RD - 20130416 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23451308 <410. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22989284 TI - Addiction training in general psychiatry residency: a national survey. SO - Substance Abuse. 33(4):392-4, 2012. AS - Subst Abus. 33(4):392-4, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shorter D AU - Dermatis H FA - Shorter, Daryl FA - Dermatis, Helen NJ - Substance abuse VO - 33 IP - 4 PG - 392-4 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Data Collection/sn [Statistics & Numerical Data] MH - Humans MH - *Internship and Residency/mt [Methods] MH - Internship and Residency/sn [Statistics & Numerical Data] MH - *Psychiatry/ed [Education] MH - *Psychiatry/st [Standards] MH - *Substance-Related Disorders MH - United States ES - 1547-0164 IL - 0889-7077 PT - Letter ID - 10.1080/08897077.2011.638737 [doi] PP - ppublish LG - English DP - 2012 EZ - 2012/09/20 06:00 DA - 2013/03/02 06:00 DT - 2012/09/20 06:00 YR - 2012 ED - 20130301 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22989284 <411. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22989283 TI - Use of alcoholics anonymous as part of medical school education: students' and educators' perspectives. SO - Substance Abuse. 33(4):387-91, 2012. AS - Subst Abus. 33(4):387-91, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stack KM AU - Fore Arcand LG AU - Briscoe G FA - Stack, Kathleen Marie FA - Fore Arcand, Lisa G FA - Briscoe, Greg IN - Stack, Kathleen Marie. Veterans Affairs Medical Center, Hampton, Virginia 23667, USA. kathleen.stack@va.gov NJ - Substance abuse VO - 33 IP - 4 PG - 387-91 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholics Anonymous MH - Attitude of Health Personnel MH - Curriculum MH - Education, Medical, Undergraduate/mt [Methods] MH - Education, Medical, Undergraduate/sn [Statistics & Numerical Data] MH - Faculty, Medical/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - *Psychiatry/ed [Education] MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires AB - 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. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 10.1080/08897077.2011.646110 [doi] PP - ppublish LG - English DP - 2012 EZ - 2012/09/20 06:00 DA - 2013/03/02 06:00 DT - 2012/09/20 06:00 YR - 2012 ED - 20130301 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22989283 <412. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22989275 TI - Results of a statewide survey of adolescent substance use screening rates and practices in primary care. SO - Substance Abuse. 33(4):321-6, 2012. AS - Subst Abus. 33(4):321-6, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harris SK AU - Herr-Zaya K AU - Weinstein Z AU - Whelton K AU - Perfas F Jr AU - Castro-Donlan C AU - Straus J AU - Schoneman K AU - Botticelli M AU - Levy S FA - Harris, Sion Kim FA - Herr-Zaya, Kathleen FA - Weinstein, Zohar FA - Whelton, Kathleen FA - Perfas, Fernando Jr FA - Castro-Donlan, Carolyn FA - Straus, John FA - Schoneman, Karen FA - Botticelli, Michael FA - Levy, Sharon IN - Harris, Sion Kim. Department of Pediatrics , Harvard Medical School, Boston, Massachusetts, USA. NJ - Substance abuse VO - 33 IP - 4 PG - 321-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Health Services/sn [Statistics & Numerical Data] MH - Attitude of Health Personnel MH - Child MH - Data Collection/mt [Methods] MH - *Data Collection/sn [Statistics & Numerical Data] MH - Female MH - Guideline Adherence/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Massachusetts MH - Middle Aged MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Primary Health Care/sn [Statistics & Numerical Data] MH - Substance Abuse Detection/mt [Methods] MH - *Substance Abuse Detection/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 10.1080/08897077.2011.645950 [doi] PP - ppublish LG - English DP - 2012 EZ - 2012/09/20 06:00 DA - 2013/03/02 06:00 DT - 2012/09/20 06:00 YR - 2012 ED - 20130301 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22989275 <413. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23250691 TI - [Do final-year medical students know enough about the treatment of alcohol use disorders and smoking?]. [German] OT - Wissen Studierende im Praktischen Jahr genug uber die Behandlung der Alkohol- und Tabak-Abhangigkeit? SO - Deutsche Medizinische Wochenschrift. 138(1-2):23-7, 2013 Jan. AS - Dtsch Med Wochenschr. 138(1-2):23-7, 2013 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anders S AU - Strobel L AU - Krampe H AU - Raupach T FA - Anders, S FA - Strobel, L FA - Krampe, H FA - Raupach, T IN - Anders, S. Institut fur Rechtsmedizin, Universitatsklinikum Hamburg-Eppendorf, Hamburg. NJ - Deutsche medizinische Wochenschrift (1946) VO - 138 IP - 1-2 PG - 23-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ecl, 0006723 IO - Dtsch. Med. Wochenschr. SB - Index Medicus CP - Germany MH - Adult MH - Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/th [Therapy] MH - *Educational Measurement/sn [Statistics & Numerical Data] MH - Female MH - Germany MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Professional Competence/sn [Statistics & Numerical Data] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Tobacco Use Disorder/di [Diagnosis] MH - Young Adult AB - BACKGROUND AND OBJECTIVE: Smoking and alcohol use disorders (AUD) are associated with significant morbidity and mortality in Germany. However, it has recently been shown that German medical students in years 1 to 5 do not feel competent to treat patients who are addicted to tobacco or alcohol. This study examined whether these deficits are also prevalent in students in the final (sixth) year of training. AB - METHODS: Students enrolled in the final year at University Medical Centre Hamburg-Eppendorf were invited to complete a questionnaire assessing smoking status and self-reported knowledge of health consequences of and treatment options for AUD and smoking as well as arterial hypertension and diabetes mellitus. Students were also asked to provide effectiveness estimates for different methods to treat AUD and smoking. AB - RESULTS: A total of 228 out of 345 students participated in the survey (response rate 66 %). Smoking prevalence was 24 %. Approximately 90 % of students believed they knew how to treat arterial hypertension and diabetes mellitus, but less than a third thought they knew how to treat smokers and patients with AUD. Effectiveness ratings of treatments for the two addictive disorders revealed severe misconceptions. AB - CONCLUSION: The deficits in undergraduate medical education regarding the treatment of addictive disorders reported for students from years 1 to 5 extend to students in the sixth year. Just before graduation, students still have severe knowledge gaps. In order to prevent tobacco- and alcohol-related deaths, medical school curricula need to be urgently improved. Copyright © Georg Thieme Verlag KG Stuttgart . New York. ES - 1439-4413 IL - 0012-0472 DO - https://dx.doi.org/10.1055/s-0032-1327367 PT - English Abstract PT - Journal Article ID - 10.1055/s-0032-1327367 [doi] PP - ppublish LG - German EP - 20121218 DP - 2013 Jan EZ - 2012/12/20 06:00 DA - 2013/02/13 06:00 DT - 2012/12/20 06:00 YR - 2013 ED - 20130212 RD - 20121219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23250691 <414. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22417823 TI - "I'm not afraid of those ones just 'cause they've been prescribed": perceptions of risk among illicit users of pharmaceutical opioids. SO - International Journal of Drug Policy. 23(5):374-84, 2012 Sep. AS - Int J Drug Policy. 23(5):374-84, 2012 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Daniulaityte R AU - Falck R AU - Carlson RG FA - Daniulaityte, Raminta FA - Falck, Russel FA - Carlson, Robert G IN - Daniulaityte, Raminta. 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, USA. raminta.daniulaityte@wright.edu NJ - The International journal on drug policy VO - 23 IP - 5 PG - 374-84 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 IO - Int. J. Drug Policy PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3387517 OI - Source: NLM. NIHMS363793 SB - Index Medicus CP - Netherlands MH - Adolescent MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Consensus MH - Cultural Characteristics MH - Data Collection MH - Female MH - Humans MH - Male MH - *Models, Theoretical MH - Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Opioid-Related Disorders/px [Psychology] MH - Prescription Drugs/ad [Administration & Dosage] MH - *Prescription Drugs/ae [Adverse Effects] MH - Risk MH - United States/ep [Epidemiology] MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2012 Elsevier B.V. All rights reserved. RN - 0 (Analgesics, Opioid) RN - 0 (Prescription Drugs) ES - 1873-4758 IL - 0955-3959 DI - S0955-3959(12)00013-8 DO - https://dx.doi.org/10.1016/j.drugpo.2012.01.012 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0955-3959(12)00013-8 [pii] ID - 10.1016/j.drugpo.2012.01.012 [doi] ID - PMC3387517 [pmc] ID - NIHMS363793 [mid] PP - ppublish PH - 2011/07/09 [received] PH - 2012/01/23 [revised] PH - 2012/01/24 [accepted] GI - No: R01 DA023577 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023577-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023577-01A1 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01DA023577 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023577-04 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023577-02 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023577-05 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20120313 DP - 2012 Sep EZ - 2012/03/16 06:00 DA - 2013/02/06 06:00 DT - 2012/03/16 06:00 YR - 2012 ED - 20130205 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22417823 <415. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22551065 TI - German medical students lack knowledge of how to treat smoking and problem drinking. SO - Addiction. 107(10):1878-82, 2012 Oct. AS - Addiction. 107(10):1878-82, 2012 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Strobel L AU - Schneider NK AU - Krampe H AU - Beisbarth T AU - Pukrop T AU - Anders S AU - West R AU - Aveyard P AU - Raupach T FA - Strobel, Lisa FA - Schneider, Nick K FA - Krampe, Henning FA - Beisbarth, Tim FA - Pukrop, Tobias FA - Anders, Sven FA - West, Robert FA - Aveyard, Paul FA - Raupach, Tobias IN - Strobel, Lisa. Department of Cardiology and Pneumology, University Hospital Gottingen, Gottingen, Germany, German. NJ - Addiction (Abingdon, England) VO - 107 IP - 10 PG - 1878-82 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - *Clinical Competence/st [Standards] MH - Cross-Sectional Studies MH - Curriculum/st [Standards] MH - *Education, Medical, Undergraduate/st [Standards] MH - Germany MH - Humans MH - *Psychiatry/ed [Education] MH - *Smoking Prevention MH - *Students, Medical/px [Psychology] MH - Teaching/st [Standards] AB - AIM: 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. AB - DESIGN: Cross-sectional survey assessing teaching and perceived knowledge of health consequences and treatment options for AUD and smoking compared with diabetes and hypertension. AB - SETTING: Medical schools in Germany. AB - 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%). AB - MEASUREMENT: 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. AB - FINDINGS: 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. AB - CONCLUSIONS: 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. Copyright © 2012 The Authors. Addiction © 2012 Society for the Study of Addiction. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2012.03907.x PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/j.1360-0443.2012.03907.x [doi] PP - ppublish GI - No: 14135 Organization: *Cancer Research UK* Country: United Kingdom LG - English EP - 20120503 DP - 2012 Oct EZ - 2012/05/04 06:00 DA - 2013/01/29 06:00 DT - 2012/05/04 06:00 YR - 2012 ED - 20130128 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22551065 <416. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22055011 TI - The Physicians' Competence in Substance Abuse Test (P-CSAT): a multidimensional educational measurement tool for substance abuse training programs. SO - Drug & Alcohol Dependence. 122(3):236-40, 2012 May 01. AS - Drug Alcohol Depend. 122(3):236-40, 2012 May 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harris JM Jr AU - Sun H FA - Harris, John M Jr FA - Sun, Huaping IN - Harris, John M Jr. Medical Directions, Inc., Tucson, AZ 85712, United States. sharris@md-inc.com NJ - Drug and alcohol dependence VO - 122 IP - 3 PG - 236-40 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ebs, 7513587 IO - Drug Alcohol Depend PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3288760 OI - Source: NLM. NIHMS337138 SB - Index Medicus CP - Ireland MH - Adult MH - *Data Collection/st [Standards] MH - Education/mt [Methods] MH - *Education/st [Standards] MH - Educational Measurement/mt [Methods] MH - *Educational Measurement/st [Standards] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Physicians/st [Standards] MH - Substance Abuse Detection/mt [Methods] MH - *Substance Abuse Detection/st [Standards] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] AB - 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. AB - 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. AB - 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). AB - 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. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved. ES - 1879-0046 IL - 0376-8716 DO - https://dx.doi.org/10.1016/j.drugalcdep.2011.10.006 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0376-8716(11)00442-X [pii] ID - 10.1016/j.drugalcdep.2011.10.006 [doi] ID - PMC3288760 [pmc] ID - NIHMS337138 [mid] PP - ppublish PH - 2011/06/13 [received] PH - 2011/10/03 [revised] PH - 2011/10/08 [accepted] GI - No: R44 DA026218 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R44 DA026218-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R44DA026218 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R44 DA026218-02 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R44 DA026218-04 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R44 DA026218-01 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20111104 DP - 2012 May 01 EZ - 2011/11/08 06:00 DA - 2013/01/29 06:00 DT - 2011/11/08 06:00 YR - 2012 ED - 20130128 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22055011 <417. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22345319 TI - Cigarette smoking knowledge and perceptions among students in four Italian medical schools. SO - Nicotine & Tobacco Research. 14(9):1065-72, 2012 Sep. AS - Nicotine Tob Res. 14(9):1065-72, 2012 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grassi MC AU - Chiamulera C AU - Baraldo M AU - Culasso F AU - Ferketich AK AU - Raupach T AU - Patrono C AU - Nencini P FA - Grassi, Maria Caterina FA - Chiamulera, Christian FA - Baraldo, Massimo FA - Culasso, Franco FA - Ferketich, Amy K FA - Raupach, Tobias FA - Patrono, Carlo FA - Nencini, Paolo IN - Grassi, Maria Caterina. Department of Physiology and Pharmacology V. Erspamer, Sapienza University of Rome, 5, Piazzale Aldo Moro, 00161 Rome, Italy. caterina.grassi@uniroma1.it NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 14 IP - 9 PG - 1065-72 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Adult MH - *Attitude of Health Personnel MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - Education, Medical, Undergraduate MH - Female MH - Forecasting MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Italy/ep [Epidemiology] MH - Male MH - Middle Aged MH - Physician-Patient Relations MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder/th [Therapy] MH - Young Adult AB - INTRODUCTION: Tobacco smoking is the leading cause of premature death in the developed world. Advice and assistance by physicians help smokers quit, but little attention has been paid to the topic of tobacco dependence in the curricula of Italian medical schools. Consequently, few physicians follow the clinical practice guidelines for treating dependence. AB - METHODS: This study was conducted on 439 students at 4 Italian medical schools in 2010. Students were asked to complete a 60-item questionnaire. Two scores were computed: Score 1 assessed knowledge of the epidemiology of smoking, risks associated with smoking, and benefits of cessation. Score 2 assessed knowledge of tobacco dependence treatment guidelines and the effectiveness of treatments. A score of less than 60% indicated insufficient knowledge. AB - RESULTS: Medical students had limited knowledge of the epidemiology of smoking, attributable morbidity and mortality, and the benefits of cessation. This limited knowledge was reflected by the finding that 70% of students had a total Score 1 less than 60% of available points. Knowledge of clinical guidelines, perceived competence in counseling smokers, and treatment of addiction was also insufficient, as 76% of students achieved a total Score 2 of less than 60%. AB - CONCLUSIONS: Our data demonstrate that Italian medical students have limited knowledge about tobacco dependence, how to treat it, and the critical role of the physician in promoting cessation. Taken together with research from other countries, these findings suggest that medical schools do not offer adequate training in tobacco dependence and provide a rationale for modifying the core curriculum to include more information on tobacco dependence treatment. ES - 1469-994X IL - 1462-2203 DO - https://dx.doi.org/10.1093/ntr/ntr330 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - ntr330 [pii] ID - 10.1093/ntr/ntr330 [doi] PP - ppublish LG - English EP - 20120217 DP - 2012 Sep EZ - 2012/02/22 06:00 DA - 2013/01/25 06:00 DT - 2012/02/21 06:00 YR - 2012 ED - 20130124 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22345319 <418. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23008081 TI - Refer2Quit: impact of Web-based skills training on tobacco interventions and quitline referrals. SO - Journal of Continuing Education in the Health Professions. 32(3):187-95, 2012. AS - J Contin Educ Health Prof. 32(3):187-95, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carpenter KM AU - Carlini BH AU - Painter I AU - Mikko AT AU - Stoner SA FA - Carpenter, Kelly M FA - Carlini, Beatriz H FA - Painter, Ian FA - Mikko, A Tasha FA - Stoner, Susan A IN - Carpenter, Kelly M. Alere Wellbeing, Inc., Seattle, WA 98104, USA. Kelly.Carpenter@alere.com NJ - The Journal of continuing education in the health professions VO - 32 IP - 3 PG - 187-95 PI - Journal available in: Print PI - Citation processed from: Internet JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - Education, Medical, Continuing MH - Female MH - *Hotlines MH - Humans MH - *Internet MH - Male MH - *Referral and Consultation MH - *Tobacco Use Cessation/mt [Methods] MH - Washington AB - INTRODUCTION: Tobacco quitlines (QLs) provide effective evidence-based tobacco cessation counseling, yet they remain underutilized. Barriers to utilization include the lack of referrals by health care providers who typically have little knowledge about QLs and low self-efficacy for providing tobacco interventions. In order to educate providers about QLs, referral methods and tobacco interventions, a case-based online CME/CE program, Refer2Quit (R2Q), was developed. R2Q includes QL education and intervention and referral skills training tailored to provider type (eg, physician, nurse, dental provider, pharmacist) and work setting (eg, emergency, outpatient, inpatient). A module teaching motivational enhancement strategies was also included. AB - METHODS: Four health care organizations in Washington State participated in a study examining the effects of R2Q training on fax referral rates in an interrupted times series. Attitudes and self-efficacy toward delivering tobacco interventions was also assessed. Participants were a mix of provider types, including prescribers (20.1%), RNs (46.7%), and others (33.2%). AB - RESULTS: Health care sites that participated in the study increased the fax referral rates (odds ratio [OR] 2.86, confidence interval [CI] 1.52-6.00) as well as rates of referrals that converted to actual quitline registrations (OR 2.73, CI 1.0-7.4). Providers who completed the training expressed significantly more positive attitudes and improved self-efficacy for delivering tobacco services. At follow-up most providers reported increased delivery of tobacco interventions and QL referrals, although only 17% reported increased rates of fax referral. AB - DISCUSSION: Our study suggests that online education builds skills, improves knowledge, and thus increases the number and quality of fax referrals made to QLs by health care providers. Providers nonetheless reported ongoing barriers to providing tobacco services and referral, including lack of reimbursement and patient unwillingness to accept a referral. Copyright © 2012 The Alliance for Continuing Education in the Health Professions, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education. ES - 1554-558X IL - 0894-1912 DO - https://dx.doi.org/10.1002/chp.21144 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1002/chp.21144 [doi] PP - ppublish GI - No: 200-2007-M-20981 Organization: *PHS HHS* Country: United States LG - English DP - 2012 EZ - 2012/09/26 06:00 DA - 2013/01/08 06:00 DT - 2012/09/26 06:00 YR - 2012 ED - 20130107 RD - 20120925 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23008081 <419. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23217665 TI - Teaching smoking cessation in u.s. Medical schools: a long way to go. SO - The Virtual Mentor. 9(1):21-5, 2007 Jan 01. AS - Virtual Mentor. 9(1):21-5, 2007 Jan 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Geller AC AU - Powers CA FA - Geller, Alan C FA - Powers, Catherine A IN - Geller, Alan C. Research associate professor at Boston University School of Medicine and Public Health. NJ - The virtual mentor : VM VO - 9 IP - 1 PG - 21-5 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101141858 IO - Virtual Mentor CP - United States IS - 1937-7010 IL - 1937-7010 DI - virtualmentor.2007.9.1.medu1-0701 DO - https://dx.doi.org/10.1001/virtualmentor.2007.9.1.medu1-0701 PT - Journal Article ID - virtualmentor.2007.9.1.medu1-0701 [pii] ID - 10.1001/virtualmentor.2007.9.1.medu1-0701 [doi] PP - epublish LG - English EP - 20070101 DP - 2007 Jan 01 EZ - 2007/01/01 00:00 DA - 2007/01/01 00:01 DT - 2012/12/11 06:00 YR - 2007 ED - 20121212 RD - 20121211 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=23217665 <420. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22966026 TI - Pediatric residency training director tobacco survey II. SO - Pediatrics. 130(4):712-6, 2012 Oct. AS - Pediatrics. 130(4):712-6, 2012 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Schwab JV FA - Hymowitz, Norman FA - Schwab, Joseph V IN - Hymowitz, Norman. Department of Psychiatry, University of Medicine and Dentistry of New Jersey-New Jersey Medical School, Behavioral Health Science Building, 183 South Orange Ave, Newark, New Jersey, 07103, USA. hymowitz@umdnj.edu NJ - Pediatrics VO - 130 IP - 4 PG - 712-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - oxv, 0376422 IO - Pediatrics SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - *Curriculum MH - Female MH - Health Care Surveys MH - Humans MH - *Internship and Residency/mt [Methods] MH - Internship and Residency/og [Organization & Administration] MH - Male MH - Middle Aged MH - *Pediatrics/ed [Education] MH - Physician's Role MH - Smoking/ae [Adverse Effects] MH - *Smoking/th [Therapy] MH - Smoking Prevention MH - Tobacco Smoke Pollution/ae [Adverse Effects] MH - Tobacco Smoke Pollution/pc [Prevention & Control] MH - *Tobacco Use Cessation MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder/th [Therapy] MH - United States AB - OBJECTIVE: To assess the current status of pediatric residency training on tobacco use and smoke exposure. AB - 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 chi(2) tests of significance. AB - 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. AB - 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. RN - 0 (Tobacco Smoke Pollution) ES - 1098-4275 IL - 0031-4005 DO - https://dx.doi.org/10.1542/peds.2011-3570 PT - Journal Article ID - peds.2011-3570 [pii] ID - 10.1542/peds.2011-3570 [doi] PP - ppublish LG - English EP - 20120910 DP - 2012 Oct EZ - 2012/09/12 06:00 DA - 2012/12/12 06:00 DT - 2012/09/12 06:00 YR - 2012 ED - 20121210 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22966026 <421. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22825228 TI - Recovering substance-impaired pharmacists' views regarding occupational risks for addiction. SO - Journal of the American Pharmacists Association: JAPhA. 52(4):480-91, 2012 Jul-Aug. AS - J Am Pharm Assoc (2003). 52(4):480-91, 2012 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Merlo LJ AU - Cummings SM AU - Cottler LB FA - Merlo, Lisa J FA - Cummings, Simone M FA - Cottler, Linda B IN - Merlo, Lisa J. School of Medicine, Washington University, St. Louis, MO, USA. lmerlo@ufl.edu NJ - Journal of the American Pharmacists Association : JAPhA VO - 52 IP - 4 PG - 480-91 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101176252 IO - J Am Pharm Assoc (2003) PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3756819 OI - Source: NLM. NIHMS504914 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Behavior, Addictive/et [Etiology] MH - Behavior, Addictive/pc [Prevention & Control] MH - *Behavior, Addictive/px [Psychology] MH - Cross-Sectional Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Occupational Diseases/et [Etiology] MH - Occupational Diseases/pc [Prevention & Control] MH - *Occupational Diseases/px [Psychology] MH - *Pharmacists MH - Prescription Drugs/ae [Adverse Effects] MH - Risk Factors MH - Students, Pharmacy MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - OBJECTIVE: To better understand the occupational risks for substance use disorders among pharmacists and possibilities for improved prevention. AB - DESIGN: Descriptive, nonexperimental, cross-sectional study. AB - SETTING: A southeastern state from December 2008 to April 2009. AB - 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. AB - INTERVENTION: Guided group discussions regarding substance use among health care providers. AB - MAIN OUTCOME MEASURES: Persistent occupational risks for development of a substance use disorder among pharmacists. AB - 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. AB - 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. RN - 0 (Prescription Drugs) ES - 1544-3450 IL - 1086-5802 DO - https://dx.doi.org/10.1331/JAPhA.2012.10214 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - S1544-3191(15)30502-1 [pii] ID - 10.1331/JAPhA.2012.10214 [doi] ID - PMC3756819 [pmc] ID - NIHMS504914 [mid] PP - ppublish GI - No: R01 DA020791 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: T32 DA007313 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01-DA20791 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: T32-DA07313-10 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2012 Jul-Aug EZ - 2012/07/25 06:00 DA - 2012/12/12 06:00 DT - 2012/07/25 06:00 YR - 2012 ED - 20121207 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22825228 <422. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 23094719 TI - Why doctors prescribe opioids to known opioid abusers. SO - New England Journal of Medicine. 367(17):1580-1, 2012 Oct 25. AS - N Engl J Med. 367(17):1580-1, 2012 Oct 25. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lembke A FA - Lembke, Anna IN - Lembke, Anna. Department of Psychiatry, Stanford University, Stanford, CA, USA. CM - Comment in: N Engl J Med. 2013 Jan 31;368(5):484-5; PMID: 23363517 CM - Comment in: N Engl J Med. 2013 Jan 31;368(5):485; PMID: 23363516 NJ - The New England journal of medicine VO - 367 IP - 17 PG - 1580-1 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0255562, now IO - N. Engl. J. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Drug Prescriptions MH - Education, Medical, Continuing MH - Humans MH - Opioid-Related Disorders/th [Therapy] MH - *Opioid-Related Disorders MH - *Pain/dt [Drug Therapy] MH - Pain/px [Psychology] MH - *Patient Satisfaction MH - *Practice Patterns, Physicians' RN - 0 (Analgesics, Opioid) ES - 1533-4406 IL - 0028-4793 DO - https://dx.doi.org/10.1056/NEJMp1208498 PT - Journal Article ID - 10.1056/NEJMp1208498 [doi] PP - ppublish LG - English DP - 2012 Oct 25 EZ - 2012/10/26 06:00 DA - 2012/11/14 06:00 DT - 2012/10/26 06:00 YR - 2012 ED - 20121113 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=23094719 <423. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22951547 TI - Teaching postgraduates about managing drug and alcohol misuse. SO - BMJ. 345:e5816, 2012 Sep 04. AS - BMJ. 345:e5816, 2012 Sep 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morris-Williams Z AU - Monrouxe L AU - Grant A AU - Edwards A FA - Morris-Williams, Zoe FA - Monrouxe, Lynn FA - Grant, Andrew FA - Edwards, Adrian NJ - BMJ (Clinical research ed.) VO - 345 PG - e5816 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 8900488, bmj, 101090866 IO - BMJ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - *Education, Medical, Graduate MH - Humans MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Teaching ES - 1756-1833 IL - 0959-535X DI - bmj.e5816 DO - https://dx.doi.org/10.1136/bmj.e5816 PT - Editorial PP - epublish LG - English EP - 20120904 DP - 2012 Sep 04 EZ - 2012/09/07 06:00 DA - 2012/11/14 06:00 DT - 2012/09/07 06:00 YR - 2012 ED - 20121113 RD - 20120906 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22951547 <424. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22611608 TI - Prescription opioid use and misuse: piloting an educational strategy for rural primary care physicians. SO - Canadian Family Physician. 58(4):e210-6, 2012 Apr. AS - Can Fam Physician. 58(4):e210-6, 2012 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Srivastava A AU - Kahan M AU - Jiwa A FA - Srivastava, Anita FA - Kahan, Meldon FA - Jiwa, Ashifa IN - Srivastava, Anita. Department of Family and Community Medicine, University of Toronto. mail anita_srivastava@camh.net NJ - Canadian family physician Medecin de famille canadien VO - 58 IP - 4 PG - e210-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - blo, 0120300 IO - Can Fam Physician PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3325473 SB - Index Medicus CP - Canada MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Chronic Pain/dt [Drug Therapy] MH - Clinical Competence MH - Cohort Studies MH - Feasibility Studies MH - Female MH - Humans MH - Inappropriate Prescribing/pc [Prevention & Control] MH - *Indians, North American MH - Male MH - Middle Aged MH - *Physicians, Family/ed [Education] MH - Pilot Projects MH - *Practice Patterns, Physicians' MH - Prospective Studies MH - *Rural Population MH - *Substance-Related Disorders/di [Diagnosis] MH - Surveys and Questionnaires AB - 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. AB - DESIGN: Prospective cohort study. AB - SETTING: Sioux Lookout, Ont. AB - PARTICIPANTS: Family physicians. AB - 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. AB - MAIN OUTCOME MEASURES: Responses to questionnaires at baseline and after 1 year on knowledge, attitudes, and practices related to opioid prescribing. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) ES - 1715-5258 IL - 0008-350X PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC3325473 [pmc] PP - ppublish LG - English DP - 2012 Apr EZ - 2012/05/23 06:00 DA - 2012/11/07 06:00 DT - 2012/05/23 06:00 YR - 2012 ED - 20121106 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22611608 <425. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738013 TI - Web-based SBIRT skills training for health professional students and primary care providers. SO - Substance Abuse. 33(3):316-20, 2012. AS - Subst Abus. 33(3):316-20, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tanner TB AU - Wilhelm SE AU - Rossie KM AU - Metcalf MP FA - Tanner, T Bradley FA - Wilhelm, Susan E FA - Rossie, Karen M FA - Metcalf, Mary P IN - Tanner, T Bradley. Clinical Tools, Inc., Chapel Hill, North Carolina 27514, USA. NJ - Substance abuse VO - 33 IP - 3 PG - 316-20 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3398837 OI - Source: NLM. NIHMS385598 SB - Index Medicus CP - United States MH - *Clinical Competence MH - Education, Medical, Undergraduate/mt [Methods] MH - Education, Nursing, Baccalaureate/mt [Methods] MH - *Health Personnel/ed [Education] MH - Humans MH - *Internet MH - *Primary Health Care/mt [Methods] MH - Program Development MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640151 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2011.640151 [doi] ID - PMC3398837 [pmc] ID - NIHMS385598 [mid] PP - ppublish GI - No: HHSN271200900036C Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R44 AA016724 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: N44-DA-9-2214 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R44AA016724-01A1 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738013 <426. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738011 TI - Institutional incorporation of screening, brief intervention, and referral to treatment (SBIRT) in residency training: achieving a sustainable curriculum. SO - Substance Abuse. 33(3):308-11, 2012. AS - Subst Abus. 33(3):308-11, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scott DM AU - McLaurin-Jones T AU - Brown FD AU - Newton R AU - Marshall VJ AU - Kalu N AU - Cain GE AU - Taylor RE FA - Scott, Denise M FA - McLaurin-Jones, TyWanda FA - Brown, Fannie D FA - Newton, Robin FA - Marshall, Vanessa J FA - Kalu, Nnenna FA - Cain, Gloria E FA - Taylor, Robert E IN - Scott, Denise M. Department of Pediatrics, Howard University, Washington, DC 20059, USA. d_m_scott2@howard.edu NJ - Substance abuse VO - 33 IP - 3 PG - 308-11 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Competence MH - Cultural Competency/ed [Education] MH - *Curriculum/st [Standards] MH - Evidence-Based Medicine/ed [Education] MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency/mt [Methods] MH - Program Development/mt [Methods] MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640135 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2011.640135 [doi] PP - ppublish GI - No: 1 U79 T1020245 Organization: *PHS HHS* Country: United States LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738011 <427. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738010 TI - Using standardized patients to evaluate screening, brief intervention, and referral to treatment (SBIRT) knowledge and skill acquisition for internal medicine residents. SO - Substance Abuse. 33(3):303-7, 2012. AS - Subst Abus. 33(3):303-7, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Satterfield JM AU - O'Sullivan P AU - Satre DD AU - Tsoh JY AU - Batki SL AU - Julian K AU - McCance-Katz EF AU - Wamsley M FA - Satterfield, Jason M FA - O'Sullivan, Patricia FA - Satre, Derek D FA - Tsoh, Janice Y FA - Batki, Steven L FA - Julian, Kathy FA - McCance-Katz, Elinore F FA - Wamsley, Maria IN - Satterfield, Jason M. Division of General Internal Medicine, University of California-San Francisco, San Francisco, California 94143, USA. Jsatter@medicine.ucsf.edu NJ - Substance abuse VO - 33 IP - 3 PG - 303-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - *Clinical Competence MH - Curriculum/st [Standards] MH - *Diagnostic Tests, Routine/st [Standards] MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency/mt [Methods] MH - Male MH - Pilot Projects MH - Primary Health Care/mt [Methods] MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640103 PT - Evaluation Studies PT - Journal Article ID - 10.1080/08897077.2011.640103 [doi] PP - ppublish LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738010 <428. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738009 TI - Using needs assessment to develop curricula for screening, brief intervention, and referral to treatment (SBIRT) in academic and community health settings. SO - Substance Abuse. 33(3):298-302, 2012. AS - Subst Abus. 33(3):298-302, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Satre DD AU - McCance-Katz EF AU - Moreno-John G AU - Julian KA AU - O'Sullivan PS AU - Satterfield JM FA - Satre, Derek D FA - McCance-Katz, Elinore F FA - Moreno-John, Gina FA - Julian, Katherine A FA - O'Sullivan, Patricia S FA - Satterfield, Jason M IN - Satre, Derek D. Department of Psychiatry, University of California-San Francisco, San Francisco, California 94143, USA. dereks@lppi.ucsf.edu NJ - Substance abuse VO - 33 IP - 3 PG - 298-302 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4806639 OI - Source: NLM. NIHMS765935 SB - Index Medicus CP - United States MH - Academic Medical Centers/mt [Methods] MH - *Clinical Competence MH - *Community Health Workers/ed [Education] MH - Curriculum/st [Standards] MH - Faculty, Medical MH - Humans MH - *Internship and Residency/mt [Methods] MH - Interviews as Topic/mt [Methods] MH - Motivation MH - *Needs Assessment/sn [Statistics & Numerical Data] MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - San Francisco MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640100 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2011.640100 [doi] ID - PMC4806639 [pmc] ID - NIHMS765935 [mid] PP - ppublish GI - No: K24 DA023359 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K24 DA 023359 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U79T1020295 Organization: *PHS HHS* Country: United States LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738009 <429. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738008 TI - Pennsylvania SBIRT Medical and Residency Training: developing, implementing, and evaluating an evidenced-based program. SO - Substance Abuse. 33(3):292-7, 2012. AS - Subst Abus. 33(3):292-7, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pringle JL AU - Melczak M AU - Johnjulio W AU - Campopiano M AU - Gordon AJ AU - Costlow M FA - Pringle, Janice L FA - Melczak, Michael FA - Johnjulio, William FA - Campopiano, Melinda FA - Gordon, Adam J FA - Costlow, Monica IN - Pringle, Janice L. PERU, School of Pharmacy, University of Pittsburgh, Pittsburgh, Pennsylvania 15213, USA. jlp127@pitt.edu NJ - Substance abuse VO - 33 IP - 3 PG - 292-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Competence MH - Cooperative Behavior MH - Curriculum/st [Standards] MH - *Evidence-Based Medicine/ed [Education] MH - Humans MH - *Internship and Residency/mt [Methods] MH - Pennsylvania MH - Program Development MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640091 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2011.640091 [doi] PP - ppublish GI - No: 1TI020263-01 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738008 <430. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738007 TI - A collaborative approach to teaching medical students how to screen, intervene, and treat substance use disorders. SO - Substance Abuse. 33(3):286-91, 2012. AS - Subst Abus. 33(3):286-91, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Neufeld KJ AU - Alvanzo A AU - King VL AU - Feldman L AU - Hsu JH AU - Rastegar DA AU - Colbert JM AU - MacKinnon DF FA - Neufeld, Karin J FA - Alvanzo, Anika FA - King, Van L FA - Feldman, Leonard FA - Hsu, Jeffrey H FA - Rastegar, Darius A FA - Colbert, Jorie M FA - MacKinnon, Dean F IN - Neufeld, Karin J. Department of Psychiatry and Behavioral Sciences, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA. kneufel2@jhmi.edu NJ - Substance abuse VO - 33 IP - 3 PG - 286-91 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Competence MH - *Cooperative Behavior MH - *Education, Medical, Undergraduate/mt [Methods] MH - Humans MH - Program Development MH - *Psychiatry/ed [Education] MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640090 PT - Evaluation Studies PT - Journal Article ID - 10.1080/08897077.2011.640090 [doi] PP - ppublish LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738007 <431. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738006 TI - Tilling the soil while sowing the seeds: combining resident education with medical home transformation. SO - Substance Abuse. 33(3):282-5, 2012. AS - Subst Abus. 33(3):282-5, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Muench J AU - Jarvis K AU - Boverman J AU - Hardman J AU - Hayes M AU - Winkle J FA - Muench, John FA - Jarvis, Kelly FA - Boverman, Josh FA - Hardman, Joseph FA - Hayes, Meg FA - Winkle, Jim IN - Muench, John. Department of Family Medicine, Oregon Health and Science University, Portland, Oregon 97239, USA. muenchj@ohsu.edu NJ - Substance abuse VO - 33 IP - 3 PG - 282-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Competence MH - Curriculum/st [Standards] MH - Electronic Health Records MH - *Family Practice/ed [Education] MH - Humans MH - *Internship and Residency/mt [Methods] MH - Oregon MH - *Patient-Centered Care/mt [Methods] MH - Primary Health Care/mt [Methods] MH - Program Development MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640088 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2011.640088 [doi] PP - ppublish LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738006 <432. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738005 TI - Reinventing the reel: an innovative approach to resident skill-building in motivational interviewing for brief intervention. SO - Substance Abuse. 33(3):278-81, 2012. AS - Subst Abus. 33(3):278-81, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cole B AU - Clark DC AU - Seale JP AU - Shellenberger S AU - Lyme A AU - Johnson JA AU - Chhabria A FA - Cole, Bonnie FA - Clark, Denice Crowe FA - Seale, J Paul FA - Shellenberger, Sylvia FA - Lyme, Alan FA - Johnson, J Aaron FA - Chhabria, Aruna IN - Cole, Bonnie. Department of Family Medicine, Medical Center of Central Georgia and Mercer University School of Medicine, Macon, Georgia, USA. cole.bonnie@mccg.org NJ - Substance abuse VO - 33 IP - 3 PG - 278-81 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholism MH - *Clinical Competence MH - Disease Management MH - *Family Practice/ed [Education] MH - Feedback, Psychological MH - Humans MH - *Internship and Residency/mt [Methods] MH - *Interviews as Topic/mt [Methods] MH - *Motivation MH - *Psychotherapy, Brief/ed [Education] MH - *Referral and Consultation MH - *Substance Abuse Detection AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.639696 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2011.639696 [doi] PP - ppublish GI - No: U79TI020278 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738005 <433. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738003 TI - Skills-based residency training in alcohol screening and brief intervention: results from the Georgia-Texas "Improving Brief Intervention" Project. SO - Substance Abuse. 33(3):261-71, 2012. AS - Subst Abus. 33(3):261-71, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seale JP AU - Velasquez MM AU - Johnson JA AU - Shellenberger S AU - von Sternberg K AU - Dodrill C AU - Boltri JM AU - Takei R AU - Clark D AU - Grace D FA - Seale, J Paul FA - Velasquez, Mary M FA - Johnson, J Aaron FA - Shellenberger, Sylvia FA - von Sternberg, Kirk FA - Dodrill, Carrie FA - Boltri, John M FA - Takei, Roy FA - Clark, Denice FA - Grace, Daniel IN - Seale, J Paul. Department of Family Medicine, Medical Center of Central Georgia and Mercer University School of Medicine, Macon, Georgia, USA. seale.paul@mccg.org NJ - Substance abuse VO - 33 IP - 3 PG - 261-71 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3430508 OI - Source: NLM. NIHMS385623 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism MH - Clinical Competence MH - Curriculum/st [Standards] MH - Family Practice/ed [Education] MH - Female MH - Georgia MH - Humans MH - *Internship and Residency/st [Standards] MH - Male MH - Middle Aged MH - Psychotherapy, Brief/ed [Education] MH - *Psychotherapy, Brief MH - *Substance Abuse Detection MH - Texas AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640187 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2011.640187 [doi] ID - PMC3430508 [pmc] ID - NIHMS385623 [mid] PP - ppublish GI - No: R25 AA014915 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R25-AA-014915 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738003 <434. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22738000 TI - Baylor SBIRT Medical Residency Training Program: model description and initial evaluation. SO - Substance Abuse. 33(3):231-40, 2012. AS - Subst Abus. 33(3):231-40, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bray JH AU - Kowalchuk A AU - Waters V AU - Laufman L AU - Shilling EH FA - Bray, James H FA - Kowalchuk, Alicia FA - Waters, Vicki FA - Laufman, Larry FA - Shilling, Elizabeth H IN - Bray, James H. Department of Family and Community Medicine, Baylor College of Medicine, Houston, Texas 77098, USA. jbray@bcm.edu NJ - Substance abuse VO - 33 IP - 3 PG - 231-40 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Curriculum/st [Standards] MH - Education, Medical, Graduate/mt [Methods] MH - Family Practice/ed [Education] MH - Female MH - Humans MH - Internal Medicine/ed [Education] MH - *Internship and Residency/mt [Methods] MH - Internship and Residency/st [Standards] MH - Male MH - Program Development MH - Psychiatry/ed [Education] MH - *Psychotherapy, Brief MH - *Referral and Consultation MH - *Substance Abuse Detection AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640160 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2011.640160 [doi] PP - ppublish GI - No: 5UT79TI020247 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2012 EZ - 2012/06/29 06:00 DA - 2012/11/06 06:00 DT - 2012/06/29 06:00 YR - 2012 ED - 20121105 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22738000 <435. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22941848 TI - Extended-release/long-acting opioid REMS may fill the need for prescribers' appropriate use education. SO - Journal of Opioid Management. 8(4):212-6, 2012 Jul-Aug. AS - J Opioid Manag. 8(4):212-6, 2012 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nicholson SC AU - Evanyo K AU - Salinas GD AU - Roepke N AU - Burton BS AU - Susalka D FA - Nicholson, Susan C FA - Evanyo, Kimberly FA - Salinas, Gregory D FA - Roepke, Nancy FA - Burton, B Stephen FA - Susalka, Debi IN - Nicholson, Susan C. Janssen Scientific Affairs, LLC, Titusville, New Jersey, USA. NJ - Journal of opioid management VO - 8 IP - 4 PG - 212-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - Delayed-Action Preparations MH - Drug Industry MH - Drug Prescriptions MH - *Drug and Narcotic Control/mt [Methods] MH - Education, Medical, Continuing/mt [Methods] MH - Health Education MH - *Health Occupations/ed [Education] MH - Humans MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Risk Assessment/mt [Methods] MH - *Risk Management/mt [Methods] MH - United States MH - United States Food and Drug Administration AB - The Food and Drug Administration (FDA) is requiring manufacturers of long-acting and extended-release opioids to have a class-wide Risk Evaluation and Mitigation Strategy (REMS). The comprehensive risk management plan will include training for prescribers on the appropriate and safe use of these pain medications. The letter dated April 19, 2011 from FDA to manufacturers outlining the REMS requirements describes voluntary training that should be certified education "where practicable." The current report includes data from a recent comprehensive study of healthcare professionals and patients and highlights key insights that can guide the development of the opioid REMS training. RN - 0 (Analgesics, Opioid) RN - 0 (Delayed-Action Preparations) IS - 1551-7489 IL - 1551-7489 DI - jom.2012.0118 DO - https://dx.doi.org/10.5055/jom.2012.0118 PT - Journal Article ID - jom.2012.0118 [pii] ID - 10.5055/jom.2012.0118 [doi] PP - ppublish PH - 2012/05/14 [received] PH - 2012/06/01 [accepted] LG - English DP - 2012 Jul-Aug EZ - 2012/09/04 06:00 DA - 2012/10/19 06:00 DT - 2012/09/04 06:00 YR - 2012 ED - 20121018 RD - 20120903 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22941848 <436. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22676571 TI - Evolution of concept, but not action, in addiction treatment. SO - Substance Use & Misuse. 47(8-9):1041-8, 2012 Jun-Jul. AS - Subst Use Misuse. 47(8-9):1041-8, 2012 Jun-Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arria AM AU - McLellan AT FA - Arria, Amelia M FA - McLellan, A Thomas IN - Arria, Amelia M. Center on Young Adult Health and Development, Department of Family Science, University of Maryland School of Public Health, College Park, MD 20742, USA. aarria@umd.edu NJ - Substance use & misuse VO - 47 IP - 8-9 PG - 1041-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - cgg, 9602153 IO - Subst Use Misuse PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3375602 OI - Source: NLM. NIHMS249846 SB - Index Medicus CP - England MH - Clinical Protocols MH - Continuity of Patient Care MH - Health Personnel/ed [Education] MH - Humans MH - Program Evaluation/mt [Methods] MH - *Quality Improvement MH - Quality Indicators, Health Care MH - *Substance-Related Disorders/th [Therapy] MH - Western World AB - 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. ES - 1532-2491 IL - 1082-6084 DO - https://dx.doi.org/10.3109/10826084.2012.663273 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.3109/10826084.2012.663273 [doi] ID - PMC3375602 [pmc] ID - NIHMS249846 [mid] PP - ppublish GI - No: P50 DA027841 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA014845 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA014845-07 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01-DA14845 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2012 Jun-Jul EZ - 2012/06/09 06:00 DA - 2012/10/16 06:00 DT - 2012/06/09 06:00 YR - 2012 ED - 20121015 RD - 20161228 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22676571 <437. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22868838 TI - Federal plan for prescriber education on opioids misses opportunities. SO - Annals of Internal Medicine. 157(3):205-6, 2012 Aug 07. AS - Ann Intern Med. 157(3):205-6, 2012 Aug 07. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Becker WC AU - Fiellin DA FA - Becker, William C FA - Fiellin, David A IN - Becker, William C. Yale University School of Medicine, 367 Cedar Street, PO Box 208056, New Haven, CT 06520-8056, USA. william.becker@yale.edu CM - Comment in: Ann Intern Med. 2012 Dec 18;157(12):917; author reply 917; PMID: 23247946 NJ - Annals of internal medicine VO - 157 IP - 3 PG - 205-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Analgesics, Opioid/tu [Therapeutic Use] MH - *Analgesics, Opioid MH - Drug Industry/ec [Economics] MH - Drug Industry/es [Ethics] MH - *Drug Industry MH - Drug Overdose/pc [Prevention & Control] MH - *Drug Prescriptions MH - Education, Medical, Continuing/ec [Economics] MH - *Education, Medical, Continuing MH - Financing, Government MH - Financing, Organized MH - Humans MH - *Legislation, Drug MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - United States MH - United States Food and Drug Administration RN - 0 (Analgesics, Opioid) ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/0003-4819-157-3-201208070-00448 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 1305526 [pii] ID - 10.7326/0003-4819-157-3-201208070-00448 [doi] PP - ppublish GI - No: R01 DA020576 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA025991 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U01 AA020795 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2012 Aug 07 EZ - 2012/08/08 06:00 DA - 2012/10/13 06:00 DT - 2012/08/08 06:00 YR - 2012 ED - 20121012 RD - 20130129 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22868838 <438. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22698040 TI - Screening, brief intervention, and referral to treatment: public health training for primary care. SO - American Journal of Public Health. 102(8):e30-6, 2012 Aug. AS - Am J Public Health. 102(8):e30-6, 2012 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marshall VJ AU - McLaurin-Jones TL AU - Kalu N AU - Kwagyan J AU - Scott DM AU - Cain G AU - Greene W AU - Adenuga B AU - Taylor RE FA - Marshall, Vanessa J FA - McLaurin-Jones, TyWanda L FA - Kalu, Nnenna FA - Kwagyan, John FA - Scott, Denise M FA - Cain, Gloria FA - Greene, Wendy FA - Adenuga, Babafemi FA - Taylor, Robert E IN - Marshall, Vanessa J. Howard University College of Medicine, Department of Pharmacology, Washington, DC 20059, USA. vjmarshall@howard.edu CM - Comment in: Am J Public Health. 2013 Apr;103(4):e1-2; PMID: 23409913 NJ - American journal of public health VO - 102 IP - 8 PG - e30-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 1254074, 3xw IO - Am J Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3464855 OI - Source: NLM. NIHMS597914 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Cohort Studies MH - Female MH - Follow-Up Studies MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - *Internship and Residency MH - Male MH - Primary Health Care/st [Standards] MH - *Public Health/ed [Education] MH - Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - OBJECTIVES: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 1541-0048 IL - 0090-0036 DO - https://dx.doi.org/10.2105/AJPH.2012.300802 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - 10.2105/AJPH.2012.300802 [doi] ID - PMC3464855 [pmc] ID - NIHMS597914 [mid] PP - ppublish GI - No: 1 U79 T1020245 Organization: *PHS HHS* Country: United States GI - No: R01 AA012553 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: UL1 TR000101 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: AA-11898 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: AA-012553 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English EP - 20120614 DP - 2012 Aug EZ - 2012/06/16 06:00 DA - 2012/10/13 06:00 DT - 2012/06/16 06:00 YR - 2012 ED - 20121012 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22698040 <439. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21975634 TI - Smoking cessation in family medicine: effects of an area health education center training program. SO - Journal of Graduate Medical Education. 2(2):283-8, 2010 Jun. AS - J Grad Med Educ. 2(2):283-8, 2010 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Johns TL AU - Lawrence E AU - Martini LE AU - Dunn GE AU - Thompson ZJ AU - Zwygart K FA - Johns, Tracy L FA - Lawrence, Elizabeth FA - Martini, Leila E FA - Dunn, Grace E FA - Thompson, Zachary J FA - Zwygart, Kira NJ - Journal of graduate medical education VO - 2 IP - 2 PG - 283-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101521733 IO - J Grad Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2930317 CP - United States AB - BACKGROUND AND OBJECTIVES: Many clinicians have not received adequate training in smoking cessation. We examined the effects of a tobacco training program on clinician behavior, attitudes, knowledge, and comfort related to smoking cessation. AB - METHODS: In a prospective cohort study, family medicine residents and faculty completed a pretest, followed by an educational intervention that encompassed presentations on smoking cessation resources, motivational interviewing, and the neurobiology of addiction and pharmacotherapy. After 3 months, participants completed a postintervention survey. Results were analyzed using chi-square tests to examine the effects of training. AB - RESULTS: Thirty-three residents and faculty completed the pretraining survey and 25 completed the posttraining survey. Following training, participants were more familiar and comfortable with Public Health Service Clinical Practice Guidelines (P < .0001). No significant differences were found in performance of the 5 As (Ask, Advise, Assess, Assist, and Arrange) or other behaviors, including providing assistance with counseling, cessation plans, resources, or pharmacotherapy. There were no improvements in knowledge of specific intervention plans or attitudes related to identifying and counseling smokers. AB - CONCLUSION: A multidisciplinary tobacco training program increases clinician familiarity and comfort with practice guidelines, and may contribute to improving care activities that promote a healthy lifestyle. Future research should explore other interventions that have the potential of changing practice patterns on a larger scale. Future studies should also assess the effect of training programs on patient-oriented outcomes. ES - 1949-8357 IL - 1949-8357 DO - https://dx.doi.org/10.4300/JGME-D-10-00043.1 PT - Journal Article ID - 10.4300/JGME-D-10-00043.1 [doi] ID - JGME-D-10-00043 [pii] ID - PMC2930317 [pmc] PP - ppublish PH - 2010/03/08 [received] PH - 2010/03/23 [revised] PH - 2010/04/29 [accepted] LG - English DP - 2010 Jun EZ - 2010/06/01 00:00 DA - 2010/06/01 00:01 DT - 2011/10/07 06:00 YR - 2010 ED - 20121005 RD - 20111006 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21975634 <440. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22410105 TI - Reaching out and reaching up - developing a low cost drug treatment system in Cambodia. SO - Harm Reduction Journal. 9:11, 2012 Mar 12. AS - Harm Reduct J. 9:11, 2012 Mar 12. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Klein A AU - Saphonn V AU - Reid S FA - Klein, Axel FA - Saphonn, Vonthanak FA - Reid, Savanna IN - Klein, Axel. School of Community Health Sciences, University of Nevada at Las Vegas, Las Vegas, USA. inkwell_11@yahoo.com. NJ - Harm reduction journal VO - 9 PG - 11 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101153624 IO - Harm Reduct J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3334683 CP - England AB - 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. ES - 1477-7517 IL - 1477-7517 DO - https://dx.doi.org/10.1186/1477-7517-9-11 PT - Journal Article ID - 1477-7517-9-11 [pii] ID - 10.1186/1477-7517-9-11 [doi] ID - PMC3334683 [pmc] PP - epublish PH - 2010/03/22 [received] PH - 2012/03/12 [accepted] LG - English EP - 20120312 DP - 2012 Mar 12 EZ - 2012/03/14 06:00 DA - 2012/03/14 06:01 DT - 2012/03/14 06:00 YR - 2012 ED - 20121002 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22410105 <441. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22911932 TI - Drug Abuse Pattern and High Risk Behaviors among Addicts in Shahroud County of Semnan Province, Northeast Iran in 2009. SO - Journal of Research in Health Sciences. 10(2):104-9, 2010 Dec 18. AS - J. res. health sci.. 10(2):104-9, 2010 Dec 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Amiri M AU - Khosravi A AU - Chaman R FA - Amiri, Mohammad FA - Khosravi, Ahmad FA - Chaman, Reza IN - Amiri, Mohammad. Department of Public Health, School of Health, Shahroud University of Medical Sciences, Shahroud, Iran. NJ - Journal of research in health sciences VO - 10 IP - 2 PG - 104-9 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101480094 IO - J Res Health Sci CP - Iran AB - 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. AB - 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. AB - 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. AB - 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. IS - 2228-7795 IL - 2228-7795 PT - Journal Article PP - epublish PH - 2010/09/07 [received] PH - 2010/12/13 [accepted] PH - 2010/10/22 [revised] LG - English EP - 20101218 DP - 2010 Dec 18 EZ - 2010/01/01 00:00 DA - 2010/01/01 00:01 DT - 2012/08/23 06:00 YR - 2010 ED - 20121002 RD - 20140731 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22911932 <442. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21769041 TI - Use of an internet-based curriculum to teach internal medicine residents about addiction. SO - Journal of Addiction Medicine. 4(4):233-5, 2010 Dec. AS - J Addict Med. 4(4):233-5, 2010 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Rastegar DA AU - Bertram A AU - Sisson SD FA - Rastegar, Darius A FA - Bertram, Amanda FA - Sisson, Stephen D IN - Rastegar, Darius A. From the Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. NJ - Journal of addiction medicine VO - 4 IP - 4 PG - 233-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 IO - J Addict Med CP - United States AB - OBJECTIVES: : Addiction is an important and common health problem. Many internal medicine training programs do not offer structured training in addiction; as a result, residents often report feeling unprepared in caring for patients with this problem. We developed an Internet-based curriculum to teach internal medicine residents about evaluating and treating patients with substance use disorders. AB - METHODS: : Three educational modules on addiction were developed and posted on an established Web site that provides an internal medicine curriculum for training programs throughout the United States. Baseline and posttest questions were tested and validated by having house officers and addiction medicine faculty members complete the tests. We compared baseline pretest scores between first (PGY-1) and third year (PGY-3) residents to assess baseline knowledge and pretest and posttest scores for the entire cohort to assess the impact of the modules. AB - RESULTS: : Each module was completed by over 1200 residents at 86 different training programs. Although overall baseline pretest scores were better among PGY-3 than PGY-1 residents (mean 58% vs 55%; P < 0.05), the difference between the 2 groups for individual modules was not significant. The mean baseline pretest score was 56.4% and posttest score was 74.8%, a difference that was statistically significant (P < 0.001). When asked to rate the educational value of the program, the residents gave it a mean score of 4.2 on a 5-point Likert scale (1 = not instructive; 5 = highly instructive). AB - CONCLUSIONS: : Internet-based curricula can be an effective tool to disseminate knowledge on addiction to trainees. Learners show an improvement in testing scores and rate these programs highly. IS - 1932-0620 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0b013e3181cc9fc7 PT - Journal Article ID - 10.1097/ADM.0b013e3181cc9fc7 [doi] ID - 01271255-201012000-00007 [pii] PP - ppublish LG - English DP - 2010 Dec EZ - 2011/07/20 06:00 DA - 2011/07/20 06:01 DT - 2011/07/20 06:00 YR - 2010 ED - 20121002 RD - 20110719 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21769041 <443. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21769034 TI - Rural and Urban Differences in Kentucky DUI Offenders. SO - Journal of Addiction Medicine. 4(3):186-90, 2010 Sep. AS - J Addict Med. 4(3):186-90, 2010 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Webster JM AU - Dickson MF AU - Duvall JL AU - Clark DB FA - Webster, J Matthew FA - Dickson, Megan F FA - Duvall, Jamieson L FA - Clark, David B IN - Webster, J Matthew. From the University of Kentucky, Center on Drug and Alcohol Research, Lexington, KY. NJ - Journal of addiction medicine VO - 4 IP - 3 PG - 186-90 PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 IO - J Addict Med CP - United States AB - OBJECTIVES: : Recent national data suggest that the prevalence of driving under the influence (DUI) is higher in rural areas than in more urbanized areas of the United States. However, little is known about rural DUI offenders, particularly those living in very remote areas. This study was conducted to examine the similarities and differences between rural and urban DUI offenders. Based on recent research, it was expected that few differences would be found between rural and urban DUI offenders. AB - METHODS: : This study examined a total of 21,135 substance abuse assessment records for persons convicted of DUI in Kentucky and who concluded treatment in 2005. Assessment records included demographic characteristics, Alcohol Use Disorders Identification Test scores, Drug Abuse Screening Test scores, and the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition Text Revision substance use disorder checklist. Beale codes based on county of residence were used to create comparison groups. AB - RESULTS: : Positive, and statistically significant, associations were found between rurality and Drug Abuse Screening Test scores, Diagnostic and Statistical Manual of Mental Disorders Fourth Edition substance abuse and dependence disorders, and rates of education/treatment noncompliance. Alcohol Use Disorders Identification Test scores were negatively associated with rurality. AB - CONCLUSIONS: : The study suggests that the problem severity among DUI offenders may be greater in rural areas. Given the lack of treatment services in rural areas, practitioners may face greater challenges in assessing and providing appropriate treatment for this group of DUI offenders, which may put them at greater risk for continued impaired driving. IS - 1932-0620 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0b013e3181c6cb24 PT - Journal Article ID - 10.1097/ADM.0b013e3181c6cb24 [doi] ID - 01271255-201009000-00011 [pii] PP - ppublish LG - English DP - 2010 Sep EZ - 2011/07/20 06:00 DA - 2011/07/20 06:01 DT - 2011/07/20 06:00 YR - 2010 ED - 20121002 RD - 20110719 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21769034 <444. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20168973 TI - Does gender predict medical students' stress in mansoura, egypt?. SO - Medical Education Online. 13:12, 2008 Aug 14. AS - Med. educ. online. 13:12, 2008 Aug 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Amr M AU - Hady El Gilany A AU - El-Hawary A FA - Amr, Mostafa FA - Hady El Gilany, Abdel FA - El-Hawary, Aly IN - Amr, Mostafa. Department of Psychiatry, Faculty of Medicine, Mansoura University, Egypt. NJ - Medical education online VO - 13 PG - 12 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 9806550 IO - Med Educ Online PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2779606 CP - United States KW - anxiety.; depression; gender; medical student; stress AB - BACKGROUND: Medical education is perceived as being stressful with negative effects on students' mental health. However, few studies have addressed the influence of gender on stress in medical students. AB - AIM: To compare male and female medical students in Egypt on sources of stress, perception of stress, anxiety, depression, physical symptomatology, and personality profile. AB - METHODS: Data were collected through an anonymous self-administered questionnaire covering socio-demographic data, stressors, perceived stress scale, physical wellbeing factors, the Hospital Anxiety and Depression scale as well as neuroticism and extraversion subscales of the Eysenck Personality Questionnaire. AB - RESULTS: Stressors were reported by 94.5% of the total sample with equal gender proportions. Univariate analysis indicated that female students scored higher than males on depression and neuroticism scales while male and female medical students were similar on level of perceived stress, number of stressors, clinical anxiety, physical well-being factors and the extraversion scale. Multivariate logistic regression revealed that the independent predictors of a high stress level were the presence of more than five stressors, clinical anxiety and depression, and increased scores on the global sickness index and on the extraversion and neuroticism sub-scales. AB - CONCLUSION: Despite there being no significant difference in perceived stress according to gender, females were less likely to cite relationship problems with teachers and substance abuse as sources of stress. Moreover, females scored significantly higher than males on depression and neuroticism scales. ES - 1087-2981 IL - 1087-2981 DO - https://dx.doi.org/10.3885/meo.2008.Res00273 PT - Journal Article ID - 10.3885/meo.2008.Res00273 [doi] ID - PMC2779606 [pmc] PP - epublish LG - English EP - 20080814 DP - 2008 Aug 14 EZ - 2008/01/01 00:00 DA - 2008/01/01 00:01 DT - 2010/02/20 06:00 YR - 2008 ED - 20121002 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20168973 <445. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21221361 TI - Alcohol and addiction: A short course for family medicine residents. SO - Canadian Family Physician. 38:1609-12, 1992 Jul. AS - Can Fam Physician. 38:1609-12, 1992 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Burditt AM FA - Burditt, A M NJ - Canadian family physician Medecin de famille canadien VO - 38 PG - 1609-12 PI - Journal available in: Print PI - Citation processed from: Print JC - blo, 0120300 IO - Can Fam Physician PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2145999 CP - Canada IS - 0008-350X IL - 0008-350X PT - Journal Article ID - PMC2145999 [pmc] PP - ppublish LG - English DP - 1992 Jul EZ - 1992/07/01 00:00 DA - 1992/07/01 00:01 DT - 2011/01/12 06:00 YR - 1992 ED - 20121002 RD - 20110111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=21221361 <446. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20894844 TI - Medical education and substance abuse. SO - Journal of the Royal Society of Medicine. 85(12):774, 1992 Dec. AS - J R Soc Med. 85(12):774, 1992 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Chapman MJ FA - Chapman, M J IN - Chapman, M J. Toxicologiste Conseil, BP 19, F-69881 JONAGE Cedex, France. NJ - Journal of the Royal Society of Medicine VO - 85 IP - 12 PG - 774 PI - Journal available in: Print PI - Citation processed from: Print JC - 7802879, jx1 IO - J R Soc Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1293783 CP - England IS - 0141-0768 IL - 0141-0768 PT - Journal Article ID - PMC1293783 [pmc] PP - ppublish LG - English DP - 1992 Dec EZ - 1992/12/01 00:00 DA - 1992/12/01 00:01 DT - 2010/10/05 06:00 YR - 1992 ED - 20121002 RD - 20110404 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20894844 <447. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16840056 TI - Medical education in substance use disorders. SO - Drug & Alcohol Review. 10(3):263-75, 1991. AS - Drug Alcohol Rev. 10(3):263-75, 1991. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Saunders JB AU - Roche AM FA - Saunders, J B FA - Roche, A M IN - Saunders, J B. New South Wales Medical Education Unit on Alcohol and Other Drugs, Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Camperdown, Sydney, NSW, 2050, Australia. NJ - Drug and alcohol review VO - 10 IP - 3 PG - 263-75 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev CP - Australia AB - This paper outlines recent developments in drug and alcohol medical education, and highlights improved prospects for prevention and appropriate management of substance use disorders. The paper also presents a model of effective drug and alcohol medical education designed to induce both clinical competence and effective practice behaviour. Of particular note is the trend towards greater emphasis on skills development, especially clinical interaction skills. This emphasis is underpinned by an increasingly behavioural orientation, whereby concern is focused on fostering clinical competence in specific skills, e.g. identification, history taking and interventions. Practical examples of the application of such approaches are noted. In addition, relevance of concepts, such as self-efficacy and role legitimacy, to the area of drug and alcohol medical education is highlighted. Together with recent data on early intervention, and the widespread recognition and support for medical practitioners' involvement in drug and alcohol problems, future prospects are viewed as very encouraging. IS - 0959-5236 IL - 0959-5236 PT - Journal Article ID - M044046623611T05 [pii] ID - 10.1080/09595239100185301 [doi] PP - ppublish LG - English DP - 1991 EZ - 1991/01/01 00:00 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 20121002 RD - 20060714 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=16840056 <448. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16840039 TI - Recent advances in health professional training on substance abuse disorders. SO - Drug & Alcohol Review. 10(1):45-53, 1991. AS - Drug Alcohol Rev. 10(1):45-53, 1991. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Lewis DC FA - Lewis, D C IN - Lewis, D C. Center for Alcohol and Addiction Studies, Brown University, Box G, Providence, RI, 02912, USA. NJ - Drug and alcohol review VO - 10 IP - 1 PG - 45-53 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev CP - Australia AB - The trainee health professional is influenced by many factors-personal and family experiences, the effectiveness of the teacher as role model, the attitudes in the institution in which training takes place and the cultural norms of society. Adverse experiences, if any, in these areas can negate the input from training programmes. This is particularly true for training in substance use disorders. In designing curricula in this field it is crucial to identify the core competencies expected at the end of training. 'Project Adept', a comprehensive compilation of curriculum materials, is based on such competencies. It emphasizes skills training and an adult learning mode of education. However, to achieve sustained curricular changes, development of a committed faculty is essential. Training must be complemented by systematic programmes of early diagnosis and treatment for substance use disorders in teaching hospitals. The need to train generalist physicians and to focus on early intervention have been endorsed by the recent Institute of Medicine report on the treatment of alcohol problems. IS - 0959-5236 IL - 0959-5236 PT - Journal Article ID - NQ427246577WU163 [pii] ID - 10.1080/09595239100185061 [doi] PP - ppublish LG - English DP - 1991 EZ - 1991/01/01 00:00 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 20121002 RD - 20060714 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=16840039 <449. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22206330 TI - A randomized trial of physician training for smoking cessation. SO - American Journal of Health Promotion. 3(3):11-8, 1989. AS - Am J Health Promot. 3(3):11-8, 1989. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Lindsay EA AU - Wilson DM AU - Best JA AU - Willms DG AU - Singer J AU - Gilbert JR AU - Taylor DW FA - Lindsay, E A FA - Wilson, D M FA - Best, J A FA - Willms, D G FA - Singer, J FA - Gilbert, J R FA - Taylor, D W NJ - American journal of health promotion : AJHP VO - 3 IP - 3 PG - 11-8 PI - Journal available in: Print PI - Citation processed from: Print JC - amj, 8701680 IO - Am J Health Promot CP - United States AB - 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. IS - 0890-1171 IL - 0890-1171 DO - https://dx.doi.org/10.4278/0890-1171-3.3.11 PT - Journal Article ID - 10.4278/0890-1171-3.3.11 [doi] PP - ppublish LG - English DP - 1989 EZ - 1989/01/01 00:00 DA - 1989/01/01 00:01 DT - 2011/12/31 06:00 YR - 1989 ED - 20121002 RD - 20111230 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22206330 <450. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22613611 TI - Evaluation of 3-day smoking cessation training course for doctors from 38 cities in China. SO - Chinese Medical Journal. 125(7):1338-40, 2012 Apr. AS - Chin Med J. 125(7):1338-40, 2012 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zhang CM AU - Xiao D AU - West R AU - Michie S AU - Troughton R AU - Hajek P AU - Wang C FA - Zhang, Chun-mei FA - Xiao, Dan FA - West, Robert FA - Michie, Susan FA - Troughton, Ronald FA - Hajek, Peter FA - Wang, Chen IN - Zhang, Chun-mei. Department of Respiratory Medicine, Beijing Chao-Yang Hospital, Capital Medical University, Beijing, China. NJ - Chinese medical journal VO - 125 IP - 7 PG - 1338-40 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0005256, d3b, 7513795 IO - Chin. Med. J. SB - Index Medicus CP - China MH - Certification MH - China MH - Cities MH - Humans MH - Physicians MH - Self Efficacy MH - *Smoking Cessation AB - 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. AB - 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. AB - RESULTS: The training significantly improved participants' knowledge, skills and self-efficacy across different domains. Forty-eight participants were finally certified as "smoking cessation specialist". AB - 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. IS - 0366-6999 IL - 0366-6999 PT - Journal Article PP - ppublish GI - No: 14135 Organization: *Cancer Research UK* Country: United Kingdom LG - English DP - 2012 Apr EZ - 2012/05/23 06:00 DA - 2012/09/22 06:00 DT - 2012/05/23 06:00 YR - 2012 ED - 20120921 RD - 20170922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22613611 <451. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22059226 TI - Advanced rural skills training - the value of an addiction medicine rotation. SO - Australian Family Physician. 40(11):927-9, 2011 Nov. AS - Aust Fam Physician. 40(11):927-9, 2011 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allan J FA - Allan, Julaine IN - Allan, Julaine. Lyndon Community, Research and Training, Orange, New South Wales. jallan@lyndoncommunity.org.au NJ - Australian family physician VO - 40 IP - 11 PG - 927-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9ec, 0326701 IO - Aust Fam Physician SB - Index Medicus CP - Australia MH - *Education, Medical, Graduate/og [Organization & Administration] MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - Interdisciplinary Communication MH - Male MH - *Medical Staff, Hospital/ed [Education] MH - New South Wales MH - Organizational Case Studies MH - *Public Health/ed [Education] MH - *Rural Health Services/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. IS - 0300-8495 IL - 0300-8495 PT - Journal Article PP - ppublish LG - English DP - 2011 Nov EZ - 2011/11/08 06:00 DA - 2012/09/14 06:00 DT - 2011/11/08 06:00 YR - 2011 ED - 20120913 RD - 20111107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22059226 <452. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22640766 TI - Training the next generation of providers in addiction medicine. SO - Psychiatric Clinics of North America. 35(2):461-80, 2012 Jun. AS - Psychiatr Clin North Am. 35(2):461-80, 2012 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rasyidi E AU - Wilkins JN AU - Danovitch I FA - Rasyidi, Ernest FA - Wilkins, Jeffery N FA - Danovitch, Itai IN - Rasyidi, Ernest. Department of Psychiatry and Behavioral Neurosciences, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA. Ernest.Rasyidi@cshs.org NJ - The Psychiatric clinics of North America VO - 35 IP - 2 PG - 461-80 PI - Journal available in: Print PI - Citation processed from: Internet JC - pbn, 7708110 IO - Psychiatr. Clin. North Am. SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - *Behavior, Addictive/th [Therapy] MH - Child MH - Clinical Competence MH - Curriculum MH - Education, Medical/mt [Methods] MH - *Education, Medical/og [Organization & Administration] MH - Education, Medical/st [Standards] MH - Educational Measurement MH - Fellowships and Scholarships MH - Female MH - Guidelines as Topic MH - Health Services Needs and Demand MH - Humans MH - Internship and Residency/og [Organization & Administration] MH - Internship and Residency/st [Standards] MH - Patient-Centered Care/og [Organization & Administration] MH - Physician's Role MH - *Primary Health Care MH - *Psychiatry/ed [Education] MH - Psychiatry/ma [Manpower] MH - *Specialization MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/th [Therapy] MH - Teaching/mt [Methods] MH - United States MH - Young Adult AB - Within the United States there exists a profound discrepancy between the significant public health problem of substance abuse and the access to treatment for addicted individuals. Part of the insufficient access to treatment is a function of relatively low levels or professional experts in addiction medicine. Part of the low levels of professional addiction experts is the result of inadequate addiction medicine training of medical students and residents. This article outlines deficits in addiction medicine training among medical students and residents, yet real change in the addiction medicine training process will always be subject to the complexity of producing alterations across multiple credentialing institutions as well as the keen competition between educators for "more time" for their particular subject. Other hurdles include the broad-based issue of stigma regarding alcoholism and other substance abuse that likely impact all systems that regulate physician addiction medicine training. As noted in the discussion of psychiatry residency, even psychiatry residents manifest stigma regarding substance abusing patients. Five currently active processes may allow for fundamental change to the inertia in physician addiction medicine training while also potentially impacting stigma: 1. We appear to be at the beginning of the integration of addiction into traditional medicine through the formation of a legitimized addiction medicine subspecialty. 2. The training of primary care trainees and practitioners in the use of SBIRT is accelerating, thus creating another process of addiction integration into traditional medicine. 3. The PCMH is being established as a model for primary care 4. The Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) became effective for group health care plan years beginning on or after July 1, 2010; thereby, substance abuse benefits and cost are to be the same as general medical or surgical benefits. 5. The equalizer is prescription drug abuse, which is increasing recognition of addiction among populations where it was previously ignored or denied. The first three activities will create a medical office "experience" that is largely unknown but carries the power to change the perception of addiction: patients visiting their primary care physicians, who then screen them for addiction problems and give the same attention to treatment and prevention of addiction problems as they might give to treatment and prevention of cardiovascular disease and other medical issues. The personal experience of the aforementioned medical scene by members of US society may also provide a very positive impact on psychiatrists, including those who specialize in addiction medicine. It is quite possible that the recognition of addiction medicine as a traditional medical subspecialty as well as the integration of addiction throughout medicine will precede any substantive change in the integration of mental health care with the rest of medicine. Yet, any integration of addiction within the entire field of medicine may open a path for mental health to follow. Psychiatrists, including those who are addiction experts, need to be a part of this new medical integration process. Being a part of new treatment models is why we proposed six future skillsets for psychiatrists who specialize in addiction. The selection of these proposed skillsets anticipates an integrated health care team utilizing some form of a patient-centered approach-three are skillsets that are already required, while the last three address new skillsets that will be helpful in working with the integrative health care team model. Whatever form the future of addiction care takes, psychiatrists who specialize in addiction medicine can provide positive and core contributions as expert addiction and mental health consultants including: 1. How does one screen for major depression and/or an anxiety disorder and also determine a diagnosis? 2. In prescribing, what constitutes legitimate follow-up of patients on antidepressants and antianxiety agents, including how to avoid additional substance abuse problems when prescribing sedative-hypnotics? 3. When and how should patients be referred to a psychiatrist? Finally, it is important to note that any of the potential changes described in this article need to influence only 10% of the approximately 17 million current heavy drinkers to seek treatment to equal the approximately 1.7 million heavy drinkers who are now in treatment, let alone any of the approximately 50 million current at-risk drinkers, virtually none of whom are in treatment. Among other social changes that will alter the future of addiction treatment, the integration of addiction into traditional medicine may go a long way in altering the current ratios of who seeks treatment and is willing to participate in treatment. ES - 1558-3147 IL - 0193-953X DO - https://dx.doi.org/10.1016/j.psc.2012.04.001 PT - Journal Article ID - S0193-953X(12)00030-5 [pii] ID - 10.1016/j.psc.2012.04.001 [doi] PP - ppublish LG - English DP - 2012 Jun EZ - 2012/05/30 06:00 DA - 2012/09/07 06:00 DT - 2012/05/30 06:00 YR - 2012 ED - 20120906 RD - 20120529 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22640766 <453. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22640762 TI - Managing co-occurring substance use and pain disorders. SO - Psychiatric Clinics of North America. 35(2):393-409, 2012 Jun. AS - Psychiatr Clin North Am. 35(2):393-409, 2012 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miotto K AU - Kaufman A AU - Kong A AU - Jun G AU - Schwartz J FA - Miotto, Karen FA - Kaufman, Aaron FA - Kong, Alexander FA - Jun, Grace FA - Schwartz, Jeffrey IN - Miotto, Karen. Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles, Los Angeles, CA 90095-1563, USA. kmiotto@mednet.ucla.edu NJ - The Psychiatric clinics of North America VO - 35 IP - 2 PG - 393-409 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pbn, 7708110 IO - Psychiatr. Clin. North Am. SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - *Analgesics, Non-Narcotic/ad [Administration & Dosage] MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Child MH - Chronic Pain/co [Complications] MH - Chronic Pain/di [Diagnosis] MH - *Chronic Pain/dt [Drug Therapy] MH - Diagnostic and Statistical Manual of Mental Disorders MH - Drug Overdose MH - Humans MH - Interview, Psychological/mt [Methods] MH - Opioid-Related Disorders/co [Complications] MH - *Opioid-Related Disorders/di [Diagnosis] MH - Opioid-Related Disorders/dt [Drug Therapy] MH - *Practice Guidelines as Topic MH - Risk Factors MH - Self Medication/ae [Adverse Effects] MH - Somatoform Disorders/co [Complications] MH - Somatoform Disorders/di [Diagnosis] MH - Somatoform Disorders/dt [Drug Therapy] MH - Transdermal Patch MH - United States AB - The safest pain treatment strategy for an individual at risk or recovering from addiction is a nonopioid and benzodiazepine-free approach. If an opioid treatment is necessary, the extent of the risk can be stratified by the use of a biopsychosocial assessment and opioid screening tools. Individuals at high risk should have the greatest amount of structure and monitoring. A written informed consent and treatment agreement can provide a framework for the patient and the patient's family, as well as the clinician. The structure of treatment should specify only that one prescribing physician will write a limited supply of opioids, without refills, until the analgesic efficacy, adverse events, and goals for functional restoration can be assessed. An additional recommendation is that prescriptions should be filled at the same pharmacy with no refill by phone or opportunity for replacement because of loss, damage, or stolen medications. Additionally, random urine drug screens and PDMP reports obtained will help determine if the patient is taking other substances, as well as monitor the patient's medication use patterns. It is important to assess for risk factors in treating chronic pain with opioids; clinicians need to have a realistic appreciation of the resources available to them and the types of patients that can be managed in their practice. Chronic pain treatment with opioids should not be undertaken in patients who are currently addicted to illicit substances or alcohol. With the support of family and friends, ideally the patient can be motivated to participate in an intensive substance abuse treatment. In patients without an immediate risk, precautionary steps should be taken when prescribing opioids. Clinicians and patients need to review the risk factors for opioid-related problems including younger age, benzodiazepine use, and comorbid conditions such as depression, anxiety, and heavy smoking. Both the provider and the patient need a personal investment in the treatment plan and protocol to increase the safety of opioid treatment. New medications and treatment monitoring are being developed to provide maximal relief for the patient while protecting the public health. The optimal ingredients for safe opioid treatment include a strong provider-patient relationship and clinician training in the assessment and treatment of addiction and pain. RN - 0 (Analgesics, Non-Narcotic) RN - 0 (Analgesics, Opioid) ES - 1558-3147 IL - 0193-953X DO - https://dx.doi.org/10.1016/j.psc.2012.03.006 PT - Journal Article ID - S0193-953X(12)00023-8 [pii] ID - 10.1016/j.psc.2012.03.006 [doi] PP - ppublish LG - English EP - 20120505 DP - 2012 Jun EZ - 2012/05/30 06:00 DA - 2012/09/07 06:00 DT - 2012/05/30 06:00 YR - 2012 ED - 20120906 RD - 20121115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22640762 <454. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22880547 TI - Craving dominates propofol addiction of an affected physician. SO - Journal of Psychoactive Drugs. 44(2):186-90, 2012 Apr-Jun. AS - J Psychoactive Drugs. 44(2):186-90, 2012 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bonnet U AU - Scherbaum N FA - Bonnet, Udo FA - Scherbaum, Norbert IN - Bonnet, Udo. Department of Psychiatry, Psychotherapy and Psychosomatics, Evangelisches Krankenhaus Castrop-Rauxel. udo.bonnet@uni-due.de NJ - Journal of psychoactive drugs VO - 44 IP - 2 PG - 186-90 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - Adult MH - *Anesthetics, Intravenous/ae [Adverse Effects] MH - *Behavior, Addictive/px [Psychology] MH - Behavior, Addictive/rh [Rehabilitation] MH - *Cues MH - Humans MH - *Internship and Residency MH - Male MH - Motivation MH - *Physician Impairment/px [Psychology] MH - *Propofol/ae [Adverse Effects] MH - *Substance Withdrawal Syndrome/px [Psychology] MH - Substance Withdrawal Syndrome/rh [Rehabilitation] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Workplace/px [Psychology] AB - We report a case of severe dependence on propofol. For over a year, a 30-year-old male resident anesthesiologist injected 100-200 mg of propofol 20 to 40 times a day, reaching a daily total of up to 4 g. Compared to other withdrawal symptoms, craving for propofol was much more pronounced. Tolerance of the desired effects (cloudy and euphoric relaxation at his intravenous self-administration of 100 mg as well as sleep induction at 200 mg propofol) was not noticed by the patient. No other addiction was found in his history before he became dependent on propofol. This emphasizes that, especially with the patient's high injection rate, propofol has a powerful potential to be addictive. In most hospitals, the staff is put at risk by nonregulated dispensation and too easy access to this anesthetic drug. RN - 0 (Anesthetics, Intravenous) RN - YI7VU623SF (Propofol) IS - 0279-1072 IL - 0279-1072 PT - Case Reports PT - Journal Article ID - 10.1080/02791072.2012.684635 [doi] PP - ppublish LG - English DP - 2012 Apr-Jun EZ - 2012/08/14 06:00 DA - 2012/08/29 06:00 DT - 2012/08/14 06:00 YR - 2012 ED - 20120828 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22880547 <455. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21470324 TI - Addiction research centres and the nurturing of creativity; the Research Institute on Addictions, University at Buffalo. SO - Addiction. 107(7):1214-20, 2012 Jul. AS - Addiction. 107(7):1214-20, 2012 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Connors GJ AU - Walitzer KS FA - Connors, Gerard J FA - Walitzer, Kimberly S IN - Connors, Gerard J. The Research Institute on Addictions, University at Buffalo, 1021 Main Street, Buffalo, NY 14203, USA. connors@ria.buffalo.edu NJ - Addiction (Abingdon, England) VO - 107 IP - 7 PG - 1214-20 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Academies and Institutes/ec [Economics] MH - *Academies and Institutes/og [Organization & Administration] MH - Administrative Personnel/sn [Statistics & Numerical Data] MH - Congresses as Topic MH - Creativity MH - Databases as Topic MH - Education, Medical, Graduate/og [Organization & Administration] MH - New York MH - Publishing MH - Research Personnel/sn [Statistics & Numerical Data] MH - Research Support as Topic MH - *Substance-Related Disorders MH - Training Support MH - Universities/ec [Economics] MH - *Universities/og [Organization & Administration] AB - The Research Institute on Addictions (RIA) was established in 1970 as a research component of the New York State Department of Mental Hygiene. After three decades of serving as a research component of New York State agencies concerned with alcohol and substance abuse, RIA was legislatively transferred to the University at Buffalo in 1999. Today, RIA's cadre of senior research scientists are engaged individually and collaboratively on a multitude of addictions-related studies. The majority of the Institute's ongoing research studies relate to one or more of the following seven broad research domains: causes and consequences of alcohol, marijuana and other drug use; biological and neuroscience; gambling behavior; gender-related studies; dissemination and professional training; treatment; and youth, families and relationships. In this paper, an overview of the structure of the Institute is provided, along with a description of the organizational and scientific culture at RIA. Further information about the Institute, its scientists and its activities can be found at http://www.ria.buffalo.edu. Copyright © 2011 The Authors, Addiction © 2011 Society for the Study of Addiction. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2011.03387.x PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1111/j.1360-0443.2011.03387.x [doi] PP - ppublish LG - English EP - 20110407 DP - 2012 Jul EZ - 2011/04/08 06:00 DA - 2012/08/28 06:00 DT - 2011/04/08 06:00 YR - 2012 ED - 20120827 RD - 20121115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21470324 <456. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22798175 TI - Long-term opioid therapy, aberrant behaviors, and substance misuse: comparison of patients treated by resident and attending physicians in a general medical clinic. SO - Journal of Opioid Management. 8(3):153-60, 2012 May-Jun. AS - J Opioid Manag. 8(3):153-60, 2012 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Colburn JL AU - Jasinski DR AU - Rastegar DA FA - Colburn, Jessica L FA - Jasinski, Donald R FA - Rastegar, Darius A IN - Colburn, Jessica L. Johns Hopkins University School of Medicine, Baltimore, MD, USA. NJ - Journal of opioid management VO - 8 IP - 3 PG - 153-60 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - Adult MH - Age Factors MH - Aged MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analysis of Variance MH - *Behavior/de [Drug Effects] MH - Drug Overdose MH - Drug Prescriptions MH - Female MH - General Practice MH - Humans MH - Insurance, Health MH - Internal Medicine MH - *Internship and Residency MH - Long-Term Care MH - Male MH - Middle Aged MH - Odds Ratio MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/th [Therapy] MH - Pain Management MH - *Physicians MH - Prospective Studies MH - Sex Factors MH - Substance Abuse Detection AB - OBJECTIVE: To compare rates of opioid prescribing, aberrant behaviors, and indicators of substance misuse in patients prescribed long-term opioids by resident physicians or attending physicians in a general internal medicine practice. AB - DESIGN: Medical records of 333 patients who were prescribed opioids for at least three consecutive months were reviewed. Aberrant behaviors over a 2-year period were documented, including reporting lost or stolen medications or receiving opioids from more than one provider. Indicators of substance misuse were also recorded, including positive urine drug testing for illicit substances, addiction treatment, overdose, and altering prescriptions. AB - RESULTS: An estimated 13.6 percent of the patients followed by residents had been prescribed opioids for three or more months; this was significantly higher than the rate for attendings (5.9 percent, p < 0.001). Patients followed by residents were more likely to have reported lost or stolen prescriptions or medication (25.7 percent vs 12.2 percent, p = 0.03) or to have received opioids from another provider (17.8 percent vs 7.6 percent, p = 0.008); they were also more likely to exhibit an indicator of substance misuse (24.8 percent vs 7.6 percent, p < 0.001). However, in multivariate analyses, aberrant behaviors and indicators of substance misuse were not significantly associated with having a resident physician. AB - CONCLUSIONS: Resident physicians at our institution are following a disproportionate number of patients on long-term opioids, many of whom exhibit aberrant behaviors and indicators of substance misuse. This underscores a need for better resident training and supervision to provide effective and safe care for patients with chronic pain. RN - 0 (Analgesics, Opioid) IS - 1551-7489 IL - 1551-7489 DI - jom.2012.0111 DO - https://dx.doi.org/10.5055/jom.2012.0111 PT - Comparative Study PT - Journal Article ID - jom.2012.0111 [pii] ID - 10.5055/jom.2012.0111 [doi] PP - ppublish PH - 2011/05/29 [received] PH - 2012/02/08 [revised] PH - 2012/02/20 [accepted] LG - English DP - 2012 May-Jun EZ - 2012/07/17 06:00 DA - 2012/08/22 06:00 DT - 2012/07/17 06:00 YR - 2012 ED - 20120821 RD - 20121115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22798175 <457. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22489589 TI - Developing and implementing a multispecialty graduate medical education curriculum on Screening, Brief Intervention, and Referral to Treatment (SBIRT). SO - Substance Abuse. 33(2):168-81, 2012. AS - Subst Abus. 33(2):168-81, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tetrault JM AU - Green ML AU - Martino S AU - Thung SF AU - Degutis LC AU - Ryan SA AU - Martel S AU - Pantalon MV AU - Bernstein SL AU - O'Connor PG AU - Fiellin DA AU - D'Onofrio G FA - Tetrault, Jeanette M FA - Green, Michael L FA - Martino, Steve FA - Thung, Stephen F FA - Degutis, Linda C FA - Ryan, Sheryl A FA - Martel, Shara FA - Pantalon, Michael V FA - Bernstein, Steven L FA - O'Connor, Patrick G FA - Fiellin, David A FA - D'Onofrio, Gail IN - Tetrault, Jeanette M. Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06510, USA. jeanette.tetrault@yale.edu NJ - Substance abuse VO - 33 IP - 2 PG - 168-81 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Feasibility Studies MH - Humans MH - *Internship and Residency/mt [Methods] MH - *Mass Screening/og [Organization & Administration] MH - Program Evaluation MH - Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States MH - United States Substance Abuse and Mental Health Services Administration AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.640220 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/08897077.2011.640220 [doi] PP - ppublish GI - No: 5U79TI020253-02 Organization: (TI) *CSAT SAMHSA HHS* Country: United States LG - English DP - 2012 EZ - 2012/04/12 06:00 DA - 2012/08/22 06:00 DT - 2012/04/12 06:00 YR - 2012 ED - 20120821 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22489589 <458. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22085525 TI - A brief report on perceptions of alcohol and society among Scottish medical students. SO - Alcohol & Alcoholism. 47(1):75-8, 2012 Jan-Feb. AS - Alcohol Alcohol. 47(1):75-8, 2012 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steed H AU - Groome M AU - Rice P AU - Simpson K AU - Day A AU - Ker J FA - Steed, H FA - Groome, M FA - Rice, P FA - Simpson, K FA - Day, A FA - Ker, J IN - Steed, H. Department of Gastroenterology, Ninewells Hospital and Medical School, Dundee, UK. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 47 IP - 1 PG - 75-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - Curriculum/td [Trends] MH - Female MH - Humans MH - Male MH - Research Report MH - Scotland/ep [Epidemiology] MH - *Social Perception MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires AB - 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. AB - METHODS: A questionnaire assessment of first- and second-year medical students' perceptions of alcohol misuse. AB - 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. AB - 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. ES - 1464-3502 IL - 0735-0414 DO - https://dx.doi.org/10.1093/alcalc/agr139 PT - Journal Article ID - agr139 [pii] ID - 10.1093/alcalc/agr139 [doi] PP - ppublish LG - English EP - 20111114 DP - 2012 Jan-Feb EZ - 2011/11/17 06:00 DA - 2012/08/18 06:00 DT - 2011/11/17 06:00 YR - 2012 ED - 20120817 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22085525 <459. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22661661 TI - Substance misuse among health care workers: national survey of occupational physicians. SO - Occupational Medicine (Oxford). 62(4):254-60, 2012 Jun. AS - Occup Med (Oxf). 62(4):254-60, 2012 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gross SR AU - Marshall EJ AU - Wolff K FA - Gross, S R FA - Marshall, E J FA - Wolff, K IN - Gross, S R. King's College London, National Addiction Centre, Institute of Psychiatry, 4 Windsor Walk, Denmark Hill, London SE5 8AF, UK. samantha.gross@kcl.ac.uk CM - Comment in: Occup Med (Lond). 2012 Oct;62(7):581; PMID: 23034794 NJ - Occupational medicine (Oxford, England) VO - 62 IP - 4 PG - 254-60 PI - Journal available in: Print PI - Citation processed from: Internet JC - a79, 9205857 IO - Occup Med (Lond) SB - Index Medicus CP - England MH - Adult MH - Aged MH - Clinical Competence MH - Cross-Sectional Studies MH - Education, Medical, Continuing/st [Standards] MH - Female MH - *Health Personnel MH - Humans MH - Male MH - Middle Aged MH - *Occupational Medicine/st [Standards] MH - *Physician's Role MH - State Medicine MH - *Substance-Related Disorders/di [Diagnosis] MH - Surveys and Questionnaires MH - United Kingdom AB - BACKGROUND: National Health Service (NHS) occupational health departments assist in the identification and assessment of substance-use disorders among health care workers (HCWs) and are involved in the management of an individual's return to work after treatment. AB - AIMS: To determine the experience and training of NHS occupational health physicians (OHPs) in identifying substance misuse among HCWs. AB - METHODS: A national, cross-sectional, postal-based questionnaire was administered to the Association of National Health Occupational Physicians membership. AB - RESULTS: A total of 145/224 (65%) OHPs (55% male), with a mean age of 49 years (SD +/- 9.1; range 28-76), who had worked in the NHS on average for 9.6 years took part. The majority of respondents were consultant grade (59%). Since taking up their NHS post, 26% had received no training in substance misuse. Of those who had undergone formal training, the mean duration received was 2.8 days for drugs and 3.5 days for alcohol. OHPs reported that they did not feel sufficiently trained in this area. Most (65%) did not routinely include standardized screening tools or deliver 'brief interventions' (78%), although many reported that they would routinely ask about substance use when there was no clear indication of use (42%). The majority did not feel they were adequately supported (54%) in this work, nor did they have adequate resources for these patients within their organization (68%). AB - CONCLUSIONS: OHPs see HCWs with substance-use problems as part of their work, but the support provided is likely limited by insufficient training and inadequate support. ES - 1471-8405 IL - 0962-7480 DO - https://dx.doi.org/10.1093/occmed/kqs027 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - kqs027 [pii] ID - 10.1093/occmed/kqs027 [doi] PP - ppublish LG - English DP - 2012 Jun EZ - 2012/06/05 06:00 DA - 2012/08/17 06:00 DT - 2012/06/05 06:00 YR - 2012 ED - 20120816 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22661661 <460. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22420705 TI - Collegiate-based emergency medical service: impact on alcohol-related emergency department transports at a small liberal arts college. SO - Journal of American College Health. 60(3):263-5, 2012. AS - J Am Coll Health. 60(3):263-5, 2012. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosen JB AU - Olson MH AU - Kelly M FA - Rosen, Joshua B FA - Olson, Mark H FA - Kelly, Marianne IN - Rosen, Joshua B. Franklin and Marshall College, Lancaster, PA, USA. jbfrosen@gmail.com NJ - Journal of American college health : J of ACH VO - 60 IP - 3 PG - 263-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - h5e, 8214119, 7503059 IO - J Am Coll Health SB - Index Medicus CP - United States MH - Acute Disease MH - *Alcohol Drinking/ae [Adverse Effects] MH - *Alcoholic Intoxication/co [Complications] MH - Chi-Square Distribution MH - Emergency Service, Hospital/og [Organization & Administration] MH - *Emergency Service, Hospital/sn [Statistics & Numerical Data] MH - Emergency Service, Hospital/ut [Utilization] MH - Humans MH - Organizational Culture MH - Retrospective Studies MH - Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - *Transportation of Patients/mt [Methods] MH - United States/ep [Epidemiology] MH - *Universities/sn [Statistics & Numerical Data] AB - OBJECTIVE: The authors examined the impact of a collegiate-based emergency medical service (CBEMS) on the frequency of emergency department (ED) transports. AB - PARTICIPANTS: Students transported to the ED for acute alcohol intoxication during the Fall 2008 and the Fall 2009 semesters (N = 50). AB - METHODS: The frequency of students receiving transportation to a hospital ED and the reported blood alcohol content (BAC) levels during the initial operational semester of the CBEMS were compared to those values over the same time period the previous year. AB - RESULTS: More than twice the number of students was transported to the ED following the introduction of CBEMS. There was no change in mean BAC levels. AB - CONCLUSIONS: CBEMS could promote a culture conducive to increased reporting behavior, which makes the campus safer. Similar BAC levels suggest that the degree of intoxication was similar for the 2 reporting periods, but students sought emergency assistance more frequently following the inception of CBEMS. ES - 1940-3208 IL - 0744-8481 DO - https://dx.doi.org/10.1080/07448481.2011.599353 PT - Comparative Study PT - Evaluation Studies PT - Journal Article ID - 10.1080/07448481.2011.599353 [doi] PP - ppublish LG - English DP - 2012 EZ - 2012/03/17 06:00 DA - 2012/07/18 06:00 DT - 2012/03/17 06:00 YR - 2012 ED - 20120717 RD - 20120316 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22420705 <461. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22405375 TI - Drug addiction on the wards: are junior doctors equipped?. SO - The clinical teacher. 9(2):132-3, 2012 Apr. AS - Clin Teach. 9(2):132-3, 2012 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones D FA - Jones, Daniel NJ - The clinical teacher VO - 9 IP - 2 PG - 132-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101227511 IO - Clin Teach SB - Index Medicus CP - England MH - Clinical Competence MH - Humans MH - *Medical Staff, Hospital/px [Psychology] MH - *Physician-Patient Relations MH - *Substance-Related Disorders ES - 1743-498X IL - 1743-4971 DO - https://dx.doi.org/10.1111/j.1743-498X.2011.00518.x PT - Letter ID - 10.1111/j.1743-498X.2011.00518.x [doi] PP - ppublish LG - English DP - 2012 Apr EZ - 2012/03/13 06:00 DA - 2012/07/10 06:00 DT - 2012/03/13 06:00 YR - 2012 ED - 20120709 RD - 20120312 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22405375 <462. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22641969 TI - Searching for answers: proper prescribing of controlled prescription drugs. [Review] SO - Journal of Psychoactive Drugs. 44(1):79-85, 2012 Jan-Mar. AS - J Psychoactive Drugs. 44(1):79-85, 2012 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown ME AU - Swiggart WH AU - Dewey CM AU - Ghulyan MV FA - Brown, Martha E FA - Swiggart, William H FA - Dewey, Charlene M FA - Ghulyan, Marine V IN - Brown, Martha E. UF College of Medicine, Department of Psychiatry, Addiction Medicine Division, Gainesville, FL 32606, USA. marthabrown@ufl.edu NJ - Journal of psychoactive drugs VO - 44 IP - 1 PG - 79-85 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Drug Prescriptions MH - *Drug and Narcotic Control MH - Education, Medical, Continuing MH - Humans MH - *Prescription Drugs MH - Referral and Consultation MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. RN - 0 (Prescription Drugs) IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.2012.662081 [doi] PP - ppublish LG - English DP - 2012 Jan-Mar EZ - 2012/05/31 06:00 DA - 2012/06/22 06:00 DT - 2012/05/31 06:00 YR - 2012 ED - 20120621 RD - 20120530 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22641969 <463. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22616313 TI - Physician survey examining the impact of an educational tool for responsible opioid prescribing. SO - Journal of Opioid Management. 8(2):81-7, 2012 Mar-Apr. AS - J Opioid Manag. 8(2):81-7, 2012 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young A AU - Alfred KC AU - Davignon PP AU - Hughes LM AU - Robin LA AU - Chaudhry HJ FA - Young, Aaron FA - Alfred, Kelly C FA - Davignon, Philip P FA - Hughes, LaSharn M FA - Robin, Lisa A FA - Chaudhry, Humayun J IN - Young, Aaron. The Federation of State Medical Boards, Euless, Texas, USA. NJ - Journal of opioid management VO - 8 IP - 2 PG - 81-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - Data Collection MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - *Education, Medical, Continuing MH - Group Practice MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Pain/dt [Drug Therapy] MH - *Physicians/sn [Statistics & Numerical Data] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Private Practice MH - United States AB - 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 tofurtherphysicians' 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 theirpractice based on reading the book. AB - METHODS: Six weeks after licensed physicians in Georgia received the book, a survey was sent to 12,666 of them via e-mail. AB - RESULTS: A total of508 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 forpatients in pain, and more than 80 percent agreed that the book is a useful educational tool. Almost one-third (32.2percent) claimed that they intend to make changes to theirpractice after reading the book. The analysis also showed physicians in a solo practice were more likely to make changes (41.8percent) 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. 7percent) of the respondents indicated the book was better than other publications they had read on opioid prescribing and pain management. AB - 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. RN - 0 (Analgesics, Opioid) IS - 1551-7489 IL - 1551-7489 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2012 Mar-Apr EZ - 2012/05/24 06:00 DA - 2012/06/15 06:00 DT - 2012/05/24 06:00 YR - 2012 ED - 20120614 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22616313 <464. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22616211 TI - Evaluation of a community-based, service-oriented social medicine residency curriculum. SO - Progress in Community Health Partnerships. 5(4):433-42, 2011. AS - Prog. community health partnersh.. 5(4):433-42, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Michael YL AU - Gregg J AU - Amann T AU - Solotaroff R AU - Sve C AU - Bowen JL FA - Michael, Yvonne L FA - Gregg, Jessica FA - Amann, Ted FA - Solotaroff, Rachel FA - Sve, Chuck FA - Bowen, Judith L IN - Michael, Yvonne L. Department of Epidemiology and Biostatistics, Drexel University School of Public Health, USA. NJ - Progress in community health partnerships : research, education, and action VO - 5 IP - 4 PG - 433-42 PI - Journal available in: Print PI - Citation processed from: Print JC - 101273946 IO - Prog Community Health Partnersh SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - *Community-Based Participatory Research/og [Organization & Administration] MH - Focus Groups MH - Health Knowledge, Attitudes, Practice MH - *Health Status Disparities MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency/og [Organization & Administration] MH - Medically Underserved Area MH - Oregon MH - Poverty Areas MH - Power (Psychology) MH - *Social Medicine/ed [Education] AB - BACKGROUND: 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. AB - OBJECTIVES: We evaluated a community-based, service-oriented Social Medicine curriculum for Internal Medicine interns and residents initiated in 2007. AB - METHODS: Qualitative data were collected through focus groups. AB - CONCLUSIONS: 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. IS - 1557-0541 IL - 1557-0541 PT - Evaluation Studies PT - Journal Article PP - ppublish LG - English DP - 2011 EZ - 2011/01/01 00:00 DA - 2012/06/14 06:00 DT - 2012/05/24 06:00 YR - 2011 ED - 20120613 RD - 20120523 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22616211 <465. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22335183 TI - Implementing evidence-based alcohol interventions in a resource-limited setting: novel delivery strategies in Tomsk, Russia. SO - Harvard Review of Psychiatry. 20(1):58-67, 2012 Jan-Feb. AS - Harv Rev Psychiatry. 20(1):58-67, 2012 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shin SS AU - Livchits V AU - Nelson AK AU - Lastimoso CS AU - Yanova GV AU - Yanov SA AU - Mishustin SP AU - Connery HS AU - Greenfield SF FA - Shin, Sonya S FA - Livchits, Viktoriya FA - Nelson, Adrianne K FA - Lastimoso, Charmaine S FA - Yanova, Galina V FA - Yanov, Sergey A FA - Mishustin, Sergey P FA - Connery, Hilary S FA - Greenfield, Shelly F IN - Shin, Sonya S. Harvard Medical School, Division of Global Health Equity, Brigham & Women's Hospital, Boston, MA 02115, USA. sshin@partners.org NJ - Harvard review of psychiatry VO - 20 IP - 1 PG - 58-67 PI - Journal available in: Print PI - Citation processed from: Internet JC - cow, 9312789 IO - Harv Rev Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3318976 OI - Source: NLM. NIHMS363267 SB - Index Medicus CP - United States MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Combined Modality Therapy MH - Counseling MH - Delivery of Health Care/mt [Methods] MH - Delivery of Health Care/og [Organization & Administration] MH - Education, Medical, Continuing/mt [Methods] MH - Humans MH - Medically Underserved Area MH - Naltrexone/tu [Therapeutic Use] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - Patient Compliance MH - Program Development/mt [Methods] MH - Russia MH - Treatment Outcome MH - Tuberculosis, Pulmonary/co [Complications] MH - Tuberculosis, Pulmonary/th [Therapy] AB - Effective implementation of evidence-based interventions in "real-world" settings can be challenging. Interventions based on externally valid trial findings can be even more difficult to apply in resource-limited settings, given marked differences-in provider experience, patient population, and health systems-between those settings and the typical clinical trial environment. Under the auspices of the Integrated Management of Physician-Delivered Alcohol Care for Tuberculosis Patients (IMPACT) study, a randomized, controlled effectiveness trial, and as an integrated component of tuberculosis treatment in Tomsk, Russia, we adapted two proven alcohol interventions to the delivery of care to 200 patients with alcohol use disorders. Tuberculosis providers performed screening for alcohol use disorders and also delivered naltrexone (with medical management) or a brief counseling intervention either independently or in combination as a seamless part of routine care. We report the innovations and challenges to intervention design, training, and delivery of both pharmacologic and behavioral alcohol interventions within programmatic tuberculosis treatment services. We also discuss the implications of these lessons learned within the context of meeting the challenge of providing evidence-based care in resource-limited settings. RN - 0 (Narcotic Antagonists) RN - 5S6W795CQM (Naltrexone) ES - 1465-7309 IL - 1067-3229 DO - https://dx.doi.org/10.3109/10673229.2012.649121 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - 10.3109/10673229.2012.649121 [doi] ID - PMC3318976 [pmc] ID - NIHMS363267 [mid] PP - ppublish GI - No: K24DA019855 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 AA016318-01 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: K24 DA019855 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K24 DA019855-06 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01AA016318 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 AA016318 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2012 Jan-Feb EZ - 2012/02/18 06:00 DA - 2012/06/12 06:00 DT - 2012/02/17 06:00 YR - 2012 ED - 20120611 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22335183 <466. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22332853 TI - Prevalence of unhealthy substance use on teaching and hospitalist medical services: implications for education. SO - American Journal on Addictions. 21(2):111-9, 2012 Mar-Apr. AS - Am J Addict. 21(2):111-9, 2012 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holt SR AU - Ramos J AU - Harma MA AU - Cabrera F AU - Louis-Ashby C AU - Dinh A AU - Tetrault JM AU - Fiellin DA FA - Holt, Stephen R FA - Ramos, Jorge FA - Harma, Michael A FA - Cabrera, Felix FA - Louis-Ashby, Coeurlida FA - Dinh, An FA - Tetrault, Jeanette M FA - Fiellin, David A IN - Holt, Stephen R. Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520-8025, USA. stephen.holt@yale.edu NJ - The American journal on addictions VO - 21 IP - 2 PG - 111-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - Aged MH - Aged, 80 and over MH - *Alcoholism/ep [Epidemiology] MH - Connecticut/ep [Epidemiology] MH - Cross-Sectional Studies MH - Female MH - Hospitalists/ed [Education] MH - *Hospitals, Teaching/sn [Statistics & Numerical Data] MH - Humans MH - *Inpatients/px [Psychology] MH - Male MH - Mass Screening MH - Middle Aged MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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. ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/j.1521-0391.2011.00207.x PT - Journal Article ID - 10.1111/j.1521-0391.2011.00207.x [doi] PP - ppublish LG - English EP - 20120207 DP - 2012 Mar-Apr EZ - 2012/02/16 06:00 DA - 2012/06/05 06:00 DT - 2012/02/16 06:00 YR - 2012 ED - 20120604 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22332853 <467. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22611690 TI - [Epidemiology, medical and social features of the addiction to beer and strong alcogol]. [Russian] SO - Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova. 111(11 Pt 2):3-13, 2011. AS - Zh Nevrol Psikhiatr Im S S Korsakova. 111(11 Pt 2):3-13, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Iliuk RD AU - Rybakova KV AU - Kiselev AS AU - Krupitskii EM FA - Iliuk, R D FA - Rybakova, K V FA - Kiselev, A S FA - Krupitskii, E M NJ - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova VO - 111 IP - 11 Pt 2 PG - 3-13 PI - Journal available in: Print PI - Citation processed from: Print JC - cwz, 9712194 IO - Zh Nevrol Psikhiatr Im S S Korsakova SB - Index Medicus CP - Russia (Federation) MH - Adult MH - Aged MH - Alcoholic Beverages/sn [Statistics & Numerical Data] MH - *Alcoholic Beverages/ut [Utilization] MH - *Alcoholics/cl [Classification] MH - Alcoholics/px [Psychology] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Beer/sn [Statistics & Numerical Data] MH - *Beer/ut [Utilization] MH - *Ethanol/ad [Administration & Dosage] MH - Female MH - Health MH - Humans MH - Incidence MH - Male MH - Mental Health MH - Middle Aged MH - Russia/ep [Epidemiology] MH - Severity of Illness Index MH - Social Adjustment AB - 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. RN - 3K9958V90M (Ethanol) IS - 1997-7298 IL - 1997-7298 PT - English Abstract PT - Journal Article PP - ppublish LG - Russian DP - 2011 EZ - 2011/01/01 00:00 DA - 2012/06/01 06:00 DT - 2012/05/23 06:00 YR - 2011 ED - 20120531 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22611690 <468. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21680141 TI - "I feel uncomfortable 'calling a patient out'": educational needs of palliative medicine fellows in managing opioid misuse. SO - Journal of Pain & Symptom Management. 43(2):253-60, 2012 Feb. AS - J Pain Symptom Manage. 43(2):253-60, 2012 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Childers JW AU - Arnold RM FA - Childers, Julie W FA - Arnold, Robert M IN - Childers, Julie W. Section of Palliative Care and Medical Ethics, Division of General Internal Medicine, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA. childersjw2@upmc.edu NJ - Journal of pain and symptom management VO - 43 IP - 2 PG - 253-60 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605836, ijj IO - J Pain Symptom Manage SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Caregivers/ed [Education] MH - *Caregivers/sn [Statistics & Numerical Data] MH - Drug Users MH - Educational Measurement MH - *Hospice Care MH - Humans MH - Male MH - Middle Aged MH - Needs Assessment MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - *Pain/ep [Epidemiology] MH - *Palliative Care MH - Pennsylvania/ep [Epidemiology] MH - Professional Competence MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved. ES - 1873-6513 IL - 0885-3924 DO - https://dx.doi.org/10.1016/j.jpainsymman.2011.03.009 PT - Journal Article ID - S0885-3924(11)00244-2 [pii] ID - 10.1016/j.jpainsymman.2011.03.009 [doi] PP - ppublish PH - 2011/01/14 [received] PH - 2011/03/10 [revised] PH - 2011/03/15 [accepted] LG - English EP - 20110615 DP - 2012 Feb EZ - 2011/06/18 06:00 DA - 2012/05/23 06:00 DT - 2011/06/18 06:00 YR - 2012 ED - 20120522 RD - 20120117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21680141 <469. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22090454 TI - Enhanced didactic methods of smoking cessation training for medical students--a randomized study. SO - Nicotine & Tobacco Research. 14(2):224-8, 2012 Feb. AS - Nicotine Tob Res. 14(2):224-8, 2012 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stolz D AU - Langewitz W AU - Meyer A AU - Pierer K AU - Tschudi P AU - S'ng CT AU - Strobel W AU - Perruchoud AP AU - Fagerstrom K AU - Tamm M FA - Stolz, Daiana FA - Langewitz, Wolf FA - Meyer, Anja FA - Pierer, Karen FA - Tschudi, Peter FA - S'ng, Ching T FA - Strobel, Werner FA - Perruchoud, Andre P FA - Fagerstrom, Karl FA - Tamm, Michael IN - Stolz, Daiana. Clinic of Pulmonary Medicine and Respiratory Cell Research, University Hospital Basel, Petersgraben 4, CH-4031 Basel, Switzerland. dstolz@uhbs.ch NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 14 IP - 2 PG - 224-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Computer-Assisted Instruction MH - *Counseling/ed [Education] MH - Counseling/mt [Methods] MH - Curriculum MH - *Education, Medical/mt [Methods] MH - Educational Measurement MH - Female MH - Humans MH - Internet MH - Male MH - Program Evaluation/mt [Methods] MH - Prospective Studies MH - Random Allocation MH - Role MH - Self-Assessment MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Students, Medical/px [Psychology] AB - 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. AB - 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, (c) role playing, and (d) supervised interaction with real patients. AB - 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). AB - 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. ES - 1469-994X IL - 1462-2203 DO - https://dx.doi.org/10.1093/ntr/ntr186 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - ntr186 [pii] ID - 10.1093/ntr/ntr186 [doi] PP - ppublish LG - English EP - 20111116 DP - 2012 Feb EZ - 2011/11/18 06:00 DA - 2012/05/15 06:00 DT - 2011/11/18 06:00 YR - 2012 ED - 20120514 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22090454 <470. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22190098 TI - Evaluation of a collaborative program on smoking cessation: translating outcomes framework into practice. SO - Journal of Continuing Education in the Health Professions. 31 Suppl 1:S28-36, 2011. AS - J Contin Educ Health Prof. 31 Suppl 1:S28-36, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shershneva MB AU - Larrison C AU - Robertson S AU - Speight M FA - Shershneva, Marianna B FA - Larrison, Christopher FA - Robertson, Sheila FA - Speight, Mike IN - Shershneva, Marianna B. Office of Continuing Professional Development in Medicine and Public Health, University of Wisconsin-Madison, USA. mbshershneva@ocpd.wisc.edu NJ - The Journal of continuing education in the health professions VO - 31 Suppl 1 PG - S28-36 PI - Journal available in: Print PI - Citation processed from: Internet JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - Algorithms MH - Attitude of Health Personnel MH - *Benchmarking/mt [Methods] MH - *Clinical Competence/st [Standards] MH - Cooperative Behavior MH - Education, Medical, Continuing/st [Standards] MH - Health Personnel/cl [Classification] MH - Health Personnel/px [Psychology] MH - Health Personnel/sn [Statistics & Numerical Data] MH - *Health Personnel MH - Humans MH - *Interprofessional Relations MH - Models, Organizational MH - Outcome Assessment (Health Care)/cl [Classification] MH - *Outcome Assessment (Health Care)/og [Organization & Administration] MH - Outcome Assessment (Health Care)/st [Standards] MH - Practice Guidelines as Topic/st [Standards] MH - *Program Evaluation MH - Quality Improvement/st [Standards] MH - *Smoking Cessation/mt [Methods] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States AB - INTRODUCTION: Although evaluating at multiple outcome levels has been proposed for continuing education activities and programs, it is a complex undertaking and is not done routinely, especially in collaborative, multicomponent programs. This article reports on strategies used and results obtained in an evaluation project that examined multiple outcomes of a US-based collaborative, multicomponent smoking cessation educational program for clinicians. AB - METHODS: Evaluation was organized conceptually around the 6 levels of an outcomes-based evaluation model and was conducted using registration data, postactivity evaluations, clinical vignettes with questions assessing knowledge and competence in participants and in a comparison group, a commitment to change approach, data from patient charts to assess clinician compliance on 8 performance measures, and tobacco cessation rates. Additional methods included a success case method study of 9 practices participating in performance improvement (PI) activities and assessment of partner collaboration using a written survey and interviews. AB - RESULTS: The program reached more than 43,000 clinicians who participated in a variety of activities. Participants indicated a high level of satisfaction with the program's educational activities and demonstrated higher scores than a comparison group on 6 of 7 competencies. The majority of participants who responded to commitment to change questions reported intended and implemented practice changes consistent with desired outcomes. Performance outcomes of 3 PI activities varied, with greater improvements observed in 1 activity (9.0% to 36.2% improvement across 8 measures). Lower performance outcomes, but a smoking quit rate of 46.8%, was observed in 2 other PI activities. AB - DISCUSSION: The program had an overall positive impact on the measured variables for clinicians and their patients. Use of 1 outcomes assessment framework acceptable to all members of the collaborative, common measures and evaluation techniques, and centralized data repositories contributed to the success of the program evaluation reported here and is recommended to others who are considering a collaborative program evaluation. Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education. ES - 1554-558X IL - 0894-1912 DO - https://dx.doi.org/10.1002/chp.20146 PT - Comparative Study PT - Journal Article ID - 10.1002/chp.20146 [doi] PP - ppublish LG - English DP - 2011 EZ - 2012/01/04 06:00 DA - 2012/05/10 06:00 DT - 2011/12/23 06:00 YR - 2011 ED - 20120509 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22190098 <471. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22190097 TI - Developing clinical competencies to assess learning needs and outcomes: the experience of the CS2day initiative. SO - Journal of Continuing Education in the Health Professions. 31 Suppl 1:S21-7, 2011. AS - J Contin Educ Health Prof. 31 Suppl 1:S21-7, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McKeithen T AU - Robertson S AU - Speight M FA - McKeithen, Tom FA - Robertson, Sheila FA - Speight, Mike IN - McKeithen, Tom. Healthcare Performance Consulting, Inc. mckeithen@changingperformance.com NJ - The Journal of continuing education in the health professions VO - 31 Suppl 1 PG - S21-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - *Benchmarking MH - *Clinical Competence MH - Cooperative Behavior MH - Delivery of Health Care, Integrated MH - *Education, Medical, Continuing/mt [Methods] MH - Educational Measurement MH - Faculty, Medical MH - Health Personnel MH - Humans MH - Learning MH - Models, Organizational MH - *Needs Assessment MH - Organizational Innovation MH - *Outcome and Process Assessment (Health Care)/og [Organization & Administration] MH - *Practice Guidelines as Topic/st [Standards] MH - Quality Indicators, Health Care MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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. Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education. ES - 1554-558X IL - 0894-1912 DO - https://dx.doi.org/10.1002/chp.20145 PT - Journal Article ID - 10.1002/chp.20145 [doi] PP - ppublish LG - English DP - 2011 EZ - 2012/01/04 06:00 DA - 2012/05/10 06:00 DT - 2011/12/23 06:00 YR - 2011 ED - 20120509 RD - 20111222 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22190097 <472. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22190096 TI - Developing and implementing an effective framework for collaboration: the experience of the CS2day collaborative. SO - Journal of Continuing Education in the Health Professions. 31 Suppl 1:S13-20, 2011. AS - J Contin Educ Health Prof. 31 Suppl 1:S13-20, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ales MW AU - Rodrigues SB AU - Snyder R AU - Conklin M FA - Ales, Mary W FA - Rodrigues, Shelly B FA - Snyder, Robyn FA - Conklin, Mary IN - Ales, Mary W. Interstate Postgraduate Medical Association. males@ipmameded.org NJ - The Journal of continuing education in the health professions VO - 31 Suppl 1 PG - S13-20 PI - Journal available in: Print PI - Citation processed from: Internet JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - Clinical Competence/st [Standards] MH - Cooperative Behavior MH - *Delivery of Health Care, Integrated MH - Education, Medical, Continuing/mt [Methods] MH - Education, Medical, Continuing/og [Organization & Administration] MH - Efficiency, Organizational MH - Financing, Organized MH - Health Plan Implementation/og [Organization & Administration] MH - *Health Plan Implementation MH - Health Services Needs and Demand MH - Humans MH - *Interinstitutional Relations MH - Models, Organizational MH - *Organizational Case Studies MH - Practice Guidelines as Topic MH - *Program Development MH - Public Health Practice MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - Staff Development/mt [Methods] MH - Staff Development/st [Standards] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - Organizations from varied sectors have pursued collaboration to better fulfill their missions, facilitate decision making, solve more complex problems, and respond more rapidly to a changing environment. While these benefits are evident through the products and services provided, few organizations evaluate the factors that contribute to the success or failure of the collaboration itself. The CS2day Collaborative was formed by 9 separate organizations with a common goal of increasing smoking quit rates through health care professional education. To better understand the factors that influence successful collaboration, the authors applied criteria established by the Wilder Foundation to the functioning of this health care education collaborative. Factors analyzed include the influence of the environment, membership, process and structure, communication, purpose, and resources. Factors relevant to continuing medical education/continuing professional development (CME/CPD) including accreditation, conflict of interest resolution and management, guideline dissemination, continuous assessment and interprofessional education influenced the collaborative structure. Specific examples provided illustrate how diverse organizations can work together effectively to address a public health need. While the CS2day Collaborative was not formed with prior knowledge of these factors, they provide a useful framework for examining how this collaborative was developed and has operated. Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education. ES - 1554-558X IL - 0894-1912 DO - https://dx.doi.org/10.1002/chp.20144 PT - Journal Article ID - 10.1002/chp.20144 [doi] PP - ppublish LG - English DP - 2011 EZ - 2012/01/04 06:00 DA - 2012/05/10 06:00 DT - 2011/12/23 06:00 YR - 2011 ED - 20120509 RD - 20111222 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22190096 <473. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22189986 TI - Identifying primary care skills and competencies in opioid risk management. SO - Journal of Continuing Education in the Health Professions. 31(4):231-40, 2011. AS - J Contin Educ Health Prof. 31(4):231-40, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chiauzzi E AU - Trudeau KJ AU - Zacharoff K AU - Bond K FA - Chiauzzi, Emil FA - Trudeau, Kimberlee J FA - Zacharoff, Kevin FA - Bond, Kathleen IN - Chiauzzi, Emil. Product Strategy, Inflexxion, Inc., 320 Needham St., Suite 100, Newton, MA 02464, USA. echiauzzi@inflexxion.com NJ - The Journal of continuing education in the health professions VO - 31 IP - 4 PG - 231-40 PI - Journal available in: Print PI - Citation processed from: Internet JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Pain/dt [Drug Therapy] MH - *Clinical Competence/st [Standards] MH - Clinical Competence/sn [Statistics & Numerical Data] MH - Educational Measurement/mt [Methods] MH - Ethnic Groups/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - Medicine/sn [Statistics & Numerical Data] MH - Pain Management MH - Physicians, Family/ed [Education] MH - *Physicians, Family/px [Psychology] MH - Physicians, Family/sn [Statistics & Numerical Data] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Primary Health Care/st [Standards] MH - Process Assessment (Health Care)/st [Standards] MH - *Risk Management MH - Substance-Related Disorders/dt [Drug Therapy] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education. RN - 0 (Analgesics, Opioid) ES - 1554-558X IL - 0894-1912 DO - https://dx.doi.org/10.1002/chp.20135 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1002/chp.20135 [doi] PP - ppublish GI - No: 1R43DA026669-01 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 EZ - 2011/12/23 06:00 DA - 2012/05/10 06:00 DT - 2011/12/23 06:00 YR - 2011 ED - 20120509 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22189986 <474. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22143605 TI - Dementia and other chronic diseases in older adults in Havana and Matanzas: the 10/66 study in Cuba. SO - MEDICC review. 13(4):30-7, 2011 Oct. AS - MEICC REV. 13(4):30-7, 2011 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Llibre Jde J AU - Valhuerdi A AU - Calvo M AU - Garcia RM AU - Guerra M AU - Laucerique T AU - Lopez AM AU - Llibre JC AU - Noriega L AU - Sanchez IY AU - Porto R AU - Arencibia F AU - Marcheco B AU - Moreno C FA - Llibre, Juan de Jesus FA - Valhuerdi, Adolfo FA - Calvo, Marina FA - Garcia, Rosa M FA - Guerra, Milagros FA - Laucerique, Tania FA - Lopez, Ana M FA - Llibre, Juan Carlos FA - Noriega, Lisseth FA - Sanchez, Isis Y FA - Porto, Rudbeskia FA - Arencibia, Francis FA - Marcheco, Beatriz FA - Moreno, Carmen IN - Llibre, Juan de Jesus. Alzheimer Studies Center, Finlay-Albarran Medical Faculty of the Medical University of Havana, Cuba. mguerra@infomed.sld.cu NJ - MEDICC review VO - 13 IP - 4 PG - 30-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100964771 IO - MEDICC Rev SB - Index Medicus CP - United States MH - Age Factors MH - Aged MH - Aged, 80 and over MH - Cross-Sectional Studies MH - Cuba/ep [Epidemiology] MH - *Dementia/ep [Epidemiology] MH - Diabetes Mellitus/ep [Epidemiology] MH - Female MH - Humans MH - Hypertension/ep [Epidemiology] MH - Longitudinal Studies MH - Male MH - Myocardial Ischemia/ep [Epidemiology] MH - Poisson Distribution MH - Population Surveillance MH - Prevalence MH - Prospective Studies MH - Risk Factors MH - Rural Population MH - Stroke/ep [Epidemiology] MH - Urban Population AB - 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. AB - 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. AB - 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 DSM-IV 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. AB - 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. AB - 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. ES - 1527-3172 IL - 1527-3172 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish GI - No: GR066133 Organization: *Wellcome Trust* Country: United Kingdom LG - English DP - 2011 Oct EZ - 2011/12/07 06:00 DA - 2012/04/28 06:00 DT - 2011/12/07 06:00 YR - 2011 ED - 20120427 RD - 20111206 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22143605 <475. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21612884 TI - Changing practitioner behavior and building capacity in tobacco cessation treatment: the TEACH project. SO - Patient Education & Counseling. 86(1):49-56, 2012 Jan. AS - Patient Educ Couns. 86(1):49-56, 2012 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Herie M AU - Connolly H AU - Voci S AU - Dragonetti R AU - Selby P FA - Herie, Marilyn FA - Connolly, Hillary FA - Voci, Sabrina FA - Dragonetti, Rosa FA - Selby, Peter IN - Herie, Marilyn. Nicotine Dependence Clinic, Addictions Program, Centre for Addiction and Mental Health, Toronto, Canada. NJ - Patient education and counseling VO - 86 IP - 1 PG - 49-56 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pec, 8406280 IO - Patient Educ Couns SB - Nursing Journal CP - Ireland MH - Clinical Competence MH - Curriculum MH - Diffusion of Innovation MH - Education, Medical, Continuing MH - Educational Measurement MH - Educational Status MH - *Evidence-Based Medicine MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Ontario MH - Patient Care Team MH - *Physician-Patient Relations MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Program Development/mt [Methods] MH - Program Evaluation MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - OBJECTIVE: To facilitate interprofessional knowledge transfer to practice by increasing treatment capacity of health care practitioners to deliver evidence-informed smoking cessation counseling. AB - METHODS: TEACH (Training Enhancement in Applied Cessation Counseling and Health) combines diffusion of innovations with principles of adult learning to address the lack of system capacity to implement evidence-based smoking cessation treatments. Participants were professionals from 15 disciplines with commitment from their supervisor to implement the intervention. Pre- and post-training course evaluation surveys assessed the extent to which learning objectives were achieved and guided a continuous quality improvement process. AB - RESULTS: Evaluation of 741 participants that attended the three-day Core Course from June 2007 to January 2009 revealed significant increases in pre- to post-training ratings of feasibility, importance, and confidence in using the intervention. In addition to attitudinal changes, practitioners made changes to practice behavior. At six months post-training, 55% of professionals were implementing the intervention and 91% engaged in knowledge transfer activities in their organizations/communities. AB - CONCLUSION: Findings suggest that TEACH impacted clinical practice and may serve as a model for knowledge translation initiatives in other health behavior domains. AB - PRACTICE IMPLICATIONS: These data demonstrate that it is feasible to operationalize interprofessional knowledge translation models to transfer research findings into practice. Copyright © 2011. Published by Elsevier Ireland Ltd. ES - 1873-5134 IL - 0738-3991 DO - https://dx.doi.org/10.1016/j.pec.2011.04.018 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0738-3991(11)00206-0 [pii] ID - 10.1016/j.pec.2011.04.018 [doi] PP - ppublish PH - 2010/12/02 [received] PH - 2011/03/10 [revised] PH - 2011/04/09 [accepted] LG - English EP - 20110525 DP - 2012 Jan EZ - 2011/05/27 06:00 DA - 2012/04/26 06:00 DT - 2011/05/27 06:00 YR - 2012 ED - 20120425 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21612884 <476. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22112421 TI - Training for general practitioners in opioid prescribing for chronic pain based on practice guidelines: a randomized pilot and feasibility trial. SO - Journal of Pain. 13(1):32-40, 2012 Jan. AS - J PAIN. 13(1):32-40, 2012 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCracken LM AU - Boichat C AU - Eccleston C FA - McCracken, Lance M FA - Boichat, Charlotte FA - Eccleston, Christopher IN - McCracken, Lance M. Centre for Pain Services, Royal National Hospital for Rheumatic Diseases, Bath, United Kingdom. Lance.McCracken@kcl.ac.uk NJ - The journal of pain : official journal of the American Pain Society VO - 13 IP - 1 PG - 32-40 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100898657 IO - J Pain SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - Awareness MH - *Chronic Pain/th [Therapy] MH - *Clinical Competence MH - Double-Blind Method MH - Feasibility Studies MH - Female MH - General Practitioners/ed [Education] MH - General Practitioners/px [Psychology] MH - General Practitioners/st [Standards] MH - *General Practitioners MH - *Guidelines as Topic/st [Standards] MH - Humans MH - Male MH - Middle Aged MH - Pilot Projects MH - Prescription Drugs/st [Standards] MH - Prescription Drugs/tu [Therapeutic Use] MH - *Program Evaluation MH - United Kingdom AB - UNLABELLED: 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. AB - 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. Copyright © 2012 American Pain Society. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) RN - 0 (Prescription Drugs) ES - 1528-8447 IL - 1526-5900 DO - https://dx.doi.org/10.1016/j.jpain.2011.09.007 PT - Journal Article PT - Randomized Controlled Trial ID - S1526-5900(11)00789-9 [pii] ID - 10.1016/j.jpain.2011.09.007 [doi] PP - ppublish PH - 2011/06/04 [received] PH - 2011/08/03 [revised] PH - 2011/09/22 [accepted] LG - English EP - 20111123 DP - 2012 Jan EZ - 2011/11/25 06:00 DA - 2012/04/25 06:00 DT - 2011/11/25 06:00 YR - 2012 ED - 20120424 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22112421 <477. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22470930 TI - Where all the ladders start. SO - Lancet. 379(9822):1190-1, 2012 Mar 31. AS - Lancet. 379(9822):1190-1, 2012 Mar 31. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gardner C FA - Gardner, Caleb IN - Gardner, Caleb. Johns Hopkins University School of Medicine, Baltimore, MD 21205-2196, USA. cgardn12@jhmi.edu NJ - Lancet (London, England) VO - 379 IP - 9822 PG - 1190-1 PI - Journal available in: Print PI - Citation processed from: Internet JC - 2985213r, l0s, 0053266 IO - Lancet SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Adaptation, Psychological MH - *Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Education, Medical MH - Friends/px [Psychology] MH - *Human Characteristics MH - Humans MH - *Life Change Events MH - *Literature, Modern MH - *Medicine in Literature MH - Motivation MH - *Philosophy MH - *Poetry as Topic MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] ES - 1474-547X IL - 0140-6736 PT - Journal Article ID - S0140-6736(12)60500-5 [pii] PP - ppublish LG - English DP - 2012 Mar 31 EZ - 2012/04/04 06:00 DA - 2012/04/11 06:00 DT - 2012/04/04 06:00 YR - 2012 ED - 20120410 RD - 20170920 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22470930 <478. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22081654 TI - Value of a health behavior change reflection assignment for health promotion learning. SO - Education for Health. 24(2):509, 2011 Aug. AS - EDUC HEALTH. 24(2):509, 2011 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee BK AU - Yanicki SM AU - Solowoniuk J FA - Lee, B K FA - Yanicki, S M FA - Solowoniuk, J IN - Lee, B K. University of Lethbridge, Lethbridge, Alberta, Canada. bonnie.lee@uleth.ca NJ - Education for health (Abingdon, England) VO - 24 IP - 2 PG - 509 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9607101 IO - Educ Health (Abingdon) SB - Index Medicus CP - India MH - Adolescent MH - Adult MH - Canada MH - Education, Medical, Undergraduate MH - Female MH - Focus Groups MH - *Health Promotion MH - Humans MH - *Learning MH - Male MH - Middle Aged MH - *Risk Reduction Behavior MH - *Students, Medical/px [Psychology] MH - *Thinking MH - Young Adult AB - INTRODUCTION: 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. AB - METHOD: 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. AB - RESULTS: 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. AB - DISCUSSION: This reflection assignment shows potential as both a learning process supporting future professional practice and as a tool for promoting health among undergraduate students. ES - 1469-5804 IL - 1357-6283 PT - Journal Article ID - 509 [pii] PP - ppublish LG - English EP - 20110723 DP - 2011 Aug EZ - 2011/11/15 06:00 DA - 2012/04/05 06:00 DT - 2011/11/15 06:00 YR - 2011 ED - 20120404 RD - 20111114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22081654 <479. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22368994 TI - Education of medical students in Bitola on tobacco use and their role in health promotion activities. SO - Medicinski Pregled. 64(11-12):529-32, 2011 Nov-Dec. AS - Med Pregl. 64(11-12):529-32, 2011 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jovanovska T AU - Stojcevska VP FA - Jovanovska, Tanja FA - Stojcevska, Viktorija Prodanovska IN - Jovanovska, Tanja. University St. Kliment Ohridski Bitola R. Macedoni Medical College. tanjajovanovska42@yahoo.com NJ - Medicinski pregled VO - 64 IP - 11-12 PG - 529-32 PI - Journal available in: Print PI - Citation processed from: Print JC - 0134461, 2985249r, m8u IO - Med. Pregl. SB - Index Medicus CP - Serbia MH - Adolescent MH - Adult MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Female MH - *Health Promotion MH - Humans MH - Male MH - Patient Education as Topic MH - Serbia MH - *Smoking/ae [Adverse Effects] MH - *Smoking Cessation MH - Students, Medical MH - Young Adult AB - 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. IS - 0025-8105 IL - 0025-8105 PT - Journal Article PP - ppublish LG - English DP - 2011 Nov-Dec EZ - 2012/03/01 06:00 DA - 2012/03/21 06:00 DT - 2012/02/29 06:00 YR - 2011 ED - 20120320 RD - 20120228 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22368994 <480. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21664789 TI - Efficacy of continuing medical education to reduce the risk of buprenorphine diversion. SO - Journal of Substance Abuse Treatment. 41(3):321-9, 2011 Oct. AS - J Subst Abuse Treat. 41(3):321-9, 2011 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lofwall MR AU - Wunsch MJ AU - Nuzzo PA AU - Walsh SL FA - Lofwall, Michelle R FA - Wunsch, Martha J FA - Nuzzo, Paul A FA - Walsh, Sharon L IN - Lofwall, Michelle R. Department of Psychiatry, University of Kentucky, Lexington, KY 40509, USA. michelle.lofwall@uky.edu NJ - Journal of substance abuse treatment VO - 41 IP - 3 PG - 321-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Behavior, Addictive/pc [Prevention & Control] MH - Behavior, Addictive/px [Psychology] MH - *Buprenorphine/ad [Administration & Dosage] MH - Buprenorphine/ae [Adverse Effects] MH - Buprenorphine/tu [Therapeutic Use] MH - Drug Administration Schedule MH - *Education, Medical, Continuing MH - Humans MH - Longitudinal Studies MH - *Narcotic Antagonists/ad [Administration & Dosage] MH - Narcotic Antagonists/ae [Adverse Effects] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - Opiate Substitution Treatment/px [Psychology] MH - *Opiate Substitution Treatment MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Practice Patterns, Physicians' AB - 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. Copyright © 2011 Elsevier Inc. All rights reserved. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1873-6483 IL - 0740-5472 DO - https://dx.doi.org/10.1016/j.jsat.2011.04.008 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0740-5472(11)00086-9 [pii] ID - 10.1016/j.jsat.2011.04.008 [doi] PP - ppublish PH - 2011/01/18 [received] PH - 2011/04/25 [revised] PH - 2011/04/29 [accepted] LG - English EP - 20110612 DP - 2011 Oct EZ - 2011/06/15 06:00 DA - 2012/03/07 06:00 DT - 2011/06/14 06:00 YR - 2011 ED - 20120306 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21664789 <481. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21805088 TI - Undergraduate medical education in substance use in Ireland: a review of the literature and discussion paper. [Review] SO - Irish Journal of Medical Science. 180(4):787-92, 2011 Dec. AS - Ir J Med Sci. 180(4):787-92, 2011 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Brien S AU - Cullen W FA - O'Brien, S FA - Cullen, W IN - O'Brien, S. UCD General Practice, UCD School of Medicine and Medical Science, Coombe Healthcare Centre, Dolphins Barn, Dublin 8, Ireland. sarahob17@gmail.com NJ - Irish journal of medical science VO - 180 IP - 4 PG - 787-92 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - gxb, 7806864, 7806865 IO - Ir J Med Sci SB - Index Medicus CP - Ireland MH - *Education, Medical, Undergraduate MH - Humans MH - Ireland MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. ES - 1863-4362 IL - 0021-1265 DO - https://dx.doi.org/10.1007/s11845-011-0736-y PT - Journal Article PT - Review ID - 10.1007/s11845-011-0736-y [doi] PP - ppublish PH - 2009/10/03 [received] PH - 2011/07/08 [accepted] LG - English EP - 20110730 DP - 2011 Dec EZ - 2011/08/02 06:00 DA - 2012/03/02 06:00 DT - 2011/08/02 06:00 YR - 2011 ED - 20120301 RD - 20171105 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21805088 <482. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21449899 TI - Paediatricians' knowledge, attitudes and practice following provision of educational resources about prevention of prenatal alcohol exposure and Fetal Alcohol Spectrum Disorder. SO - Journal of Paediatrics & Child Health. 47(10):704-10, 2011 Oct. AS - J Paediatr Child Health. 47(10):704-10, 2011 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Payne JM AU - France KE AU - Henley N AU - D'Antoine HA AU - Bartu AE AU - Mutch RC AU - Elliott EJ AU - Bower C FA - Payne, Janet M FA - France, Kathryn E FA - Henley, Nadine FA - D'Antoine, Heather A FA - Bartu, Anne E FA - Mutch, Raewyn C FA - Elliott, Elizabeth J FA - Bower, Carol IN - Payne, Janet M. Telethon Institute for Child Health Research, Centre for Child Health Research, The University of Western Australia, Perth, Australia. NJ - Journal of paediatrics and child health VO - 47 IP - 10 PG - 704-10 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - arp, 9005421 IO - J Paediatr Child Health SB - Index Medicus CP - Australia MH - *Education, Medical, Continuing MH - *Educational Measurement MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Health Care Surveys MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Pediatrics MH - *Physicians MH - Pregnancy MH - *Prenatal Care MH - Western Australia AB - AIM: The study aims to provide paediatricians in Western Australia (WA) with educational resources (http://www.ichr.uwa.edu.au/alcoholandpregnancy) 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. AB - 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). AB - 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. AB - 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. Copyright © 2011 The Authors. Journal of Paediatrics and Child Health © 2011 Paediatrics and Child Health Division (Royal Australasian College of Physicians). ES - 1440-1754 IL - 1034-4810 DO - https://dx.doi.org/10.1111/j.1440-1754.2011.02037.x PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/j.1440-1754.2011.02037.x [doi] PP - ppublish LG - English EP - 20110330 DP - 2011 Oct EZ - 2011/04/01 06:00 DA - 2012/03/02 06:00 DT - 2011/04/01 06:00 YR - 2011 ED - 20120301 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21449899 <483. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22204177 TI - Training of general practitioners about smoking cessation counseling. SO - JPMA - Journal of the Pakistan Medical Association. 61(5):449-52, 2011 May. AS - JPMA J Pak Med Assoc. 61(5):449-52, 2011 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Djalalinia S AU - Tehrani FR AU - Malekafzali H AU - Dovvom MR AU - Neot R AU - Peykari N FA - Djalalinia, Shirin FA - Tehrani, Fahimeh Ramezani FA - Malekafzali, Hossein FA - Dovvom, Marzieh Rostami FA - Neot, Rosemary FA - Peykari, Niloofar IN - Djalalinia, Shirin. Research & Technology, Ministry of Health & Education, Iran. NJ - JPMA. The Journal of the Pakistan Medical Association VO - 61 IP - 5 PG - 449-52 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503100, 7501162, kgi IO - J Pak Med Assoc SB - Index Medicus CP - Pakistan MH - Adult MH - *Counseling/ed [Education] MH - Cross-Sectional Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/mt [Methods] MH - Humans MH - Male MH - Middle Aged MH - Physician-Patient Relations MH - *Physicians, Family/ed [Education] MH - Physicians, Family/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - OBJECTIVES: To study general practitioners' knowledge regarding smoking and their formal educational training on quitting smoking and associated readiness for providing associated services. AB - 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. AB - 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 training as necessary. Smoking cessation intervention during physician visits was associated with increased patient satisfaction especially among those who smoked. AB - 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. IS - 0030-9982 IL - 0030-9982 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 2775 [pii] PP - ppublish LG - English DP - 2011 May EZ - 2011/12/30 06:00 DA - 2012/03/01 06:00 DT - 2011/12/30 06:00 YR - 2011 ED - 20120228 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22204177 <484. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22320023 TI - Beliefs and attitudes about prescribing opioids among healthcare providers seeking continuing medical education. SO - Journal of Opioid Management. 7(6):417-24, 2011 Nov-Dec. AS - J Opioid Manag. 7(6):417-24, 2011 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hooten WM AU - Bruce BK FA - Hooten, W Michael FA - Bruce, Barbara K IN - Hooten, W Michael. Department of Anesthesiology, Mayo Clinic College of Medicine, Rochester, Minnesota, USA. NJ - Journal of opioid management VO - 7 IP - 6 PG - 417-24 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - *Chronic Pain/dt [Drug Therapy] MH - Education, Medical, Continuing MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Nurse Practitioners/px [Psychology] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Physician Assistants/px [Psychology] MH - Physicians/px [Psychology] MH - *Practice Patterns, Physicians' MH - Quality of Life MH - Surveys and Questionnaires AB - OBJECTIVE: The purpose of this study was to assess the beliefs and attitudes of healthcare providers about prescribing opioids for chronic pain. AB - 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. AB - PARTICIPANTS: Conference attendees with prescribing privileges were eligible to participate, including physicians, physician assistants, and advance practice nurses. AB - INTERVENTION: Study participants completed a questionnaire using an electronic response system. AB - MAIN OUTCOME MEASURES: Study participants completed a validated questionnaire that was specifically developed to measure the beliefs and attitudes of healthcare providers about prescribing opioids for chronic pain. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) IS - 1551-7489 IL - 1551-7489 PT - Journal Article PP - ppublish LG - English DP - 2011 Nov-Dec EZ - 2012/02/11 06:00 DA - 2012/02/24 06:00 DT - 2012/02/11 06:00 YR - 2011 ED - 20120223 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22320023 <485. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21988896 TI - 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. SO - Substance Abuse Treatment, Prevention, & Policy. 6:27, 2011 Oct 11. AS - Subst Abuse Treat Prev Policy. 6:27, 2011 Oct 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kondric M AU - Sekulic D AU - Petroczi A AU - Ostojic L AU - Rodek J AU - Ostojic Z FA - Kondric, Miran FA - Sekulic, Damir FA - Petroczi, Andrea FA - Ostojic, Ljerka FA - Rodek, Jelena FA - Ostojic, Zdenko IN - Kondric, Miran. Faculty of Sport, University of Ljubljana, Ljubljana, Slovenia. NJ - Substance abuse treatment, prevention, and policy VO - 6 PG - 27 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258060 IO - Subst Abuse Treat Prev Policy PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3204239 SB - Index Medicus CP - England MH - Adult MH - *Athletes/px [Psychology] MH - Attitude to Health MH - Dietary Supplements/sn [Statistics & Numerical Data] MH - *Doping in Sports/px [Psychology] MH - *Doping in Sports/sn [Statistics & Numerical Data] MH - Educational Status MH - Female MH - Humans MH - Male MH - *Racquet Sports/px [Psychology] MH - Racquet Sports/sn [Statistics & Numerical Data] MH - Sex Characteristics MH - Slovenia MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1747-597X IL - 1747-597X DO - https://dx.doi.org/10.1186/1747-597X-6-27 PT - Journal Article ID - 1747-597X-6-27 [pii] ID - 10.1186/1747-597X-6-27 [doi] ID - PMC3204239 [pmc] PP - epublish PH - 2011/08/02 [received] PH - 2011/10/11 [accepted] LG - English EP - 20111011 DP - 2011 Oct 11 EZ - 2011/10/13 06:00 DA - 2012/02/22 06:00 DT - 2011/10/13 06:00 YR - 2011 ED - 20120221 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21988896 <486. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20842522 TI - Tobacco education and counseling in obstetrics and gynecology clerkships: a survey of medical school program directors. SO - Maternal & Child Health Journal. 15(8):1153-9, 2011 Nov. AS - Matern Child Health J. 15(8):1153-9, 2011 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Powers CA AU - Zapka J AU - Phelan S AU - Ozcan T AU - Biello KB AU - O'Donnell J AU - Geller A FA - Powers, Catherine A FA - Zapka, Jane FA - Phelan, Sharon FA - Ozcan, Tulin FA - Biello, Katie Brooks FA - O'Donnell, Joseph FA - Geller, Alan IN - Powers, Catherine A. Division of Pharmacoepidemiology and Pharmacoeconomics, Brigham and Women's Hospital, and Harvard School of Public Health, Boston, MA 02115, USA. NJ - Maternal and child health journal VO - 15 IP - 8 PG - 1153-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9715672, di8 IO - Matern Child Health J SB - Index Medicus CP - United States MH - Administrative Personnel MH - *Clinical Clerkship MH - *Counseling/ed [Education] MH - Data Collection MH - *Gynecology/ed [Education] MH - *Health Education MH - Humans MH - *Obstetrics/ed [Education] MH - Schools, Medical MH - *Smoking Cessation MH - United States AB - 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. ES - 1573-6628 IL - 1092-7875 DO - https://dx.doi.org/10.1007/s10995-010-0679-3 PT - Journal Article ID - 10.1007/s10995-010-0679-3 [doi] PP - ppublish GI - No: R25 CA019379 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2011 Nov EZ - 2010/09/16 06:00 DA - 2012/02/18 06:00 DT - 2010/09/16 06:00 YR - 2011 ED - 20120217 RD - 20171027 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20842522 <487. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22014257 TI - A case series of buprenorphine/naloxone treatment in a primary care practice. SO - Substance Abuse. 32(4):262-5, 2011 Oct. AS - Subst Abus. 32(4):262-5, 2011 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Doolittle B AU - Becker W FA - Doolittle, Benjamin FA - Becker, William IN - Doolittle, Benjamin. Department of Internal Medicine, Yale University School of Medicine, New Haven, Connecticut 06520-8030, USA. NJ - Substance abuse VO - 32 IP - 4 PG - 262-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Buprenorphine/tu [Therapeutic Use] MH - Buprenorphine, Naloxone Drug Combination MH - Comorbidity MH - Drug Combinations MH - Humans MH - *Naloxone/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Opioid-Related Disorders/ep [Epidemiology] MH - *Primary Health Care/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - *Self Administration/sn [Statistics & Numerical Data] AB - 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. RN - 0 (Buprenorphine, Naloxone Drug Combination) RN - 0 (Drug Combinations) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.599256 PT - Journal Article ID - 10.1080/08897077.2011.599256 [doi] PP - ppublish LG - English DP - 2011 Oct EZ - 2011/10/22 06:00 DA - 2012/02/14 06:00 DT - 2011/10/22 06:00 YR - 2011 ED - 20120213 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22014257 <488. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22014252 TI - Evaluation of a substance use disorder curriculum for internal medicine residents. SO - Substance Abuse. 32(4):220-4, 2011 Oct. AS - Subst Abus. 32(4):220-4, 2011 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stein MR AU - Arnsten JH AU - Parish SJ AU - Kunins HV FA - Stein, Melissa R FA - Arnsten, Julia H FA - Parish, Sharon J FA - Kunins, Hillary V IN - Stein, Melissa R. Department of Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, New York, USA. mstein@montefiore.org NJ - Substance abuse VO - 32 IP - 4 PG - 220-4 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4028621 OI - Source: NLM. NIHMS355921 SB - Index Medicus CP - United States MH - Adult MH - *Clinical Competence MH - *Curriculum MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency/mt [Methods] MH - Male MH - *Substance-Related Disorders/px [Psychology] AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.598408 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1080/08897077.2011.598408 [doi] ID - PMC4028621 [pmc] ID - NIHMS355921 [mid] PP - ppublish GI - No: R25 DA014551-04 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA 02302 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA 14551 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA023021 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA023021-06 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 Oct EZ - 2011/10/22 06:00 DA - 2012/02/14 06:00 DT - 2011/10/22 06:00 YR - 2011 ED - 20120213 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22014252 <489. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22014247 TI - Efficacy of a physicians' pocket guide about prenatal substance use: a randomized trial. SO - Substance Abuse. 32(4):175-9, 2011 Oct. AS - Subst Abus. 32(4):175-9, 2011 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Midmer D AU - Kahan M AU - Kim T AU - Ordean A AU - Graves L FA - Midmer, Deana FA - Kahan, Meldon FA - Kim, Theresa FA - Ordean, Alice FA - Graves, Lisa IN - Midmer, Deana. Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada. NJ - Substance abuse VO - 32 IP - 4 PG - 175-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - Canada MH - *Family Practice/mt [Methods] MH - Female MH - Humans MH - Internship and Residency/mt [Methods] MH - Male MH - *Physicians/px [Psychology] MH - *Practice Guidelines as Topic MH - Pregnancy MH - Substance-Related Disorders/th [Therapy] AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.598399 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 10.1080/08897077.2011.598399 [doi] PP - ppublish LG - English DP - 2011 Oct EZ - 2011/10/22 06:00 DA - 2012/02/14 06:00 DT - 2011/10/22 06:00 YR - 2011 ED - 20120213 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22014247 <490. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21690169 TI - Intervention against excessive alcohol consumption in primary health care: a survey of GPs' attitudes and practices in England 10 years on. SO - Alcohol & Alcoholism. 46(5):570-7, 2011 Sep-Oct. AS - Alcohol Alcohol. 46(5):570-7, 2011 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson GB AU - Lock CA AU - Heather N AU - Cassidy P AU - Christie MM AU - Kaner EF FA - Wilson, Graeme B FA - Lock, Catherine A FA - Heather, Nick FA - Cassidy, Paul FA - Christie, Marilyn M FA - Kaner, Eileen F S IN - Wilson, Graeme B. Institute of Health and Society, Newcastle University, Baddiley Clark Building, Richardson Road, Newcastle Upon Tyne NE2 4AX, UK. g.b.wilson@ncl.ac.uk NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 46 IP - 5 PG - 570-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 IO - Alcohol Alcohol. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3156887 SB - Index Medicus CP - England MH - Adult MH - Aged MH - *Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - Education, Medical MH - England MH - Family Practice MH - Female MH - *General Practitioners MH - Humans MH - Job Satisfaction MH - Male MH - Middle Aged MH - Motivation MH - *Primary Health Care MH - Public Policy MH - Self Concept MH - Surveys and Questionnaires AB - AIMS: To ascertain the views of general practitioners (GPs) regarding the prevention and management of alcohol-related problems in practice, together with perceived barriers and incentives for this work; to compare our findings with a comparable survey conducted 10 years earlier. AB - METHODS: In total, 282 (73%) of 419 GPs surveyed in East Midlands, UK, completed a postal questionnaire, measuring practices and attitudes, including the Shortened Alcohol and Alcohol Problems Perception Questionnaire (SAAPPQ). AB - RESULTS: GPs reported lower levels of post-graduate education or training on alcohol-related issues (<4 h for the majority) than in 1999 but not significantly so (P = 0.031). In the last year, GPs had most commonly requested more than 12 blood tests and managed 1-6 patients for alcohol. Reports of these preventive practices were significantly increased from 1999 (P < 0.001). Most felt that problem or dependent drinkers' alcohol issues could be legitimately (88%, 87%) and adequately (78%, 69%) addressed by GPs. However, they had low levels of motivation (42%, 35%), task-related self-esteem (53%, 49%) and job satisfaction (15%, 12%) for this. Busyness (63%) and lack of training (57%) or contractual incentives (48%) were key barriers. Endorsement for government policies on alcohol was very low. AB - CONCLUSION: Among GPs, there still appears to be a gap between actual practice and potential for preventive work relating to alcohol problems; they report little specific training and a lack of support. Translational work on understanding the evidence-base supporting screening and brief intervention could incentivize intervention against excessive drinking and embedding it into everyday primary care practice. ES - 1464-3502 IL - 0735-0414 DO - https://dx.doi.org/10.1093/alcalc/agr067 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - agr067 [pii] ID - 10.1093/alcalc/agr067 [doi] ID - PMC3156887 [pmc] PP - ppublish GI - No: MR/K02325X/1 Organization: *Medical Research Council* Country: United Kingdom LG - English EP - 20110620 DP - 2011 Sep-Oct EZ - 2011/06/22 06:00 DA - 2012/02/10 06:00 DT - 2011/06/22 06:00 YR - 2011 ED - 20120209 RD - 20171110 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21690169 <491. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21169391 TI - Experimental medicine in drug addiction: towards behavioral, cognitive and neurobiological biomarkers. [Review] SO - Journal of Psychopharmacology. 25(9):1235-55, 2011 Sep. AS - J Psychopharmacol. 25(9):1235-55, 2011 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Duka T AU - Crombag HS AU - Stephens DN FA - Duka, Theodora FA - Crombag, Hans S FA - Stephens, David N IN - Duka, Theodora. Behavioral and Clinical Neuroscience Research Group, School of Psychology, University of Sussex, Brighton, UK. t.duka@sussex.ac.uk NJ - Journal of psychopharmacology (Oxford, England) VO - 25 IP - 9 PG - 1235-55 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cph, 8907828 IO - J. Psychopharmacol. (Oxford) SB - Index Medicus CP - United States MH - Animals MH - Behavior, Addictive/pp [Physiopathology] MH - *Behavior, Addictive/px [Psychology] MH - Biomarkers/me [Metabolism] MH - *Brain/me [Metabolism] MH - Cognition MH - Cues MH - Decision Making MH - Humans MH - Motivation MH - Reward MH - Substance-Related Disorders/pp [Physiopathology] MH - *Substance-Related Disorders/px [Psychology] AB - 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. RN - 0 (Biomarkers) ES - 1461-7285 IL - 0269-8811 DO - https://dx.doi.org/10.1177/0269881110388324 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 0269881110388324 [pii] ID - 10.1177/0269881110388324 [doi] PP - ppublish GI - No: G0400568 Organization: *Medical Research Council* Country: United Kingdom GI - No: G0802642 Organization: *Medical Research Council* Country: United Kingdom GI - Organization: *Medical Research Council* Country: United Kingdom LG - English EP - 20101217 DP - 2011 Sep EZ - 2010/12/21 06:00 DA - 2012/02/09 06:00 DT - 2010/12/21 06:00 YR - 2011 ED - 20120208 RD - 20170922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21169391 <492. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21846304 TI - Failure of college students to complete an online alcohol education course as a predictor of high-risk drinking that requires medical attention. SO - American Journal of Drug & Alcohol Abuse. 37(6):515-9, 2011 Nov. AS - Am J Drug Alcohol Abuse. 37(6):515-9, 2011 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Abrams GB AU - Kolligian J Jr AU - Mills DL AU - DeJong W FA - Abrams, Gina Baral FA - Kolligian, John Jr FA - Mills, Douglas Lane FA - DeJong, William IN - Abrams, Gina Baral. University Health Services, Princeton University, Princeton, NJ 08544, USA. gbaral@princeton.edu NJ - The American journal of drug and alcohol abuse VO - 37 IP - 6 PG - 515-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3gw, 7502510 IO - Am J Drug Alcohol Abuse SB - Index Medicus CP - England MH - Adolescent MH - *Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol-Related Disorders/ep [Epidemiology] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - *Computer-Assisted Instruction/mt [Methods] MH - Ethanol/ad [Administration & Dosage] MH - Ethanol/ae [Adverse Effects] MH - Ethanol/bl [Blood] MH - Female MH - Health Education/mt [Methods] MH - Humans MH - Internet MH - Male MH - Retrospective Studies MH - *Students/sn [Statistics & Numerical Data] MH - Survival Analysis MH - Universities MH - Young Adult AB - BACKGROUND: AlcoholEdu for College and other computer-based education programs have been developed to reduce alcohol use and related problems among students. AB - OBJECTIVES: This study investigated whether the failure of incoming first-year students to complete AlcoholEdu predicts future high-risk drinking that requires medical attention. AB - METHODS: A review of clinical records kept by a single university's health service identified 684 undergraduates (classes of 2007-2011) who had presented for an alcohol event (September 2003 through June 2008). We used survival analysis to determine whether students who partially completed the course or failed to take it were disproportionately represented among student patients who presented with elevated blood alcohol concentration (BAC). AB - RESULTS: Students who failed to take the online course were 4.64 times more likely than those who completed it to experience an alcohol event (p < .0001), while those students who had partially completed the course were 1.52 times more likely (p < .0001). Amount of online alcohol education and gender were not significantly related to students' measured BAC level. AB - CONCLUSION: Students who had completed AlcoholEdu were less likely to present for an alcohol event than were students who partially completed or failed to take the course. Campus administrators should consider whether students who fail to complete an online alcohol course should be flagged for more focused interventions (e.g., brief motivational interview, mandatory education classes). AB - SCIENTIFIC SIGNIFICANCE: This is the first study to show a relationship between first-year college students' non-completion of an online alcohol course and subsequent high-risk drinking that requires medical attention. RN - 3K9958V90M (Ethanol) ES - 1097-9891 IL - 0095-2990 DO - https://dx.doi.org/10.3109/00952990.2011.600383 PT - Journal Article ID - 10.3109/00952990.2011.600383 [doi] PP - ppublish LG - English EP - 20110817 DP - 2011 Nov EZ - 2011/08/19 06:00 DA - 2012/02/04 06:00 DT - 2011/08/18 06:00 YR - 2011 ED - 20120203 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21846304 <493. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21879007 TI - Substance use among third year medical students of Nepal. SO - Journal of Nepal Health Research Council. 8(1):15-8, 2010 Apr. AS - J. Nepal Health Res. Counc.. 8(1):15-8, 2010 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Budhathoki N AU - Shrestha MK AU - Acharya N AU - Manandhar A FA - Budhathoki, N FA - Shrestha, M K FA - Acharya, N FA - Manandhar, A IN - Budhathoki, N. Kathmandu Medical College, Sinamangal, Kathmandu, Nepal. nibashbudhathoki@gmail.com NJ - Journal of Nepal Health Research Council VO - 8 IP - 1 PG - 15-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101292936 IO - J Nepal Health Res Counc SB - Index Medicus CP - Nepal MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - Cross-Sectional Studies MH - Developing Countries MH - Female MH - Humans MH - Male MH - Nepal/ep [Epidemiology] MH - Prevalence MH - Professional Impairment/px [Psychology] MH - Professional Impairment/sn [Statistics & Numerical Data] MH - Schools, Medical/sn [Statistics & Numerical Data] MH - Street Drugs MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Young Adult AB - BACKGROUND: Substance use is very rampant in a developing country like Nepal. Unfortunately, medical field is not exempt from it either. Substance use among medical students and doctors not only reduces their efficiency at present but also increases their DALY on long term. The main objectives of the study were to assess the prevalence of substance use among medical student and to find out whether substance use started before or after joining the medical school. AB - METHODS: The study design employed for the research was descriptive cross sectional. A structured questionnaire about current use of tobacco, alcohol and marijuana was used to collect the data from third year students from eight medical and one dental college from across the country having 2006 batch. AB - RESULTS: The overall response rate was 74.12% (N=510). Among those who responded, prevalence of substance use was 49.6%, of which 38.2% were Nepalese nationals and 11.4% were foreign nationals and 39% were male and 10.6% female. Alcohol based product users were 52.3%, tobacco based product users were 55% and marijuana users were 65.7% and all started using them after joining the medical school. AB - CONCLUSIONS: Almost half of the respondents were involved in some sort of substance use and more than half of those using started after joining medical school. Hence if proper measures are taken to address this then its prevalence can be significantly reduced if not eliminated completely. RN - 0 (Street Drugs) ES - 1999-6217 IL - 1727-5482 PT - Journal Article PP - ppublish LG - English DP - 2010 Apr EZ - 2010/04/01 00:00 DA - 2012/02/03 06:00 DT - 2011/09/01 06:00 YR - 2010 ED - 20120202 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21879007 <494. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21272593 TI - Opiates and plasticity. [Review] SO - Neuropharmacology. 61(7):1088-96, 2011 Dec. AS - Neuropharmacology. 61(7):1088-96, 2011 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dacher M AU - Nugent FS FA - Dacher, Matthieu FA - Nugent, Fereshteh S IN - Dacher, Matthieu. Uniformed Services University of the Health Sciences, Department of Pharmacology, Bethesda, MD 20814, USA. NJ - Neuropharmacology VO - 61 IP - 7 PG - 1088-96 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - nzb, 0236217 IO - Neuropharmacology SB - Index Medicus CP - England MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Animals MH - Behavior, Addictive/et [Etiology] MH - Humans MH - Narcotics/ad [Administration & Dosage] MH - *Narcotics/ae [Adverse Effects] MH - *Neuronal Plasticity/de [Drug Effects] MH - Neurons/de [Drug Effects] MH - Opioid-Related Disorders/pp [Physiopathology] MH - Ventral Tegmental Area/de [Drug Effects] MH - Ventral Tegmental Area/pp [Physiopathology] AB - 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. Copyright Published by Elsevier Ltd. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotics) ES - 1873-7064 IL - 0028-3908 DO - https://dx.doi.org/10.1016/j.neuropharm.2011.01.028 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review ID - S0028-3908(11)00039-6 [pii] ID - 10.1016/j.neuropharm.2011.01.028 [doi] PP - ppublish PH - 2010/09/09 [received] PH - 2011/01/07 [revised] PH - 2011/01/17 [accepted] LG - English EP - 20110125 DP - 2011 Dec EZ - 2011/01/29 06:00 DA - 2012/01/28 06:00 DT - 2011/01/29 06:00 YR - 2011 ED - 20120127 RD - 20110919 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21272593 <495. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20955214 TI - Addiction research centres and the nurturing of creativity. The Centre for Alcohol and Drug Research: social science alcohol and drug research in Denmark. [Review] SO - Addiction. 106(12):2072-8, 2011 Dec. AS - Addiction. 106(12):2072-8, 2011 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pedersen MU AU - Elmeland K AU - Frank VA FA - Pedersen, Mads U FA - Elmeland, Karen FA - Frank, Vibeke A IN - Pedersen, Mads U. Centre for Alcohol and Drug Research, Nobelparken bygn. 1453, Jens Chr. Skousvej 3, Aarhus University, Arhus, Denmark. mup@crf.au.dk NJ - Addiction (Abingdon, England) VO - 106 IP - 12 PG - 2072-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Academies and Institutes/og [Organization & Administration] MH - Academies and Institutes/td [Trends] MH - Alcohol Drinking/lj [Legislation & Jurisprudence] MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Alcohol-Related Disorders/rh [Rehabilitation] MH - *Behavior, Addictive MH - Creativity MH - Denmark MH - Drug and Narcotic Control/og [Organization & Administration] MH - Education, Medical, Graduate MH - Female MH - Government Agencies/og [Organization & Administration] MH - Humans MH - Male MH - Organizational Objectives MH - Policy Making MH - *Research/og [Organization & Administration] MH - Research Support as Topic MH - *Social Sciences MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - AIMS: The purpose of this paper is to introduce the social science alcohol and drug research undertaken by the Centre for Alcohol and Drug Research (CRF) and at the same time offer an insight into the development in Danish alcohol and drug research throughout the past 15-20 years. AB - METHOD: A review of articles, books and reports published by researcher from CRF from the mid-1990s until today and an analysis of the policy-making in the Danish substance use and misuse area. AB - RESULTS: CRF is a result of the discussions surrounding social, health and allocation policy questions since the mid-1980s. Among other things, these discussions led to the formal establishment of the Centre in 1991 under the Aarhus University, the Faculty of Social Science. Since 2001 the Centre has received a permanent basic allocation, which has made it possible to appoint tenured senior researchers; to work under a more long-term research strategy; to function as a milieu for educating PhD students; and to diversify from commissioned research tasks to initiating projects involving more fundamental research. Research at the Centre is today pivoted around four core areas: consumption, policy, prevention and treatment. AB - CONCLUSION: The emergence, continuation, financing and character of the research taking place at CRF can be linked closely to the specific Danish drug and alcohol discourse and to the division of the responsibility for alcohol and drug research into separate Ministries. Copyright © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2010.03152.x PT - Journal Article PT - Review ID - 10.1111/j.1360-0443.2010.03152.x [doi] PP - ppublish LG - English EP - 20101018 DP - 2011 Dec EZ - 2010/10/20 06:00 DA - 2012/01/26 06:00 DT - 2010/10/20 06:00 YR - 2011 ED - 20120125 RD - 20121115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20955214 <496. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22131073 TI - [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"]. [German] OT - Der Leitfaden "Medikamente - schadlicher Gebrauch und Abhangigkeit" im arztlichen Arbeitsalltag. Eine Studie unter Kursteilnehmern zum Erwerb der Zusatzweiterbildung "Suchtmedizinische Grundversorgung". SO - Deutsche Medizinische Wochenschrift. 136(49):2537-41, 2011 Dec. AS - Dtsch Med Wochenschr. 136(49):2537-41, 2011 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ulbricht S AU - Gross B AU - Kunstmann W AU - Meyer C AU - John U FA - Ulbricht, S FA - Gross, B FA - Kunstmann, W FA - Meyer, C FA - John, U IN - Ulbricht, S. Universitatsmedizin Greifswald, Institut fur Epidemiologie und Sozialmedizin. ulbricht@uni-greifswald.de NJ - Deutsche medizinische Wochenschrift (1946) VO - 136 IP - 49 PG - 2537-41 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ecl, 0006723 IO - Dtsch. Med. Wochenschr. SB - Index Medicus CP - Germany MH - Adult MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Curriculum MH - Education, Medical, Continuing MH - Female MH - General Practice/ed [Education] MH - Germany MH - Humans MH - Interviews as Topic MH - Male MH - *Manuals as Topic MH - Medicine MH - Middle Aged MH - Practice Patterns, Physicians' MH - *Prescription Drugs MH - *Psychotropic Drugs MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. AB - 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. AB - 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. AB - 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. Copyright © Georg Thieme Verlag KG Stuttgart . New York. RN - 0 (Prescription Drugs) RN - 0 (Psychotropic Drugs) ES - 1439-4413 IL - 0012-0472 DO - https://dx.doi.org/10.1055/s-0031-1292834 PT - English Abstract PT - Journal Article ID - 10.1055/s-0031-1292834 [doi] PP - ppublish LG - German EP - 20111130 DP - 2011 Dec EZ - 2011/12/02 06:00 DA - 2012/01/24 06:00 DT - 2011/12/02 06:00 YR - 2011 ED - 20120123 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22131073 <497. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22104462 TI - Chronic pain: reducing costs through early implementation of adherence testing and recognition of opioid misuse. [Review] SO - Postgraduate Medicine. 123(6):132-9, 2011 Nov. AS - Postgrad Med. 123(6):132-9, 2011 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCarberg BH FA - McCarberg, Bill H IN - McCarberg, Bill H. Adjunct University of California San Diego, San Diego, CA, USA. bill.h.mccarberg@kp.org NJ - Postgraduate medicine VO - 123 IP - 6 PG - 132-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0401147, pfk IO - Postgrad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Analgesics, Opioid/ec [Economics] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Analgesics, Opioid/ur [Urine] MH - *Chronic Pain/dt [Drug Therapy] MH - Cost Savings MH - Cost-Benefit Analysis MH - *Health Care Costs MH - Humans MH - *Medication Adherence MH - *Opioid-Related Disorders/di [Diagnosis] MH - Opioid-Related Disorders/ec [Economics] MH - Opioid-Related Disorders/et [Etiology] MH - *Pain Management/ec [Economics] MH - Point-of-Care Systems/ec [Economics] MH - *Substance Abuse Detection/ec [Economics] MH - Substance Abuse Detection/mt [Methods] MH - Urinalysis/ec [Economics] MH - Urinalysis/mt [Methods] AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) ES - 1941-9260 IL - 0032-5481 DO - https://dx.doi.org/10.3810/pgm.2011.11.2503 PT - Journal Article PT - Review ID - 10.3810/pgm.2011.11.2503 [doi] PP - ppublish LG - English DP - 2011 Nov EZ - 2011/11/23 06:00 DA - 2012/01/24 06:00 DT - 2011/11/23 06:00 YR - 2011 ED - 20120123 RD - 20111122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22104462 <498. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21719502 TI - Attitudes, training and smoking profile of European Respiratory Society members. SO - European Respiratory Journal. 38(1):225-7, 2011 Jul. AS - Eur Respir J. 38(1):225-7, 2011 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kabir Z AU - Ward B AU - Clancy L AU - Tobacco Control Committee of European Respiratory Society FA - Kabir, Z FA - Ward, B FA - Clancy, L FA - Tobacco Control Committee of European Respiratory Society NJ - The European respiratory journal VO - 38 IP - 1 PG - 225-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8803460, ery IO - Eur. Respir. J. SB - Index Medicus CP - England MH - Attitude to Health MH - Cross-Sectional Studies MH - Europe MH - Female MH - Health Promotion MH - Health Surveys MH - Humans MH - Male MH - Physician's Role MH - Physicians MH - *Pulmonary Medicine/mt [Methods] MH - Sex Factors MH - *Smoking MH - Societies, Medical MH - Surveys and Questionnaires ES - 1399-3003 IL - 0903-1936 DO - https://dx.doi.org/10.1183/09031936.00185410 PT - Letter PT - Research Support, Non-U.S. Gov't ID - 38/1/225 [pii] ID - 10.1183/09031936.00185410 [doi] PP - ppublish LG - English DP - 2011 Jul EZ - 2011/07/02 06:00 DA - 2012/01/24 06:00 DT - 2011/07/02 06:00 YR - 2011 ED - 20120123 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21719502 <499. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21885577 TI - Substance use disorder among people with first-episode psychosis: a systematic review of course and treatment. [Review] SO - Psychiatric Services. 62(9):1007-12, 2011 Sep. AS - Psychiatr Serv. 62(9):1007-12, 2011 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wisdom JP AU - Manuel JI AU - Drake RE FA - Wisdom, Jennifer P FA - Manuel, Jennifer I FA - Drake, Robert E IN - Wisdom, Jennifer P. Division of Mental Health Services and Policy Research, New York State Psychiatric Institute, 1051 Riverside Drive, Box 100, New York, NY 10032, USA. jwisdom@nyspi.columbia.edu NJ - Psychiatric services (Washington, D.C.) VO - 62 IP - 9 PG - 1007-12 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t IO - Psychiatr Serv PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3575521 OI - Source: NLM. NIHMS432160 SB - Index Medicus CP - United States MH - Humans MH - *Psychotic Disorders MH - Substance-Related Disorders/pp [Physiopathology] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] AB - 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. AB - 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? AB - 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. AB - 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. ES - 1557-9700 IL - 1075-2730 DO - https://dx.doi.org/10.1176/appi.ps.62.9.1007 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review ID - 62/9/1007 [pii] ID - 10.1176/ps.62.9.pss6209_1007 [doi] ID - PMC3575521 [pmc] ID - NIHMS432160 [mid] PP - ppublish GI - No: K23 DA020487 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA020487 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 Sep EZ - 2011/09/03 06:00 DA - 2012/01/20 06:00 DT - 2011/09/03 06:00 YR - 2011 ED - 20120119 RD - 20170304 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21885577 <500. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21889651 TI - Emergency department policies and procedures for treatment of patients abusing methamphetamine. SO - Journal of Emergency Nursing. 37(5):437-43, 2011 Sep. AS - J Emerg Nurs. 37(5):437-43, 2011 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tompkins-Dobbs K AU - Schiefelbein J FA - Tompkins-Dobbs, Karen FA - Schiefelbein, Janis IN - Tompkins-Dobbs, Karen. School of Nursing, Pittsburg State University, Pittsburg KS, USA. ktompkinsdobbs@kumc.edu NJ - Journal of emergency nursing: JEN : official publication of the Emergency Department Nurses Association VO - 37 IP - 5 PG - 437-43 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7605913 IO - J Emerg Nurs SB - Nursing Journal CP - United States MH - Education, Medical, Continuing MH - *Emergency Service, Hospital/st [Standards] MH - Female MH - *Health Policy MH - Hospitals, Rural MH - Hospitals, Urban MH - Humans MH - *Methamphetamine/ae [Adverse Effects] MH - Nursing Research MH - Patient Care Team/og [Organization & Administration] MH - Policy Making MH - Practice Patterns, Nurses'/st [Standards] MH - Practice Patterns, Nurses'/td [Trends] MH - Risk Assessment MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/th [Therapy] MH - *Surveys and Questionnaires MH - Treatment Outcome MH - United States RN - 44RAL3456C (Methamphetamine) ES - 1527-2966 IL - 0099-1767 DO - https://dx.doi.org/10.1016/j.jen.2010.07.001 PT - Comparative Study PT - Journal Article ID - S0099-1767(10)00317-X [pii] ID - 10.1016/j.jen.2010.07.001 [doi] PP - ppublish PH - 2009/12/17 [received] PH - 2010/07/02 [accepted] LG - English EP - 20100909 DP - 2011 Sep EZ - 2011/09/06 06:00 DA - 2012/01/19 06:00 DT - 2011/09/06 06:00 YR - 2011 ED - 20120118 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21889651 <501. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21859483 TI - Substance use and its predictors among undergraduate medical students of Addis Ababa University in Ethiopia. SO - BMC Public Health. 11:660, 2011 Aug 22. AS - BMC Public Health. 11:660, 2011 Aug 22. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Deressa W AU - Azazh A FA - Deressa, Wakgari FA - Azazh, Aklilu IN - Deressa, Wakgari. Department of Epidemiology and Biostatistics, School of Public Health, College of Health Sciences, Addis Ababa University, Ethiopia. deressaw@yahoo.com NJ - BMC public health VO - 11 PG - 660 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 IO - BMC Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3170623 SB - Index Medicus CP - England MH - Adolescent MH - *Alcohol Drinking/ep [Epidemiology] MH - *Catha MH - Cross-Sectional Studies MH - Ethiopia/ep [Epidemiology] MH - Female MH - Friends MH - Humans MH - Male MH - Prevalence MH - Risk Factors MH - Sex Distribution MH - *Smoking/ep [Epidemiology] MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Universities MH - Young Adult AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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). AB - CONCLUSIONS: 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. ES - 1471-2458 IL - 1471-2458 DO - https://dx.doi.org/10.1186/1471-2458-11-660 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1471-2458-11-660 [pii] ID - 10.1186/1471-2458-11-660 [doi] ID - PMC3170623 [pmc] PP - epublish PH - 2011/03/31 [received] PH - 2011/08/22 [accepted] LG - English EP - 20110822 DP - 2011 Aug 22 EZ - 2011/08/24 06:00 DA - 2012/01/12 06:00 DT - 2011/08/24 06:00 YR - 2011 ED - 20120111 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21859483 <502. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21823962 TI - Psychotropic drug use among college students: patterns of use, misuse, and medical monitoring. SO - Journal of American College Health. 59(7):658-61, 2011. AS - J Am Coll Health. 59(7):658-61, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oberleitner LM AU - Tzilos GK AU - Zumberg KM AU - Grekin ER FA - Oberleitner, Lindsay M S FA - Tzilos, Golfo K FA - Zumberg, Kathryn M FA - Grekin, Emily R IN - Oberleitner, Lindsay M S. Department of Psychology, Wayne State University, Detroit, Michigan 48202, USA. lsander@wayne.edu NJ - Journal of American college health : J of ACH VO - 59 IP - 7 PG - 658-61 PI - Journal available in: Print PI - Citation processed from: Internet JC - h5e, 8214119, 7503059 IO - J Am Coll Health SB - Index Medicus CP - United States MH - Adult MH - Chi-Square Distribution MH - Depression/di [Diagnosis] MH - Diagnostic and Statistical Manual of Mental Disorders MH - Female MH - *Health Services Accessibility MH - Health Services Needs and Demand MH - Humans MH - Male MH - Mental Health MH - Mental Health Services MH - Psychometrics MH - *Psychotropic Drugs MH - *Street Drugs MH - *Students/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Suicidal Ideation MH - *Universities MH - Young Adult AB - 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. AB - PARTICIPANTS: Fifty-five college students, currently taking psychotropic medications, were recruited between Summer 2008 and Fall 2009. AB - 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. AB - 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. AB - CONCLUSIONS: Many students are misusing psychotropic medications and this misuse is not being communicated with prescribing physicians. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) ES - 1940-3208 IL - 0744-8481 DO - https://dx.doi.org/10.1080/07448481.2010.521960 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/07448481.2010.521960 [doi] PP - ppublish LG - English DP - 2011 EZ - 2011/08/10 06:00 DA - 2011/12/24 06:00 DT - 2011/08/10 06:00 YR - 2011 ED - 20111223 RD - 20120126 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21823962 <503. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22070058 TI - Assessing the current status of tobacco dependence education curricula in U.S. physician assistant programs. SO - The Journal of Physician Assistant Education. 22(3):4-14, 2011. AS - J Physician Assist Educ. 22(3):4-14, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelly CW AU - Davis JM AU - DiCocco M FA - Kelly, Cheri W FA - Davis, Joan M FA - DiCocco, Margaret IN - Kelly, Cheri W. Southern Illinois University, Physician Assistant Program, Lindegren Hall 10B 600 Agriculture Drive Carbondale, IL 62901-6516, USA. ckelly@siu.edu NJ - The journal of physician assistant education : the official journal of the Physician Assistant Education Association VO - 22 IP - 3 PG - 4-14 PI - Journal available in: Print PI - Citation processed from: Print JC - 101298201 IO - J Physician Assist Educ SB - Index Medicus CP - United States MH - Curriculum MH - Guidelines as Topic MH - *Health Education/mt [Methods] MH - Health Surveys MH - Humans MH - *Physician Assistants/ed [Education] MH - Self Efficacy MH - Smoking/ae [Adverse Effects] MH - *Smoking MH - *Smoking Cessation MH - Smoking Prevention MH - Tobacco/ae [Adverse Effects] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder MH - United States AB - 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. AB - METHODS: A national study was conducted to assess the existing tobacco dependence education currently offered in U.S. 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. AB - 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. AB - 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. IS - 1941-9430 IL - 1941-9430 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2011 EZ - 2011/11/11 06:00 DA - 2011/12/14 06:00 DT - 2011/11/11 06:00 YR - 2011 ED - 20111209 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=22070058 <504. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21932749 TI - Bringing all the players to the table: the West Virginia Controlled Substance Advisory Board. SO - West Virginia Medical Journal. 106(4 Spec No):22-4, 2010. AS - W V Med J. 106(4 Spec No):22-4, 2010. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hannah KL AU - O'Neil M FA - Hannah, Karen L FA - O'Neil, Michael IN - Hannah, Karen L. West Virginia Medical Institute, USA. NJ - The West Virginia medical journal VO - 106 IP - 4 Spec No PG - 22-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 0413777, xmr IO - W V Med J SB - Index Medicus CP - United States MH - *Advisory Committees/og [Organization & Administration] MH - Humans MH - *Prescription Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] MH - West Virginia AB - 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. RN - 0 (Prescription Drugs) IS - 0043-3284 IL - 0043-3284 PT - Journal Article PP - ppublish LG - English DP - 2010 EZ - 2010/01/01 00:00 DA - 2011/12/14 06:00 DT - 2011/09/22 06:00 YR - 2010 ED - 20111209 RD - 20110921 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21932749 <505. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21804042 TI - Psychiatry trainees' training and experience in fetal alcohol spectrum disorders. SO - Academic Psychiatry. 35(4):238-240, 2011 Jul-Aug. AS - Acad Psychiatry. 35(4):238-240, 2011 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eyal R AU - O'Connor MJ FA - Eyal, Roy FA - O'Connor, Mary J IN - Eyal, Roy. Dept. of Psychiatry, UCLA, Los Angeles, CA. reyal@ucla.edu. IN - O'Connor, Mary J. Dept. of Psychiatry, UCLA, Los Angeles, CA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 35 IP - 4 PG - 238-240 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Adolescent Psychiatry/ed [Education] MH - Adolescent Psychiatry/mt [Methods] MH - Adolescent Psychiatry/st [Standards] MH - Adult MH - *Child Psychiatry/ed [Education] MH - Child Psychiatry/mt [Methods] MH - Child Psychiatry/st [Standards] MH - Female MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - Humans MH - Internship and Residency/mt [Methods] MH - Pregnancy MH - Surveys and Questionnaires AB - BACKGROUND/OBJECTIVE: Alcohol is a teratogen. Fetal alcohol spectrum disorders (FASDs) affect about 1% of live births, causing severe impairment. Individuals affected by FASDs are overrepresented in psychiatric settings. This study reports on the education and experience of psychiatry trainees in approaching FASDs. AB - METHOD: Data were collected from psychiatry trainees throughout the country by use of a web-based questionnaire. AB - RESULTS: A representative sample (N=308) of psychiatry trainees responded; 19% rate their education on FASDs as "good" or "excellent," and 89% report that they would like more education on FASDs: 6%, 15%, and 30%, endorsed the statement "It is safe to drink some alcohol" during the 1st, 2nd, and 3rd trimesters, respectively. Only 31% correctly report that individuals with an FASD are at equal risk for adverse outcomes as individuals with full-blown fetal alcohol syndrome. AB - CONCLUSIONS: results reveal that training on FASDs is inadequate. Psychiatry trainees poorly understand the importance of abstinence throughout pregnancy. Trainees who report receiving supervision specifically addressing FASDs also report making the diagnosis much more frequently, suggesting that supervision in clinical settings is effective teaching. Results reveal that FASDs are underrecognized, resulting in missed opportunities for prevention and intervention. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.35.4.238 PT - Journal Article ID - 10.1176/appi.ap.35.4.238 [pii] ID - 10.1176/appi.ap.35.4.238 [doi] PP - ppublish LG - English DP - 2011 Jul-Aug EZ - 2011/08/02 06:00 DA - 2011/12/13 00:00 DT - 2011/08/02 06:00 YR - 2011 ED - 20111207 RD - 20171127 UP - 20171129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=21804042 <506. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20735364 TI - Addiction research centres and the nurturing of creativity The Norwegian Centre for Addiction Research (SERAF). SO - Addiction. 106(8):1381-5, 2011 Aug. AS - Addiction. 106(8):1381-5, 2011 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bramness JG AU - Clausen T AU - Duckert F AU - Ravndal E AU - Waal H FA - Bramness, Jorgen G FA - Clausen, Thomas FA - Duckert, Fanny FA - Ravndal, Edle FA - Waal, Helge IN - Bramness, Jorgen G. Norwegian Centre for Addiction Research, University of Oslo, Oslo, Norway. j.g.bramness@medisin.uio.no NJ - Addiction (Abingdon, England) VO - 106 IP - 8 PG - 1381-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Academies and Institutes/og [Organization & Administration] MH - Behavior, Addictive MH - Cooperative Behavior MH - Creativity MH - Education, Medical, Graduate/og [Organization & Administration] MH - Hospitals, University MH - Humans MH - Norway MH - Opiate Substitution Treatment MH - Organizational Objectives MH - Organizational Policy MH - Registries MH - Research Support as Topic MH - Substance Abuse Treatment Centers MH - *Substance-Related Disorders/rh [Rehabilitation] AB - The Norwegian Centre for Addiction Research (SERAF) at the University of Oslo is a newly established, clinical addiction research centre. It is located at the Oslo University Hospital and has a major focus on opioid dependency, investigating Norwegian opioid maintenance treatment (OMT), with special interest in OMT during pregnancy, mortality, morbidity and criminality before, during and after OMT and alternatives to OMT, such as the use of naltrexone implants. The well-developed health registries of Norway are core assets that also allow the opportunity for other types of substance abuse research. This research includes health services, abuse of prescription drugs and drugs of abuse in connection with traffic. The centre also focuses upon comorbidity, investigating the usefulness and limitations of psychometric instruments, drug abuse in different psychiatric treatment settings and internet-based interventions for hazardous alcohol consumption. Copyright © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2010.03086.x PT - Journal Article ID - ADD3086 [pii] ID - 10.1111/j.1360-0443.2010.03086.x [doi] PP - ppublish LG - English EP - 20100824 DP - 2011 Aug EZ - 2010/08/26 06:00 DA - 2011/12/13 00:00 DT - 2010/08/26 06:00 YR - 2011 ED - 20111130 RD - 20121115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20735364 <507. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22091309 TI - The effect of psychiatric symptoms on the internet addiction disorder in Isfahan's University students. SO - Journal of Research in Medical Sciences. 16(6):793-800, 2011 Jun. AS - J. res. med. sci.. 16(6):793-800, 2011 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Alavi SS AU - Maracy MR AU - Jannatifard F AU - Eslami M FA - Alavi, Seyyed Salman FA - Maracy, Mohammad Reza FA - Jannatifard, Fereshte FA - Eslami, Mehdi IN - Alavi, Seyyed Salman. Management and Medical Informatics Faculty, Isfahan University of Medical Sciences, Isfahan, Iran. NJ - Journal of research in medical sciences : the official journal of Isfahan University of Medical Sciences VO - 16 IP - 6 PG - 793-800 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101235599 IO - J Res Med Sci PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3214398 CP - India KW - Internet Addiction; Internet Users; Psychiatric Symptoms AB - 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. AB - 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. AB - 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. AB - 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. ES - 1735-7136 IL - 1735-1995 PT - Journal Article ID - PMC3214398 [pmc] PP - ppublish PH - 2011/02/02 [received] PH - 2011/05/31 [accepted] LG - English DP - 2011 Jun EZ - 2011/11/18 06:00 DA - 2011/11/18 06:01 DT - 2011/11/18 06:00 YR - 2011 ED - 20111123 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=22091309 <508. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21745051 TI - President's message. SO - Journal of Addictive Diseases. 30(3):282, 2011 Jul-Sep. AS - J Addict Dis. 30(3):282, 2011 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waitz ML FA - Waitz, Margot L IN - Waitz, Margot L. American Osteopathic Academy of Addiction Medicine. NJ - Journal of addictive diseases VO - 30 IP - 3 PG - 282 PI - Journal available in: Print PI - Citation processed from: Internet JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - *Consumer Health Information MH - *Education, Medical, Continuing MH - Humans MH - *Prescription Drugs/ae [Adverse Effects] MH - *Substance-Related Disorders/dt [Drug Therapy] RN - 0 (Prescription Drugs) ES - 1545-0848 IL - 1055-0887 DO - https://dx.doi.org/10.1080/10550887.2011.584020 PT - Addresses ID - 10.1080/10550887.2011.584020 [doi] PP - ppublish LG - English DP - 2011 Jul-Sep EZ - 2011/07/13 06:00 DA - 2011/12/13 00:00 DT - 2011/07/13 06:00 YR - 2011 ED - 20111121 RD - 20110712 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21745051 <509. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21152830 TI - Prevalence of alcohol, tobacco and psychotropic drug use among medical students at the Universidade Federal de Minas Gerais. SO - Revista Da Associacao Medica Brasileira. 56(5):568-71, 2010 Sep-Oct. AS - Rev Assoc Med Bras. 56(5):568-71, 2010 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Petroianu A AU - Reis DC AU - Cunha BD AU - Souza DM FA - Petroianu, Andy FA - Reis, Daniel Cruz Ferreira dos FA - Cunha, Breno Dayrell Silva FA - Souza, Davi Machado de IN - Petroianu, Andy. Departamento de Cirurgia da Faculdade de Medicina da Universidade Federal de Minas Gerais - UFMG, Belo Horizonte, MG, Brazil. NJ - Revista da Associacao Medica Brasileira (1992) VO - 56 IP - 5 PG - 568-71 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9308586, br5 IO - Rev Assoc Med Bras (1992) SB - Index Medicus CP - Brazil MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Brazil/ep [Epidemiology] MH - Chi-Square Distribution MH - Female MH - Humans MH - Male MH - Marijuana Smoking/ep [Epidemiology] MH - Prevalence MH - *Psychotropic Drugs/ad [Administration & Dosage] MH - Risk Factors MH - Schools, Medical MH - Sex Distribution MH - *Smoking/ep [Epidemiology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Young Adult AB - OBJECTIVE: The purpose of this study was to assess the prevalence of alcohol, tobacco and psychotropic drug consumption by students of the Medical School of the Federal University of Minas Gerais, Brazil, and to verify aspects related to those addictions. AB - METHODS: This study was carried out with students of all years of the medical course invited to participate anonymously, by answering a self-applied questionnaire which was previously evaluated and adapted to Brazilian reality. It was based upon the World Health Organization's Guidelines for Student Substance Use Survey and included 25 questions about drug addiction. Student's t test and chi-square test were applied to assess differences between the mean and proportions of data. AB - RESULTS: Alcohol and tobacco were the more frequently used by the students, 85.2% and 16.3% respectively. Among psychotropic drugs, marijuana was reported by 16.5% of students, LSD by 6.9%, sedatives by 12%, amphetamines by 7.5% and inhalant substances by 16.8%. Cocaine, crack, opiates, anticholinergics and anabolics consumption were rarely mentioned. AB - CONCLUSION: Alcohol was the drug most used and was related to other drug addictions. Drugs were most frequently used by single, male students, who live alone and do not support themselves. RN - 0 (Psychotropic Drugs) ES - 1806-9282 IL - 0104-4230 DI - S0104-42302010000500019 PT - Journal Article ID - S0104-42302010000500019 [pii] PP - ppublish PH - 2010/05/12 [received] PH - 2010/07/11 [accepted] LG - English LG - Portuguese DP - 2010 Sep-Oct EZ - 2010/12/15 06:00 DA - 2011/11/15 06:00 DT - 2010/12/15 06:00 YR - 2010 ED - 20111114 RD - 20160815 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21152830 <510. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21683175 TI - Impulse control disorder comorbidity among patients with bipolar I disorder. SO - Comprehensive Psychiatry. 52(4):378-85, 2011 Jul-Aug. AS - Compr Psychiatry. 52(4):378-85, 2011 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Karakus G AU - Tamam L FA - Karakus, Gonca FA - Tamam, Lut IN - Karakus, Gonca. Cukurova University, Faculty of Medicine, Department of Psychiatry, Adana, Turkey. goncakaratas78@hotmail.com NJ - Comprehensive psychiatry VO - 52 IP - 4 PG - 378-85 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - do9, 0372612 IO - Compr Psychiatry SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Bipolar Disorder/di [Diagnosis] MH - *Bipolar Disorder/ep [Epidemiology] MH - Comorbidity MH - Disruptive, Impulse Control, and Conduct Disorders/di [Diagnosis] MH - *Disruptive, Impulse Control, and Conduct Disorders/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Prevalence MH - Psychiatric Status Rating Scales MH - Severity of Illness Index MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2011 Elsevier Inc. All rights reserved. ES - 1532-8384 IL - 0010-440X DO - https://dx.doi.org/10.1016/j.comppsych.2010.08.004 PT - Journal Article ID - S0010-440X(10)00142-2 [pii] ID - 10.1016/j.comppsych.2010.08.004 [doi] PP - ppublish PH - 2010/06/16 [received] PH - 2010/08/26 [revised] PH - 2010/08/30 [accepted] LG - English EP - 20101030 DP - 2011 Jul-Aug EZ - 2011/06/21 06:00 DA - 2011/10/29 06:00 DT - 2011/06/21 06:00 YR - 2011 ED - 20111028 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21683175 <511. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21660871 TI - Alcohol medical scholars program--a mentorship program for improving medical education regarding substance use disorders. SO - Substance Abuse. 32(3):121-7, 2011 Jul. AS - Subst Abus. 32(3):121-7, 2011 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Neufeld KJ AU - Schuckit MA AU - Hernandez-Avila CA FA - Neufeld, Karin J FA - Schuckit, Marc A FA - Hernandez-Avila, Carlos A IN - Neufeld, Karin J. Department of Psychiatry and Behavioral Sciences, Johns Hopkins University, School of Medicine, Baltimore, Maryland, USA. kneufel2@jhmi.edu NJ - Substance abuse VO - 32 IP - 3 PG - 121-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - Curriculum MH - Data Collection/sn [Statistics & Numerical Data] MH - *Education, Medical, Continuing/mt [Methods] MH - *Education, Medical, Continuing/sn [Statistics & Numerical Data] MH - *Fellowships and Scholarships MH - Humans MH - *Mentors/sn [Statistics & Numerical Data] MH - *Program Development MH - *Program Evaluation/sn [Statistics & Numerical Data] MH - Self Report MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.562451 PT - Journal Article ID - 934416497 [pii] ID - 10.1080/08897077.2011.562451 [doi] PP - ppublish LG - English DP - 2011 Jul EZ - 2011/06/11 06:00 DA - 2011/10/18 06:00 DT - 2011/06/11 06:00 YR - 2011 ED - 20111017 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21660871 <512. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21803964 TI - A further plea for caution against medical professionals overstating video game violence effects. SO - Mayo Clinic Proceedings. 86(8):820-1; author reply 821-3, 2011 Aug. AS - Mayo Clin Proc. 86(8):820-1; author reply 821-3, 2011 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferguson CJ FA - Ferguson, Christopher J NJ - Mayo Clinic proceedings VO - 86 IP - 8 PG - 820-1; author reply 821-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0405543, lly IO - Mayo Clin. Proc. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146383 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Aggression MH - *Attitude of Health Personnel MH - *Behavior, Addictive/pc [Prevention & Control] MH - Child MH - *Health Promotion/lj [Legislation & Jurisprudence] MH - Humans MH - United States MH - Video Games/ae [Adverse Effects] MH - *Video Games/lj [Legislation & Jurisprudence] MH - Violence/lj [Legislation & Jurisprudence] MH - *Violence/pc [Prevention & Control] ES - 1942-5546 IL - 0025-6196 DO - https://dx.doi.org/10.4065/mcp.2011.0359 PT - Letter ID - S0025-6196(11)65185-9 [pii] ID - 10.4065/mcp.2011.0359 [doi] ID - PMC3146383 [pmc] PP - ppublish LG - English DP - 2011 Aug EZ - 2011/08/02 06:00 DA - 2011/10/01 06:00 DT - 2011/08/02 06:00 YR - 2011 ED - 20110930 RD - 20150204 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21803964 <513. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21809789 TI - A cross-sectional survey on the inclusion of tobacco prevention/cessation, nutrition/ diet, and exercise physiology/fitness education in medical school curricula. SO - Journal of the National Medical Association. 103(5):400-6, 2011 May. AS - J Natl Med Assoc. 103(5):400-6, 2011 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Torabi MR AU - Tao R AU - Jay SJ AU - Olcott C FA - Torabi, Mohammad R FA - Tao, Ran FA - Jay, Stephen J FA - Olcott, Courtney IN - Torabi, Mohammad R. Department of Applied Health Science, Indiana University, Bloomington, IN 47405, USA. torabi@indiana.edu NJ - Journal of the National Medical Association VO - 103 IP - 5 PG - 400-6 PI - Journal available in: Print PI - Citation processed from: Print JC - j9z, 7503090 IO - J Natl Med Assoc SB - Index Medicus CP - United States MH - Adult MH - Cross-Sectional Studies MH - *Curriculum MH - *Education, Medical, Undergraduate/og [Organization & Administration] MH - *Exercise MH - Female MH - Health Promotion MH - Humans MH - Male MH - Middle Aged MH - *Nutritional Sciences/ed [Education] MH - Physical Fitness MH - *Primary Prevention MH - Schools, Medical MH - *Smoking Cessation MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States AB - 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 half ing 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. IS - 0027-9684 IL - 0027-9684 PT - Journal Article ID - S0027-9684(15)30336-9 [pii] PP - ppublish LG - English DP - 2011 May EZ - 2011/08/04 06:00 DA - 2011/09/29 06:00 DT - 2011/08/04 06:00 YR - 2011 ED - 20110927 RD - 20151225 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21809789 <514. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21668760 TI - Provider detailing: an intervention to decrease prescription opioid deaths in Utah. SO - Pain Medicine. 12 Suppl 2:S73-6, 2011 Jun. AS - PAIN MED. 12 Suppl 2:S73-6, 2011 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cochella S AU - Bateman K FA - Cochella, Susan FA - Bateman, Kim IN - Cochella, Susan. Department of Family and Preventive Medicine, University of Utah, Salt Lake City, Utah 84108, USA. susan.cochella@hsc.utah.edu NJ - Pain medicine (Malden, Mass.) VO - 12 Suppl 2 PG - S73-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - *Analgesics, Opioid/po [Poisoning] MH - *Drug Overdose/mo [Mortality] MH - *Drug Overdose/pc [Prevention & Control] MH - Drug Prescriptions MH - *Education, Medical, Continuing MH - Humans MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Prescription Drugs/po [Poisoning] MH - Utah AB - BACKGROUND: Utah undertook a multipronged effort to reverse an epidemic of deaths among patients taking prescription opioids. This article describes the provider detailing portion of the effort. AB - METHODS: Presentations highlighting six recommended prescribing practices were developed and presented to health care workers. Participants were encouraged to utilize the state prescription database and to complete a series of surveys assessing confidence and behavior changes at 0, 1, and 6 months post-presentation. Continuing medical education credits incentivized participation. AB - RESULTS: Utah's medication-related overdose deaths dropped 14.0% in 2008 compared with 2007 following program implementation. A total of 581 physicians and numerous nonphysician health care workers were reached during 46 presentations. Follow-up surveys regarding the degree of adoption of practice changes were completed by 366 participants at 0 months, 82 participants at 1 month, and 29 participants at 6 months. Combined results for all three evaluations showed that 60-80% of responding providers reported no longer prescribing long-acting opioids for acute pain or with sedatives; 50% noted using Utah's controlled substances database during patient care and utilizing lower starting doses and slower escalations; and 30-50% reported obtaining EKGs and sleep studies on appropriate patients, using patient education tools, and implementing Utah's prescribing guidelines. AB - CONCLUSIONS: Provider detailing was associated with a decrease in Utah's prescription opioid death rate and improvements in provider self-reported prescribing behaviors. Other simultaneous interventions may have contributed to the decline in death rates. This intervention's effect was limited by short-term funding. Copyright Wiley Periodicals, Inc. RN - 0 (Analgesics, Opioid) RN - 0 (Prescription Drugs) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/j.1526-4637.2011.01125.x PT - Journal Article ID - 10.1111/j.1526-4637.2011.01125.x [doi] PP - ppublish LG - English DP - 2011 Jun EZ - 2011/06/28 06:00 DA - 2011/09/29 06:00 DT - 2011/06/15 06:00 YR - 2011 ED - 20110926 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21668760 <515. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21668757 TI - System dynamics modeling as a potentially useful tool in analyzing mitigation strategies to reduce overdose deaths associated with pharmaceutical opioid treatment of chronic pain. SO - Pain Medicine. 12 Suppl 2:S49-58, 2011 Jun. AS - PAIN MED. 12 Suppl 2:S49-58, 2011 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wakeland W AU - Schmidt T AU - Gilson AM AU - Haddox JD AU - Webster LR FA - Wakeland, Wayne FA - Schmidt, Teresa FA - Gilson, Aaron M FA - Haddox, J David FA - Webster, Lynn R IN - Wakeland, Wayne. Portland State University, Systems Science Graduate Program, Portland, Oregon 97207, USA. wakeland@pdx.edu NJ - Pain medicine (Malden, Mass.) VO - 12 Suppl 2 PG - S49-58 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - *Analgesics, Opioid/po [Poisoning] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - *Drug Overdose/mo [Mortality] MH - Education, Medical, Continuing MH - Humans MH - *Models, Theoretical MH - *Pain/dt [Drug Therapy] MH - Substance-Related Disorders AB - OBJECTIVE: To illustrate a system-level, simulation-based approach for evaluating mitigation strategies to address the dramatic rise in abuse, addiction, and overdose deaths associated with the use of pharmaceutical opioid analgesics to treat chronic pain. SIMULATED INTERVENTIONS: Making available drug formulations with increased tamper-resistance, prescriber education programs, and programs that reduce rates of medical user-related abuse and addiction. SIMULATED OUTCOME MEASURE: Number of overdose deaths of medical users of pharmaceutical opioid analgesics, including those who abuse or have become addicted. AB - METHODS: A demonstration system dynamics model is developed, tested, and used to evaluate the impact of candidate mitigation strategies on the outcome measures. AB - RESULTS: Tamper-resistant drug products will likely reduce overdose death rates but may not reduce overall deaths if there is increased prescribing. Prescriber education would likely reduce deaths through a reduction in patient access to pharmaceutical opioid analgesics. AB - CONCLUSIONS: The system dynamics approach may have potential for opioid-related policy evaluation. However, metrics must be carefully selected, and trade-offs may be involved. For example, it may be difficult to limit negative outcomes associated with pharmaceutical opioids without adversely affecting chronic pain patients' access to pharmaceutical treatment. Ultimately, a combination of metrics and value judgments will be needed to properly evaluate mitigation strategies. Copyright Wiley Periodicals, Inc. RN - 0 (Analgesics, Opioid) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/j.1526-4637.2011.01127.x PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1111/j.1526-4637.2011.01127.x [doi] PP - ppublish GI - No: R21 DA031361 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 Jun EZ - 2011/06/28 06:00 DA - 2011/09/29 06:00 DT - 2011/06/15 06:00 YR - 2011 ED - 20110926 RD - 20171021 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21668757 <516. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21565606 TI - Survey of psychosomatic medicine fellowships: training in substance use disorders. SO - Psychosomatics. 52(3):296-7, 2011 May-Jun. AS - Psychosomatics. 52(3):296-7, 2011 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suzuki J AU - Gitlin DF AU - Chang G FA - Suzuki, Joji FA - Gitlin, David F FA - Chang, Grace NJ - Psychosomatics VO - 52 IP - 3 PG - 296-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - qh4, 0376506 IO - Psychosomatics SB - Index Medicus CP - England MH - Data Collection MH - *Fellowships and Scholarships/sn [Statistics & Numerical Data] MH - Humans MH - *Psychosomatic Medicine/ed [Education] MH - *Substance-Related Disorders MH - United States ES - 1545-7206 IL - 0033-3182 DO - https://dx.doi.org/10.1016/j.psym.2011.01.005 PT - Letter ID - S0033-3182(11)00051-X [pii] ID - 10.1016/j.psym.2011.01.005 [doi] PP - ppublish LG - English DP - 2011 May-Jun EZ - 2011/05/14 06:00 DA - 2011/09/21 06:00 DT - 2011/05/14 06:00 YR - 2011 ED - 20110920 RD - 20110513 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21565606 <517. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21900132 TI - US medical students' health insurance coverage for mental health and substance abuse treatment. SO - JAMA. 306(9):931-3, 2011 Sep 07. AS - JAMA. 306(9):931-3, 2011 Sep 07. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nardin R AU - Zallman L AU - Frank C AU - Day B AU - Boyd JW FA - Nardin, Rachel FA - Zallman, Leah FA - Frank, Cassie FA - Day, Benjamin FA - Boyd, J Wesley IN - Nardin, Rachel. Department of Medicine, Cambridge Health Alliance, Cambridge, Massachusetts, USA. rnardin@challiance.org NJ - JAMA VO - 306 IP - 9 PG - 931-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Cost Sharing MH - Deductibles and Coinsurance MH - Humans MH - *Insurance Coverage/sn [Statistics & Numerical Data] MH - *Insurance, Health/sn [Statistics & Numerical Data] MH - *Mental Disorders/ec [Economics] MH - Mental Disorders/th [Therapy] MH - Mental Health MH - Mental Health Services/ec [Economics] MH - Patient Acceptance of Health Care MH - Schools, Medical/ec [Economics] MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - Stress, Psychological MH - *Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ec [Economics] MH - Substance-Related Disorders/th [Therapy] MH - United States ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2011.1262 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 306/9/931-a [pii] ID - 10.1001/jama.2011.1262 [doi] PP - ppublish GI - No: T32HP12706 Organization: *PHS HHS* Country: United States LG - English DP - 2011 Sep 07 EZ - 2011/09/09 06:00 DA - 2011/09/10 06:00 DT - 2011/09/09 06:00 YR - 2011 ED - 20110909 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21900132 <518. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21534133 TI - Training in addiction medicine in Australia. SO - Substance Abuse. 32(2):115-9, 2011 Apr. AS - Subst Abus. 32(2):115-9, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haber PS AU - Murnion BP FA - Haber, Paul S FA - Murnion, Bridin P IN - Haber, Paul S. Drug Health Services, Royal Prince Alfred Hospital and Discipline of Addiction Medicine, University of Sydney, Camperdown, New South Wales, Australia. paul.haber@sydney.edu.au NJ - Substance abuse VO - 32 IP - 2 PG - 115-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Accreditation/st [Standards] MH - Australia MH - *Clinical Medicine/ed [Education] MH - Curriculum MH - Education, Medical, Graduate/mt [Methods] MH - *Education, Medical, Graduate/st [Standards] MH - Education, Medical, Graduate/sn [Statistics & Numerical Data] MH - Educational Measurement/mt [Methods] MH - Humans MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.555718 PT - Journal Article ID - 933123228 [pii] ID - 10.1080/08897077.2011.555718 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/05/03 06:00 DA - 2011/09/07 06:00 DT - 2011/05/03 06:00 YR - 2011 ED - 20110906 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21534133 <519. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21534132 TI - The master in addiction medicine program in the Netherlands. SO - Substance Abuse. 32(2):108-14, 2011 Apr. AS - Subst Abus. 32(2):108-14, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - De Jong C AU - Luycks L AU - Delicat JW FA - De Jong, Cornelis FA - Luycks, Lonneke FA - Delicat, Jan-Wilm IN - De Jong, Cornelis. Nijmegen Institute for Scientist Practitioners in Addiction (NISPA), Nijmegen, The Netherlands. nispa.dejong@gmail.com NJ - Substance abuse VO - 32 IP - 2 PG - 108-14 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Medicine/ed [Education] MH - *Competency-Based Education/st [Standards] MH - Education, Medical, Graduate/mt [Methods] MH - *Education, Medical, Graduate/st [Standards] MH - *Evidence-Based Medicine/ed [Education] MH - Humans MH - Netherlands MH - *Program Development/mt [Methods] MH - Substance Abuse Treatment Centers/ec [Economics] MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.555713 PT - Journal Article ID - 933166543 [pii] ID - 10.1080/08897077.2011.555713 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/05/03 06:00 DA - 2011/09/07 06:00 DT - 2011/05/03 06:00 YR - 2011 ED - 20110906 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21534132 <520. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21534131 TI - Developing a competence-based addiction medicine curriculum in Indonesia: the training needs assessment. SO - Substance Abuse. 32(2):101-7, 2011 Apr. AS - Subst Abus. 32(2):101-7, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pinxten WJ AU - De Jong C AU - Hidayat T AU - Istiqomah AN AU - Achmad YM AU - Raya RP AU - Norviatin D AU - Siregar IM FA - Pinxten, W J L FA - De Jong, C FA - Hidayat, T FA - Istiqomah, A N FA - Achmad, Y M FA - Raya, R P FA - Norviatin, D FA - Siregar, I M P IN - Pinxten, W J L. IMPACT, Bandung, Indonesia. lpinxten@yahoo.com NJ - Substance abuse VO - 32 IP - 2 PG - 101-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - *Clinical Medicine MH - *Competency-Based Education/st [Standards] MH - *Education, Medical, Graduate/st [Standards] MH - *Evidence-Based Medicine/ed [Education] MH - Female MH - Humans MH - Indonesia MH - Male MH - Middle Aged MH - *Needs Assessment/sn [Statistics & Numerical Data] MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.555710 PT - Journal Article ID - 933149398 [pii] ID - 10.1080/08897077.2011.555710 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/05/03 06:00 DA - 2011/09/07 06:00 DT - 2011/05/03 06:00 YR - 2011 ED - 20110906 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21534131 <521. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21534130 TI - Addiction medicine in Canada: challenges and prospects. SO - Substance Abuse. 32(2):93-100, 2011 Apr. AS - Subst Abus. 32(2):93-100, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - el-Guebaly N AU - Crockford D AU - Cirone S AU - Kahan M FA - el-Guebaly, Nady FA - Crockford, David FA - Cirone, Sharon FA - Kahan, Meldon IN - el-Guebaly, Nady. Addiction Division, University of Calgary, Calgary, Alberta, Canada. nady.el-guebaly@albertahealthservices.ca NJ - Substance abuse VO - 32 IP - 2 PG - 93-100 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Canada MH - *Certification/mt [Methods] MH - *Certification/st [Standards] MH - *Clinical Competence/st [Standards] MH - *Clinical Medicine MH - *Evidence-Based Medicine/st [Standards] MH - Humans MH - Physicians, Family/ed [Education] MH - Psychiatry/ed [Education] MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.555705 PT - Journal Article ID - 932786754 [pii] ID - 10.1080/08897077.2011.555705 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/05/03 06:00 DA - 2011/09/07 06:00 DT - 2011/05/03 06:00 YR - 2011 ED - 20110906 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21534130 <522. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21534129 TI - Specialized training on addictions for physicians in the United States. SO - Substance Abuse. 32(2):84-92, 2011 Apr. AS - Subst Abus. 32(2):84-92, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tontchev GV AU - Housel TR AU - Callahan JF AU - Kunz KB AU - Miller MM AU - Blondell RD FA - Tontchev, Gramen V FA - Housel, Timothy R FA - Callahan, James F FA - Kunz, Kevin B FA - Miller, Michael M FA - Blondell, Richard D IN - Tontchev, Gramen V. Department of Family Medicine, University at Buffalo, Buffalo, New York 14215, USA. NJ - Substance abuse VO - 32 IP - 2 PG - 84-92 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113606 OI - Source: NLM. NIHMS292343 SB - Index Medicus CP - United States MH - *Clinical Medicine/ed [Education] MH - Education, Medical, Graduate/mt [Methods] MH - *Education, Medical, Graduate/og [Organization & Administration] MH - *Education, Medical, Graduate/sn [Statistics & Numerical Data] MH - *Fellowships and Scholarships/sn [Statistics & Numerical Data] MH - Humans MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance-Related Disorders MH - United States AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.555702 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 933007446 [pii] ID - 10.1080/08897077.2011.555702 [doi] ID - PMC3113606 [pmc] ID - NIHMS292343 [mid] PP - ppublish GI - No: K23 AA015616 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: K23 AA015616-05 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: K23AA015616 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2011 Apr EZ - 2011/05/03 06:00 DA - 2011/09/07 06:00 DT - 2011/05/03 06:00 YR - 2011 ED - 20110906 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21534129 <523. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21534128 TI - The international certification of addiction medicine: validating clinical knowledge across borders. SO - Substance Abuse. 32(2):77-83, 2011 Apr. AS - Subst Abus. 32(2):77-83, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - el-Guebaly N AU - Violato C FA - el-Guebaly, Nady FA - Violato, Claudio IN - el-Guebaly, Nady. University of Calgary, Calgary, Alberta, Canada. nady.el-guebaly@albertahealthservices.ca NJ - Substance abuse VO - 32 IP - 2 PG - 77-83 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Certification/mt [Methods] MH - Certification/st [Standards] MH - Certification/sn [Statistics & Numerical Data] MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - *Clinical Medicine/st [Standards] MH - Humans MH - *Internationality MH - Reproducibility of Results MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance-Related Disorders AB - 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. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.555697 PT - Journal Article PT - Validation Studies ID - 932902997 [pii] ID - 10.1080/08897077.2011.555697 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/05/03 06:00 DA - 2011/09/07 06:00 DT - 2011/05/03 06:00 YR - 2011 ED - 20110906 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21534128 <524. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21534127 TI - International perspectives in postgraduate medical training in addiction medicine. SO - Substance Abuse. 32(2):75-6, 2011 Apr. AS - Subst Abus. 32(2):75-6, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haber PS FA - Haber, Paul S NJ - Substance abuse VO - 32 IP - 2 PG - 75-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Medicine/ed [Education] MH - *Education, Medical, Graduate/mt [Methods] MH - Humans MH - *Internationality MH - *Substance Abuse Treatment Centers/ma [Manpower] MH - *Substance-Related Disorders ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2011.555695 PT - Editorial PT - Introductory Journal Article ID - 932786736 [pii] ID - 10.1080/08897077.2011.555695 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/05/03 06:00 DA - 2011/09/07 06:00 DT - 2011/05/03 06:00 YR - 2011 ED - 20110906 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21534127 <525. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21359106 TI - Gender differences in provider's use of a standardized screening tool for prenatal substance use. SO - Journal of Addiction Medicine. 5(1):36-42, 2011 Mar. AS - J Addict Med. 5(1):36-42, 2011 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oser C AU - Biebel E AU - Harris M AU - Klein E AU - Leukefeld C FA - Oser, Carrie FA - Biebel, Elizabeth FA - Harris, Melissa FA - Klein, Elisa FA - Leukefeld, Carl IN - Oser, Carrie. Department of Sociology, University of Kentucky, Lexington, KY 40506, USA. cboser0@uky.edu NJ - Journal of addiction medicine VO - 5 IP - 1 PG - 36-42 PI - Journal available in: Print PI - Citation processed from: Print JC - 101306759 IO - J Addict Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3045208 OI - Source: NLM. NIHMS181240 SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Data Collection MH - Female MH - Guideline Adherence/st [Standards] MH - Gynecology MH - Health Services Research MH - Humans MH - Kentucky MH - Male MH - *Mass Screening/st [Standards] MH - Middle Aged MH - Obstetrics MH - Pregnancy MH - *Pregnancy Complications/di [Diagnosis] MH - *Prenatal Care/sn [Statistics & Numerical Data] MH - Sex Factors MH - *Substance-Related Disorders/di [Diagnosis] KW - Physician Gender Differences; Prenatal Substance Use; Standardized Screening Tools AB - OBJECTIVES: Prenatal substance use contributes birth defects, prematurity, and infant mortality in the U.S. 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 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. AB - METHODS: Data were collected from 131 Ob/Gyn physician's in Kentucky using a web-based survey. Chi-square 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. AB - RESULTS: Female Ob/Gyn physician's 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. AB - CONCLUSIONS: In summary, less than half of Ob/Gyn physicians were using a standardized screening tool and the majority of physicians were using the CAGE. This suggests additional training is needed to increase their use of substance use screening tools, especially those geared towards pregnant women. IS - 1932-0620 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0b013e3181ccec2e PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1097/ADM.0b013e3181ccec2e [doi] ID - PMC3045208 [pmc] ID - NIHMS181240 [mid] PP - ppublish GI - No: K01 DA021309 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K01 DA021309-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K01 DA021309-04 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K01-DA21309 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 Mar EZ - 2011/03/02 06:00 DA - 2011/09/07 06:00 DT - 2011/03/02 06:00 YR - 2011 ED - 20110906 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21359106 <526. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21511852 TI - A personal journey into cultural psychiatry. SO - Transcultural Psychiatry. 48(1-2):127-45, 2011 Apr. AS - TRANSCULT PSYCHIATRY. 48(1-2):127-45, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J FA - Westermeyer, Joseph IN - Westermeyer, Joseph. Department of Veterans Affairs Medical Center, University of Minnesota, 1 Veterans Drive, Minneapolis, MN 55417, USA. weste010@umn.edu NJ - Transcultural psychiatry VO - 48 IP - 1-2 PG - 127-45 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9708119 IO - Transcult Psychiatry SB - Index Medicus CP - England MH - Acculturation MH - Alcoholism/eh [Ethnology] MH - Alcoholism/px [Psychology] MH - Anthropology/ed [Education] MH - Anthropology/td [Trends] MH - Asia, Southeastern MH - *Career Choice MH - Career Mobility MH - Cultural Competency MH - Curriculum/td [Trends] MH - Ethnopsychology/ed [Education] MH - *Ethnopsychology/td [Trends] MH - Forecasting MH - Humans MH - Indians, North American/px [Psychology] MH - Internship and Residency MH - Leadership MH - Mentors/ed [Education] MH - Mentors/px [Psychology] MH - Referral and Consultation/td [Trends] MH - Research/td [Trends] MH - Social Values MH - Substance-Related Disorders/eh [Ethnology] MH - Substance-Related Disorders/px [Psychology] MH - United States MH - World Health Organization AB - The two primary audiences for this article are psychiatrists interested in a cultural psychiatry career and academic as well as healthcare leaders who are in a position to support cultural psychiatry training. In addition to describing my own personal journey through cultural psychiatry, this report includes strategic recommendations for becoming a cultural psychiatrist as well as rationales for supporting a cadre of cultural psychiatrists in the coming decades. A World Health Organization (WHO) sponsored program for training clinicians in addictions is described. Finally, the account summarizes those clinical, research, educational, consultative, and leadership roles that cultural training influenced during my career. ES - 1461-7471 IL - 1363-4615 DO - https://dx.doi.org/10.1177/1363461510383184 PT - Journal Article ID - 48/1-2/127 [pii] ID - 10.1177/1363461510383184 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/04/23 06:00 DA - 2011/08/25 06:00 DT - 2011/04/23 06:00 YR - 2011 ED - 20110824 RD - 20110422 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21511852 <527. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21459985 TI - Course of smoking and quit attempts among clients with co-occurring severe mental illness and substance use disorders. SO - Psychiatric Services. 62(4):353-9, 2011 Apr. AS - Psychiatr Serv. 62(4):353-9, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferron JC AU - Brunette MF AU - He X AU - Xie H AU - McHugo GJ AU - Drake RE FA - Ferron, Joelle C FA - Brunette, Mary F FA - He, Xiaofei FA - Xie, Haiyi FA - McHugo, Gregory J FA - Drake, Robert E IN - Ferron, Joelle C. Department of Community and Family Medicine, Dartmouth College, Lebanon, NH 03766, USA. joelle.ferron@dartmouth.edu NJ - Psychiatric services (Washington, D.C.) VO - 62 IP - 4 PG - 353-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t IO - Psychiatr Serv SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Comorbidity MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - *Mental Disorders MH - Middle Aged MH - New Hampshire/ep [Epidemiology] MH - *Severity of Illness Index MH - Smoking/ep [Epidemiology] MH - *Smoking Cessation/px [Psychology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1557-9700 IL - 1075-2730 DO - https://dx.doi.org/10.1176/ps.62.4.pss6204_0353 PT - Journal Article ID - 62/4/353 [pii] ID - 10.1176/ps.62.4.pss6204_0353 [doi] PP - ppublish LG - English DP - 2011 Apr EZ - 2011/04/05 06:00 DA - 2011/08/24 06:00 DT - 2011/04/05 06:00 YR - 2011 ED - 20110823 RD - 20170123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21459985 <528. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21826806 TI - USA homes in on prescription drug abuse.[Erratum appears in Lancet. 2011 Oct 1;378(9798):1218] SO - Lancet. 378(9790):473-4, 2011 Aug 06. AS - Lancet. 378(9790):473-4, 2011 Aug 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Devi S FA - Devi, Sharmila NJ - Lancet (London, England) VO - 378 IP - 9790 PG - 473-4 PI - Journal available in: Print PI - Citation processed from: Internet JC - 2985213r, l0s, 0053266 IO - Lancet SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid MH - Biomedical Research MH - Complementary Therapies MH - Drug Design MH - Drug Overdose/mo [Mortality] MH - Drug Overdose/pc [Prevention & Control] MH - Drug Prescriptions/sn [Statistics & Numerical Data] MH - *Drug Prescriptions MH - Education, Medical, Continuing MH - Electronic Health Records MH - Government Agencies MH - *Health Policy/td [Trends] MH - Humans MH - *Legislation, Drug/td [Trends] MH - Narcotics/ae [Adverse Effects] MH - Policy Making MH - Prescription Drugs/ae [Adverse Effects] MH - Prescription Drugs/po [Poisoning] MH - Prescription Drugs/sd [Supply & Distribution] MH - *Prescription Drugs MH - Substance-Related Disorders/im [Immunology] MH - Substance-Related Disorders/mo [Mortality] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders MH - United States/ep [Epidemiology] MH - Vaccines RN - 0 (Analgesics, Opioid) RN - 0 (Narcotics) RN - 0 (Prescription Drugs) RN - 0 (Vaccines) ES - 1474-547X IL - 0140-6736 PT - News ID - S0140-6736(11)61236-1 [pii] PP - ppublish LG - English DP - 2011 Aug 06 EZ - 2011/08/10 06:00 DA - 2011/08/16 06:00 DT - 2011/08/10 06:00 YR - 2011 ED - 20110815 RD - 20170920 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21826806 <529. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20163745 TI - The evaluation of a Taiwanese training program in smoking cessation and the trainees' adherence to a practice guideline. SO - BMC Public Health. 10:77, 2010 Feb 18. AS - BMC Public Health. 10:77, 2010 Feb 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Guo FR AU - Hung LY AU - Chang CJ AU - Leung KK AU - Chen CY FA - Guo, Fei-Ran FA - Hung, Ling-Yu FA - Chang, Chih-Jen FA - Leung, Kai-Kuen FA - Chen, Ching-Yu IN - Guo, Fei-Ran. Division of Geriatric Research, Institute of Population Health Sciences, Department of Family Medicine, National Taiwan University Hospital and College of Medicine, Taipei, Taiwan. NJ - BMC public health VO - 10 PG - 77 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 IO - BMC Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2831032 SB - Index Medicus CP - England MH - *Education, Medical, Continuing MH - *Guideline Adherence MH - Humans MH - Physician Incentive Plans MH - Practice Guidelines as Topic MH - Program Evaluation MH - *Smoking Cessation MH - Taiwan AB - BACKGROUND: The Taiwanese government began reimbursement for smoking cessation in 2002. Certification from a training program was required for physicians who wanted reimbursement. The program certified 6,009 physicians till 2007. The objective of this study is to evaluate the short- and long term efficacy of the training program. AB - METHODS: For short term evaluation, all trainees in 2007 were recruited. For long term evaluation, computer randomly selected 2,000 trainees who received training from 2002 to 2006 were recruited. Course satisfaction, knowledge, confidence in providing smoking cessation services and the adherence to a practice guideline were evaluated by questionnaires. AB - RESULTS: Trainees reported high satisfaction with the training program. There was significant difference between pre- and post-test scores in knowledge. Confidence in providing services was lower in the long term evaluation compared to short term evaluation. For adherence to a practice guideline, 86% asked the status of smoking, 88% advised the smokers to quit, 76% assessed the smoker's willingness to quit, 59% assisted the smokers to quit, and 60% arranged follow-up visits for smokers. The incentive of reimbursement was the most significant factor affecting confidence and adherence. AB - CONCLUSIONS: The training program was satisfactory and effective. Adherence to a practice guideline in our study was better than studies without physician training in other countries. ES - 1471-2458 IL - 1471-2458 DO - https://dx.doi.org/10.1186/1471-2458-10-77 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1471-2458-10-77 [pii] ID - 10.1186/1471-2458-10-77 [doi] ID - PMC2831032 [pmc] PP - epublish PH - 2008/12/31 [received] PH - 2010/02/18 [accepted] LG - English EP - 20100218 DP - 2010 Feb 18 EZ - 2010/02/19 06:00 DA - 2011/08/10 06:00 DT - 2010/02/19 06:00 YR - 2010 ED - 20110809 RD - 20141204 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20163745 <530. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20154251 TI - Tobacco-related medical education and physician interventions with parents who smoke: Survey of Canadian family physicians and pediatricians. SO - Canadian Family Physician. 56(2):157-63, 2010 Feb. AS - Can Fam Physician. 56(2):157-63, 2010 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Victor JC AU - Brewster JM AU - Ferrence R AU - Ashley MJ AU - Cohen JE AU - Selby P FA - Victor, J Charles FA - Brewster, Joan M FA - Ferrence, Roberta FA - Ashley, Mary Jane FA - Cohen, Joanna E FA - Selby, Peter IN - Victor, J Charles. Institute for Clinical Evaluative Sciences, Toronto, ON M4N 3M5. charles.victor@ices.on.ca NJ - Canadian family physician Medecin de famille canadien VO - 56 IP - 2 PG - 157-63 PI - Journal available in: Print PI - Citation processed from: Internet JC - blo, 0120300 IO - Can Fam Physician PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2821243 SB - Index Medicus CP - Canada MH - Adult MH - Canada MH - Child MH - *Clinical Competence MH - Counseling MH - Data Collection MH - *Education, Medical, Continuing MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Parents MH - Pediatrics/ed [Education] MH - *Pediatrics MH - Physicians, Family/ed [Education] MH - *Physicians, Family MH - *Professional-Family Relations MH - Risk Factors MH - Smoking/ae [Adverse Effects] MH - *Smoking MH - Smoking Cessation MH - Smoking Prevention MH - Surveys and Questionnaires AB - 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. AB - DESIGN: Mailed survey. AB - SETTING: Canada. AB - PARTICIPANTS: The survey was mailed to 800 family physicians and 800 pediatricians across Canada, with a corrected response rate of 65% (N = 900). AB - 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 chi(2) tests were used to examine relationships between variables, controlling for tobacco-control involvement and physician specialty. Data analysis was conducted in 2008. AB - 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 tobacco-related skills and to practise more smoking-related interventions than physicians with other forms of training. AB - 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. ES - 1715-5258 IL - 0008-350X PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 56/2/157 [pii] ID - PMC2821243 [pmc] PP - ppublish LG - English DP - 2010 Feb EZ - 2010/02/16 06:00 DA - 2011/08/10 06:00 DT - 2010/02/16 06:00 YR - 2010 ED - 20110809 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20154251 <531. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21791684 TI - Reducing opioid abuse and diversion.[Erratum appears in JAMA. 2011 Oct 5;306(13):1446] SO - JAMA. 306(4):381; author reply 382-3, 2011 Jul 27. AS - JAMA. 306(4):381; author reply 382-3, 2011 Jul 27. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fitzgibbons S FA - Fitzgibbons, Stella CM - Comment on: JAMA. 2011 Apr 6;305(13):1346-7; PMID: 21467287 NJ - JAMA VO - 306 IP - 4 PG - 381; author reply 382-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Education, Medical MH - Humans MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Opioid-Related Disorders/px [Psychology] MH - *Physician-Patient Relations MH - Primary Health Care ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2011.1040 PT - Comment PT - Letter ID - 306/4/381 [pii] ID - 10.1001/jama.2011.1040 [doi] PP - ppublish LG - English DP - 2011 Jul 27 EZ - 2011/07/28 06:00 DA - 2011/07/30 06:00 DT - 2011/07/28 06:00 YR - 2011 ED - 20110729 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21791684 <532. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21696020 TI - Addiction psychiatry. SO - Clinical Privilege White Paper. (426):1-17, 2011 Apr AS - Clin Privil White Pap. (426):1-17, 2011 Apr VI - 1 RO - HSR ST - MEDLINE AU - Anonymous NJ - Clinical privilege white paper IP - 426 PG - 1-17 PI - Journal available in: Print PI - Citation processed from: Print JC - 100892390, 100892390 IO - Clin Privil White Pap SB - Health Technology Assessment Journals CP - United States MH - *Credentialing/st [Standards] MH - *Education, Medical, Graduate/st [Standards] MH - Humans MH - Joint Commission on Accreditation of Healthcare Organizations MH - Medical Staff Privileges MH - *Psychiatry/ed [Education] MH - Psychiatry/st [Standards] MH - Societies, Medical MH - Specialty Boards MH - *Substance-Related Disorders MH - United States PT - Journal Article PP - ppublish LG - English DP - 2011 Apr EZ - 2011/06/24 06:00 DA - 2011/07/28 06:00 DT - 2011/06/24 06:00 YR - 2011 ED - 20110727 RD - 20110622 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21696020 <533. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21510796 TI - Distinct beliefs, attitudes, and experiences of Latino smokers: relevance for cessation interventions. SO - American Journal of Health Promotion. 25(5 Suppl):eS1-15, 2011 May-Jun. AS - Am J Health Promot. 25(5 Suppl):eS1-15, 2011 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zinser MC AU - Pampel FC AU - Flores E FA - Zinser, Michael C FA - Pampel, Fred C FA - Flores, Estevan IN - Zinser, Michael C. Department of Psychology, University of Colorado Denver, Campus Box 173, PO Box 173364, Denver, CO 80217-3364, USA. michael.zinser@ucdenver.edu NJ - American journal of health promotion : AJHP VO - 25 IP - 5 Suppl PG - eS1-15 PI - Journal available in: Print PI - Citation processed from: Internet JC - amj, 8701680 IO - Am J Health Promot PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3166215 OI - Source: NLM. NIHMS317394 SB - Health Technology Assessment Journals CP - United States MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - Cultural Characteristics MH - European Continental Ancestry Group/px [Psychology] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Hispanic Americans/px [Psychology] MH - Hispanic Americans/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - *Smoking/eh [Ethnology] MH - Smoking/px [Psychology] MH - *Smoking Cessation/eh [Ethnology] MH - Smoking Cessation/mt [Methods] MH - Smoking Prevention MH - Socioeconomic Factors MH - Young Adult AB - PURPOSE: 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. AB - DESIGN: Cross-sectional telephone survey of two groups of Colorado adult smokers: Latinos (n = 1010) and non-Latino whites (n = 519). AB - SETTING: Colorado. AB - METHODS: 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. AB - PARTICIPANTS: Latino and non-Latino white adult Colorado residents who reported being regular smokers. AB - RESULTS: 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. AB - CONCLUSIONS: 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. ES - 2168-6602 IL - 0890-1171 DO - https://dx.doi.org/10.4278/ajhp.100616-QUAN-200 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.4278/ajhp.100616-QUAN-200 [doi] ID - PMC3166215 [pmc] ID - NIHMS317394 [mid] PP - ppublish GI - No: R24 HD066613-02 Organization: (HD) *NICHD NIH HHS* Country: United States GI - No: R24 HD066613 Organization: (HD) *NICHD NIH HHS* Country: United States GI - No: P2C HD066613 Organization: (HD) *NICHD NIH HHS* Country: United States GI - No: R21 HD051146 Organization: (HD) *NICHD NIH HHS* Country: United States GI - No: R21 HD051146-05 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English DP - 2011 May-Jun EZ - 2011/04/29 06:00 DA - 2011/07/26 06:00 DT - 2011/04/23 06:00 YR - 2011 ED - 20110725 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21510796 <534. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21425359 TI - Teaching tobacco cessation skills to Uruguayan physicians using information and communication technologies. SO - Journal of Continuing Education in the Health Professions. 31(1):43-8, 2011. AS - J Contin Educ Health Prof. 31(1):43-8, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Llambi L AU - Esteves E AU - Martinez E AU - Forster T AU - Garcia S AU - Miranda N AU - Arredondo AL AU - Margolis A FA - Llambi, Laura FA - Esteves, Elba FA - Martinez, Elisa FA - Forster, Thais FA - Garcia, Sofia FA - Miranda, Natalia FA - Arredondo, Antonio Lopez FA - Margolis, Alvaro IN - Llambi, Laura. Unidad de Tabaquismo, Universidad de la Republica, Montevideo, 11300, Uruguay. llambil@hc.edu.uy NJ - The Journal of continuing education in the health professions VO - 31 IP - 1 PG - 43-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - Clinical Competence MH - *Communication MH - *Computer-Assisted Instruction MH - Curriculum MH - *Education, Medical, Continuing/mt [Methods] MH - Health Personnel/ed [Education] MH - Humans MH - *Internet MH - Teaching/mt [Methods] MH - *Tobacco Use Cessation MH - Uruguay AB - 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. AB - 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. AB - 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). AB - DISCUSSION: The need to train physicians on tobacco cessation skills can be addressed via ICTs and educational activities that include participant interaction. Copyright © 2011 The Alliance for Continuing Medical Education, the Society for Academic Continuing Medical Education, and the Council on CME, Association for Hospital Medical Education. ES - 1554-558X IL - 0894-1912 DO - https://dx.doi.org/10.1002/chp.20100 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1002/chp.20100 [doi] PP - ppublish LG - English DP - 2011 EZ - 2011/03/23 06:00 DA - 2011/07/22 06:00 DT - 2011/03/23 06:00 YR - 2011 ED - 20110721 RD - 20120501 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21425359 <535. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21501479 TI - "CAN Stop"--implementation and evaluation of a secondary group prevention for adolescent and young adult cannabis users in various contexts--study protocol. SO - BMC Health Services Research. 11:80, 2011 Apr 18. AS - BMC Health Serv Res. 11:80, 2011 Apr 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baldus C AU - Miranda A AU - Weymann N AU - Reis O AU - More K AU - Thomasius R FA - Baldus, Christiane FA - Miranda, Alejandra FA - Weymann, Nina FA - Reis, Olaf FA - More, Kerstin FA - Thomasius, Rainer IN - Baldus, Christiane. German Centre for Addiction Research in Childhood and Adolescence (DZSKJ), University Medical Centre Hamburg-Eppendorf, Martinistrasse 52, 20246 Hamburg, Germany. cbaldus@uke.uni-hamburg.de NJ - BMC health services research VO - 11 PG - 80 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088677 IO - BMC Health Serv Res PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3090321 SB - Index Medicus CP - England MH - Adolescent MH - Ambulatory Care/og [Organization & Administration] MH - Female MH - Follow-Up Studies MH - Germany MH - Humans MH - Male MH - *Marijuana Abuse/pc [Prevention & Control] MH - Patient Care MH - Prisons/og [Organization & Administration] MH - Program Evaluation MH - *Secondary Prevention/og [Organization & Administration] MH - Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Teaching/mt [Methods] MH - Young Adult AB - BACKGROUND: 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. AB - METHODS/DESIGN: 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. AB - DISCUSSION: 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. AB - TRIAL REGISTRATION: ISRCTN: ISRCTN57036983. ES - 1472-6963 IL - 1472-6963 DO - https://dx.doi.org/10.1186/1472-6963-11-80 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 1472-6963-11-80 [pii] ID - 10.1186/1472-6963-11-80 [doi] ID - PMC3090321 [pmc] PP - epublish PH - 2010/12/08 [received] PH - 2011/04/18 [accepted] SI - ISRCTN SA - ISRCTN/ISRCTN57036983 SL - https://www.controlled-trials.com/ISRCTN57036983 LG - English EP - 20110418 DP - 2011 Apr 18 EZ - 2011/04/20 06:00 DA - 2011/07/16 06:00 DT - 2011/04/20 06:00 YR - 2011 ED - 20110715 RD - 20150204 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21501479 <536. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20504353 TI - Effects of acute substance use and pre-injury substance abuse on traumatic brain injury severity in adults admitted to a trauma centre. SO - Journal of Trauma Management & Outcomes [Electronic Resource]. 4:6, 2010 May 26. AS - J Trauma Manag Outcomes. 4:6, 2010 May 26. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Andelic N AU - Jerstad T AU - Sigurdardottir S AU - Schanke AK AU - Sandvik L AU - Roe C FA - Andelic, Nada FA - Jerstad, Tone FA - Sigurdardottir, Solrun FA - Schanke, Anne-Kristine FA - Sandvik, Leiv FA - Roe, Cecilie IN - Andelic, Nada. Department of Physical Medicine and Rehabilitation, Oslo University Hospital, Ulleval, Norway. nada.andelic@ulleval.no. NJ - Journal of trauma management & outcomes VO - 4 PG - 6 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101294910 IO - J Trauma Manag Outcomes PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2890596 CP - England AB - BACKGROUND: The aims of this study were to describe the occurrence of substance use at the time of injury and pre-injury substance abuse in patients with moderate-to-severe traumatic brain injury (TBI). Effects of acute substance use and pre-injury substance abuse on TBI severity were also investigated. AB - METHODS: A prospective study of 111 patients, aged 16-55 years, injured from May 2005 to May 2007 and hospitalised at the Trauma Referral Centre in Eastern Norway with acute TBI (Glasgow Coma Scale 3-12). Based on structural brain damages shown on a computed tomography (CT) scan, TBI severity was defined by modified Marshall classification as less severe (score <3) and more severe (score >/=3). Clinical definition of substance use (alcohol and/or other psychoactive substances) was applied when hospital admission records reflected blood alcohol levels or a positive drug screen, or when a physician verified influence by examining the patient. Pre-injury substance abuse (alcohol and drug problems) was screened by using the CAGE questionnaire. AB - RESULTS: Forty-seven percent of patients were positive for substance use on admission to hospital. Significant pre-injury substance abuse was reported by 26% of patients. Substance use at the time of injury was more frequent in the less severe group (p = 0.01). The frequency of pre-injury substance abuse was higher in the more severe group (30% vs. 23%). In a logistic regression model, acute substance use at time of injury tended to decrease the probability of more severe intracranial injury, but the effect was not statistically significant after adjusting for age, gender, education, cause of injury and substance abuse, OR = 0.39; 95% CI 0.11-1.35, p = 0.14. Patients with positive screens for pre-injury substance abuse (CAGE >/=2) were more likely to have more severe TBI in the adjusted regression analyses, OR = 4.05; 95% CI 1.10-15.64, p = 0.04. AB - CONCLUSIONS: Acute substance use was more frequent in patients with less severe TBI caused by low-energy events such as falls, violence and sport accidents. Pre-injury substance abuse increased the probability of more severe TBI caused by high-energy trauma such as motor vehicle accidents and falls from higher levels. Preventive efforts to reduce substance consumption and abuse in at-risk populations are needed. ES - 1752-2897 IL - 1752-2897 DO - https://dx.doi.org/10.1186/1752-2897-4-6 PT - Journal Article ID - 1752-2897-4-6 [pii] ID - 10.1186/1752-2897-4-6 [doi] ID - PMC2890596 [pmc] PP - epublish PH - 2009/09/28 [received] PH - 2010/05/26 [accepted] LG - English EP - 20100526 DP - 2010 May 26 EZ - 2010/05/28 06:00 DA - 2010/05/28 06:01 DT - 2010/05/28 06:00 YR - 2010 ED - 20110714 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20504353 <537. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19228374 TI - Well-being of medical students and their awareness on substance misuse: a cross-sectional survey in Pakistan. SO - Annals of General Psychiatry. 8:8, 2009 Feb 19. AS - Ann Gen Psychiatry. 8:8, 2009 Feb 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Yousafzai AW AU - Ahmer S AU - Syed E AU - Bhutto N AU - Iqbal S AU - Siddiqi MN AU - Zaman M FA - Yousafzai, Abdul Wahab FA - Ahmer, Syed FA - Syed, Ehsanullah FA - Bhutto, Naila FA - Iqbal, Saman FA - Siddiqi, Mohammed Naim FA - Zaman, Mohammed IN - Yousafzai, Abdul Wahab. Department of Psychiatry, Aga Khan University, Karachi 74800, Pakistan. wahab.yousafzai@aku.edu NJ - Annals of general psychiatry VO - 8 PG - 8 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101236515 IO - Ann Gen Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2660326 CP - England AB - OBJECTIVE: To investigate psychological well-being and substance abuse among medical students in Pakistan. AB - 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. AB - 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. AB - 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. ES - 1744-859X IL - 1744-859X DO - https://dx.doi.org/10.1186/1744-859X-8-8 PT - Journal Article ID - 1744-859X-8-8 [pii] ID - 10.1186/1744-859X-8-8 [doi] ID - PMC2660326 [pmc] PP - epublish PH - 2008/09/30 [received] PH - 2009/02/19 [accepted] LG - English EP - 20090219 DP - 2009 Feb 19 EZ - 2009/02/21 09:00 DA - 2009/02/21 09:01 DT - 2009/02/21 09:00 YR - 2009 ED - 20110714 RD - 20161114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=19228374 <538. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20877518 TI - Understanding and managing compulsive sexual behaviors. SO - Psychiatry. 3(11):51-8, 2006 Nov. AS - Psychiatry (Edgmont). 3(11):51-8, 2006 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Fong TW FA - Fong, Timothy W IN - Fong, Timothy W. Dr. Fong is Assistant Clinical Professor of Psychiatry Director, UCLA Impulse Control Disorders Clinic, Semel Institute for Neuroscience and Human Behavior at UCLA, David Geffen School of Medicine, Los Angeles, California. NJ - Psychiatry (Edgmont (Pa. : Township)) VO - 3 IP - 11 PG - 51-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 101484252 IO - Psychiatry (Edgmont) PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2945841 CP - United States KW - Compulsive sexual behaviors; sexual addiction AB - Compulsive sexual behavior, otherwise known as sexual addiction, is an emerging psychiatric disorder that has significant medical and psychiatric consequences. Until recently, very little empirical data existed to explain the biological, psychological, and social risk factors that contribute to this condition. In addition, clinical issues, such as the natural course and best practices on treating sexual addictions, have not been formalized. Despite this absence, the number of patients and communities requesting assistance with this problem remains significant. This article will review the clinical features of compulsive sexual behavior and will summarize the current evidence for psychological and pharmacological treatment. IS - 1550-5952 IL - 1550-5952 PT - Journal Article ID - PMC2945841 [pmc] PP - ppublish LG - English DP - 2006 Nov EZ - 2006/11/01 00:00 DA - 2006/11/01 00:01 DT - 2010/09/30 06:00 YR - 2006 ED - 20110714 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=20877518 <539. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20528856 TI - A bayesian two-part latent class model for longitudinal medical expenditure data: assessing the impact of mental health and substance abuse parity. SO - Biometrics. 67(1):280-9, 2011 Mar. AS - Biometrics. 67(1):280-9, 2011 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Neelon B AU - O'Malley AJ AU - Normand SL FA - Neelon, Brian FA - O'Malley, A James FA - Normand, Sharon-Lise T IN - Neelon, Brian. Nicholas School of the Environment, Duke University, Durham, North Carolina 27708, USA. brian.neelon@duke.edu NJ - Biometrics VO - 67 IP - 1 PG - 280-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - a5o, 0370625 IO - Biometrics PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4445417 OI - Source: NLM. NIHMS197107 SB - Index Medicus CP - United States MH - Computer Simulation MH - Humans MH - Longitudinal Studies MH - *Mental Health Services/ec [Economics] MH - *Mental Health Services/ut [Utilization] MH - *Models, Economic MH - *Resource Allocation/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - 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. Copyright © 2010, The International Biometric Society. ES - 1541-0420 IL - 0006-341X DO - https://dx.doi.org/10.1111/j.1541-0420.2010.01439.x PT - Journal Article PT - Research Support, N.I.H., Extramural ID - BIOM1439 [pii] ID - 10.1111/j.1541-0420.2010.01439.x [doi] ID - PMC4445417 [pmc] ID - NIHMS197107 [mid] PP - ppublish GI - No: R01-MH80797 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH080797-02 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH061434-04 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH061434 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH080797 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01-MH61434 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2011 Mar EZ - 2010/06/10 06:00 DA - 2011/07/12 06:00 DT - 2010/06/10 06:00 YR - 2011 ED - 20110711 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20528856 <540. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20735191 TI - With God's help i can do it: crack users? Formal and informal recovery experiences in El Salvador. SO - Substance Use & Misuse. 46(4):426-39, 2011. AS - Subst Use Misuse. 46(4):426-39, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dickson-Gomez J AU - Bodnar G AU - Guevara CE AU - Rodriguez K AU - De Mendoza LR AU - Corbett AM FA - Dickson-Gomez, Julia FA - Bodnar, Gloria FA - Guevara, Carmen Eugenia FA - Rodriguez, Karla FA - De Mendoza, Lorena Rivas FA - Corbett, A Michelle IN - Dickson-Gomez, Julia. Medical College of Wisconsin, Psychiatry and Behavioral Medicine, Milwaukee, Wisconsin 53202, USA. jdicson@mcw.edu NJ - Substance use & misuse VO - 46 IP - 4 PG - 426-39 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cgg, 9602153 IO - Subst Use Misuse PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3704222 OI - Source: NLM. NIHMS488596 SB - Index Medicus CP - England MH - *Cocaine-Related Disorders/th [Therapy] MH - *Crack Cocaine MH - Developing Countries MH - El Salvador MH - *Faith Healing MH - Health Services Accessibility MH - Health Surveys MH - Humans MH - Interviews as Topic MH - Religion and Medicine AB - 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. RN - 0 (Crack Cocaine) ES - 1532-2491 IL - 1082-6084 DO - https://dx.doi.org/10.3109/10826084.2010.495762 PT - Journal Article ID - 10.3109/10826084.2010.495762 [doi] ID - PMC3704222 [pmc] ID - NIHMS488596 [mid] PP - ppublish GI - No: R01 DA020350 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20100824 DP - 2011 EZ - 2010/08/26 06:00 DA - 2011/07/09 06:00 DT - 2010/08/26 06:00 YR - 2011 ED - 20110708 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20735191 <541. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21383220 TI - Observational study of buprenorphine treatment of opioid-dependent pregnant women in a family medicine residency: reports on maternal and infant outcomes. SO - Journal of the American Board of Family Medicine: JABFM. 24(2):194-201, 2011 Mar-Apr. AS - J Am Board Fam Med. 24(2):194-201, 2011 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connor A AU - Alto W AU - Musgrave K AU - Gibbons D AU - Llanto L AU - Holden S AU - Karnes J FA - O'Connor, Alane FA - Alto, William FA - Musgrave, Katje FA - Gibbons, Daniel FA - Llanto, Lalaine FA - Holden, Selma FA - Karnes, Jonathan IN - O'Connor, Alane. the Maine Dartmouth Family Medicine Residency, Augusta, ME 04330. aoconnor@mainegeneral.org NJ - Journal of the American Board of Family Medicine : JABFM VO - 24 IP - 2 PG - 194-201 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101256526 IO - J Am Board Fam Med SB - Index Medicus CP - United States MH - Adult MH - *Buprenorphine/tu [Therapeutic Use] MH - Family Practice MH - Female MH - Humans MH - Infant, Newborn MH - Internship and Residency MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Neonatal Abstinence Syndrome/pc [Prevention & Control] MH - Opiate Substitution Treatment MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Pregnancy MH - *Pregnancy Complications/dt [Drug Therapy] MH - Retrospective Studies MH - Treatment Outcome MH - Young Adult AB - PURPOSE: Within a family medicine residency, an outpatient buprenorphine treatment program was provided for pregnant women who were dependent on opioids. The purpose of this study was to investigate the outcomes of infants who were exposed to a range of doses of buprenorphine in utero and to determine how closely observed maternal/fetal outcomes (eg, method of delivery and infants requiring treatment for neonatal abstinence syndrome [NAS]) match those previously reported in the literature. AB - METHODS: This study consists of a retrospective case series of 23 infants born to 22 pregnant women who were dependent on opioids and who were treated with buprenorphine during a 31-month period. AB - RESULTS: Thirty-five percent of infants (8 of 23) required treatment for NAS. There was no significant relationship between maternal dose of buprenorphine and birth weight, NAS severity (ie, peak NAS score), or time to first peak NAS score. Infants born to tobacco users had a significantly lower birth weight (P = .0136) than infants born to nonusers. Seventy percent of infants (16 of 23) were breastfeeding at the time of discharge from the hospital. AB - CONCLUSIONS: The observations made in this case series are consistent with data previously reported in the literature. Infants in this study were more likely to be breastfed than those previously described by others, but further analysis is necessary to determine whether this finding is significant. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1558-7118 IL - 1557-2625 DO - https://dx.doi.org/10.3122/jabfm.2011.02.100155 PT - Journal Article ID - 24/2/194 [pii] ID - 10.3122/jabfm.2011.02.100155 [doi] PP - ppublish LG - English DP - 2011 Mar-Apr EZ - 2011/03/09 06:00 DA - 2011/07/06 06:00 DT - 2011/03/09 06:00 YR - 2011 ED - 20110705 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21383220 <542. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21560905 TI - Pain management: who, where and how?. SO - Tennessee Medicine. 104(4):23-6, 2011 Apr. AS - Tenn Med. 104(4):23-6, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams B FA - Williams, Brenda NJ - Tennessee medicine : journal of the Tennessee Medical Association VO - 104 IP - 4 PG - 23-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 9609310 IO - Tenn Med SB - Index Medicus CP - United States MH - Certification MH - Education, Medical MH - Facility Regulation and Control MH - Humans MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Pain/dt [Drug Therapy] MH - Pain Clinics/lj [Legislation & Jurisprudence] MH - *Pain Clinics/st [Standards] MH - *Pain Management MH - *Risk Management MH - Tennessee MH - United States IS - 1088-6222 IL - 1088-6222 PT - Journal Article PP - ppublish LG - English DP - 2011 Apr EZ - 2011/05/13 06:00 DA - 2011/06/22 06:00 DT - 2011/05/13 06:00 YR - 2011 ED - 20110621 RD - 20111117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21560905 <543. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21324066 TI - Clinical reasoning sessions: back to the patient. SO - The clinical teacher. 8(1):13-6, 2011 Mar. AS - Clin Teach. 8(1):13-6, 2011 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harris A AU - Boyce P AU - Ajjawi R FA - Harris, Anthony FA - Boyce, Phillip FA - Ajjawi, Rola IN - Harris, Anthony. Discipline of Psychiatry & Westmead Clinical School, Sydney Medical School, University of Sydney, Australia. anthony.harris@sydney.edu.au NJ - The clinical teacher VO - 8 IP - 1 PG - 13-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101227511 IO - Clin Teach SB - Index Medicus CP - England MH - Australia MH - Behavior, Addictive MH - *Curriculum MH - *Diffusion of Innovation MH - Education, Medical, Undergraduate/mt [Methods] MH - Feedback MH - *Group Processes MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - *Problem-Based Learning/mt [Methods] MH - *Psychiatry/ed [Education] MH - Risk Assessment/mt [Methods] MH - Students, Medical MH - Surveys and Questionnaires MH - Teaching AB - 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. AB - 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. AB - INNOVATION: We describe an innovative model of small-group, student-generated, case-based learning in psychiatry - clinical reasoning sessions (CRS) - led by expert facilitators. AB - 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. Copyright © Blackwell Publishing Ltd 2011. ES - 1743-498X IL - 1743-4971 DO - https://dx.doi.org/10.1111/j.1743-498X.2010.00407.x PT - Journal Article ID - 10.1111/j.1743-498X.2010.00407.x [doi] PP - ppublish LG - English DP - 2011 Mar EZ - 2011/02/18 06:00 DA - 2011/06/18 06:00 DT - 2011/02/18 06:00 YR - 2011 ED - 20110617 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21324066 <544. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20697785 TI - Training physicians to do office-based smoking cessation increases adherence to PHS guidelines. SO - Journal of Community Health. 36(2):238-43, 2011 Apr. AS - J Community Health. 36(2):238-43, 2011 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caplan L AU - Stout C AU - Blumenthal DS FA - Caplan, Lee FA - Stout, Charlotte FA - Blumenthal, Daniel S IN - Caplan, Lee. Department of Community Health and Preventive Medicine, Morehouse School of Medicine, 720 Westview Drive SW, Atlanta, GA 30310-1495, USA. lcaplan@msm.edu NJ - Journal of community health VO - 36 IP - 2 PG - 238-43 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7600747, hut IO - J Community Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3668440 OI - Source: NLM. NIHMS471784 SB - Index Medicus CP - Netherlands MH - African Americans MH - Clinical Competence MH - Community Health Centers/og [Organization & Administration] MH - *Education, Medical, Continuing MH - Focus Groups MH - Georgia MH - *Guideline Adherence/sn [Statistics & Numerical Data] MH - Health Services Accessibility MH - Humans MH - *Physician-Patient Relations MH - *Practice Guidelines as Topic MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Smoking Cessation/mt [Methods] MH - United States MH - United States Public Health Service AB - UNLABELLED: 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. AB - CONCLUSIONS: The results demonstrate that, with training of physicians, compliance with the PHS tobacco guidelines can be greatly improved. ES - 1573-3610 IL - 0094-5145 DO - https://dx.doi.org/10.1007/s10900-010-9303-0 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1007/s10900-010-9303-0 [doi] ID - PMC3668440 [pmc] ID - NIHMS471784 [mid] PP - ppublish GI - No: U54 CA118638 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 5U48DP000049 Organization: (DP) *NCCDPHP CDC HHS* Country: United States GI - No: U57CCU42068 Organization: *PHS HHS* Country: United States GI - No: U48 DP000049 Organization: (DP) *NCCDPHP CDC HHS* Country: United States GI - No: 2U54CA118638 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: UL1 TR000454 Organization: (TR) *NCATS NIH HHS* Country: United States GI - No: 1U01CA1146520 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: UL1 RR025008 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: 1UL1RR025008 Organization: (RR) *NCRR NIH HHS* Country: United States LG - English DP - 2011 Apr EZ - 2010/08/11 06:00 DA - 2011/06/18 06:00 DT - 2010/08/11 06:00 YR - 2011 ED - 20110617 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20697785 <545. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20925684 TI - Teaching community program clinicians motivational interviewing using expert and train-the-trainer strategies. SO - Addiction. 106(2):428-41, 2011 Feb. AS - Addiction. 106(2):428-41, 2011 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martino S AU - Ball SA AU - Nich C AU - Canning-Ball M AU - Rounsaville BJ AU - Carroll KM FA - Martino, Steve FA - Ball, Samuel A FA - Nich, Charla FA - Canning-Ball, Monica FA - Rounsaville, Bruce J FA - Carroll, Kathleen M IN - Martino, Steve. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. steve.martino@yale.edu NJ - Addiction (Abingdon, England) VO - 106 IP - 2 PG - 428-41 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017235 OI - Source: NLM. NIHMS225881 SB - Index Medicus CP - England MH - Adult MH - *Clinical Competence MH - Connecticut MH - *Education, Medical, Continuing/mt [Methods] MH - Educational Measurement/mt [Methods] MH - Female MH - Humans MH - *Interview, Psychological MH - Male MH - Middle Aged MH - Motivation MH - Program Development MH - Program Evaluation MH - Regression Analysis MH - Substance Abuse Treatment Centers MH - *Substance-Related Disorders/th [Therapy] MH - *Teaching/mt [Methods] MH - Teaching Materials MH - Technology Transfer AB - AIMS: 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). AB - DESIGN: 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. AB - SETTING: Licensed out-patient and residential addiction and mental health treatment programs in the US state of Connecticut were involved in the study. AB - PARTICIPANTS: Ninety-two clinicians who provided addiction treatment within these programs and had limited experience with MI participated in the study. AB - MEASUREMENTS: 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. AB - FINDINGS: 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. AB - CONCLUSIONS: 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. Copyright © 2010 The Authors, Addiction © 2010 Society for the Study of Addiction. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2010.03135.x PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - 10.1111/j.1360-0443.2010.03135.x [doi] ID - PMC3017235 [pmc] ID - NIHMS225881 [mid] PP - ppublish GI - No: U10 DA013038-10 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA016970 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA009241-15 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA016970-02 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA009241-16 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA009241 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA013038-09 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA016970-01 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA016970-02S1 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10-DA013038 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA009241-18 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA009241-17 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA013038-08 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA16970 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023230 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA013038-07 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50-DA09241 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA013038 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA016970-03 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20101006 DP - 2011 Feb EZ - 2010/10/12 06:00 DA - 2011/05/26 06:00 DT - 2010/10/08 06:00 YR - 2011 ED - 20110525 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=20925684 <546. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21094015 TI - Teaching physicians to address unhealthy alcohol use: a randomized controlled trial assessing the effect of a Web-based module on medical student performance. SO - Journal of Substance Abuse Treatment. 40(2):203-13, 2011 Mar. AS - J Subst Abuse Treat. 40(2):203-13, 2011 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Truncali A AU - Lee JD AU - Ark TK AU - Gillespie C AU - Triola M AU - Hanley K AU - Gourevitch MN AU - Kalet AL FA - Truncali, Andrea FA - Lee, Joshua D FA - Ark, Tavinder K FA - Gillespie, Colleen FA - Triola, Marc FA - Hanley, Kathleen FA - Gourevitch, Marc N FA - Kalet, Adina L IN - Truncali, Andrea. Department of Medicine, New York University School of Medicine, New York, NY 10016, USA. andrea.truncali@nyumc.org NJ - Journal of substance abuse treatment VO - 40 IP - 2 PG - 203-13 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/th [Therapy] MH - Clinical Competence MH - Computer-Assisted Instruction MH - *Education, Medical/mt [Methods] MH - Educational Measurement MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internet MH - Mass Screening/mt [Methods] MH - Practice Patterns, Physicians' MH - Psychotherapy, Brief/mt [Methods] MH - Students, Medical AB - 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. AB - 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. AB - 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. AB - 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. Copyright © 2011 Elsevier Inc. All rights reserved. ES - 1873-6483 IL - 0740-5472 DO - https://dx.doi.org/10.1016/j.jsat.2010.09.002 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. ID - S0740-5472(10)00196-0 [pii] ID - 10.1016/j.jsat.2010.09.002 [doi] PP - ppublish PH - 2010/02/24 [received] PH - 2010/09/10 [revised] PH - 2010/09/15 [accepted] GI - No: D54HP05446 Organization: *PHS HHS* Country: United States LG - English EP - 20101120 DP - 2011 Mar EZ - 2010/11/26 06:00 DA - 2011/05/14 06:00 DT - 2010/11/25 06:00 YR - 2011 ED - 20110513 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21094015 <547. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21279612 TI - Gene targeting MRI: nucleic acid-based imaging and applications. SO - Methods in Molecular Biology. 711:363-77, 2011. AS - Methods Mol Biol. 711:363-77, 2011. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Liu PK AU - Liu CH FA - Liu, Philip K FA - Liu, Christina H IN - Liu, Philip K. Department of Radiology, AA Martinos Center for Biomedical Imaging, Massachusetts General Hospital, Charlestown, MA, USA. philipl@nmr.mgh.harvard.edu NJ - Methods in molecular biology (Clifton, N.J.) VO - 711 PG - 363-77 PI - Journal available in: Print PI - Citation processed from: Internet JC - bu3, 9214969 IO - Methods Mol. Biol. SB - Index Medicus CP - United States MH - Animals MH - Biotinylation MH - Cerebrum/me [Metabolism] MH - DNA, Complementary/ge [Genetics] MH - Drug Administration Routes MH - Fluorescein-5-isothiocyanate/me [Metabolism] MH - *Gene Targeting/mt [Methods] MH - Humans MH - *Magnetic Resonance Imaging/mt [Methods] MH - Magnetite Nanoparticles/ad [Administration & Dosage] MH - Mice MH - Microscopy, Fluorescence MH - *Nucleic Acids/me [Metabolism] MH - Oligonucleotides/ad [Administration & Dosage] MH - Oligonucleotides/bl [Blood] MH - Oligonucleotides/cf [Cerebrospinal Fluid] MH - Proto-Oncogene Proteins c-fos/me [Metabolism] AB - 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. RN - 0 (DNA, Complementary) RN - 0 (Fosb protein, mouse) RN - 0 (Magnetite Nanoparticles) RN - 0 (Nucleic Acids) RN - 0 (Oligonucleotides) RN - 0 (Proto-Oncogene Proteins c-fos) RN - I223NX31W9 (Fluorescein-5-isothiocyanate) ES - 1940-6029 IL - 1064-3745 DO - https://dx.doi.org/10.1007/978-1-61737-992-5_18 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1007/978-1-61737-992-5_18 [doi] PP - ppublish GI - No: NS057556 Organization: (NS) *NINDS NIH HHS* Country: United States GI - No: R01 DA026108 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA024235 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA29889 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: RR14075 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: DA026108 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 EZ - 2011/02/01 06:00 DA - 2011/05/06 06:00 DT - 2011/02/01 06:00 YR - 2011 ED - 20110505 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21279612 <548. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20541875 TI - Neighborhood education inequality and drinking behavior. SO - Drug & Alcohol Dependence. 112(1-2):18-26, 2010 Nov 01. AS - Drug Alcohol Depend. 112(1-2):18-26, 2010 Nov 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Le F AU - Ahern J AU - Galea S FA - Le, Felice FA - Ahern, Jennifer FA - Galea, Sandro IN - Le, Felice. Division of Epidemiology, University of California, Berkeley School of Public Health, 101 Haviland Hall, Berkeley, CA 94720, USA. felicele@umich.edu NJ - Drug and alcohol dependence VO - 112 IP - 1-2 PG - 18-26 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ebs, 7513587 IO - Drug Alcohol Depend PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2967648 OI - Source: NLM. NIHMS214363 SB - Index Medicus CP - Ireland MH - Adult MH - Aged MH - Aged, 80 and over MH - *Alcohol Drinking/ep [Epidemiology] MH - Cohort Studies MH - *Educational Status MH - Female MH - Humans MH - Income MH - Interviews as Topic MH - Male MH - Middle Aged MH - New York MH - *Residence Characteristics MH - Social Class MH - Social Environment MH - Socioeconomic Factors MH - Young Adult AB - BACKGROUND: The neighborhood distribution of education (education inequality) may influence substance use among neighborhood residents. AB - 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. AB - 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. AB - 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. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved. ES - 1879-0046 IL - 0376-8716 DO - https://dx.doi.org/10.1016/j.drugalcdep.2010.05.005 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0376-8716(10)00178-X [pii] ID - 10.1016/j.drugalcdep.2010.05.005 [doi] ID - PMC2967648 [pmc] ID - NIHMS214363 [mid] PP - ppublish PH - 2009/09/08 [received] PH - 2010/03/23 [revised] PH - 2010/05/03 [accepted] GI - No: R01 DA022720 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 MH078152 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: MH082729 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: MH 078152 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: DA022720-S1 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 MH082729 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: DA022720 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20100611 DP - 2010 Nov 01 EZ - 2010/06/15 06:00 DA - 2011/05/03 06:00 DT - 2010/06/15 06:00 YR - 2010 ED - 20110502 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20541875 <549. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21209405 TI - Recent trends in american board of psychiatry and neurology psychiatric subspecialties. [Review] SO - Academic Psychiatry. 35(1):35-9, 2011 Jan-Feb. AS - Acad Psychiatry. 35(1):35-9, 2011 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Faulkner LR AU - Juul D AU - Andrade NN AU - Brooks BA AU - Colenda CC AU - Guynn RW AU - Mrazek DA AU - Reus VI AU - Schneidman BS AU - Shaw KR FA - Faulkner, Larry R FA - Juul, Dorthea FA - Andrade, Naleen N FA - Brooks, Beth Ann FA - Colenda, Christopher C FA - Guynn, Robert W FA - Mrazek, David A FA - Reus, Victor I FA - Schneidman, Barbara S FA - Shaw, Kailie R IN - Faulkner, Larry R. American Board of Psychiatry and Neurology, Inc., Buffalo Grove, IL 60089, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 35 IP - 1 PG - 35-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Community Participation MH - Data Collection MH - Economics MH - Education MH - Education, Medical, Graduate MH - Humans MH - *Neurology/ed [Education] MH - Politics MH - Program Development MH - *Psychiatry/ed [Education] MH - Specialization/td [Trends] MH - *Specialization MH - Specialty Boards/td [Trends] MH - United States AB - OBJECTIVE: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.35.1.35 PT - Journal Article PT - Review ID - 35/1/35 [pii] ID - 10.1176/appi.ap.35.1.35 [doi] PP - ppublish LG - English DP - 2011 Jan-Feb EZ - 2011/01/07 06:00 DA - 2011/04/27 06:00 DT - 2011/01/07 06:00 YR - 2011 ED - 20110426 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21209405 <550. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20056372 TI - Fetal alcohol syndrome: knowledge and attitudes of family medicine clerkship and residency directors. SO - Alcohol. 44(4):379-85, 2010 Jun. AS - Alcohol. 44(4):379-85, 2010 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zoorob R AU - Aliyu MH AU - Hayes C FA - Zoorob, Roger FA - Aliyu, Muktar H FA - Hayes, Carmela IN - Zoorob, Roger. Department of Family and Community Medicine, Meharry Medical College, Nashville, TN 37208-3599, USA. rzoorob@mmc.edu NJ - Alcohol (Fayetteville, N.Y.) VO - 44 IP - 4 PG - 379-85 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ag9, 8502311 IO - Alcohol SB - Index Medicus CP - United States MH - Clinical Clerkship/mt [Methods] MH - *Clinical Clerkship MH - *Clinical Competence MH - Curriculum MH - Data Collection MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Female MH - Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Follow-Up Studies MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Internship and Residency/mt [Methods] MH - *Internship and Residency MH - Physician Executives/ed [Education] MH - Physician's Role MH - Pregnancy AB - Fetal alcohol spectrum disorders (FASD) are the leading preventable causes of developmental disabilities with serious permanent consequences. Regardless of the increased awareness of fetal alcohol syndrome (FAS), 13% of women in the United States drink alcohol during pregnancy. Health care professionals do not routinely assess the frequency and quantity of alcohol use by their patients. This study examined the knowledge, skills, and practices of family medicine residency and clerkship directors and assessed the time devoted and format of FAS curricula in the programs. A self-administered anonymous survey was sent to the residency and clerkship directors (N=571). Response rate of clerkship directors was 52% and residency directors 46%. Both groups showed high level of knowledge of FASD and of alcohol counseling practices for pregnant women. Although almost two thirds of the residency programs had FASD integrated in the curriculum, an equivalent fraction of predoctoral programs did not. More than half of the clerkship directors without FASD in their curriculum agreed that a need exists for its inclusion. These findings raise important medical education and policy issues and provide insight into the disparity in FASD content of curricula between predoctoral and family medicine residency programs in the United States. The role of physician counseling in primary prevention of FAS should continue to be stressed in predoctoral and residency education. Copyright 2010 Elsevier Inc. All rights reserved. ES - 1873-6823 IL - 0741-8329 DO - https://dx.doi.org/10.1016/j.alcohol.2009.10.012 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - S0741-8329(09)00182-7 [pii] ID - 10.1016/j.alcohol.2009.10.012 [doi] PP - ppublish PH - 2009/05/11 [received] PH - 2009/09/05 [revised] PH - 2009/10/16 [accepted] GI - No: 1U84DD000443-01 Organization: (DD) *NCBDD CDC HHS* Country: United States LG - English EP - 20100106 DP - 2010 Jun EZ - 2010/01/09 06:00 DA - 2011/04/27 06:00 DT - 2010/01/09 06:00 YR - 2010 ED - 20110426 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20056372 <551. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21467287 TI - Curtailing diversion and abuse of opioid analgesics without jeopardizing pain treatment. SO - JAMA. 305(13):1346-7, 2011 Apr 06. AS - JAMA. 305(13):1346-7, 2011 Apr 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Volkow ND AU - McLellan TA FA - Volkow, Nora D FA - McLellan, Thomas A IN - Volkow, Nora D. National Institute on Drug Abuse, National Institutes of Health, Bethesda, MD 20892, USA. nvolkow@nida.nih.gov CM - Comment in: JAMA. 2011 Jul 27;306(4):381; author reply 382-3; PMID: 21791684 CM - Comment in: JAMA. 2011 Jul 27;306(4):381-2; author reply 382-3; PMID: 21791683 CM - Comment in: JAMA. 2011 Jul 27;306(4):382; author reply 382-3; PMID: 21791685 NJ - JAMA VO - 305 IP - 13 PG - 1346-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Benchmarking MH - *Drug Prescriptions MH - Education, Dental, Continuing MH - Education, Medical, Continuing MH - Humans MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians' RN - 0 (Analgesics, Opioid) ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2011.369 PT - Journal Article ID - 305/13/1346 [pii] ID - 10.1001/jama.2011.369 [doi] PP - ppublish LG - English DP - 2011 Apr 06 EZ - 2011/04/07 06:00 DA - 2011/04/09 06:00 DT - 2011/04/07 06:00 YR - 2011 ED - 20110408 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21467287 <552. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21099395 TI - Undergraduate medical education in substance abuse: a review of the quality of the literature. [Review] SO - Academic Medicine. 86(1):98-112, 2011 Jan. AS - Acad Med. 86(1):98-112, 2011 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kothari D AU - Gourevitch MN AU - Lee JD AU - Grossman E AU - Truncali A AU - Ark TK AU - Kalet AL FA - Kothari, Devyani FA - Gourevitch, Marc N FA - Lee, Joshua D FA - Grossman, Ellie FA - Truncali, Andrea FA - Ark, Tavinder K FA - Kalet, Adina L IN - Kothari, Devyani. Substance Abuse Research and Education Training (SARET) Program, New York University School of Medicine, New York, New York, USA. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 86 IP - 1 PG - 98-112 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3148085 OI - Source: NLM. NIHMS299510 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Curriculum MH - *Education, Medical, Undergraduate/st [Standards] MH - Humans MH - Journal Impact Factor MH - *Models, Educational MH - *Periodicals as Topic/st [Standards] MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders AB - 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. AB - 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. AB - 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). AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0b013e3181ff92cf PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review ID - 10.1097/ACM.0b013e3181ff92cf [doi] ID - PMC3148085 [pmc] ID - NIHMS299510 [mid] PP - ppublish GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA022461-05 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA022461-03 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2011 Jan EZ - 2010/11/26 06:00 DA - 2011/03/23 06:00 DT - 2010/11/25 06:00 YR - 2011 ED - 20110322 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21099395 <553. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21167063 TI - Smoking cessation quitlines in Europe: matching services to callers' characteristics. SO - BMC Public Health. 10:770, 2010 Dec 18. AS - BMC Public Health. 10:770, 2010 Dec 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Willemsen MC AU - van der Meer RM AU - Schippers GM FA - Willemsen, Marc C FA - van der Meer, Regina M FA - Schippers, Gerard M IN - Willemsen, Marc C. STIVORO, Dutch Expert Centre on Tobacco Control, The Hague, The Netherlands. mc.willemsen@stivoro.nl NJ - BMC public health VO - 10 PG - 770 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 IO - BMC Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3020686 SB - Index Medicus CP - England MH - Adult MH - Europe MH - Female MH - *Hotlines MH - Humans MH - Male MH - Middle Aged MH - *Referral and Consultation MH - *Smoking Cessation MH - Surveys and Questionnaires AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1471-2458 IL - 1471-2458 DO - https://dx.doi.org/10.1186/1471-2458-10-770 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1471-2458-10-770 [pii] ID - 10.1186/1471-2458-10-770 [doi] ID - PMC3020686 [pmc] PP - epublish PH - 2010/07/05 [received] PH - 2010/12/18 [accepted] LG - English EP - 20101218 DP - 2010 Dec 18 EZ - 2010/12/21 06:00 DA - 2011/03/23 06:00 DT - 2010/12/21 06:00 YR - 2010 ED - 20110322 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21167063 <554. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20542743 TI - An educational strategy for treating chronic, noncancer pain with opioids: a pilot test. SO - Journal of Pain. 11(12):1368-75, 2010 Dec. AS - J PAIN. 11(12):1368-75, 2010 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Elhwairis H AU - Reznich CB FA - Elhwairis, Huda FA - Reznich, Christopher B IN - Elhwairis, Huda. Hurley Medical Center, Flint, Michigan, USA. helhwai1@hurleymc.com NJ - The journal of pain : official journal of the American Pain Society VO - 11 IP - 12 PG - 1368-75 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100898657 IO - J Pain SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - *Pain/dt [Drug Therapy] MH - Pilot Projects AB - UNLABELLED: 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. AB - 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. Copyright © 2010 American Pain Society. Published by Elsevier Inc. All rights reserved. RN - 0 (Analgesics, Opioid) ES - 1528-8447 IL - 1526-5900 DO - https://dx.doi.org/10.1016/j.jpain.2010.03.012 PT - Journal Article ID - S1526-5900(10)00427-X [pii] ID - 10.1016/j.jpain.2010.03.012 [doi] PP - ppublish PH - 2009/09/21 [received] PH - 2010/03/04 [revised] PH - 2010/03/16 [accepted] LG - English EP - 20100609 DP - 2010 Dec EZ - 2010/06/15 06:00 DA - 2011/03/22 06:00 DT - 2010/06/15 06:00 YR - 2010 ED - 20110321 RD - 20130520 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20542743 <555. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21057418 TI - Quit smoking? quit drinking? why not quit both? analysis of perceptions among belgian postgraduates in psychiatry. SO - Psychiatria Danubina. 22 Suppl 1:S120-3, 2010 Nov. AS - PSYCHIATR. DANUB.. 22 Suppl 1:S120-3, 2010 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jacques D AU - Zdanowicz N AU - Reynaert C AU - Janne P FA - Jacques, Denis FA - Zdanowicz, Nicolas FA - Reynaert, Christine FA - Janne, Pascal IN - Jacques, Denis. Catholic University of Louvain, Mont-Godinne Clinics, psychosomatic unit, 5530 Yvoir, Belgium. denis.jacques@uclouvain.be NJ - Psychiatria Danubina VO - 22 Suppl 1 PG - S120-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 9424753 IO - Psychiatr Danub SB - Index Medicus CP - Croatia MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Belgium MH - Combined Modality Therapy MH - Comorbidity MH - Curriculum MH - *Education, Medical, Graduate MH - Humans MH - Motivation MH - Patient Compliance/px [Psychology] MH - *Psychiatry/ed [Education] MH - Recurrence MH - Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] AB - INTRODUCTION: cooncurrent alcohol and tobacco dependency appears to be a common phenomenon yet medical literature often focuses on only one substance at a time when examining the question of withdrawal and illustrates that the evaluation of tobacco consumption appears to be overlooked in psychiatry. AB - SUBJECT AND METHODS: in this study, we analyse perceptions among first-year postgraduates in Psychiatry, before and after training in Motivational Interviewing, with regard to the idea of suggesting that patients might consider simultaneous dual alcohol-tobacco withdrawal. AB - RESULTS: the trend is to disregard the systematic history of substance consumption and to not recommend concurrent alcohol-tobacco withdrawal. Motivational interview training tends to reverse this trend. AB - DISCUSSION: the lessening of the therapist's feeling of powerlessness in the face of relapse is one of the explanatory factors behind this change of approach. A study design is proposed focusing on the patient's perceptions. AB - CONCLUSION: guidelines concerning dual alcohol-tobacco withdrawal programs are to be developed. IS - 0353-5053 IL - 0353-5053 PT - Journal Article PP - ppublish LG - English DP - 2010 Nov EZ - 2011/02/08 06:00 DA - 2011/03/19 06:00 DT - 2010/11/09 06:00 YR - 2010 ED - 20110318 RD - 20101108 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21057418 <556. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21317602 TI - Policy implications of integrating buprenorphine/naloxone treatment and HIV care. SO - Journal of Acquired Immune Deficiency Syndromes: JAIDS. 56 Suppl 1:S98-S104, 2011 Mar 01. AS - J Acquir Immune Defic Syndr. 56 Suppl 1:S98-S104, 2011 Mar 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Finkelstein R AU - Netherland J AU - Sylla L AU - Gourevitch MN AU - Cajina A AU - Cheever L AU - BHIVES Collaborative FA - Finkelstein, Ruth FA - Netherland, Julie FA - Sylla, Laurie FA - Gourevitch, Marc N FA - Cajina, Adan FA - Cheever, Laura FA - BHIVES Collaborative IN - Finkelstein, Ruth. The New York Academy of Medicine, Division of Health Policy, New York, NY 10029, USA. rfinkelstein@nyam.org NJ - Journal of acquired immune deficiency syndromes (1999) VO - 56 Suppl 1 PG - S98-S104 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100892005 IO - J. Acquir. Immune Defic. Syndr. SB - Index Medicus SB - AIDS/HIV Journals CP - United States MH - *Buprenorphine/tu [Therapeutic Use] MH - Buprenorphine, Naloxone Drug Combination MH - *Delivery of Health Care, Integrated/og [Organization & Administration] MH - *HIV Infections/dt [Drug Therapy] MH - *Health Policy MH - Humans MH - *Naloxone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opiate Substitution Treatment MH - United States AB - 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. RN - 0 (Buprenorphine, Naloxone Drug Combination) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) ES - 1944-7884 IL - 1525-4135 DO - https://dx.doi.org/10.1097/QAI.0b013e31820a9a97 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1097/QAI.0b013e31820a9a97 [doi] ID - 00126334-201103011-00015 [pii] PP - ppublish GI - No: H97HA03793 Organization: *PHS HHS* Country: United States LG - English DP - 2011 Mar 01 EZ - 2011/03/01 06:00 DA - 2011/03/18 06:00 DT - 2011/02/15 06:00 YR - 2011 ED - 20110317 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21317602 <557. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21040437 TI - Crossroads of pain and addiction. [Review] SO - Pain Medicine. 11(12):1803-18, 2010 Dec. AS - PAIN MED. 11(12):1803-18, 2010 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bailey JA AU - Hurley RW AU - Gold MS FA - Bailey, John A FA - Hurley, Robert W FA - Gold, Mark S IN - Bailey, John A. Pain and Addiction Medicine in the Division of Addiction Medicine, Department of Psychiatry, University of Florida's Springhill Health Center, Gainesville, FL32606, USA. baileyjo@ufl.edu NJ - Pain medicine (Malden, Mass.) VO - 11 IP - 12 PG - 1803-18 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Animals MH - *Behavior, Addictive MH - Drug Evaluation, Preclinical MH - Humans MH - Iatrogenic Disease MH - *Opioid-Related Disorders/et [Etiology] MH - *Pain/co [Complications] MH - *Pain/dt [Drug Therapy] MH - Risk Factors MH - Substance-Related Disorders/et [Etiology] AB - 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. AB - 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. AB - 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. AB - 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. Copyright Wiley Periodicals, Inc. RN - 0 (Analgesics, Opioid) ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1111/j.1526-4637.2010.00982.x PT - Journal Article PT - Review ID - 10.1111/j.1526-4637.2010.00982.x [doi] PP - ppublish LG - English EP - 20101028 DP - 2010 Dec EZ - 2010/11/03 06:00 DA - 2011/03/15 06:00 DT - 2010/11/03 06:00 YR - 2010 ED - 20110314 RD - 20101207 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21040437 <558. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21080923 TI - 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. SO - Substance Abuse Treatment, Prevention, & Policy. 5:29, 2010 Nov 16. AS - Subst Abuse Treat Prev Policy. 5:29, 2010 Nov 16. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sreeramareddy CT AU - Suri S AU - Menezes RG AU - Kumar HN AU - Rahman M AU - Islam MR AU - Pereira XV AU - Shah M AU - Sathian B AU - Shetty U AU - Vaswani VR FA - Sreeramareddy, Chandrashekhar T FA - Suri, Sushil FA - Menezes, Ritesh G FA - Kumar, H N Harsha FA - Rahman, Mahbubur FA - Islam, Md R FA - Pereira, Xavier V FA - Shah, Mohsin FA - Sathian, Brijesh FA - Shetty, Ullasa FA - Vaswani, Vina R IN - Sreeramareddy, Chandrashekhar T. Department of Community Medicine, Melaka Manipal Medical College, Melaka, Malaysia. chandrashekharats@yahoo.com NJ - Substance abuse treatment, prevention, and policy VO - 5 PG - 29 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101258060 IO - Subst Abuse Treat Prev Policy PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2994841 SB - Index Medicus CP - England MH - Asia, Western/ep [Epidemiology] MH - *Attitude MH - Cross-Sectional Studies MH - *Curriculum MH - Female MH - Humans MH - Malaysia/ep [Epidemiology] MH - Male MH - *Smoking/ep [Epidemiology] MH - *Students, Medical/px [Psychology] MH - *Surveys and Questionnaires MH - Young Adult AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1747-597X IL - 1747-597X DO - https://dx.doi.org/10.1186/1747-597X-5-29 PT - Journal Article ID - 1747-597X-5-29 [pii] ID - 10.1186/1747-597X-5-29 [doi] ID - PMC2994841 [pmc] PP - epublish PH - 2010/08/28 [received] PH - 2010/11/16 [accepted] LG - English EP - 20101116 DP - 2010 Nov 16 EZ - 2010/11/18 06:00 DA - 2011/02/17 06:00 DT - 2010/11/18 06:00 YR - 2010 ED - 20110216 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21080923 <559. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20924888 TI - The use and abuse of opioids. President's message. SO - Journal of Addictive Diseases. 29(4):502-3, 2010 Oct. AS - J Addict Dis. 29(4):502-3, 2010 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lande RG FA - Lande, R Gregory IN - Lande, R Gregory. American Osteopathic Academy of Addiction Medicine, USA. NJ - Journal of addictive diseases VO - 29 IP - 4 PG - 502-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - *Buprenorphine/tu [Therapeutic Use] MH - *Education, Medical, Continuing/mt [Methods] MH - Humans MH - Opiate Substitution Treatment/mt [Methods] MH - *Opioid-Related Disorders/dt [Drug Therapy] RN - 40D3SCR4GZ (Buprenorphine) ES - 1545-0848 IL - 1055-0887 DO - https://dx.doi.org/10.1080/10550887.2010.510410 PT - Addresses ID - 927637743 [pii] ID - 10.1080/10550887.2010.510410 [doi] PP - ppublish LG - English DP - 2010 Oct EZ - 2010/10/07 06:00 DA - 2011/02/08 06:00 DT - 2010/10/07 06:00 YR - 2010 ED - 20110207 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20924888 <560. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20559787 TI - Cultural competency and tobacco control training in US medical schools: many but missed opportunities. SO - Journal of Cancer Education. 25(3):290-6, 2010 Sep. AS - J Cancer Educ. 25(3):290-6, 2010 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Powers CA AU - Zapka J AU - Biello KB AU - O'Donnell J AU - Prout M AU - Geller A FA - Powers, Catherine A FA - Zapka, Jane FA - Biello, Katie B FA - O'Donnell, Joseph FA - Prout, Marianne FA - Geller, Alan IN - Powers, Catherine A. Office for Diversity and Community Partnership, Harvard Medical School, Boston, MA, USA. NJ - Journal of cancer education : the official journal of the American Association for Cancer Education VO - 25 IP - 3 PG - 290-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - avy, 8610343 IO - J Cancer Educ SB - Index Medicus CP - England MH - *Counseling/ed [Education] MH - *Cultural Competency MH - Curriculum/td [Trends] MH - Education, Medical/td [Trends] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - *Smoking Cessation MH - *Smoking Prevention MH - United States AB - 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. ES - 1543-0154 IL - 0885-8195 DO - https://dx.doi.org/10.1007/s13187-010-0090-1 PT - Journal Article ID - 10.1007/s13187-010-0090-1 [doi] PP - ppublish LG - English DP - 2010 Sep EZ - 2010/06/19 06:00 DA - 2011/02/04 06:00 DT - 2010/06/19 06:00 YR - 2010 ED - 20110203 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20559787 <561. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20801155 TI - Smoking habits among university students in Florence: is a medical degree course the right choice?. SO - Preventive Medicine. 51(5):429-30, 2010 Nov. AS - Prev Med. 51(5):429-30, 2010 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lucenteforte E AU - Vannacci A AU - Cipollini F AU - Gori A AU - Santini L AU - Franchi G AU - Terrone R AU - Ravaldi C AU - Mugelli A AU - Gensini GF AU - Lapi F FA - Lucenteforte, Ersilia FA - Vannacci, Alfredo FA - Cipollini, Fabrizio FA - Gori, Alessio FA - Santini, Laura FA - Franchi, Giovanna FA - Terrone, Rosangela FA - Ravaldi, Claudia FA - Mugelli, Alessandro FA - Gensini, Gian Franco FA - Lapi, Francesco NJ - Preventive medicine VO - 51 IP - 5 PG - 429-30 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - *Education, Medical MH - Female MH - *Health Education MH - Humans MH - Italy/ep [Epidemiology] MH - Male MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation MH - Students/px [Psychology] MH - *Students/sn [Statistics & Numerical Data] MH - Universities ES - 1096-0260 IL - 0091-7435 DO - https://dx.doi.org/10.1016/j.ypmed.2010.08.009 PT - Letter ID - S0091-7435(10)00348-8 [pii] ID - 10.1016/j.ypmed.2010.08.009 [doi] PP - ppublish PH - 2010/04/15 [received] PH - 2010/08/18 [revised] PH - 2010/08/18 [accepted] LG - English EP - 20100827 DP - 2010 Nov EZ - 2010/08/31 06:00 DA - 2011/02/02 06:00 DT - 2010/08/31 06:00 YR - 2010 ED - 20110201 RD - 20101026 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20801155 <562. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21200039 TI - Integrating addiction medicine into graduate medical education in primary care: the time has come. SO - Annals of Internal Medicine. 154(1):56-9, 2011 Jan 04. AS - Ann Intern Med. 154(1):56-9, 2011 Jan 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connor PG AU - Nyquist JG AU - McLellan AT FA - O'Connor, Patrick G FA - Nyquist, Julie G FA - McLellan, A Thomas IN - O'Connor, Patrick G. Yale University School of Medicine, New Haven, Connecticut 06520-8093, USA. patrick.oconnor@yale.edu NJ - Annals of internal medicine VO - 154 IP - 1 PG - 56-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Academic Medical Centers/og [Organization & Administration] MH - *Curriculum MH - *Education, Medical, Graduate MH - Faculty, Medical/st [Standards] MH - *Family Practice/ed [Education] MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Organizational Innovation MH - Organizational Objectives MH - *Substance-Related Disorders MH - Teaching/st [Standards] AB - 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. ES - 1539-3704 IL - 0003-4819 DO - https://dx.doi.org/10.7326/0003-4819-154-1-201101040-00008 PT - Consensus Development Conference PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 154/1/56 [pii] ID - 10.7326/0003-4819-154-1-201101040-00008 [doi] PP - ppublish LG - English DP - 2011 Jan 04 EZ - 2011/01/05 06:00 DA - 2011/01/29 06:00 DT - 2011/01/05 06:00 YR - 2011 ED - 20110127 RD - 20130625 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med7&AN=21200039 <563. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19902274 TI - A survey on physician knowledge and attitudes towards clinical use of morphine for cancer pain treatment in China. SO - Supportive Care in Cancer. 18(11):1455-60, 2010 Nov. AS - Support Care Cancer. 18(11):1455-60, 2010 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yanjun S AU - Changli W AU - Ling W AU - Woo JC AU - Sabrina K AU - Chang L AU - Lei Z FA - Yanjun, Su FA - Changli, Wang FA - Ling, Weng FA - Woo, Jennifer Catherine Ai-Lian FA - Sabrina, Kwauk FA - Chang, Liu FA - Lei, Zhang IN - Yanjun, Su. Department of Thoracic Surgery, Tianjin Lung Cancer Center, Tianjin Medical University Cancer Institute and Hospital, Tianjin 300060, People's Republic of China. NJ - Supportive care in cancer : official journal of the Multinational Association of Supportive Care in Cancer VO - 18 IP - 11 PG - 1455-60 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9302957, b1l IO - Support Care Cancer SB - Index Medicus CP - Germany MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - China MH - Data Collection MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Morphine/ae [Adverse Effects] MH - *Morphine/tu [Therapeutic Use] MH - Neoplasms/co [Complications] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 76I7G6D29C (Morphine) ES - 1433-7339 IL - 0941-4355 DO - https://dx.doi.org/10.1007/s00520-009-0768-2 PT - Journal Article ID - 10.1007/s00520-009-0768-2 [doi] PP - ppublish PH - 2009/05/24 [received] PH - 2009/10/20 [accepted] LG - English EP - 20091110 DP - 2010 Nov EZ - 2009/11/11 06:00 DA - 2011/01/12 06:00 DT - 2009/11/11 06:00 YR - 2010 ED - 20110111 RD - 20171011 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19902274 <564. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21086771 TI - Continuous medical education (CME) of general practitioners (GP) in primary health care settings in the field of identification and diagnosis of alcoholism. SO - Cahiers de Sociologie et de Demographie Medicales. 50(3):375-96, 2010 Jul-Sep. AS - Cah Sociol Demogr Med. 50(3):375-96, 2010 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grozdanov J AU - Mladenovic I AU - Vasic M AU - Knezevic T FA - Grozdanov, Jasmina FA - Mladenovic, Ivica FA - Vasic, Milena FA - Knezevic, Tanja IN - Grozdanov, Jasmina. Institute of Public Health of Serbia, Belgrade. NJ - Cahiers de sociologie et de demographie medicales VO - 50 IP - 3 PG - 375-96 PI - Journal available in: Print PI - Citation processed from: Print JC - ceh, 0004455 IO - Cah Sociol Demogr Med SB - Index Medicus CP - France MH - Alcoholism/co [Complications] MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - *Education, Medical, Continuing MH - *General Practice/ed [Education] MH - Humans MH - *Primary Health Care AB - 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. IS - 0007-9995 IL - 0007-9995 PT - Journal Article PP - ppublish LG - English DP - 2010 Jul-Sep EZ - 2010/11/23 06:00 DA - 2011/01/07 06:00 DT - 2010/11/20 06:00 YR - 2010 ED - 20110106 RD - 20101119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21086771 <565. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20964840 TI - Attitudes of undergraduate health science students towards patients with intellectual disability, substance abuse, and acute mental illness: a cross-sectional study. SO - BMC Medical Education. 10:71, 2010 Oct 21. AS - BMC Med Educ. 10:71, 2010 Oct 21. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boyle MJ AU - Williams B AU - Brown T AU - Molloy A AU - McKenna L AU - Molloy E AU - Lewis B FA - Boyle, Malcolm J FA - Williams, Brett FA - Brown, Ted FA - Molloy, Andrew FA - McKenna, Lisa FA - Molloy, Elizabeth FA - Lewis, Belinda IN - Boyle, Malcolm J. Department of Community Emergency Health and Paramedic Practice, Monash University, PO Box 527, Frankston 3199, Victoria, Australia. Mal.Boyle@monash.edu NJ - BMC medical education VO - 10 PG - 71 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972293 SB - Index Medicus CP - England MH - Acute Disease MH - Adult MH - Allied Health Personnel/ed [Education] MH - Analysis of Variance MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Premedical MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Intellectual Disability MH - Male MH - *Mental Disorders MH - Prejudice MH - Psychometrics MH - *Students/px [Psychology] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Young Adult AB - BACKGROUND: 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. AB - METHODS: 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. AB - RESULTS: 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. AB - CONCLUSION: 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/1472-6920-10-71 PT - Journal Article ID - 1472-6920-10-71 [pii] ID - 10.1186/1472-6920-10-71 [doi] ID - PMC2972293 [pmc] PP - epublish PH - 2010/06/09 [received] PH - 2010/10/21 [accepted] LG - English EP - 20101021 DP - 2010 Oct 21 EZ - 2010/10/23 06:00 DA - 2011/01/07 06:00 DT - 2010/10/23 06:00 YR - 2010 ED - 20110106 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20964840 <566. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21059784 TI - Medical education needed for smoking cessation. SO - CMAJ Canadian Medical Association Journal. 182(16):1761, 2010 Nov 09. AS - CMAJ. 182(16):1761, 2010 Nov 09. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brewster JM FA - Brewster, Joan M NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 182 IP - 16 PG - 1761 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2972331 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Behavior Therapy/ed [Education] MH - Counseling/ed [Education] MH - *Education, Medical/mt [Methods] MH - Female MH - Humans MH - Male MH - Needs Assessment MH - Ontario MH - Physician-Patient Relations MH - *Smoking Cessation/mt [Methods] ES - 1488-2329 IL - 0820-3946 DO - https://dx.doi.org/10.1503/cmaj.110-2119 PT - Letter ID - 182/16/1761-b [pii] ID - 10.1503/cmaj.110-2119 [doi] ID - PMC2972331 [pmc] PP - ppublish LG - English DP - 2010 Nov 09 EZ - 2010/11/10 06:00 DA - 2010/12/14 06:00 DT - 2010/11/10 06:00 YR - 2010 ED - 20101210 RD - 20150205 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21059784 <567. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20545804 TI - Effects of two educational programmes aimed at improving the utilization of non-opioid analgesics in family medicine clinics in Mexico. SO - Journal of Evaluation in Clinical Practice. 16(4):716-23, 2010 Aug. AS - J Eval Clin Pract. 16(4):716-23, 2010 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Doubova SV AU - Mino-Leon D AU - Reyes-Morales H AU - Flores-Hernandez S AU - Torres-Arreola Ldel P AU - Perez-Cuevas R FA - Doubova, Svetlana Vladislavovna FA - Mino-Leon, Dolores FA - Reyes-Morales, Hortensia FA - Flores-Hernandez, Sergio FA - Torres-Arreola, Laura del Pilar FA - Perez-Cuevas, Ricardo IN - Doubova, Svetlana Vladislavovna. Unidad de Investigacion Epidemiologica y en Servicios de Salud, Centro Medico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, Mexico City, Mexico. NJ - Journal of evaluation in clinical practice VO - 16 IP - 4 PG - 716-23 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cwd, 9609066 IO - J Eval Clin Pract SB - Index Medicus CP - England MH - Aged MH - Aged, 80 and over MH - *Ambulatory Care Facilities MH - *Analgesics/tu [Therapeutic Use] MH - Female MH - Humans MH - Male MH - Mexico MH - Middle Aged MH - *Patient Education as Topic MH - *Physicians, Family/ed [Education] MH - Program Evaluation AB - 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). AB - 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. AB - 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%). AB - CONCLUSIONS: The IEP was better to improve the doctors' abilities to prescribe NOAs, and both programmes improved patients' knowledge. RN - 0 (Analgesics) ES - 1365-2753 IL - 1356-1294 DO - https://dx.doi.org/10.1111/j.1365-2753.2009.01181.x PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - JEP1181 [pii] ID - 10.1111/j.1365-2753.2009.01181.x [doi] PP - ppublish LG - English EP - 20100610 DP - 2010 Aug EZ - 2010/06/16 06:00 DA - 2010/12/14 06:00 DT - 2010/06/16 06:00 YR - 2010 ED - 20101207 RD - 20100727 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20545804 <568. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20458550 TI - The Physician Clinical Support System-Buprenorphine (PCSS-B): a novel project to expand/improve buprenorphine treatment. SO - Journal of General Internal Medicine. 25(9):936-41, 2010 Sep. AS - J Gen Intern Med. 25(9):936-41, 2010 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Egan JE AU - Casadonte P AU - Gartenmann T AU - Martin J AU - McCance-Katz EF AU - Netherland J AU - Renner JA AU - Weiss L AU - Saxon AJ AU - Fiellin DA FA - Egan, James E FA - Casadonte, Paul FA - Gartenmann, Tracy FA - Martin, Judith FA - McCance-Katz, Elinore F FA - Netherland, Julie FA - Renner, John A FA - Weiss, Linda FA - Saxon, Andrew J FA - Fiellin, David A IN - Egan, James E. New York Academy of Medicine, 1216 5th Avenue, New York, NY 10029, USA. jegan@nyam.org NJ - Journal of general internal medicine VO - 25 IP - 9 PG - 936-41 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2917666 SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/ag [Agonists] MH - *Buprenorphine/tu [Therapeutic Use] MH - *Education, Medical, Continuing/mt [Methods] MH - Feasibility Studies MH - Humans MH - Information Dissemination/mt [Methods] MH - *Mentors MH - *Opiate Substitution Treatment MH - Practice Patterns, Physicians' MH - *Substance-Related Disorders/dt [Drug Therapy] AB - Opioid dependence is largely an undertreated medical condition in the United States. The introduction of buprenorphine has created the potential to expand access to and use of opioid agonist treatment in generalist settings. Physicians, however, often have limited training and experience providing this type of care. Some physicians believe having a mentoring relationship with an experienced provider during their initial introduction to the use of buprenorphine would ease implementation. Our goal was to describe the development, implementation, resources, and evaluation of the Physician Clinical Support System-Buprenorphine (PCSS-B), a federally funded program to improve access to and quality of treatment with buprenorphine. We provide a description of the PCSS-B, a national network of 88 trained physician mentors with expertise in buprenorphine treatment and skills in clinical education. We provide information regarding the use the PCSS-B core services including telephone, email and in-person support, a website, clinical guidances, a warmline and outreach to primary care and specialty organizations. Between July 2005 and July 2009, 67 mentors and 4 clinical experts reported providing mentoring services to 632 participants in 48 states, Washington DC and Puerto Rico. A total of 1,455 contacts were provided through email (45%), telephone (34%) and in-person visits (20%). Seventy-six percent of contacts addressed a clinical issue. Eighteen percent of contacts addressed a logistical issue. The number of contacts per participant ranged from 1-125. Between August 2005 and April 2009 there were 72,822 visits to the PCSS-B website with 179,678 pages viewed. Seven guidances were downloaded more than 1000 times. The warmline averaged more than 100 calls per month. The PCSS-B model provides support for a mentorship program to assist non-specialty physicians in the provision of buprenorphine and may serve as a model for dissemination of other types of care. RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-010-1377-y PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1007/s11606-010-1377-y [doi] ID - PMC2917666 [pmc] PP - ppublish PH - 2009/08/25 [received] PH - 2010/04/14 [accepted] PH - 2009/12/03 [revised] GI - No: R01 DA019511 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA020576 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA025991 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20100511 DP - 2010 Sep EZ - 2010/05/12 06:00 DA - 2010/12/14 06:00 DT - 2010/05/12 06:00 YR - 2010 ED - 20101206 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20458550 <569. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 21046933 TI - The eastern north carolina opioid prescribers project: a model continuing medical education workshop. SO - Journal of Opioid Management. 6(5):359-64, 2010 Sep-Oct. AS - J Opioid Manag. 6(5):359-64, 2010 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crozier MK AU - Mcmillan S AU - Hudson S AU - Jones S FA - Crozier, Mary K FA - Mcmillan, Sherri FA - Hudson, Suzanne FA - Jones, Stephanie IN - Crozier, Mary K. Department of Rehabilitation Studies, East Carolina University, Greenville, North Carolina, USA. NJ - Journal of opioid management VO - 6 IP - 5 PG - 359-64 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - *Drug Prescriptions MH - *Education, Medical, Continuing MH - Humans MH - *Opioid-Related Disorders MH - *Pain/dt [Drug Therapy] AB - 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. RN - 0 (Analgesics, Opioid) IS - 1551-7489 IL - 1551-7489 PT - Journal Article PP - ppublish LG - English DP - 2010 Sep-Oct EZ - 2010/11/05 06:00 DA - 2010/11/17 06:00 DT - 2010/11/05 06:00 YR - 2010 ED - 20101116 RD - 20120713 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=21046933 <570. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20937923 TI - A prescription for improved chronic disease management: have community pharmacists function at the top of their training: comment on "Engaging physicians and pharmacists in providing smoking cessation counseling". SO - Archives of Internal Medicine. 170(18):1646-7, 2010 Oct 11. AS - Arch Intern Med. 170(18):1646-7, 2010 Oct 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Guglielmo BJ FA - Guglielmo, B Joseph IN - Guglielmo, B Joseph. Department of Clinical Pharmacy, University of California, San Francisco, 94143-0622, USA. gugliemoj@pharmacy.ucsf.edu CM - Comment on: Arch Intern Med. 2010 Oct 11;170(18):1640-6; PMID: 20937922 NJ - Archives of internal medicine VO - 170 IP - 18 PG - 1646-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372440, 7fs IO - Arch. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Blood Pressure Monitoring, Ambulatory MH - Chronic Disease MH - *Counseling MH - Evidence-Based Medicine MH - Humans MH - Hypertension/dt [Drug Therapy] MH - *Hypertension/pc [Prevention & Control] MH - Pharmacies MH - *Pharmacists MH - *Physicians MH - Professional Role MH - *Smoking Cessation ES - 1538-3679 IL - 0003-9926 DO - https://dx.doi.org/10.1001/archinternmed.2010.343 PT - Comment PT - Journal Article ID - 170/18/1646 [pii] ID - 10.1001/archinternmed.2010.343 [doi] PP - ppublish LG - English DP - 2010 Oct 11 EZ - 2010/10/13 06:00 DA - 2010/11/16 06:00 DT - 2010/10/13 06:00 YR - 2010 ED - 20101115 RD - 20101012 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20937923 <571. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20371237 TI - Cognitive effects of Group I metabotropic glutamate receptor ligands in the context of drug addiction. [Review] [224 refs] SO - European Journal of Pharmacology. 639(1-3):47-58, 2010 Aug 10. AS - Eur J Pharmacol. 639(1-3):47-58, 2010 Aug 10. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olive MF FA - Olive, M Foster IN - Olive, M Foster. Center for Drug and Alcohol Programs, Department of Psychiatry, Medical University of South Carolina, 67 President Street, MSC 861, Charleston, SC 29425, USA. olive@musc.edu NJ - European journal of pharmacology VO - 639 IP - 1-3 PG - 47-58 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - en6, 1254354 IO - Eur. J. Pharmacol. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2891107 OI - Source: NLM. NIHMS193466 SB - Index Medicus CP - Netherlands MH - Animals MH - *Cognition/de [Drug Effects] MH - Cognition/ph [Physiology] MH - Humans MH - Ligands MH - Neuronal Plasticity/de [Drug Effects] MH - Neuronal Plasticity/ph [Physiology] MH - Receptors, Metabotropic Glutamate/ai [Antagonists & Inhibitors] MH - *Receptors, Metabotropic Glutamate/me [Metabolism] MH - Street Drugs/ae [Adverse Effects] MH - Street Drugs/po [Poisoning] MH - Substance-Related Disorders/dt [Drug Therapy] MH - *Substance-Related Disorders/me [Metabolism] MH - Substance-Related Disorders/pp [Physiopathology] MH - *Substance-Related Disorders/px [Psychology] AB - 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. Copyright (c) 2010 Elsevier B.V. All rights reserved. [References: 224] RN - 0 (Ligands) RN - 0 (Receptors, Metabotropic Glutamate) RN - 0 (Street Drugs) RN - 0 (metabotropic glutamate receptor type 1) ES - 1879-0712 IL - 0014-2999 DO - https://dx.doi.org/10.1016/j.ejphar.2010.01.029 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review ID - S0014-2999(10)00251-7 [pii] ID - 10.1016/j.ejphar.2010.01.029 [doi] ID - PMC2891107 [pmc] ID - NIHMS193466 [mid] PP - ppublish PH - 2009/08/03 [received] PH - 2010/01/14 [revised] PH - 2010/01/20 [accepted] GI - No: R01 DA025606-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: AA013852 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 AA013852 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 DA024355-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA024355 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA025606 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA025606-01A1 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA024355-05 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA024355 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 AA013852-09 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 AA013852-06A2 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 DA025606 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20100402 DP - 2010 Aug 10 EZ - 2010/04/08 06:00 DA - 2010/11/04 06:00 DT - 2010/04/08 06:00 YR - 2010 ED - 20101103 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20371237 <572. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20517676 TI - Why do general practitioners not screen and intervene regarding alcohol consumption in Slovenia? A focus group study. SO - Wiener Klinische Wochenschrift. 122 Suppl 2:68-73, 2010 May. AS - Wien Klin Wochenschr. 122 Suppl 2:68-73, 2010 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Poplas Susic T AU - Kersnik J AU - Kolsek M FA - Poplas Susic, Tonka FA - Kersnik, Janko FA - Kolsek, Marko IN - Poplas Susic, Tonka. Faculty of Medicine, Department of Family Medicine, Ljubljana, Slovenia. tonka.poplas-susic@mf.uni-lj.si NJ - Wiener klinische Wochenschrift VO - 122 Suppl 2 PG - 68-73 PI - Journal available in: Print PI - Citation processed from: Internet JC - xop, 21620870r IO - Wien. Klin. Wochenschr. SB - Index Medicus CP - Austria MH - Alcohol Drinking/ae [Adverse Effects] MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Curriculum MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - Female MH - Focus Groups MH - Humans MH - Male MH - *Mass Screening MH - Patient Education as Topic MH - *Physician's Role MH - Practice Guidelines as Topic MH - Slovenia MH - Smoking/ae [Adverse Effects] AB - AIM: To identify barriers influencing general practitioners' decisions regarding alcohol screening and brief intervention (SBI) in Slovenia. AB - BACKGROUND: Slovenia occupies third place in a league of 51 European countries with respect to alcohol consumption. General practitioners in Slovenia have the majority of contacts with patients in primary healthcare but they rarely or never ask patients about their drinking habits. AB - METHOD: Six focus groups with a total of 32 general practitioners from different parts of the country were set up. Participants discussed varied topics and the most significant barriers were identified through qualitative analysis. AB - RESULTS: The identified barriers were lack of funding, absence of societal support, lack of knowledge and guidelines, inadequate counselling skills, different interpretations regarding definitions of what constitutes an alcoholic beverage, lack of time, alcohol screening not considered to be an integral part of general practice, personal characteristics of general practitioners, patients' unwillingness to participate in SBI, and ethical dilemmas. AB - CONCLUSION: Lack of knowledge and guidelines, and inadequate counselling skills can be solved through educational programs. In order to change drinking habits, substantial changes in public and personal attitudes towards alcohol consumption, involving many partners, are necessary. ES - 1613-7671 IL - 0043-5325 DO - https://dx.doi.org/10.1007/s00508-010-1335-z PT - Journal Article ID - 10.1007/s00508-010-1335-z [doi] PP - ppublish LG - English DP - 2010 May EZ - 2010/06/11 06:00 DA - 2010/10/23 06:00 DT - 2010/06/03 06:00 YR - 2010 ED - 20101022 RD - 20171011 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20517676 <573. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20501550 TI - Evaluation of a new core curriculum on alcohol use disorders for undergraduate medical students. SO - Alcohol & Alcoholism. 45(4):395-7, 2010 Jul-Aug. AS - Alcohol Alcohol. 45(4):395-7, 2010 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steed H AU - Groome M AU - Rice P AU - Simpson K AU - Day A AU - Ker J FA - Steed, H FA - Groome, M FA - Rice, P FA - Simpson, K FA - Day, A FA - Ker, J IN - Steed, H. Department of Gastroenterology, Ninewells Hospital, Dundee DD1 9SY, UK. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 45 IP - 4 PG - 395-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - *Alcohol-Related Disorders MH - *Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Female MH - Humans MH - Male MH - Surveys and Questionnaires MH - Teaching AB - 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. AB - 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. AB - 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. AB - 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. ES - 1464-3502 IL - 0735-0414 DO - https://dx.doi.org/10.1093/alcalc/agq024 PT - Evaluation Studies PT - Journal Article ID - agq024 [pii] ID - 10.1093/alcalc/agq024 [doi] PP - ppublish LG - English EP - 20100525 DP - 2010 Jul-Aug EZ - 2010/05/27 06:00 DA - 2010/10/05 06:00 DT - 2010/05/27 06:00 YR - 2010 ED - 20101004 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20501550 <574. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20459842 TI - Providing competency-based family medicine residency training in substance abuse in the new millennium: a model curriculum. SO - BMC Medical Education. 10:33, 2010 May 11. AS - BMC Med Educ. 10:33, 2010 May 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seale JP AU - Shellenberger S AU - Clark DC FA - Seale, J Paul FA - Shellenberger, Sylvia FA - Clark, Denice Crowe IN - Seale, J Paul. Department of Family Medicine, Mercer University School of Medicine & Medical Center of Central Georgia, 3780 Eisenhower Parkway, Macon, GA 31206, USA. seale.paul@mccg.org NJ - BMC medical education VO - 10 PG - 33 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2885404 SB - Index Medicus CP - England MH - *Family Practice/ed [Education] MH - Humans MH - Internship and Residency/ec [Economics] MH - *Internship and Residency MH - *Models, Organizational MH - Problem-Based Learning/ec [Economics] MH - *Problem-Based Learning/og [Organization & Administration] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/1472-6920-10-33 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1472-6920-10-33 [pii] ID - 10.1186/1472-6920-10-33 [doi] ID - PMC2885404 [pmc] PP - epublish PH - 2009/06/25 [received] PH - 2010/05/11 [accepted] LG - English EP - 20100511 DP - 2010 May 11 EZ - 2010/05/13 06:00 DA - 2010/09/30 06:00 DT - 2010/05/13 06:00 YR - 2010 ED - 20100929 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20459842 <575. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19242852 TI - Interprofessional education: a nurse practitioner impacts family medicine residents' smoking cessation counselling experiences. SO - Journal of Interprofessional Care. 23(4):401-9, 2009 Jul. AS - J Interprof Care. 23(4):401-9, 2009 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitchell J AU - Brown JB AU - Smith C FA - Mitchell, Joan FA - Brown, Judith Belle FA - Smith, Carrie IN - Mitchell, Joan. Byron Family Medical Centre, London, Ontario, Canada. Joan.Mitchell@lhsc.on.ca NJ - Journal of interprofessional care VO - 23 IP - 4 PG - 401-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9205811 IO - J Interprof Care SB - Index Medicus CP - England MH - Attitude of Health Personnel MH - Clinical Competence MH - *Directive Counseling MH - Educational Measurement MH - Educational Status MH - *Family Practice/ed [Education] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Interdisciplinary Communication MH - *Internship and Residency/og [Organization & Administration] MH - *Nurse Practitioners/ed [Education] MH - Ontario MH - *Patient Care Team/og [Organization & Administration] MH - Qualitative Research MH - *Smoking Cessation AB - 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. ES - 1469-9567 IL - 1356-1820 DO - https://dx.doi.org/10.1080/13561820802490941 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 909072735 [pii] ID - 10.1080/13561820802490941 [doi] PP - ppublish LG - English DP - 2009 Jul EZ - 2009/02/27 09:00 DA - 2010/09/30 06:00 DT - 2009/02/27 09:00 YR - 2009 ED - 20100929 RD - 20090611 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19242852 <576. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20812521 TI - Attitude towards and use of ecstasy in medical university interns' based on HBM. SO - Journal of Preventive Medicine & Hygiene. 50(4):241-5, 2009 Dec. AS - J. PREV. MED. HYG.. 50(4):241-5, 2009 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baghianimoghadam MH AU - Mazloomy Mahmoodabad SS AU - Mohammadi S AU - Baghianimoghadam B FA - Baghianimoghadam, M H FA - Mazloomy Mahmoodabad, S S FA - Mohammadi, S FA - Baghianimoghadam, B IN - Baghianimoghadam, M H. Shahid Sadoughi University of Yazd, The Research Center for Health Conducts and Health Promotion, Yazd, Iran. NJ - Journal of preventive medicine and hygiene VO - 50 IP - 4 PG - 241-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 9214440 IO - J Prev Med Hyg SB - Index Medicus CP - Italy MH - Adult MH - Cross-Sectional Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - Iran/ep [Epidemiology] MH - Male MH - *N-Methyl-3,4-methylenedioxyamphetamine MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Using a self-reported questionnaire, 130 Yazd Medical University students were surveyed about their knowledge towards ecstasy and their use of ecstasy based on Health Belief Model. The age range was 18-31 years. Approximately, 23% of students had seen an ecstasy tablet, 6 (4.6%) had used ecstasy (2 female and 4 male), 4 of them lived in a dormitory and 2 were tenants. The levels of knowledge, perceived barrier and perceived benefit of students who had used ecstasy were lower than those who hadn't used ecstasy. There was a significant difference between the knowledge, perceived barrier and perceived benefit of samples and use of ecstasy (p < 0.008, p < 0.003 and p < 0.13, respectively). Approximately, 74% of the students were eager to know more about ecstasy and its effects. Finally, the students were asked to select one or more item from a list of six which they considered the best way for providing young people with accurate information, and the responses (as percentages) for each source were as follows: discussion with parents: 1.5%; television programs: 64.6%; radio programs: 1.5%; talk at university: 12.3%; friends: 12.3%; newspapers/magazine articles: 7.7%. The data revealed that the knowledge of participants about ecstasy was low (mean = 27.69 +/- 3.53 out of 48). The mean grade score of knowledge of males was more than females. A survey in Kerman (Iran) showed that the knowledge of general practitioners about ecstasy was lower than 50% and the knowledge of males was more than females. RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) IS - 1121-2233 IL - 1121-2233 PT - Journal Article PP - ppublish LG - English DP - 2009 Dec EZ - 2010/09/04 06:00 DA - 2010/09/30 06:00 DT - 2010/09/04 06:00 YR - 2009 ED - 20100928 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20812521 <577. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20687043 TI - [Smoking cessation training for physicians and other health professionals in Switzerland]. [German] OT - Rauchstopp-Weiterbildung fur Arzte und nicht-arztliche Fachpersonen in der Schweiz. SO - Therapeutische Umschau. 67(8):409-14, 2010 Aug. AS - Ther Umsch. 67(8):409-14, 2010 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schuurmans MM AU - Bussinger C AU - Muller V AU - Burkhalter AK AU - Bolliger CT FA - Schuurmans, Mace M FA - Bussinger, Claudia FA - Muller, Vera FA - Burkhalter, Anne Katharina FA - Bolliger, Chris T IN - Schuurmans, Mace M. Pneumologie, Universitatsspital Zurich, Zurich. maceschuurmans@yahoo.com NJ - Therapeutische Umschau. Revue therapeutique VO - 67 IP - 8 PG - 409-14 PI - Journal available in: Print PI - Citation processed from: Print JC - vpt, 0407224 IO - Ther Umsch SB - Index Medicus CP - Switzerland MH - Cross-Sectional Studies MH - Curriculum MH - Documentation/mt [Methods] MH - Education MH - *Education, Medical, Continuing MH - *Health Personnel/ed [Education] MH - Humans MH - Physician-Patient Relations MH - Smoking/ep [Epidemiology] MH - *Smoking Cessation MH - Smoking Prevention MH - Switzerland AB - 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 tobacco 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. IS - 0040-5930 IL - 0040-5930 DO - https://dx.doi.org/10.1024/0040-5930/a000072 PT - Journal Article ID - 10.1024/0040-5930/a000072 [doi] PP - ppublish LG - German DP - 2010 Aug EZ - 2010/08/06 06:00 DA - 2010/09/24 06:00 DT - 2010/08/06 06:00 YR - 2010 ED - 20100923 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20687043 <578. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20551726 TI - Randomized trial of web-based training about opioid therapy for chronic pain. SO - Clinical Journal of Pain. 26(6):512-7, 2010 Jul-Aug. AS - Clin J Pain. 26(6):512-7, 2010 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sullivan MD AU - Gaster B AU - Russo J AU - Bowlby L AU - Rocco N AU - Sinex N AU - Livovich J AU - Jasti H AU - Arnold R FA - Sullivan, Mark D FA - Gaster, Barak FA - Russo, Joan FA - Bowlby, Lynn FA - Rocco, Nicole FA - Sinex, Noelle FA - Livovich, Jeffrey FA - Jasti, Harish FA - Arnold, Robert IN - Sullivan, Mark D. Department of Psychiatry & Behavioral Sciences, University of Washington, Seattle, WA 98195, USA. sullimar@u.washington.edu CM - Comment in: Curr Pain Headache Rep. 2011 Apr;15(2):88-90; PMID: 21271307 NJ - The Clinical journal of pain VO - 26 IP - 6 PG - 512-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - beg, 8507389 IO - Clin J Pain SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Attitude to Health MH - Chi-Square Distribution MH - Chronic Disease/dt [Drug Therapy] MH - *Clinical Trials as Topic/mt [Methods] MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internet MH - *Internship and Residency MH - Outcome Assessment (Health Care)/mt [Methods] MH - *Pain/dt [Drug Therapy] AB - OBJECTIVES: The treatment of chronic noncancer pain with chronic opioid therapy has increased rapidly, but medicine residents receive little training concerning this therapy. Therefore we conducted a trial to determine if an interactive web-based training focusing on shared decision-making for chronic opioid therapy improves knowledge and competence compared with exposure to practice guidelines. AB - METHODS: A randomized controlled educational trial of 213 internal medicine residents from 5 medicine residencies participating in the Residency Review Committee for Internal Medicine's Educational Innovations Project comparing access to interactive web-based training (COPE: Collaborative Opioid Prescribing Education) or access to the Veterans Affairs/Department of Defense Clinical Practice Guideline for the Management of Opioid Therapy for Chronic Pain. Pretraining and immediate posttraining knowledge test; pretraining and 60-day posttraining self-reported competence, satisfaction, patient-centeredness, and selected clinical behaviors were analyzed using t tests, Pearson chi, and Generalized Estimating Equations. AB - RESULTS: The web training group had greater increase in knowledge with training (chi(2)=72.06, P<0.00001) and greater self-rated competence in the management of outpatients with chronic pain (chi(2)=6.48, P=0.01), and specifically in the use of opioids in this management (chi(2)=5.17, P=0.02). Residents in both groups reported more satisfaction with managing chronic pain care after training (chi(2)=52.72, P<0.0001), though the web training was superior on subscales concerning training adequacy (chi(2)=4.94, P=0.026) and relationship quality (chi(2)=5.79, P=0.016). AB - CONCLUSIONS: Exposure to an interactive web-based training focused on shared decision-making and communication skills was more effective than exposure to compatible practice guidelines for knowledge and self-reported competence in the management of chronic noncancer pain. RN - 0 (Analgesics, Opioid) ES - 1536-5409 IL - 0749-8047 DO - https://dx.doi.org/10.1097/AJP.0b013e3181dc7adc PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 10.1097/AJP.0b013e3181dc7adc [doi] ID - 00002508-201007000-00007 [pii] PP - ppublish LG - English DP - 2010 Jul-Aug EZ - 2010/06/17 06:00 DA - 2010/09/24 06:00 DT - 2010/06/17 06:00 YR - 2010 ED - 20100922 RD - 20171107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20551726 <579. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20094691 TI - [Every life counts : suicide by anesthetists]. [Review] [32 refs] [German] OT - Jedes Leben zahlt : Suizid von Anasthesisten. SO - Anaesthesist. 59(5):395-400, 2010 May. AS - Anaesthesist. 59(5):395-400, 2010 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Maulen B FA - Maulen, B IN - Maulen, B. Institut fur Arztegesundheit, 78050 Villingen, Deutschland. docmaeulen@t-online.de NJ - Der Anaesthesist VO - 59 IP - 5 PG - 395-400 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4my, 0370525 IO - Anaesthesist SB - Index Medicus CP - Germany MH - *Anesthesiology/ma [Manpower] MH - Burnout, Professional/ep [Epidemiology] MH - Burnout, Professional/px [Psychology] MH - Critical Care MH - Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/px [Psychology] MH - Emergency Medical Services MH - Humans MH - Pain Management MH - Physician Impairment MH - Physicians MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - *Suicide/pc [Prevention & Control] MH - *Suicide/px [Psychology] AB - 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 of suicide will be presented. [References: 32] ES - 1432-055X IL - 0003-2417 DO - https://dx.doi.org/10.1007/s00101-009-1660-7 PT - English Abstract PT - Journal Article PT - Review ID - 10.1007/s00101-009-1660-7 [doi] PP - ppublish LG - German DP - 2010 May EZ - 2010/01/23 06:00 DA - 2010/09/11 06:00 DT - 2010/01/23 06:00 YR - 2010 ED - 20100910 RD - 20170916 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20094691 <580. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20736462 TI - FDA opioid safety plan promotes patient, physician education to prevent abuse. SO - JAMA. 304(8):845, 2010 Aug 25. AS - JAMA. 304(8):845, 2010 Aug 25. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kuehn BM FA - Kuehn, Bridget M NJ - JAMA VO - 304 IP - 8 PG - 845 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/po [Poisoning] MH - Delayed-Action Preparations MH - Drug Overdose/pc [Prevention & Control] MH - *Education, Medical, Continuing MH - Humans MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Patient Education as Topic MH - Physicians MH - Practice Patterns, Physicians' MH - United States MH - *United States Food and Drug Administration RN - 0 (Analgesics, Opioid) RN - 0 (Delayed-Action Preparations) ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2010.1200 PT - News ID - 304/8/845 [pii] ID - 10.1001/jama.2010.1200 [doi] PP - ppublish LG - English DP - 2010 Aug 25 EZ - 2010/08/26 06:00 DA - 2010/08/28 06:00 DT - 2010/08/26 06:00 YR - 2010 ED - 20100827 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20736462 <581. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20648907 TI - Health care equality and parity for treatment of addictive disease. SO - Journal of Psychoactive Drugs. 42(2):121-6, 2010 Jun. AS - J Psychoactive Drugs. 42(2):121-6, 2010 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith DE AU - Lee DR AU - Davidson LD FA - Smith, David E FA - Lee, Dorothy R FA - Davidson, Leigh Dickerson IN - Smith, David E. Buxton-Smith Center for Research on Addiction Medicine, Free Clinic Movement, 856 Stanyan Street, San Francisco 94117, USA. NJ - Journal of psychoactive drugs VO - 42 IP - 2 PG - 121-6 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - Cost Sharing/ec [Economics] MH - Cost Sharing/lj [Legislation & Jurisprudence] MH - Cost Sharing/mt [Methods] MH - *Cost Sharing MH - *Health Services Accessibility MH - Humans MH - *Insurance Coverage MH - *Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/th [Therapy] AB - 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. IS - 0279-1072 IL - 0279-1072 PT - Journal Article ID - 10.1080/02791072.2010.10400684 [doi] PP - ppublish LG - English DP - 2010 Jun EZ - 2010/07/23 06:00 DA - 2010/08/27 06:00 DT - 2010/07/23 06:00 YR - 2010 ED - 20100826 RD - 20100722 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20648907 <582. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20593571 TI - 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?. SO - Harvard Heart Letter. 20(9):8, 2010 May. AS - Harv Heart Lett. 20(9):8, 2010 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee T FA - Lee, Thomas NJ - Harvard heart letter : from Harvard Medical School VO - 20 IP - 9 PG - 8 PI - Journal available in: Print PI - Citation processed from: Print JC - 9425723, c2z IO - Harv Heart Lett SB - Consumer Health Journals CP - United States MH - Aged, 80 and over MH - Angioplasty, Balloon, Coronary MH - Attitude to Health MH - Coronary Artery Disease/th [Therapy] MH - Female MH - Health Promotion/mt [Methods] MH - Humans MH - *Patient Acceptance of Health Care/px [Psychology] MH - *Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] MH - Smoking Prevention IS - 1051-5313 IL - 1051-5313 PT - Journal Article PP - ppublish LG - English DP - 2010 May EZ - 2010/07/03 06:00 DA - 2010/08/21 06:00 DT - 2010/07/03 06:00 YR - 2010 ED - 20100820 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20593571 <583. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20645589 TI - School nurses connect schools and parents from home to homeroom to prevent teen medicine abuse. SO - NASN school nurse. 25(4):170-1, 2010 Jul. AS - NASN Sch Nurse. 25(4):170-1, 2010 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Suydam L AU - Garcia A FA - Suydam, Linda FA - Garcia, Amy IN - Suydam, Linda. Consumer Healthcare Products Association, Washington, DC, USA. NJ - NASN school nurse (Print) VO - 25 IP - 4 PG - 170-1 PI - Journal available in: Print PI - Citation processed from: Print JC - 101528330 IO - NASN Sch Nurse SB - Nursing Journal CP - United States MH - Adolescent MH - *Health Education MH - Humans MH - *Nonprescription Drugs MH - Parents MH - *Prescription Drugs MH - Professional-Family Relations MH - *School Nursing MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States RN - 0 (Nonprescription Drugs) RN - 0 (Prescription Drugs) IS - 1942-602X IL - 1942-602X PT - Journal Article ID - 10.1177/1942602X10371008 [doi] PP - ppublish LG - English DP - 2010 Jul EZ - 2010/07/22 06:00 DA - 2010/08/19 06:00 DT - 2010/07/22 06:00 YR - 2010 ED - 20100818 RD - 20161221 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20645589 <584. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20362407 TI - Subtyping of substance use disorders in a high-risk welfare-to-work sample: a latent class analysis. SO - Journal of Substance Abuse Treatment. 38(4):366-74, 2010 Jun. AS - J Subst Abuse Treat. 38(4):366-74, 2010 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwartz B AU - Wetzler S AU - Swanson A AU - Sung SC FA - Schwartz, Bruce FA - Wetzler, Scott FA - Swanson, Arthur FA - Sung, Sharon C IN - Schwartz, Bruce. Department of Psychiatry and Behavioral Sciences, Montefiore Medical Center/Albert Einstein College of Medicine, Bronx, NY 10467, USA. NJ - Journal of substance abuse treatment VO - 38 IP - 4 PG - 366-74 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Case Management MH - Chi-Square Distribution MH - Databases, Factual MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Models, Statistical MH - Poverty MH - *Public Assistance/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Severity of Illness Index MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pp [Physiopathology] MH - United States MH - Young Adult AB - 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. Copyright 2010 Elsevier Inc. All rights reserved. ES - 1873-6483 IL - 0740-5472 DO - https://dx.doi.org/10.1016/j.jsat.2010.03.001 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0740-5472(10)00061-9 [pii] ID - 10.1016/j.jsat.2010.03.001 [doi] PP - ppublish PH - 2009/06/19 [received] PH - 2010/02/25 [revised] PH - 2010/03/02 [accepted] LG - English EP - 20100401 DP - 2010 Jun EZ - 2010/04/07 06:00 DA - 2010/07/24 06:00 DT - 2010/04/06 06:00 YR - 2010 ED - 20100723 RD - 20100426 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20362407 <585. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19930015 TI - Five-year longitudinal study of cannabis users in three remote Aboriginal communities in Arnhem Land, Northern Territory, Australia. SO - Drug & Alcohol Review. 28(6):623-30, 2009 Nov. AS - Drug Alcohol Rev. 28(6):623-30, 2009 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee KS AU - Conigrave KM AU - Clough AR AU - Dobbins TA AU - Jaragba MJ AU - Patton GC FA - Lee, K S Kylie FA - Conigrave, Katherine M FA - Clough, Alan R FA - Dobbins, Timothy A FA - Jaragba, Muriel J FA - Patton, George C IN - Lee, K S Kylie. School of Public Health, Tropical Medicine and Rehabilitation Sciences, James Cook University, Cairns, Australia. kylie.lee@usyd.edu.au NJ - Drug and alcohol review VO - 28 IP - 6 PG - 623-30 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Adolescent MH - Adult MH - Cannabis MH - Cohort Studies MH - Female MH - Follow-Up Studies MH - Humans MH - Longitudinal Studies MH - Male MH - *Marijuana Abuse/eh [Ethnology] MH - Marijuana Abuse/px [Psychology] MH - Marijuana Abuse/th [Therapy] MH - Northern Territory/eh [Ethnology] MH - *Oceanic Ancestry Group/eh [Ethnology] MH - Oceanic Ancestry Group/px [Psychology] MH - *Rural Population MH - Young Adult AB - INTRODUCTION AND AIMS: To examine predictors of cannabis use at 5 year follow up in an Australian Aboriginal cohort. AB - 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 > or = 3 months; lighter use, < 6 cones, 2-3 times weekly; daily use, > or = 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. AB - 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. AB - 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. ES - 1465-3362 IL - 0959-5236 DO - https://dx.doi.org/10.1111/j.1465-3362.2009.00067.x PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - DAR067 [pii] ID - 10.1111/j.1465-3362.2009.00067.x [doi] PP - ppublish LG - English DP - 2009 Nov EZ - 2009/11/26 06:00 DA - 2010/07/24 06:00 DT - 2009/11/26 06:00 YR - 2009 ED - 20100723 RD - 20091125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19930015 <586. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20386021 TI - Addiction medicine: a model osteopathic medical school curriculum. SO - Journal of the American Osteopathic Association. 110(3):127-32, 2010 Mar. AS - J Am Osteopath Assoc. 110(3):127-32, 2010 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lande RG AU - Wyatt SA AU - Przekop PR Jr FA - Lande, R Gregory FA - Wyatt, Stephen A FA - Przekop, Peter R Jr IN - Lande, R Gregory. American Osteopathic Academy of Addiction Medicine, 13826 Bison Ct, Silver Spring, MD 20906-2000, USA. rglande@act85.com NJ - The Journal of the American Osteopathic Association VO - 110 IP - 3 PG - 127-32 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - *Clinical Competence MH - *Curriculum MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Models, Educational MH - *Osteopathic Medicine/ed [Education] MH - Osteopathic Physicians/st [Standards] MH - *Osteopathic Physicians MH - Primary Health Care/og [Organization & Administration] MH - Substance-Related Disorders/ec [Economics] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - 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. ES - 1945-1997 IL - 0098-6151 PT - Journal Article ID - 110/3/127 [pii] PP - ppublish LG - English DP - 2010 Mar EZ - 2010/04/14 06:00 DA - 2010/07/23 06:00 DT - 2010/04/14 06:00 YR - 2010 ED - 20100722 RD - 20100413 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20386021 <587. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20520013 TI - Reporting-bias in surveys of sensitive personal information. SO - Academic Medicine. 85(5):742-3; author reply 743, 2010 May. AS - Acad Med. 85(5):742-3; author reply 743, 2010 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Larson PR FA - Larson, Paul R CM - Comment on: Acad Med. 2009 Feb;84(2):242-50; PMID: 19174679 NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 85 IP - 5 PG - 742-3; author reply 743 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - *Bias MH - Denial (Psychology) MH - Humans MH - *Internship and Residency MH - New Mexico MH - Patient Acceptance of Health Care MH - *Substance-Related Disorders/px [Psychology] MH - Truth Disclosure ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0b013e3181d6c6ea PT - Letter PT - Comment ID - 10.1097/ACM.0b013e3181d6c6ea [doi] ID - 00001888-201005000-00003 [pii] PP - ppublish LG - English DP - 2010 May EZ - 2010/06/04 06:00 DA - 2010/07/16 06:00 DT - 2010/06/04 06:00 YR - 2010 ED - 20100715 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20520013 <588. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20131122 TI - Smoking cessation counselling: impact of chart stickers and resident training. SO - Swiss Medical Weekly. 140(11-12):175-80, 2010 Mar 20. AS - Swiss Med Wkly. 140(11-12):175-80, 2010 Mar 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - von Garnier C AU - Meyer M AU - Leuppi J AU - Battegay E AU - Zeller A FA - von Garnier, Christophe FA - Meyer, Martina FA - Leuppi, Jorg FA - Battegay, Edouard FA - Zeller, Andreas IN - von Garnier, Christophe. Respiratory Medicine, Inselspital, Bern University Hospital, Bern, Switzerland. christophe.vongarnier@insel.ch NJ - Swiss medical weekly VO - 140 IP - 11-12 PG - 175-80 PI - Journal available in: Print PI - Citation processed from: Internet JC - d10, 100970884 IO - Swiss Med Wkly SB - Index Medicus CP - Switzerland MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Counseling MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - *Medical Records MH - Middle Aged MH - Prospective Studies MH - *Reminder Systems MH - *Smoking Cessation MH - Switzerland MH - Young Adult AB - 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. AB - SETTING: A single centre prospective observational study at the Basel University Hospital Medical Outpatient Department. AB - 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. AB - 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. AB - 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. ES - 1424-3997 IL - 0036-7672 DO - https://dx.doi.org/smw-12722 PT - Journal Article ID - smw-12722 [pii] ID - smw-12722 [doi] PP - ppublish LG - English DP - 2010 Mar 20 EZ - 2010/02/05 06:00 DA - 2010/06/29 06:00 DT - 2010/02/05 06:00 YR - 2010 ED - 20100628 RD - 20110215 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20131122 <589. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20357788 TI - Adverse effects of chronic opioid therapy for chronic musculoskeletal pain. [Review] [49 refs] SO - Nature Reviews Rheumatology. 6(4):191-7, 2010 Apr. AS - Nat Rev Rheumatol. 6(4):191-7, 2010 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crofford LJ FA - Crofford, Leslie J IN - Crofford, Leslie J. Division of Rheumatology & Women's Health, University of Kentucky, Room J-503, Kentucky Clinic, 740 S. Limestone Street, Lexington, KY 40536, USA. lcrofford@uky.edu NJ - Nature reviews. Rheumatology VO - 6 IP - 4 PG - 191-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101500080 IO - Nat Rev Rheumatol SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Education, Medical, Continuing MH - Female MH - Humans MH - *Hyperalgesia/ci [Chemically Induced] MH - Hyperalgesia/ep [Epidemiology] MH - Hyperalgesia/pc [Prevention & Control] MH - Incidence MH - Male MH - *Musculoskeletal Diseases/co [Complications] MH - Musculoskeletal Diseases/di [Diagnosis] MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - *Pain/et [Etiology] MH - Pain/pp [Physiopathology] MH - Pain Measurement MH - Prognosis MH - Risk Assessment MH - Severity of Illness Index MH - Treatment Outcome AB - The use of opioids for the treatment of chronic pain has increased dramatically over the past decade. Whether these drugs provide considerable benefits in terms of pain reduction and improved function to balance the risks associated with their use, however, is unclear. Of particular importance to clinicians treating chronic musculoskeletal pain is opioid-induced hyperalgesia, the activation of pronociceptive pathways by exogenous opioids that results in central sensitization to pain. This phenomenon results in an increase in pain sensitivity and can potentially exacerbate pre-existing pain. Opioids also have powerful positive effects on the reward and reinforcing circuits of the brain that might lead to continued drug use, even if there is no abuse or misuse. The societal risk of increased opioid prescription is associated with increased nonmedical use, serious adverse events and death. Patients with chronic musculoskeletal pain should avoid the long-term use of opioids unless the benefits are determined to outweigh risks, in which case, the use of chronic opioids should be regularly re-evaluated. [References: 49] RN - 0 (Analgesics, Opioid) ES - 1759-4804 IL - 1759-4790 DO - https://dx.doi.org/10.1038/nrrheum.2010.24 PT - Journal Article PT - Review ID - nrrheum.2010.24 [pii] ID - 10.1038/nrrheum.2010.24 [doi] PP - ppublish LG - English DP - 2010 Apr EZ - 2010/04/02 06:00 DA - 2010/06/26 06:00 DT - 2010/04/02 06:00 YR - 2010 ED - 20100625 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20357788 <590. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20301945 TI - [Acting in the framework of the nicotine addiction prevention--the level of knowledge amongst 6th year students of Wroclaw Medical University]. [Polish] OT - Postepowanie w ramach profilaktyki uzaleznienia od nikotyny--poziom wiedzy wsrod studentow VI roku Akademii Medycznej we Wroclawiu. SO - Przeglad Lekarski. 66(10):819-21, 2009. AS - Przegl Lek. 66(10):819-21, 2009. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kurpas D AU - Wojtal M AU - Bielska D AU - Rogalska M AU - Sapilak B AU - Steciwko A FA - Kurpas, Donata FA - Wojtal, Mariola FA - Bielska, Dorota FA - Rogalska, Monika FA - Sapilak, Bartosz FA - Steciwko, Andrzej IN - Kurpas, Donata. Katedra i Zaklad Medycyny Rodzinnej, Akademia Medyczna, Wroclaw. dkurpas@hotmail.com NJ - Przeglad lekarski VO - 66 IP - 10 PG - 819-21 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Incidence MH - Male MH - Medicine/cl [Classification] MH - Medicine/sn [Statistics & Numerical Data] MH - Poland/ep [Epidemiology] MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - *Students/sn [Statistics & Numerical Data] MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - 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 Fagerstroma 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. IS - 0033-2240 IL - 0033-2240 PT - English Abstract PT - Journal Article PP - ppublish LG - Polish DP - 2009 EZ - 2009/01/01 00:00 DA - 2010/06/24 06:00 DT - 2010/03/23 06:00 YR - 2009 ED - 20100623 RD - 20100322 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20301945 <591. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20301944 TI - [Practical anti-tobacco intervention in education ability of undergraduates of medical faculty]. [Polish] OT - Praktyczna interwencja antytytoniowa w edukacji studentow medycyny. SO - Przeglad Lekarski. 66(10):816-8, 2009. AS - Przegl Lek. 66(10):816-8, 2009. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bielska D AU - Trofimiuk E AU - Kurpas D AU - Wojtal M FA - Bielska, Dorota FA - Trofimiuk, Emil FA - Kurpas, Donata FA - Wojtal, Mariola IN - Bielska, Dorota. Zaklad Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego, Uniwersytet Medyczny, Bialystok. d.bielska1@wp.pl NJ - Przeglad lekarski VO - 66 IP - 10 PG - 816-8 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - *Education, Medical/mt [Methods] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - Population Surveillance MH - Prevalence MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - *Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Students/sn [Statistics & Numerical Data] MH - Young Adult AB - 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 Fagerstom Test for Nicotine Dependence or Schneider's Smoker Complaint Scale. IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2009 EZ - 2009/01/01 00:00 DA - 2010/06/24 06:00 DT - 2010/03/23 06:00 YR - 2009 ED - 20100623 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20301944 <592. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20301917 TI - [Competence of pharmacy students of the Jagiellonian University Medical College, Department of Pharmacy in Cracow in the problem of tobacco addiction]. [Polish] OT - Stan wiedzy studentow farmacji wydzialu farmaceutycznego Uniwersytetu Jagiellonskiego Collegium Medicum w Krakowie o uzaleznieniu od palenia papierosow. SO - Przeglad Lekarski. 66(10):709-13, 2009. AS - Przegl Lek. 66(10):709-13, 2009. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brandys J AU - Panas M AU - Skowron A AU - Przybycien A FA - Brandys, Jerzy FA - Panas, Malgorzata FA - Skowron, Agnieszka FA - Przybycien, Agata IN - Brandys, Jerzy. Katedra i Zaklad Toksykologii, Uniwersytet Jagiellonski, Collegium Medicum, Krakow. NJ - Przeglad lekarski VO - 66 IP - 10 PG - 709-13 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - *Education, Pharmacy/sn [Statistics & Numerical Data] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/og [Organization & Administration] MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - Program Development MH - *Smoking/ep [Epidemiology] MH - Smoking Prevention MH - *Students/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Young Adult AB - 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. IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2009 EZ - 2009/01/01 00:00 DA - 2010/06/24 06:00 DT - 2010/03/23 06:00 YR - 2009 ED - 20100623 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20301917 <593. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20360792 TI - Addictive overeating: lessons learned from medical students' perceptions of Overeaters Anonymous. SO - New Zealand Medical Journal. 123(1311):15-21, 2010 Mar 19. AS - N Z Med J. 123(1311):15-21, 2010 Mar 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schroder R AU - Sellman D AU - Elmslie J FA - Schroder, Ria FA - Sellman, Doug FA - Elmslie, Jane IN - Schroder, Ria. National Addiction Centre, Department of Psychological Medicine, University of Otago, Christchurch, PO Box 4345, Christchurch Mail Centre, Christchurch 8140, New Zealand. ria.schroder@otago.ac.nz NJ - The New Zealand medical journal VO - 123 IP - 1311 PG - 15-21 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - obq, 0401067 IO - N. Z. Med. J. SB - Index Medicus CP - New Zealand MH - *Attitude of Health Personnel MH - Attitude to Health MH - *Behavior, Addictive MH - *Feeding Behavior/px [Psychology] MH - Female MH - *Food MH - Humans MH - Male MH - *Motivation/ph [Physiology] MH - Retrospective Studies MH - *Students, Medical/px [Psychology] MH - *Surveys and Questionnaires AB - AIM: To explore medical students' perceptions of Overeaters Anonymous (OA). AB - 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. AB - 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. AB - 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. ES - 1175-8716 IL - 0028-8446 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - epublish LG - English EP - 20100319 DP - 2010 Mar 19 EZ - 2010/04/03 06:00 DA - 2010/06/16 06:00 DT - 2010/04/03 06:00 YR - 2010 ED - 20100615 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20360792 <594. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20202317 TI - A survey of general practitioners' opinions and perceived competencies in teaching undergraduate psychiatry. SO - Education for Primary Care. 21(1):20-4, 2010 Jan. AS - Educ. prim. care. 21(1):20-4, 2010 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson C AU - Dogra N AU - McKinley R FA - Thompson, Catherine FA - Dogra, Nisha FA - McKinley, Robert IN - Thompson, Catherine. Harplands Hospital, Hilton Road, Stoke on Trent ST4 6TH, UK. catherine.thompson@northstaffs.nhs.uk NJ - Education for primary care : an official publication of the Association of Course Organisers, National Association of GP Tutors, World Organisation of Family Doctors VO - 21 IP - 1 PG - 20-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 101141280 IO - Educ Prim Care SB - Index Medicus CP - England MH - Adult MH - Aged MH - Attitude of Health Personnel MH - Data Collection MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Physicians, Family/px [Psychology] MH - *Psychiatry/ed [Education] MH - *Self Efficacy MH - *Teaching AB - 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. AB - METHOD: A questionnaire asked GPs about teaching undergraduate psychiatry in both general and specialist areas. AB - 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. AB - 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. IS - 1473-9879 IL - 1473-9879 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2010 Jan EZ - 2010/03/06 06:00 DA - 2010/06/09 06:00 DT - 2010/03/06 06:00 YR - 2010 ED - 20100608 RD - 20100305 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20202317 <595. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20481177 TI - Teaching clinical opioid pharmacology with the Human Patient Simulator. SO - Journal of Opioid Management. 6(2):125-32, 2010 Mar-Apr. AS - J Opioid Manag. 6(2):125-32, 2010 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hassan Z AU - DiLorenzo A AU - Sloan P FA - Hassan, Zaki FA - DiLorenzo, Amy FA - Sloan, Paul IN - Hassan, Zaki. Department of Anesthesiology, University of Kentucky Medical Center, Lexington, KY, USA. NJ - Journal of opioid management VO - 6 IP - 2 PG - 125-32 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Computer Simulation MH - *Computer-Assisted Instruction MH - Depression, Chemical MH - Education, Medical, Undergraduate/mt [Methods] MH - Education, Nursing, Graduate/mt [Methods] MH - Educational Technology MH - Humans MH - *Manikins MH - Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - *Pain, Postoperative/dt [Drug Therapy] MH - *Pharmacology, Clinical/ed [Education] MH - Pilot Projects MH - Postanesthesia Nursing/ed [Education] MH - Postoperative Care/ed [Education] MH - Program Evaluation AB - 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. AB - 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). AB - 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). AB - 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. RN - 0 (Analgesics, Opioid) RN - 0 (Narcotic Antagonists) RN - 36B82AMQ7N (Naloxone) IS - 1551-7489 IL - 1551-7489 PT - Journal Article PP - ppublish LG - English DP - 2010 Mar-Apr EZ - 2010/05/21 06:00 DA - 2010/06/04 06:00 DT - 2010/05/21 06:00 YR - 2010 ED - 20100603 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20481177 <596. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20443412 TI - [Opioid rotation in the home medical care service]. [Japanese] SO - Gan to Kagaku Ryoho [Japanese Journal of Cancer & Chemotherapy]. 36 Suppl 1:89-91, 2009 Dec. AS - Gan To Kagaku Ryoho. 36 Suppl 1:89-91, 2009 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sugimoto Y FA - Sugimoto, Yuka IN - Sugimoto, Yuka. Sugimoto Home Care Clinic. NJ - Gan to kagaku ryoho. Cancer & chemotherapy VO - 36 Suppl 1 PG - 89-91 PI - Journal available in: Print PI - Citation processed from: Print JC - 7810034, 6t8 IO - Gan To Kagaku Ryoho SB - Index Medicus CP - Japan MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - *Home Care Services MH - Humans MH - *Morphine/ad [Administration & Dosage] MH - Morphine/tu [Therapeutic Use] MH - Neoplasms/co [Complications] MH - *Neoplasms/th [Therapy] MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - Patient Care Team MH - Terminal Care AB - 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. RN - 0 (Analgesics, Opioid) RN - 76I7G6D29C (Morphine) IS - 0385-0684 IL - 0385-0684 PT - English Abstract PT - Journal Article PP - ppublish LG - Japanese DP - 2009 Dec EZ - 2010/05/07 06:00 DA - 2010/06/04 06:00 DT - 2010/05/07 06:00 YR - 2009 ED - 20100603 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20443412 <597. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20204900 TI - [Do general practitioners diagnose and treat patients with alcohol use problems?]. [Turkish] OT - Pratisyen Hekimler Alkol Kullanim Sorunlari Olan Hastalari Taniyor ve Tedavi Ediyorlar Mi? SO - Turk Psikiyatri Dergisi. 21(1):5-13, 2010. AS - Turk Psikiyatri Derg. 21(1):5-13, 2010. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Akvardar Y AU - Ucku R AU - Unal B AU - Gunay T AU - Akdede BB AU - Ergor G AU - Alptekin K AU - Tunca Z FA - Akvardar, Yildiz FA - Ucku, Reyhan FA - Unal, Belgin FA - Gunay, Turkan FA - Akdede, Berna B FA - Ergor, Gul FA - Alptekin, Koksal FA - Tunca, Zeliha IN - Akvardar, Yildiz. yildiz.akvardar@deu.edu.tr NJ - Turk psikiyatri dergisi = Turkish journal of psychiatry VO - 21 IP - 1 PG - 5-13 PI - Journal available in: Print PI - Citation processed from: Print JC - 9425936 IO - Turk Psikiyatri Derg SB - Index Medicus CP - Turkey MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Clinical Competence MH - Cross-Sectional Studies MH - Education, Medical, Continuing MH - *Family Practice MH - Female MH - Health Care Surveys MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Physicians, Family/ed [Education] MH - *Physicians, Family/px [Psychology] MH - Physicians, Family/st [Standards] MH - *Practice Patterns, Physicians' MH - Referral and Consultation MH - Surveys and Questionnaires MH - Turkey AB - AIM: To determine the primary health care working general practitioners' knowledge, attitude and behavior towards alcohol use disorders. AB - METHOD: In this descriptive and cross-sectional study 135 general practitioners (GPs) completed the questionnaire. AB - RESULTS: Pre and post graduate education on alcohol use disorders is low (25.4 % and 11.7% respectively). Most of the GPs do not know the levels of risky alcohol use, screening tests, and biochemical markers. The mean knowledge score is 6.67+/-1.70. Most GPs think that alcohol use disorders are not an important issue in primary health care (57%), they do not have time to deal with patients' alcohol problems (74.1%), it is difficult to diagnose risky alcohol users without clear symptoms (91.1%), patients do not follow advice on alcohol use (85.2%), and physicians themselves are tolerant towards alcohol (71.1%). Half of the GPs reported that they find it difficult to talk about alcohol use with patients and think that patients may be angered by alcohol consumption questions. Mean attitude score is 4.44+/-2.15. Most of the GPs reported that they would ask questions about alcohol use to their patients (91.7%) and declare that the patients' problems were related to alcohol (90.2%). More than half of them reported that they would refer the patient to a specialist or an alcohol treatment center (58.5%). The mean behavior score is 5.96+/-1.46. AB - CONCLUSION: In our country it is clear that more education and support for GPs is needed due to their important role in intervention for alcohol use problems. IS - 1300-2163 IL - 1300-2163 PT - English Abstract PT - Journal Article ID - 740 [pii] PP - ppublish LG - Turkish DP - 2010 EZ - 2010/03/06 06:00 DA - 2010/05/26 06:00 DT - 2010/03/06 06:00 YR - 2010 ED - 20100525 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20204900 <598. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20425908 TI - [Efficacy of combined antiviral therapy with pegylated interferon alpha-2a and ribavirin for chronic hepatitis C infection in intravenous drug users]. [Serbian] SO - Srpski Arhiv Za Celokupno Lekarstvo. 138(1-2):43-9, 2010 Jan-Feb. AS - Srp Arh Celok Lek. 138(1-2):43-9, 2010 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruzic M AU - Milotka F AU - Klasnja B AU - Pobor M AU - Svarc D AU - Jovelic A AU - Fabri I FA - Ruzic, Maja FA - Milotka, Fabri FA - Klasnja, Biljana FA - Pobor, Marta FA - Svarc, Daniela FA - Jovelic, Aleksandra FA - Fabri, Izabella NJ - Srpski arhiv za celokupno lekarstvo VO - 138 IP - 1-2 PG - 43-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 0027440, uzg IO - Srp Arh Celok Lek SB - Index Medicus CP - Serbia MH - Adult MH - *Antiviral Agents/ad [Administration & Dosage] MH - Drug Therapy, Combination MH - Female MH - *Hepatitis C, Chronic/dt [Drug Therapy] MH - Hepatitis C, Chronic/et [Etiology] MH - Humans MH - *Interferon-alpha/ad [Administration & Dosage] MH - Male MH - Middle Aged MH - *Polyethylene Glycols/ad [Administration & Dosage] MH - Recombinant Proteins MH - *Ribavirin/ad [Administration & Dosage] MH - *Substance Abuse, Intravenous/co [Complications] AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Antiviral Agents) RN - 0 (Interferon-alpha) RN - 0 (Recombinant Proteins) RN - 30IQX730WE (Polyethylene Glycols) RN - 47RRR83SK7 (interferon alfa-2a) RN - 49717AWG6K (Ribavirin) RN - Q46947FE7K (peginterferon alfa-2a) IS - 0370-8179 IL - 0370-8179 PT - Journal Article PP - ppublish LG - Serbian DP - 2010 Jan-Feb EZ - 2010/04/29 06:00 DA - 2010/05/19 06:00 DT - 2010/04/29 06:00 YR - 2010 ED - 20100518 RD - 20161125 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20425908 <599. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19737207 TI - Teaching about tobacco in medical schools: a worldwide study. SO - Drug & Alcohol Review. 28(5):484-97, 2009 Sep. AS - Drug Alcohol Rev. 28(5):484-97, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richmond R AU - Zwar N AU - Taylor R AU - Hunnisett J AU - Hyslop F FA - Richmond, Robyn FA - Zwar, Nicholas FA - Taylor, Rachel FA - Hunnisett, Joanne FA - Hyslop, Fran IN - Richmond, Robyn. School of Public Health and Community Medicine, University of NSW, Kensington, Australia. r.richmond@unsw.edu.au NJ - Drug and alcohol review VO - 28 IP - 5 PG - 484-97 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Cross-Sectional Studies MH - Curriculum/td [Trends] MH - *Curriculum MH - *Global Health MH - Humans MH - Internationality MH - Schools, Medical/td [Trends] MH - *Schools, Medical MH - Smoking Cessation/mt [Methods] MH - Students, Medical MH - Teaching/mt [Methods] MH - Teaching/td [Trends] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - 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 ES - 1465-3362 IL - 0959-5236 DO - https://dx.doi.org/10.1111/j.1465-3362.2009.00105.x PT - Comparative Study PT - Journal Article ID - DAR105 [pii] ID - 10.1111/j.1465-3362.2009.00105.x [doi] PP - ppublish LG - English DP - 2009 Sep EZ - 2009/09/10 06:00 DA - 2010/05/19 06:00 DT - 2009/09/10 06:00 YR - 2009 ED - 20100518 RD - 20141120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19737207 <600. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19737206 TI - Postgraduate medical education on tobacco and smoking cessation in Europe. [Review] [28 refs] SO - Drug & Alcohol Review. 28(5):474-83, 2009 Sep. AS - Drug Alcohol Rev. 28(5):474-83, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kralikova E AU - Bonevski B AU - Stepankova L AU - Pohlova L AU - Mladkova N FA - Kralikova, Eva FA - Bonevski, Billie FA - Stepankova, Lenka FA - Pohlova, Ludmila FA - Mladkova, Nikol IN - Kralikova, Eva. Institute of Hygiene and Epidemiology and the 3rd Medical Department First Medical Faculty, Charles University, Prague, Czech Republic. NJ - Drug and alcohol review VO - 28 IP - 5 PG - 474-83 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Data Collection/mt [Methods] MH - *Education, Medical, Continuing/mt [Methods] MH - Education, Medical, Continuing/td [Trends] MH - Europe/ep [Epidemiology] MH - Humans MH - Physician's Role MH - Physicians/td [Trends] MH - *Physicians MH - Smoking/th [Therapy] MH - *Smoking Cessation/mt [Methods] MH - Smoking Prevention MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder/th [Therapy] AB - 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. AB - 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. AB - 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). AB - 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. AB - 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. [References: 28] ES - 1465-3362 IL - 0959-5236 DO - https://dx.doi.org/10.1111/j.1465-3362.2009.00104.x PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - DAR104 [pii] ID - 10.1111/j.1465-3362.2009.00104.x [doi] PP - ppublish LG - English DP - 2009 Sep EZ - 2009/09/10 06:00 DA - 2010/05/19 06:00 DT - 2009/09/10 06:00 YR - 2009 ED - 20100518 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19737206 <601. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19737205 TI - Postgraduate education for doctors in smoking cessation. [Review] [32 refs] SO - Drug & Alcohol Review. 28(5):466-73, 2009 Sep. AS - Drug Alcohol Rev. 28(5):466-73, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zwar NA AU - Richmond RL AU - Davidson D AU - Hasan I FA - Zwar, Nicholas A FA - Richmond, Robyn L FA - Davidson, David FA - Hasan, Iqbal IN - Zwar, Nicholas A. School of Public Health and Community Medicine, University of New South Wales, Sydney, Australia. n.zwar@unsw.edu.au NJ - Drug and alcohol review VO - 28 IP - 5 PG - 466-73 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Data Collection/mt [Methods] MH - *Education, Medical, Continuing/mt [Methods] MH - Education, Medical, Continuing/td [Trends] MH - Humans MH - Patient Education as Topic/mt [Methods] MH - Patient Education as Topic/td [Trends] MH - Physician-Patient Relations MH - *Physicians MH - Smoking/th [Therapy] MH - *Smoking Cessation/mt [Methods] MH - Smoking Prevention AB - 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. AB - 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. AB - 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. AB - 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 [References: 32] ES - 1465-3362 IL - 0959-5236 DO - https://dx.doi.org/10.1111/j.1465-3362.2009.00103.x PT - Journal Article PT - Review ID - DAR103 [pii] ID - 10.1111/j.1465-3362.2009.00103.x [doi] PP - ppublish LG - English DP - 2009 Sep EZ - 2009/09/10 06:00 DA - 2010/05/19 06:00 DT - 2009/09/10 06:00 YR - 2009 ED - 20100518 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19737205 <602. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20339165 TI - [Smoking, obesity and education of Icelandic women by rural-urban residence]. [Icelandic] OT - Reykingar, holdafar og menntun kvenna i borg og bae. SO - Laeknabladid. 96(4):259-64, 2010 Apr. AS - Laeknabladid. 96(4):259-64, 2010 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steingrimsdottir L AU - Olafsdottir EJ AU - Jonsdottir LS AU - Sigurdsson R AU - Tryggvadottir L FA - Steingrimsdottir, Laufey FA - Olafsdottir, Elinborg J FA - Jonsdottir, Lilja Sigrun FA - Sigurdsson, Rafn FA - Tryggvadottir, Laufey IN - Steingrimsdottir, Laufey. laufey@hi.is NJ - Laeknabladid VO - 96 IP - 4 PG - 259-64 PI - Journal available in: Print PI - Citation processed from: Print JC - 7901326 IO - Laeknabladid SB - Index Medicus CP - Iceland MH - Adolescent MH - Adult MH - Chi-Square Distribution MH - Cross-Sectional Studies MH - *Educational Status MH - Female MH - Health Surveys MH - Humans MH - Iceland/ep [Epidemiology] MH - Logistic Models MH - Middle Aged MH - *Obesity/ep [Epidemiology] MH - Obesity/et [Etiology] MH - Odds Ratio MH - Prevalence MH - *Residence Characteristics MH - Risk Assessment MH - Risk Factors MH - *Rural Population MH - Smoking/ae [Adverse Effects] MH - *Smoking/ep [Epidemiology] MH - Surveys and Questionnaires MH - *Urban Population MH - *Women's Health MH - Young Adult AB - 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. AB - 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 > or = 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. AB - 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). . AB - 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 between these factors is complex and differs between women residing within and outside the capital area. IS - 0023-7213 IL - 0023-7213 PT - English Abstract PT - Journal Article PP - ppublish LG - Icelandic DP - 2010 Apr EZ - 2010/03/27 06:00 DA - 2010/05/14 06:00 DT - 2010/03/27 06:00 YR - 2010 ED - 20100513 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20339165 <603. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20230607 TI - Internal medicine residency training for unhealthy alcohol and other drug use: recommendations for curriculum design. SO - BMC Medical Education. 10:22, 2010 Mar 15. AS - BMC Med Educ. 10:22, 2010 Mar 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jackson AH AU - Alford DP AU - Dube CE AU - Saitz R FA - Jackson, Angela H FA - Alford, Daniel P FA - Dube, Catherine E FA - Saitz, Richard IN - Jackson, Angela H. Residency Training Program in Internal Medicine, Boston University School of Medicine, Boston, MA, USA. angela.jackson@bmc.org NJ - BMC medical education VO - 10 PG - 22 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2848062 SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - *Alcoholism MH - Clinical Competence MH - *Curriculum MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Program Development MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders AB - 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. AB - 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. AB - 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. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/1472-6920-10-22 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1472-6920-10-22 [pii] ID - 10.1186/1472-6920-10-22 [doi] ID - PMC2848062 [pmc] PP - epublish PH - 2009/06/09 [received] PH - 2010/03/15 [accepted] LG - English EP - 20100315 DP - 2010 Mar 15 EZ - 2010/03/17 06:00 DA - 2010/05/08 06:00 DT - 2010/03/17 06:00 YR - 2010 ED - 20100507 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20230607 <604. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20123825 TI - The Dual Diagnosis Physician-infrastructure Assessment Tool: examining physician attributes and dual diagnosis capacity. SO - Psychiatric Services. 61(2):184-8, 2010 Feb. AS - Psychiatr Serv. 61(2):184-8, 2010 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chambers RA AU - Connor MC AU - Boggs CJ AU - Parker GF FA - Chambers, R Andrew FA - Connor, Michael C FA - Boggs, Cathy J FA - Parker, George F IN - Chambers, R Andrew. Institute of Psychiatric Research, Department of Psychiatry, Indiana University School of Medicine, 791 Union Dr., Indianapolis, IN 46202, USA. robchamb@iupui.edu NJ - Psychiatric services (Washington, D.C.) VO - 61 IP - 2 PG - 184-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t IO - Psychiatr Serv PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2882634 OI - Source: NLM. NIHMS205772 SB - Index Medicus CP - United States MH - *Clinical Competence MH - Community Mental Health Centers MH - Comorbidity MH - Cooperative Behavior MH - Diagnosis, Dual (Psychiatry) MH - Health Services Research MH - Humans MH - *Mental Disorders/di [Diagnosis] MH - Mental Disorders/px [Psychology] MH - Mental Disorders/rh [Rehabilitation] MH - Patient Care Team MH - *Psychiatric Status Rating Scales/sn [Statistics & Numerical Data] MH - Quality Assurance, Health Care MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - 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. AB - 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. AB - 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. AB - 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. ES - 1557-9700 IL - 1075-2730 DO - https://dx.doi.org/10.1176/ps.2010.61.2.184 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 61/2/184 [pii] ID - 10.1176/ps.2010.61.2.184 [doi] ID - PMC2882634 [pmc] ID - NIHMS205772 [mid] PP - ppublish GI - No: K08 DA019850 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K08 DA019850-05 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K08-DA019850 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2010 Feb EZ - 2010/02/04 06:00 DA - 2010/05/04 06:00 DT - 2010/02/04 06:00 YR - 2010 ED - 20100503 RD - 20170123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20123825 <605. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17565377 TI - Personal drug selection: problem-based learning in pharmacology: experience from a medical school in Nepal. SO - PLoS ONE [Electronic Resource]. 2(6):e524, 2007 Jun 13. AS - PLoS ONE. 2(6):e524, 2007 Jun 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shankar PR AU - Palaian S AU - Gyawali S AU - Mishra P AU - Mohan L FA - Shankar, P Ravi FA - Palaian, Subish FA - Gyawali, Sudesh FA - Mishra, Pranaya FA - Mohan, Lalit IN - Shankar, P Ravi. Department of Pharmacology, Manipal College of Medical Sciences, Pokhara, Nepal. ravi.dr.shankar@gmail.com NJ - PloS one VO - 2 IP - 6 PG - e524 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101285081 IO - PLoS ONE PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1885826 SB - Index Medicus CP - United States MH - *Drug Evaluation, Preclinical/mt [Methods] MH - Drug Evaluation, Preclinical/st [Standards] MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - Nepal MH - *Pharmacology, Clinical/ed [Education] MH - *Problem-Based Learning MH - Schools, Medical MH - *Students, Medical/px [Psychology] MH - Teaching AB - 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. AB - 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. AB - 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. AB - 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. NT - Original DateCompleted: 20070803 ES - 1932-6203 IL - 1932-6203 PT - Journal Article ID - 10.1371/journal.pone.0000524 [doi] ID - PMC1885826 [pmc] PP - epublish PH - 2006/11/24 [received] PH - 2007/05/21 [accepted] LG - English EP - 20070613 DP - 2007 Jun 13 EZ - 2007/06/15 09:00 DA - 2007/06/15 09:01 DT - 2007/06/15 09:00 YR - 2007 ED - 20100429 RD - 20140904 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17565377 <606. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20141398 TI - Assessment of a hepatitis educational group for veterans with substance use disorders. SO - American Journal of Drug & Alcohol Abuse. 36(1):57-60, 2010 Jan. AS - Am J Drug Alcohol Abuse. 36(1):57-60, 2010 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hagedorn H AU - Leighton T AU - Heim L FA - Hagedorn, Hildi FA - Leighton, Tabitha FA - Heim, LeeAnn IN - Hagedorn, Hildi. Substance Use Disorders Quality Enhancement Research Initiative, Minneapolis Veteran Affairs Medical Center, Minneapolis, Minnesota 55417, USA. hildi.hagedorn@va.gov NJ - The American journal of drug and alcohol abuse VO - 36 IP - 1 PG - 57-60 PI - Journal available in: Print PI - Citation processed from: Internet JC - 3gw, 7502510 IO - Am J Drug Alcohol Abuse SB - Index Medicus CP - England MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Hepatitis, Viral, Human/pc [Prevention & Control] MH - Humans MH - Male MH - Middle Aged MH - *Patient Education as Topic/mt [Methods] MH - Patient Satisfaction MH - *Program Evaluation MH - *Substance-Related Disorders/co [Complications] MH - United States MH - United States Department of Veterans Affairs MH - Veterans MH - Viral Hepatitis Vaccines AB - 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. AB - 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. AB - METHODS: From August 2007 to May 2008, 102 veterans filled out a paper survey before and after their experience in the Healthy Liver Group. AB - 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. RN - 0 (Viral Hepatitis Vaccines) ES - 1097-9891 IL - 0095-2990 DO - https://dx.doi.org/10.3109/00952990903572233 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 10.3109/00952990903572233 [doi] PP - ppublish LG - English DP - 2010 Jan EZ - 2010/02/10 06:00 DA - 2010/04/28 06:00 DT - 2010/02/10 06:00 YR - 2010 ED - 20100427 RD - 20130715 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20141398 <607. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19839963 TI - Treatment of neonatal abstinence syndrome with clonidine and chloral hydrate. SO - Acta Paediatrica. 99(2):209-14, 2010 Feb. AS - Acta Paediatr. 99(2):209-14, 2010 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Esmaeili A AU - Keinhorst AK AU - Schuster T AU - Beske F AU - Schlosser R AU - Bastanier C FA - Esmaeili, A FA - Keinhorst, A K FA - Schuster, T FA - Beske, F FA - Schlosser, R FA - Bastanier, C IN - Esmaeili, A. Department of Pediatric Cardiology, Goethe University Hospital Frankfurt, Frankfurt am Main, Germany. anoosh.esmaeili@kgu.de NJ - Acta paediatrica (Oslo, Norway : 1992) VO - 99 IP - 2 PG - 209-14 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bgc, 9205968 IO - Acta Paediatr. SB - Index Medicus CP - Norway MH - Blood Pressure/de [Drug Effects] MH - *Chloral Hydrate/tu [Therapeutic Use] MH - *Clonidine/tu [Therapeutic Use] MH - Drug Therapy, Combination MH - Female MH - Humans MH - *Hypnotics and Sedatives/tu [Therapeutic Use] MH - Infant, Newborn MH - Length of Stay/sn [Statistics & Numerical Data] MH - *Methadone/ae [Adverse Effects] MH - Morphine/tu [Therapeutic Use] MH - *Neonatal Abstinence Syndrome/dt [Drug Therapy] MH - Phenobarbital/tu [Therapeutic Use] MH - Pregnancy MH - Retrospective Studies MH - Treatment Outcome AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Hypnotics and Sedatives) RN - 418M5916WG (Chloral Hydrate) RN - 76I7G6D29C (Morphine) RN - MN3L5RMN02 (Clonidine) RN - UC6VBE7V1Z (Methadone) RN - YQE403BP4D (Phenobarbital) ES - 1651-2227 IL - 0803-5253 DO - https://dx.doi.org/10.1111/j.1651-2227.2009.01547.x PT - Comparative Study PT - Journal Article ID - APA1547 [pii] ID - 10.1111/j.1651-2227.2009.01547.x [doi] PP - ppublish LG - English EP - 20091019 DP - 2010 Feb EZ - 2009/10/21 06:00 DA - 2010/04/28 06:00 DT - 2009/10/21 06:00 YR - 2010 ED - 20100427 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19839963 <608. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20222489 TI - Improving medical student toxicology knowledge and self-confidence using mannequin simulation. SO - Hawaii Medical Journal. 69(1):4-7, 2010 Jan. AS - Hawaii Med J. 69(1):4-7, 2010 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Halm BM AU - Lee MT AU - Franke AA FA - Halm, Brunhild M FA - Lee, Meta T FA - Franke, Adrian A IN - Halm, Brunhild M. Emergency Department, Kapi'olani Medical Center for Women and Children, Honolulu, HI 96826, USA. brunhildh@kapiolani.org NJ - Hawaii medical journal VO - 69 IP - 1 PG - 4-7 PI - Journal available in: Print PI - Citation processed from: Print JC - g1d, 2984209r IO - Hawaii Med J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3104623 SB - Index Medicus CP - United States MH - Clinical Competence MH - Drug Overdose/co [Complications] MH - *Drug Overdose/di [Diagnosis] MH - *Drug Overdose/th [Therapy] MH - *Education, Medical, Undergraduate/mt [Methods] MH - Humans MH - Manikins MH - *Patient Simulation MH - Pilot Projects MH - Self Concept MH - Unconsciousness/co [Complications] MH - Unconsciousness/th [Therapy] AB - BACKGROUND: Learning medicine without placing patients at increased risk of complications is of utmost importance in the medical profession. High-fidelity patient simulators can potentially achieve this and are therefore increasingly used in the training of medical students. Preclinical medical students have minimal exposure to clinical rotations and commonly feel anxious and apprehensive when starting their clinical years. AB - OBJECTIVES: The objective of this pilot study was to determine if toxicology knowledge and confidence of preclinical second-year medical students could be augmented with simulation training. AB - METHODS: We designed and implemented a simulation exercise for second-year medical students to enhance learning of Basic Life Support, toxidromes, and management of a semiconscious overdose victim. Groups of 5-6 students were tasked to identify abnormal findings, order tests, and initiate treatment on a mannequin. Faculty observers provided video-assisted feedback immediately afterwards. On-line pre- and posttests were completed in the simulation lab before and after the exercise. AB - RESULTS: This simulation exercise, completed by 52 students, increased test scores on average from 60% to 71% compared to a pre-test. Among the topics tested, students scored worst in identifying normal/abnormal vital signs. Mean confidence increased from 2.0 to 2.6 using a 5-point Likert scale (1-very low to 5-very high). AB - CONCLUSION: This study suggests that simulation exercises for second-year medical students may be a valuable tool to increase knowledge and student self-confidence at a key transition period prior to beginning clerkship experiences. Further research is needed to prove long-term educational benefits of simulation interventions in the preclinical setting. IS - 0017-8594 IL - 0017-8594 PT - Journal Article ID - PMC3104623 [pmc] PP - ppublish LG - English DP - 2010 Jan EZ - 2010/03/13 06:00 DA - 2010/04/23 06:00 DT - 2010/03/13 06:00 YR - 2010 ED - 20100422 RD - 20141204 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20222489 <609. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20146552 TI - Practice strategies to improve compliance and patient self-management. [Review] [4 refs] SO - Journal of Managed Care Pharmacy. 16(1 Suppl B):S26-7, 2010 Feb. AS - J Manage Care Pharm. 16(1 Suppl B):S26-7, 2010 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruetsch C FA - Ruetsch, Charles IN - Ruetsch, Charles. Health Analytics, LLC, 9250 BendixnRd. N., Ste. 240, Columbia, MD 21045, USA. Charles.Ruetsch@healthanalytic.com. NJ - Journal of managed care pharmacy : JMCP VO - 16 IP - 1 Suppl B PG - S26-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 9605854 IO - J Manag Care Pharm SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Behavior Therapy MH - Chronic Disease MH - Combined Modality Therapy MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Opioid-Related Disorders/th [Therapy] MH - *Pain/dt [Drug Therapy] MH - Patient Care Team MH - *Patient Compliance MH - *Patient Education as Topic MH - *Self Care MH - Treatment Outcome AB - 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. AB - OBJECTIVE: To introduce the benefit of integrated strategies and patient support in the treatment of opioid dependence. AB - 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. AB - 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. [References: 4] RN - 0 (Analgesics, Opioid) IS - 1083-4087 IL - 1083-4087 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 2010(16)1: 26-27 [pii] PP - ppublish LG - English DP - 2010 Feb EZ - 2010/02/12 06:00 DA - 2010/04/09 06:00 DT - 2010/02/12 06:00 YR - 2010 ED - 20100408 RD - 20141117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20146552 <610. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20053242 TI - A preliminary report of knowledge translation: lessons from taking screening and brief intervention techniques from the research setting into regional systems of care. SO - Academic Emergency Medicine. 16(11):1225-33, 2009 Nov. AS - Acad Emerg Med. 16(11):1225-33, 2009 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bernstein E AU - Topp D AU - Shaw E AU - Girard C AU - Pressman K AU - Woolcock E AU - Bernstein J FA - Bernstein, Edward FA - Topp, Deric FA - Shaw, Emily FA - Girard, Carol FA - Pressman, Karen FA - Woolcock, Ebonie FA - Bernstein, Judith IN - Bernstein, Edward. Boston University School of Medicine, Boston, MA, USA. ebernste@bu.edu NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 16 IP - 11 PG - 1225-33 PI - Journal available in: Print PI - Citation processed from: Internet JC - ce1, 9418450 IO - Acad Emerg Med SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Emergency Service, Hospital MH - Evidence-Based Medicine MH - Health Promotion MH - Humans MH - Mass Screening/mt [Methods] MH - Massachusetts MH - Models, Theoretical MH - Referral and Consultation MH - Substance Abuse Detection/mt [Methods] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - Translational Medical Research AB - 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. Copyright (c) 2009 by the Society for Academic Emergency Medicine. ES - 1553-2712 IL - 1069-6563 DO - https://dx.doi.org/10.1111/j.1553-2712.2009.00516.x PT - Journal Article ID - ACEM516 [pii] ID - 10.1111/j.1553-2712.2009.00516.x [doi] PP - ppublish LG - English DP - 2009 Nov EZ - 2010/01/08 06:00 DA - 2010/03/31 06:00 DT - 2010/01/08 06:00 YR - 2009 ED - 20100330 RD - 20111117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20053242 <611. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20187549 TI - Tobacco education in medical schools: survey among primary care physicians in Bahrain. SO - Eastern Mediterranean Health Journal. 15(4):969-75, 2009 Jul-Aug. AS - East Mediterr Health J. 15(4):969-75, 2009 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fadhil I FA - Fadhil, I IN - Fadhil, I. Chronic Diseases Unit, Ministry of Health, Manama, Bahrain. ifadhil@hotmail.com NJ - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit VO - 15 IP - 4 PG - 969-75 PI - Journal available in: Print PI - Citation processed from: Print JC - daq, 9608387 IO - East. Mediterr. Health J. SB - Index Medicus CP - Egypt MH - Adult MH - *Attitude of Health Personnel MH - Bahrain/ep [Epidemiology] MH - *Clinical Competence MH - Cross-Sectional Studies MH - Curriculum MH - Documentation MH - *Education, Medical, Graduate/og [Organization & Administration] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Male MH - Middle Aged MH - Physician's Role MH - Physicians, Family/ed [Education] MH - Physicians, Family/px [Psychology] MH - Physicians, Family/sn [Statistics & Numerical Data] MH - *Physicians, Family MH - Self Efficacy MH - Smoking/ae [Adverse Effects] MH - Smoking/ep [Epidemiology] MH - Smoking Cessation MH - *Smoking Prevention MH - Surveys and Questionnaires AB - 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. IS - 1020-3397 IL - 1020-3397 PT - Journal Article PP - ppublish LG - English DP - 2009 Jul-Aug EZ - 2010/03/02 06:00 DA - 2010/03/27 06:00 DT - 2010/03/02 06:00 YR - 2009 ED - 20100326 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20187549 <612. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19889887 TI - Cluster-randomized controlled trial of dissemination strategies of an online quality improvement programme for alcohol-related disorders. SO - Alcohol & Alcoholism. 45(1):70-8, 2010 Jan-Feb. AS - Alcohol Alcohol. 45(1):70-8, 2010 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ruf D AU - Berner M AU - Kriston L AU - Lohmann M AU - Mundle G AU - Lorenz G AU - Niebling W AU - Harter M FA - Ruf, D FA - Berner, M FA - Kriston, L FA - Lohmann, M FA - Mundle, G FA - Lorenz, G FA - Niebling, W FA - Harter, M IN - Ruf, D. Department of Psychiatry and Psychotherapy, Section of Clinical Epidemiology and Health Services Research, University Medical Centre Freiburg, D-79104 Freiburg, Germany. daniela.ruf@uniklinik-freiburg.de NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 45 IP - 1 PG - 70-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - *Alcohol-Related Disorders/di [Diagnosis] MH - *Education, Medical, Continuing/mt [Methods] MH - Education, Nursing/mt [Methods] MH - Evidence-Based Practice/mt [Methods] MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Female MH - Humans MH - *Information Dissemination/mt [Methods] MH - Male MH - Middle Aged MH - Nurses MH - *Online Systems MH - Program Evaluation MH - *Quality of Health Care AB - 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 Wurttemberg in Germany. AB - 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. AB - 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). AB - 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 study is registered at ClinicalTrials.gov: NCT00314067. This article conforms to the guidelines in the Consolidated Standards of Reporting Trials (CONSORT) statement (Moher et al., 2001; Campbell et al., 2004). ES - 1464-3502 IL - 0735-0414 DO - https://dx.doi.org/10.1093/alcalc/agp079 PT - Journal Article PT - Randomized Controlled Trial ID - agp079 [pii] ID - 10.1093/alcalc/agp079 [doi] PP - ppublish SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT00314067 SL - https://clinicaltrials.gov/search/term=NCT00314067 LG - English EP - 20091104 DP - 2010 Jan-Feb EZ - 2009/11/06 06:00 DA - 2010/03/05 06:00 DT - 2009/11/06 06:00 YR - 2010 ED - 20100304 RD - 20091229 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19889887 <613. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20065261 TI - Manufacturers argue against mandatory training for opioid prescribers. SO - American Journal of Health-System Pharmacy. 67(2):96, 2010 Jan 15. AS - Am J Health-Syst Pharm. 67(2):96, 2010 Jan 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Traynor K FA - Traynor, Kate NJ - American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists VO - 67 IP - 2 PG - 96 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9503023, cbh IO - Am J Health Syst Pharm SB - Index Medicus CP - United States MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Delayed-Action Preparations MH - *Drug Industry MH - *Drug Prescriptions MH - *Education, Medical, Continuing MH - Humans MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - United States MH - United States Food and Drug Administration RN - 0 (Analgesics, Opioid) RN - 0 (Delayed-Action Preparations) ES - 1535-2900 IL - 1079-2082 DO - https://dx.doi.org/10.2146/news100007 PT - News ID - 67/2/96 [pii] ID - 10.2146/news100007 [doi] PP - ppublish LG - English DP - 2010 Jan 15 EZ - 2010/01/13 06:00 DA - 2010/02/25 06:00 DT - 2010/01/13 06:00 YR - 2010 ED - 20100224 RD - 20100112 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20065261 <614. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19909171 TI - Sexual risk behaviors among men who have sex with men using erectile dysfunction medications. SO - AIDS Patient Care & Stds. 23(12):1017-23, 2009 Dec. AS - AIDS Patient Care STDS. 23(12):1017-23, 2009 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nettles CD AU - Benotsch EG AU - Uban KA FA - Nettles, Christopher D FA - Benotsch, Eric G FA - Uban, Kristina A IN - Nettles, Christopher D. Department of Psychology, The George Washington University, Washington, D.C. 20052, USA. cdnettle@gwu.edu NJ - AIDS patient care and STDs VO - 23 IP - 12 PG - 1017-23 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9607225, ckd IO - AIDS Patient Care STDS SB - Index Medicus SB - AIDS/HIV Journals CP - United States MH - Adult MH - *Erectile Dysfunction/dt [Drug Therapy] MH - *HIV Infections/ep [Epidemiology] MH - *Homosexuality, Male MH - Humans MH - Male MH - Middle Aged MH - *Phosphodiesterase Inhibitors/pd [Pharmacology] MH - Risk-Taking MH - Surveys and Questionnaires MH - *Unsafe Sex MH - Young Adult AB - 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. RN - 0 (Phosphodiesterase Inhibitors) ES - 1557-7449 IL - 1087-2914 DO - https://dx.doi.org/10.1089/apc.2009.0029 PT - Journal Article ID - 10.1089/apc.2009.0029 [doi] PP - ppublish LG - English DP - 2009 Dec EZ - 2009/11/17 06:00 DA - 2010/02/24 06:00 DT - 2009/11/14 06:00 YR - 2009 ED - 20100223 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19909171 <615. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20145218 TI - Safety plan for opioids meets resistance: opioid-linked deaths continue to soar. SO - JAMA. 303(6):495-7, 2010 Feb 10. AS - JAMA. 303(6):495-7, 2010 Feb 10. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kuehn BM FA - Kuehn, Bridget M NJ - JAMA VO - 303 IP - 6 PG - 495-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Analgesics, Opioid/po [Poisoning] MH - Delayed-Action Preparations MH - Drug Industry MH - *Drug Overdose/mo [Mortality] MH - Education, Medical, Continuing MH - Humans MH - Mortality/td [Trends] MH - Physicians MH - United States/ep [Epidemiology] MH - United States Food and Drug Administration RN - 0 (Analgesics, Opioid) RN - 0 (Delayed-Action Preparations) ES - 1538-3598 IL - 0098-7484 DO - https://dx.doi.org/10.1001/jama.2010.71 PT - News ID - 303/6/495 [pii] ID - 10.1001/jama.2010.71 [doi] PP - ppublish LG - English DP - 2010 Feb 10 EZ - 2010/02/11 06:00 DA - 2010/02/23 06:00 DT - 2010/02/11 06:00 YR - 2010 ED - 20100222 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20145218 <616. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20006259 TI - 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. SO - Journal of Clinical Anesthesia. 21(7):508-13, 2009 Nov. AS - J Clin Anesth. 21(7):508-13, 2009 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bryson EO FA - Bryson, Ethan O IN - Bryson, Ethan O. Department of Anesthesiology, Mount Sinai Hospital, New York, NY 10029, USA. ethan.bryson@mountsinai.org NJ - Journal of clinical anesthesia VO - 21 IP - 7 PG - 508-13 PI - Journal available in: Print PI - Citation processed from: Internet JC - an9, 8812166 IO - J Clin Anesth SB - Index Medicus CP - United States MH - *Anesthesiology/ed [Education] MH - Data Collection MH - Education, Medical, Graduate MH - Humans MH - *Internship and Residency/og [Organization & Administration] MH - Physician Impairment MH - Recurrence MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/mo [Mortality] MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders MH - United States AB - 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. AB - DESIGN: Survey instrument. AB - SETTING: Anesthesia residency training programs in the United States. AB - 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. AB - 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. AB - 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. ES - 1873-4529 IL - 0952-8180 DO - https://dx.doi.org/10.1016/j.jclinane.2008.12.026 PT - Journal Article ID - S0952-8180(09)00264-5 [pii] ID - 10.1016/j.jclinane.2008.12.026 [doi] PP - ppublish PH - 2007/10/18 [received] PH - 2008/12/17 [revised] PH - 2008/12/18 [accepted] LG - English DP - 2009 Nov EZ - 2009/12/17 06:00 DA - 2010/02/20 06:00 DT - 2009/12/17 06:00 YR - 2009 ED - 20100219 RD - 20091216 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=20006259 <617. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19931832 TI - Inconsistencies in self-reporting of sexual activity among young people in Nairobi, Kenya. SO - Journal of Adolescent Health. 45(6):595-601, 2009 Dec. AS - J Adolesc Health. 45(6):595-601, 2009 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Beguy D AU - Kabiru CW AU - Nderu EN AU - Ngware MW FA - Beguy, Donatien FA - Kabiru, Caroline W FA - Nderu, Evangeline N FA - Ngware, Moses W IN - Beguy, Donatien. African Population and Health Research Center, Nairobi, Kenya. dbeguy@aphrc.org NJ - The Journal of adolescent health : official publication of the Society for Adolescent Medicine VO - 45 IP - 6 PG - 595-601 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - a0j, 9102136 IO - J Adolesc Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2784947 SB - Index Medicus CP - United States MH - Adolescent MH - Child MH - Female MH - Humans MH - Kenya MH - Male MH - Poverty MH - *Reproducibility of Results MH - *Sexuality/eh [Ethnology] MH - *Surveys and Questionnaires MH - Truth Disclosure MH - Urban Population MH - Young Adult AB - 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. AB - 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. AB - 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. AB - 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. ES - 1879-1972 IL - 1054-139X DO - https://dx.doi.org/10.1016/j.jadohealth.2009.03.014 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S1054-139X(09)00123-2 [pii] ID - 10.1016/j.jadohealth.2009.03.014 [doi] ID - PMC2784947 [pmc] PP - ppublish PH - 2008/09/30 [received] PH - 2009/03/17 [revised] PH - 2009/03/19 [accepted] GI - No: GR 07830M Organization: *Wellcome Trust* Country: United Kingdom LG - English EP - 20090529 DP - 2009 Dec EZ - 2009/11/26 06:00 DA - 2010/02/19 06:00 DT - 2009/11/26 06:00 YR - 2009 ED - 20100218 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19931832 <618. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19824138 TI - Assessment of medical students' hazardous drinking habits. SO - Medical Teacher. 31(8):774-5, 2009 Aug. AS - Med Teach. 31(8):774-5, 2009 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hidalgo JL AU - Bravo BN AU - Rabadan FE AU - Pretel FA AU - Martinez IP AU - Selva JP AU - Postigo JM FA - Hidalgo, Jesus Lopez-Torres FA - Bravo, Beatriz Navarro FA - Rabadan, Francisco Escobar FA - Pretel, Fernando Andres FA - Martinez, Ignacio Parraga FA - Selva, Juan Pedro Serrano FA - Postigo, Jose Miguel Latorre NJ - Medical teacher VO - 31 IP - 8 PG - 774-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7909593, mf9 IO - Med Teach SB - Index Medicus CP - England MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Alcohol-Related Disorders/pc [Prevention & Control] MH - Clinical Competence MH - Education, Medical/mt [Methods] MH - Education, Medical/st [Standards] MH - Female MH - Humans MH - Male MH - Spain/ep [Epidemiology] MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] ES - 1466-187X IL - 0142-159X PT - Letter PP - ppublish LG - English DP - 2009 Aug EZ - 2009/10/14 06:00 DA - 2010/02/18 06:00 DT - 2009/10/14 06:00 YR - 2009 ED - 20100217 RD - 20091009 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19824138 <619. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19874512 TI - Attracting health professional students to substance abuse research. SO - Medical Education. 43(11):1094, 2009 Nov. AS - Med Educ. 43(11):1094, 2009 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kalet A AU - Gillespie C AU - Naegle MA AU - More F FA - Kalet, Adina FA - Gillespie, Colleen FA - Naegle, Madeline A FA - More, Frederick IN - Kalet, Adina. Section of Primary Care, New York University School of Medicine, 550 First Avenue, BCD D401, New York, New York 10016, USA. adina.kalet@nyumc.org NJ - Medical education VO - 43 IP - 11 PG - 1094 PI - Journal available in: Print PI - Citation processed from: Internet JC - mz3, 7605655 IO - Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3826780 OI - Source: NLM. NIHMS489569 SB - Index Medicus CP - England MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Humans MH - New York MH - Research Design MH - *Students, Health Occupations/px [Psychology] MH - *Substance-Related Disorders ES - 1365-2923 IL - 0308-0110 DO - https://dx.doi.org/10.1111/j.1365-2923.2009.03479.x PT - Journal Article PT - Research Support, N.I.H., Extramural ID - MED3479 [pii] ID - 10.1111/j.1365-2923.2009.03479.x [doi] ID - PMC3826780 [pmc] ID - NIHMS489569 [mid] PP - ppublish GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2009 Nov EZ - 2009/10/31 06:00 DA - 2010/02/12 06:00 DT - 2009/10/31 06:00 YR - 2009 ED - 20100211 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19874512 <620. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19917624 TI - Intranasal self-administration of remifentanil as the foray into opioid abuse by an anesthesia resident. SO - Anesthesia & Analgesia. 110(2):524-5, 2010 Feb 01. AS - Anesth Analg. 110(2):524-5, 2010 Feb 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Levine AI AU - Bryson EO FA - Levine, Adam I FA - Bryson, Ethan O IN - Levine, Adam I. Department of Anesthesiology, Mount Sinai Hospital, New York, New York 10029, USA. NJ - Anesthesia and analgesia VO - 110 IP - 2 PG - 524-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Administration, Intranasal MH - Adult MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid MH - *Anesthesiology/ed [Education] MH - Fentanyl MH - Humans MH - *Internship and Residency MH - Male MH - *Physician Impairment MH - Piperidines/ad [Administration & Dosage] MH - *Piperidines MH - *Substance-Related Disorders AB - Remifentanil is a potent micro-opioid receptor agonist that produces intense analgesia. This anilidopiperidine analog of fentanyl was approved by the United States Food and Drug Administration and became commercially available in the United States in 1997. Because of its unique chemical structure, remifentanil must be reconstituted; it has a rapid onset, and because of ester hydrolysis, it has a rapid rate of degradation. Although remifentanil's package insert warns against the potential for addiction, because of its rapid rate of degradation there was little concern that health care workers would abuse this drug. Herein, we report a case of intranasal remifentanil abuse by an anesthesiology resident. RN - 0 (Analgesics, Opioid) RN - 0 (Piperidines) RN - P10582JYYK (remifentanil) RN - UF599785JZ (Fentanyl) ES - 1526-7598 IL - 0003-2999 DO - https://dx.doi.org/10.1213/ANE.0b013e3181c5f069 PT - Case Reports PT - Journal Article ID - ANE.0b013e3181c5f069 [pii] ID - 10.1213/ANE.0b013e3181c5f069 [doi] PP - ppublish LG - English EP - 20091116 DP - 2010 Feb 01 EZ - 2009/11/18 06:00 DA - 2010/02/09 06:00 DT - 2009/11/18 06:00 YR - 2010 ED - 20100208 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19917624 <621. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19784490 TI - Drug consumption among medical students in Sao Paulo, Brazil: influences of gender and academic year. SO - Revista Brasileira de Psiquiatria. 31(3):227-39, 2009 Sep. AS - Rev Bras Psiquiatr. 31(3):227-39, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oliveira LG AU - Barroso LP AU - Wagner GA AU - Ponce Jde C AU - Malbergier A AU - Stempliuk Vde A AU - Andrade AG FA - Oliveira, Lucio Garcia de FA - Barroso, Lucia Pereira FA - Wagner, Gabriela Arantes FA - Ponce, Julio de Carvalho FA - Malbergier, Andre FA - Stempliuk, Vladimir de Andrade FA - Andrade, Arthur Guerra de IN - Oliveira, Lucio Garcia de. Department of Psychiatry, Medical School, School of Medicine, Universidade de Sao Paulo, Brazil. lucio@cisa.org.br NJ - Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) VO - 31 IP - 3 PG - 227-39 PI - Journal available in: Print PI - Citation processed from: Print JC - 100895975 IO - Rev Bras Psiquiatr SB - Index Medicus CP - Brazil MH - Adolescent MH - Adult MH - Brazil/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Income MH - Male MH - Marital Status MH - Sex Distribution MH - Sex Factors MH - *Street Drugs/ae [Adverse Effects] MH - Stress, Psychological/et [Etiology] MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Young Adult AB - OBJECTIVE: To analyze alcohol, tobacco and other drug use among medical students. AB - METHOD: Over a five-year period (1996-2001), we evaluated 457 students at the Universidade de Sao Paulo School of Medicine, located in Sao Paulo, Brazil. The students participated by filling out an anonymous questionnaire on drug use (lifetime, previous 12 months and previous 30 days). The influence that gender and academic year have on drug use was also analyzed. AB - RESULTS: During the study period, there was an increase in the use of illicit drugs, especially inhalants and amphetamines, among the medical students evaluated. Drug use (except that of marijuana and inhalants) was comparable between the genders, and academic year was an important influencing factor. AB - DISCUSSION: Increased inhalant use was observed among the medical students, especially among males and students in the early undergraduate years. This is suggestive of a specific behavioral pattern among medical students. Our findings corroborate those of previous studies. AB - CONCLUSION: Inhalant use is on the rise among medical students at the Universidade de Sao Paulo School of Medicine. Because of the negative health effects of illicit drug use, further studies are needed in order to deepen the understanding of this phenomenon and to facilitate the development of preventive measures. RN - 0 (Street Drugs) IS - 1516-4446 IL - 1516-4446 DI - S1516-44462009000300008 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S1516-44462009000300008 [pii] PP - ppublish PH - 2008/12/24 [received] PH - 2009/05/19 [accepted] LG - English DP - 2009 Sep EZ - 2009/09/29 06:00 DA - 2010/01/29 06:00 DT - 2009/09/29 06:00 YR - 2009 ED - 20100128 RD - 20090928 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19784490 <622. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19296369 TI - Sex, drugs, and rock and roll-teaching with adolescent standardized patients. SO - Medical Teacher. 31(7):571-3, 2009 Jul. AS - Med Teach. 31(7):571-3, 2009 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blake K FA - Blake, K IN - Blake, K. IWK Health Centre, Pediatrics, 5850/5980 University Ave, Halifax, Nova Scotia, B3K 6R8, Canada. kblake@dal.ca NJ - Medical teacher VO - 31 IP - 7 PG - 571-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7909593, mf9 IO - Med Teach SB - Index Medicus CP - England MH - Adolescent MH - Education MH - Education, Medical, Undergraduate MH - Feedback MH - Female MH - Humans MH - Male MH - *Music MH - *Patient Simulation MH - Personnel Selection MH - *Sexual Behavior MH - *Substance-Related Disorders ES - 1466-187X IL - 0142-159X DO - https://dx.doi.org/10.1080/01421590802541689 PT - Journal Article ID - 909676563 [pii] ID - 10.1080/01421590802541689 [doi] PP - ppublish LG - English DP - 2009 Jul EZ - 2009/03/20 09:00 DA - 2010/01/29 06:00 DT - 2009/03/20 09:00 YR - 2009 ED - 20100128 RD - 20091019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19296369 <623. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19563568 TI - Addiction medicine is an attractive field for young physicians-a call for a European initiative for the training in addiction medicine. SO - Addiction. 104(7):1258-9, 2009 Jul. AS - Addiction. 104(7):1258-9, 2009 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - De Jong CA AU - Van De Wetering BJ FA - De Jong, Cor A J FA - Van De Wetering, Ben J M CM - Comment on: Addiction. 2009 Feb;104(2):169-72; PMID: 18778386 NJ - Addiction (Abingdon, England) VO - 104 IP - 7 PG - 1258-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Career Choice MH - *Education, Medical, Continuing/mt [Methods] MH - Education, Medical, Continuing/og [Organization & Administration] MH - Europe MH - Humans MH - *Substance-Related Disorders ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2009.02606.x PT - Comment PT - Letter ID - ADD2606 [pii] ID - 10.1111/j.1360-0443.2009.02606.x [doi] PP - ppublish LG - English DP - 2009 Jul EZ - 2009/07/01 09:00 DA - 2010/01/14 06:00 DT - 2009/07/01 09:00 YR - 2009 ED - 20100113 RD - 20090630 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19563568 <624. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18998971 TI - An iGen approach to teaching medical students. SO - AMIA ... Annual Symposium Proceedings/AMIA Symposium. :1055, 2008 Nov 06 AS - AMIA Annu Symp Proc. :1055, 2008 Nov 06 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Metcalf MP AU - Tanner TB FA - Metcalf, Mary P FA - Tanner, T Bradley IN - Metcalf, Mary P. Clinical Tools, Inc., Chapel Hill, NC, USA. NJ - AMIA ... Annual Symposium proceedings. AMIA Symposium PG - 1055 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101209213 IO - AMIA Annu Symp Proc SB - Index Medicus CP - United States MH - *Computer-Assisted Instruction/mt [Methods] MH - *Education, Medical/mt [Methods] MH - Humans MH - *Internet MH - North Carolina MH - Pilot Projects MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] MH - *User-Computer Interface AB - 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. ES - 1942-597X IL - 1559-4076 PT - Journal Article PT - Research Support, N.I.H., Extramural PP - epublish PH - 2008/03/14 [received] PH - 2008/06/17 [accepted] GI - No: R44DA22069 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20081106 DP - 2008 Nov 06 EZ - 2008/11/13 09:00 DA - 2010/01/09 06:00 DT - 2008/11/13 09:00 YR - 2008 ED - 20100108 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18998971 <625. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19737992 TI - A method for educating patients and documenting smoking status in an electronic medical record. SO - Annals of Pharmacotherapy. 43(10):1616-20, 2009 Oct. AS - Ann Pharmacother. 43(10):1616-20, 2009 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ragucci KR AU - Shrader SP FA - Ragucci, Kelly R FA - Shrader, Sarah P IN - Ragucci, Kelly R. Clinical Pharmacy and Outcome Sciences/Family Medicine, Associate Graduate Pharmacy Education, South Carolina College of Pharmacy, Medical University of South Carolina Campus, Charleston, SC 29425, USA. raguccik@musc.edu NJ - The Annals of pharmacotherapy VO - 43 IP - 10 PG - 1616-20 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bbx, 9203131 IO - Ann Pharmacother SB - Index Medicus CP - United States MH - Aged MH - Ambulatory Care/og [Organization & Administration] MH - Anticoagulants/tu [Therapeutic Use] MH - Diabetes Mellitus/th [Therapy] MH - Documentation/mt [Methods] MH - *Electronic Health Records MH - Female MH - Humans MH - Male MH - Middle Aged MH - Models, Theoretical MH - *Patient Education as Topic/mt [Methods] MH - Pharmaceutical Services/og [Organization & Administration] MH - *Pharmacists/og [Organization & Administration] MH - Professional Role MH - *Smoking Cessation/mt [Methods] MH - South Carolina AB - 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. AB - 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. AB - 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 chi(2) test was used to compare the groups of patients achieving smoking cessation pre- and postintervention. AB - 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. AB - 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. RN - 0 (Anticoagulants) ES - 1542-6270 IL - 1060-0280 DO - https://dx.doi.org/10.1345/aph.1M301 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - aph.1M301 [pii] ID - 10.1345/aph.1M301 [doi] PP - ppublish LG - English EP - 20090908 DP - 2009 Oct EZ - 2009/09/10 06:00 DA - 2009/12/16 06:00 DT - 2009/09/10 06:00 YR - 2009 ED - 20091207 RD - 20090928 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19737992 <626. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19693479 TI - [Treatment of tobacco dependence: a responsibility of psychiatry and addiction medicine]. [Review] [31 refs] [German] OT - Therapie der Nikotinabhangigkeit: Eine Aufgabe fur Psychiatrie und Suchtmedizin. SO - Nervenarzt. 80(9):1022-9, 2009 Sep. AS - Nervenarzt. 80(9):1022-9, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Batra A AU - Friederich HM AU - Lutz U FA - Batra, A FA - Friederich, H M FA - Lutz, U IN - Batra, A. Sektion Suchtforschung und Suchtmedizin, Universitatsklinik fur Psychiatrie und Psychotherapie, Osianderstrasse 24, 72076, Tubingen, Deutschland. anil.batra@med.uni-tuebingen.de NJ - Der Nervenarzt VO - 80 IP - 9 PG - 1022-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - nws, 0400773 IO - Nervenarzt SB - Index Medicus CP - Germany MH - Combined Modality Therapy MH - Germany/ep [Epidemiology] MH - Humans MH - *Nicotine/tu [Therapeutic Use] MH - Psychiatry/td [Trends] MH - *Psychotherapy/td [Trends] MH - Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] MH - *Smoking Prevention MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder/px [Psychology] AB - The World Health Organisation (WHO) considers smoking to be the biggest avoidable health risk. The consumption of tobacco leads to health hazards and resulting diseases, the consequences of which are far more serious than those emanating from other addictive substances. Approximately 27% of the German adult population smoke regularly and the proportion of smokers addicted to tobacco or nicotine is estimated to be around 60%. Many of these smokers have undertaken numerous unsuccessful attempts at abstinence. A professional support for smokers who are motivated to give up smoking enhances the chances of success. The current treatment guidelines recommend a combination of psychotherapeutic techniques (e.g. motivational interviewing, behavioural therapy-oriented support either individually or in groups) together with pharmacological support (e.g. nicotine replacement therapy, bupropion or varenicline). Certain subgroups (e.g. pregnant smokers, juvenile smokers and, in particular, smokers with a psychiatric co-morbidity) require a more intense psychotherapy and when necessary pharmacotherapeutic support. [References: 31] RN - 6M3C89ZY6R (Nicotine) ES - 1433-0407 IL - 0028-2804 DO - https://dx.doi.org/10.1007/s00115-009-2744-y PT - Journal Article PT - Review ID - 10.1007/s00115-009-2744-y [doi] PP - ppublish LG - German DP - 2009 Sep EZ - 2009/08/21 09:00 DA - 2009/12/16 06:00 DT - 2009/08/21 09:00 YR - 2009 ED - 20091201 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19693479 <627. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19674454 TI - Attitudes towards 12-step groups and referral practices in a 12-step naive treatment culture; a survey of addiction professionals in Norway. SO - BMC Health Services Research. 9:147, 2009 Aug 12. AS - BMC Health Serv Res. 9:147, 2009 Aug 12. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vederhus JK AU - Kristensen O AU - Laudet A AU - Clausen T FA - Vederhus, John-Kare FA - Kristensen, Oistein FA - Laudet, Alexandre FA - Clausen, Thomas IN - Vederhus, John-Kare. Addiction Unit, Sorlandet Hospital, Kristiansand, Norway. john-kare.vederhus@sshf.no NJ - BMC health services research VO - 9 PG - 147 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088677 IO - BMC Health Serv Res PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2739850 SB - Index Medicus CP - England MH - Adult MH - Female MH - Health Care Surveys MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel MH - Humans MH - Male MH - Middle Aged MH - Norway MH - *Referral and Consultation/ut [Utilization] MH - *Self-Help Groups/ut [Utilization] MH - *Substance-Related Disorders/th [Therapy] AB - 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. AB - 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. AB - 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. AB - 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. ES - 1472-6963 IL - 1472-6963 DO - https://dx.doi.org/10.1186/1472-6963-9-147 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1472-6963-9-147 [pii] ID - 10.1186/1472-6963-9-147 [doi] ID - PMC2739850 [pmc] PP - epublish PH - 2009/02/25 [received] PH - 2009/08/12 [accepted] GI - No: R03 DA013432 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R03 DA013432-02 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20090812 DP - 2009 Aug 12 EZ - 2009/08/14 09:00 DA - 2009/11/18 06:00 DT - 2009/08/14 09:00 YR - 2009 ED - 20091117 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19674454 <628. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19817311 TI - [Smoking cessation--a "must have" in medical curricula. The European HERMES project--a supportive argument]. [Romanian] OT - Consilierea in vederea renuntarii la fumat--un "must have" al curriculei medicale. Proiectul european "Hermes": un argument pro. SO - Pneumologia (Bucharest, Romania). 58(3):159-62, 2009 Jul-Sep. AS - Pneumologia. 58(3):159-62, 2009 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Trofor A AU - Mihaescu T FA - Trofor, Antigona FA - Mihaescu, Traian IN - Trofor, Antigona. Clinica Pneumologica Iasi, Universitatea de Medicina si Farmacie "Gr.T.Popa", Iasi, Romania. atrofor@yahoo.com NJ - Pneumologia (Bucharest, Romania) VO - 58 IP - 3 PG - 159-62 PI - Journal available in: Print PI - Citation processed from: Print JC - dmu, 100941067 IO - Pneumologia SB - Index Medicus CP - Romania MH - Consumer Health Information/og [Organization & Administration] MH - Counseling/mt [Methods] MH - *Curriculum MH - *Education, Medical/og [Organization & Administration] MH - Education, Medical, Continuing/og [Organization & Administration] MH - Education, Medical, Graduate/og [Organization & Administration] MH - Education, Medical, Undergraduate/og [Organization & Administration] MH - European Union MH - Humans MH - Pilot Projects MH - *Pulmonary Medicine/ed [Education] MH - *Pulmonary Medicine/og [Organization & Administration] MH - Pulmonary Medicine/st [Standards] MH - Pulmonary Medicine/td [Trends] MH - Romania MH - *Smoking Cessation AB - 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. IS - 2067-2993 IL - 2067-2993 PT - English Abstract PT - Journal Article PP - ppublish LG - Romanian DP - 2009 Jul-Sep EZ - 2009/10/13 06:00 DA - 2009/11/17 06:00 DT - 2009/10/13 06:00 YR - 2009 ED - 20091113 RD - 20101103 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19817311 <629. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19689508 TI - Cardiovascular disease and hypertension among adults with bipolar I disorder in the United States. SO - Bipolar Disorders. 11(6):657-62, 2009 Sep. AS - Bipolar Disord. 11(6):657-62, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goldstein BI AU - Fagiolini A AU - Houck P AU - Kupfer DJ FA - Goldstein, Benjamin I FA - Fagiolini, Andrea FA - Houck, Patricia FA - Kupfer, David J IN - Goldstein, Benjamin I. Western Psychiatric Institute and Clinic, University of Pittsburgh School of Medicine, Pittsburgh, PA, USA. benjamin.goldstein@sunnybrook.ca NJ - Bipolar disorders VO - 11 IP - 6 PG - 657-62 PI - Journal available in: Print PI - Citation processed from: Internet JC - dz6, 100883596 IO - Bipolar Disord PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3401900 OI - Source: NLM. NIHMS384711 SB - Index Medicus CP - Denmark MH - Adult MH - Age Factors MH - *Bipolar Disorder/co [Complications] MH - Bipolar Disorder/di [Diagnosis] MH - *Bipolar Disorder/ep [Epidemiology] MH - *Cardiovascular Diseases/co [Complications] MH - Cardiovascular Diseases/di [Diagnosis] MH - *Cardiovascular Diseases/ep [Epidemiology] MH - Confidence Intervals MH - Female MH - Humans MH - *Hypertension/co [Complications] MH - Hypertension/di [Diagnosis] MH - *Hypertension/ep [Epidemiology] MH - Male MH - Middle Aged MH - Odds Ratio MH - Prevalence MH - Psychiatric Status Rating Scales MH - Retrospective Studies MH - United States/ep [Epidemiology] AB - 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. AB - 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. AB - 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. AB - 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. ES - 1399-5618 IL - 1398-5647 DO - https://dx.doi.org/10.1111/j.1399-5618.2009.00735.x PT - Journal Article PT - Research Support, N.I.H., Extramural ID - BDI735 [pii] ID - 10.1111/j.1399-5618.2009.00735.x [doi] ID - PMC3401900 [pmc] ID - NIHMS384711 [mid] PP - ppublish GI - No: R25 MH060473 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R25MH060473 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2009 Sep EZ - 2009/08/20 09:00 DA - 2009/11/06 06:00 DT - 2009/08/20 09:00 YR - 2009 ED - 20091105 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19689508 <630. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19788161 TI - Misfortunes never come singly. SO - Perspectives in Public Health. 129(5):210-1, 2009 Sep. AS - Perspect Public Health. 129(5):210-1, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Caan W FA - Caan, Woody NJ - Perspectives in public health VO - 129 IP - 5 PG - 210-1 PI - Journal available in: Print PI - Citation processed from: Print JC - 101499631 IO - Perspect Public Health SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Comorbidity MH - Education, Medical/og [Organization & Administration] MH - Health Services Accessibility/og [Organization & Administration] MH - Humans MH - *National Health Programs/og [Organization & Administration] MH - *Primary Health Care/og [Organization & Administration] MH - Referral and Consultation/og [Organization & Administration] MH - Socioeconomic Factors MH - United Kingdom IS - 1757-9139 IL - 1757-9147 PT - News ID - 10.1177/1757913909343891 [doi] PP - ppublish LG - English DP - 2009 Sep EZ - 2009/10/01 06:00 DA - 2009/10/21 06:00 DT - 2009/10/01 06:00 YR - 2009 ED - 20091020 RD - 20170214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19788161 <631. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19448150 TI - The misuse and diversion of prescribed ADHD medications by college students. SO - Journal of Attention Disorders. 13(2):144-53, 2009 Sep. AS - J Atten Disord. 13(2):144-53, 2009 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rabiner DL AU - Anastopoulos AD AU - Costello EJ AU - Hoyle RH AU - McCabe SE AU - Swartzwelder HS FA - Rabiner, David L FA - Anastopoulos, Arthur D FA - Costello, E Jane FA - Hoyle, Rick H FA - McCabe, Sean Esteban FA - Swartzwelder, H Scott IN - Rabiner, David L. Center for Child and Family Policy, Department of Psychology and Neuroscience, Duke University, Durham, NC, USA. drabiner@duke.edu NJ - Journal of attention disorders VO - 13 IP - 2 PG - 144-53 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9615686 IO - J Atten Disord SB - Index Medicus CP - United States MH - Achievement MH - Administration, Intranasal MH - Adolescent MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Attention/de [Drug Effects] MH - Attention Deficit Disorder with Hyperactivity/di [Diagnosis] MH - *Attention Deficit Disorder with Hyperactivity/dt [Drug Therapy] MH - *Attention Deficit Disorder with Hyperactivity/ep [Epidemiology] MH - Attention Deficit Disorder with Hyperactivity/px [Psychology] MH - Central Nervous System Stimulants/ad [Administration & Dosage] MH - Central Nervous System Stimulants/ae [Adverse Effects] MH - *Central Nervous System Stimulants MH - Comorbidity MH - Cross-Sectional Studies MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Female MH - Health Surveys MH - Humans MH - Male MH - Medication Adherence/px [Psychology] MH - Motivation MH - Peer Group MH - Prescription Drugs/ae [Adverse Effects] MH - Prescription Drugs/tu [Therapeutic Use] MH - *Prescription Drugs MH - Social Environment MH - Southwestern United States MH - *Students/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Young Adult AB - OBJECTIVE: This study assesses the misuse and diversion of prescribed attention-deficit/hyperactivity disorder (ADHD) medications. AB - METHOD: One hundred fifteen students, attending two universities, with prescriptions for ADHD medications completed a Web survey in spring 2007. AB - 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. AB - 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. RN - 0 (Central Nervous System Stimulants) RN - 0 (Prescription Drugs) IS - 1087-0547 IL - 1087-0547 DO - https://dx.doi.org/10.1177/1087054708320414 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 1087054708320414 [pii] ID - 10.1177/1087054708320414 [doi] PP - ppublish GI - No: R21-DA018754 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20090515 DP - 2009 Sep EZ - 2009/05/19 09:00 DA - 2009/10/20 06:00 DT - 2009/05/19 09:00 YR - 2009 ED - 20091019 RD - 20090819 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19448150 <632. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19407034 TI - "You can't handle the truth"; medical paternalism and prenatal alcohol use. SO - Journal of Medical Ethics. 35(5):300-3, 2009 May. AS - J Med Ethics. 35(5):300-3, 2009 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gavaghan C FA - Gavaghan, C IN - Gavaghan, C. School of Law, University of Glasgow, Glasgow G128QQ, UK. C.Gavaghan@law.gla.ac.uk NJ - Journal of medical ethics VO - 35 IP - 5 PG - 300-3 PI - Journal available in: Print PI - Citation processed from: Internet JC - j1d, 7513619 IO - J Med Ethics SB - Bioethics Journals SB - Index Medicus CP - England MH - *Alcohol Drinking/ae [Adverse Effects] MH - Child MH - Child, Preschool MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - *Health Education/es [Ethics] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - *Paternalism/es [Ethics] MH - Patient Acceptance of Health Care/px [Psychology] MH - Personal Autonomy MH - Pregnancy MH - *Pregnancy Complications/pc [Prevention & Control] MH - *Prenatal Care/es [Ethics] MH - Prenatal Care/mt [Methods] MH - Risk Assessment MH - Risk Factors AB - The publication of the latest contribution to the alcohol-in-pregnancy debate, and the now customary flurry of media attention it generated, have precipitated the renewal of a series of ongoing debates about safe levels of consumption and responsible prenatal conduct. The University College London (UCL) study's finding that low levels of alcohol did not contribute to adverse behavioural outcomes-and may indeed have made a positive contribution in some cases-is unlikely to be the last word on the subject. Proving a negative correlation is notoriously difficult (technically, impossible), and other studies have offered alternative claims. The author is not an epidemiologist, and the purpose of this article is not to evaluate the competing empirical claims. However, the question of what information and advice healthcare practitioners ought to present to pregnant women, or prospectively or potentially pregnant women, in a situation of uncertainty is one to which healthcare ethicists may have a contribution to make. In this article, it is argued that the total abstinence policy advocated by the UK's Department of Health, and even more stridently by the British Medical Association, sits uneasily with recent data and is far from ethically unproblematic. In particular, the "precautionary" approach advocated by these bodies displays both scant regard for the autonomy of pregnant and prospectively pregnant women and a confused grasp of the principles of beneficence and non-maleficence. ES - 1473-4257 IL - 0306-6800 DO - https://dx.doi.org/10.1136/jme.2008.028662 PT - Journal Article ID - 35/5/300 [pii] ID - 10.1136/jme.2008.028662 [doi] PP - ppublish LG - English DP - 2009 May EZ - 2009/05/02 09:00 DA - 2009/10/15 06:00 DT - 2009/05/02 09:00 YR - 2009 ED - 20091014 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19407034 <633. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18937015 TI - Promoting substance use education among generalist physicians: an evaluation of the Chief Resident Immersion Training (CRIT) program. SO - Journal of General Internal Medicine. 24(1):40-7, 2009 Jan. AS - J Gen Intern Med. 24(1):40-7, 2009 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alford DP AU - Bridden C AU - Jackson AH AU - Saitz R AU - Amodeo M AU - Barnes HN AU - Samet JH FA - Alford, Daniel P FA - Bridden, Carly FA - Jackson, Angela H FA - Saitz, Richard FA - Amodeo, Maryann FA - Barnes, Henrietta N FA - Samet, Jeffrey H IN - Alford, Daniel P. Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA 02118-2393, USA. dan.alford@bmc.org NJ - Journal of general internal medicine VO - 24 IP - 1 PG - 40-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2607502 SB - Index Medicus CP - United States MH - Adult MH - Clinical Competence/st [Standards] MH - Educational Measurement/mt [Methods] MH - Educational Measurement/st [Standards] MH - Female MH - Follow-Up Studies MH - Humans MH - Internship and Residency/mt [Methods] MH - *Internship and Residency/st [Standards] MH - Male MH - *Physicians, Family/ed [Education] MH - *Physicians, Family/st [Standards] MH - Program Evaluation/mt [Methods] MH - *Program Evaluation/st [Standards] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - BACKGROUND: Education about substance use (SU) disorders remains inadequate in medical training. AB - 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. AB - 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. AB - PARTICIPANTS: Eighty-six CR applicants to the CRIT program. AB - 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. AB - 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. AB - 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. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-008-0819-2 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1007/s11606-008-0819-2 [doi] ID - PMC2607502 [pmc] PP - ppublish PH - 2008/06/05 [received] PH - 2008/09/12 [accepted] PH - 2008/09/04 [revised] GI - No: K24 AA015674 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R25 DA013582 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K24-AA015674 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R25 DA13582 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20081021 DP - 2009 Jan EZ - 2008/10/22 09:00 DA - 2009/10/08 06:00 DT - 2008/10/22 09:00 YR - 2009 ED - 20091007 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18937015 <634. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19591063 TI - The interface between substance abuse and chronic pain management in primary care: a curriculum for medical residents. SO - Substance Abuse. 30(3):253-60, 2009 Jul-Sep. AS - Subst Abus. 30(3):253-60, 2009 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunderson EW AU - Coffin PO AU - Chang N AU - Polydorou S AU - Levin FR FA - Gunderson, Erik W FA - Coffin, Phillip O FA - Chang, Nancy FA - Polydorou, Soteri FA - Levin, Frances R IN - Gunderson, Erik W. University of Virginia, Charlottesville, Virginia 22908, USA. erikgunderson@virginia.edu NJ - Substance abuse VO - 30 IP - 3 PG - 253-60 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2821184 OI - Source: NLM. NIHMS124436 SB - Index Medicus CP - United States MH - Adult MH - Chronic Disease/dt [Drug Therapy] MH - *Curriculum MH - Female MH - Humans MH - *Internship and Residency/mt [Methods] MH - Male MH - Middle Aged MH - Pain/co [Complications] MH - *Pain/dt [Drug Therapy] MH - Prescription Drugs MH - *Primary Health Care/mt [Methods] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/dt [Drug Therapy] AB - OBJECTIVES: To develop and assess a housestaff curriculum on opioid and other substance abuse among patients with chronic noncancer pain (CNCP). AB - 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). AB - 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). AB - CONCLUSIONS: The brief curriculum was well received and appears effective. Further study is needed to determine practice impact. RN - 0 (Prescription Drugs) IS - 0889-7077 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897070903041277 PT - Case Reports PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - 913050904 [pii] ID - 10.1080/08897070903041277 [doi] ID - PMC2821184 [pmc] ID - NIHMS124436 [mid] PP - ppublish GI - No: L30 DA018521-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA020000 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA020000-04 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02 DA000465 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02 DA 000465 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2009 Jul-Sep EZ - 2009/07/11 09:00 DA - 2009/10/07 06:00 DT - 2009/07/11 09:00 YR - 2009 ED - 20091006 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19591063 <635. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19591061 TI - Motivational enhancement therapy to increase resident physician engagement in substance abuse education. SO - Substance Abuse. 30(3):244-7, 2009 Jul-Sep. AS - Subst Abus. 30(3):244-7, 2009 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hettema JE AU - Sorensen JL AU - Uy M AU - Jain S FA - Hettema, Jennifer E FA - Sorensen, James L FA - Uy, Manelisa FA - Jain, Sharad IN - Hettema, Jennifer E. Department of Psychiatry and Neurobehavioral Sciences, University of Virginia, Charlottesville, Virginia 23294, USA. jhettema@virginia.edu NJ - Substance abuse VO - 30 IP - 3 PG - 244-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2743880 OI - Source: NLM. NIHMS124433 SB - Index Medicus CP - United States MH - Adult MH - Attitude MH - Attitude of Health Personnel MH - Behavior Therapy MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - Counseling/ed [Education] MH - Drug Users MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - *Motivation MH - Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] AB - 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. IS - 0889-7077 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897070903041210 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 913052240 [pii] ID - 10.1080/08897070903041210 [doi] ID - PMC2743880 [pmc] ID - NIHMS124433 [mid] PP - ppublish GI - No: P50 DA009253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA009253-14 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: 5P50DA009253-14 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2009 Jul-Sep EZ - 2009/07/11 09:00 DA - 2009/10/07 06:00 DT - 2009/07/11 09:00 YR - 2009 ED - 20091006 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19591061 <636. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19469735 TI - 'Atlantic crossings' and networks in science and medicine. SO - Addiction. 103(12):1950-1, 2008 Dec. AS - Addiction. 103(12):1950-1, 2008 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berridge V FA - Berridge, Virginia IN - Berridge, Virginia. Centre for History in Public Health, LSHTM, London, WC1E 7HT, UK. virginia.berridge@lshtm.ac.uk CM - Comment on: Addiction. 2008 Dec;103(12):1939-47; PMID: 18727683 NJ - Addiction (Abingdon, England) VO - 103 IP - 12 PG - 1950-1 PI - Journal available in: Print PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Alcoholism/hi [History] MH - Cross-Cultural Comparison MH - History, 20th Century MH - Humans MH - *International Educational Exchange/hi [History] MH - Interprofessional Relations MH - Psychiatry/hi [History] MH - United States ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2008.02406.x PT - Comment PT - Historical Article PT - Journal Article ID - ADD2406 [pii] ID - 10.1111/j.1360-0443.2008.02406.x [doi] PP - ppublish LG - English DP - 2008 Dec EZ - 2009/05/28 09:00 DA - 2009/10/03 06:00 DT - 2009/05/28 09:00 YR - 2008 ED - 20091002 RD - 20090527 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19469735 <637. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18727683 TI - Visiting America: notes from an alcohol-focused study tour made in 1961. SO - Addiction. 103(12):1939-47, 2008 Dec. AS - Addiction. 103(12):1939-47, 2008 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Edwards G FA - Edwards, Griffith IN - Edwards, Griffith. National Addiction Centre, Institute of Psychiatry, London, UK. louisa@addictionjournal.org CM - Comment in: Addiction. 2008 Dec;103(12):1950-1; PMID: 19469735 CM - Comment in: Addiction. 2008 Dec;103(12):1949-50; PMID: 19469734 CM - Comment in: Addiction. 2008 Dec;103(12):1948-9; PMID: 19469733 NJ - Addiction (Abingdon, England) VO - 103 IP - 12 PG - 1939-47 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Alcoholism/hi [History] MH - Alcoholism/th [Therapy] MH - Anelloviridae MH - Cross-Cultural Comparison MH - Education, Medical/hi [History] MH - History, 20th Century MH - Humans MH - *International Educational Exchange/hi [History] MH - Psychiatry/ed [Education] MH - Psychiatry/hi [History] MH - United Kingdom MH - United States AB - AIMS: This paper has as its focus a study tour made by the author in 1961. Diary notes are used to capture a historical moment in the evolution of alcohol studies. The paper will argue for the continuing value today of such experiences in support of career development and the building of 'the field'. AB - DATA SOURCES: Diary notes and personal recollection. AB - FINDINGS: The United States was at the time more active than the United Kingdom in its response to alcohol problems. There was, however, a disjunction between the elite American research world and the world of action, which was not informed greatly by research. For the most part, treatment services and prevention strategies seemed driven by opinion rather than by evidence. But at the level of serious scientific endeavour there was opportunity to meet influential figures including Seldon Bacon, Morris Chafetz, Milton Gross, Ebbe Curtis Hoff, Harris Isbell, E. M. Jellinek, Mark Keller, Benjamin Kissen, Robert Strauss, Wolf Schmidt and Abraham Wikler, who generously made their time available. AB - CONCLUSIONS: These diary notes provide a snapshot of a field of endeavour at a critical stage of transition from uninformed assumptions towards establishment of a research base which can inform public action. The visit was of tangible value to the visitor in several different identified ways. Such an experience is inevitably time-bound and personal, but there are general conclusions to be drawn as to the benefits which will be derived from early travel opportunities in a field such as alcohol studies, which is all too easily culture-bound in its horizons and assumptions. Alcohol science needs to be more reflective on its history and the mechanisms that help to make it happen. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2008.02307.x PT - Historical Article PT - Journal Article ID - ADD2307 [pii] ID - 10.1111/j.1360-0443.2008.02307.x [doi] PP - ppublish LG - English EP - 20080822 DP - 2008 Dec EZ - 2008/08/30 09:00 DA - 2009/10/03 06:00 DT - 2008/08/30 09:00 YR - 2008 ED - 20091002 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18727683 <638. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16842620 TI - Impact of practitioner's training in the management of alcohol dependence: a quasi-experimental 18-month follow-up study. SO - Substance Abuse Treatment, Prevention, & Policy. 1:18, 2006 Jul 14. AS - Subst Abuse Treat Prev Policy. 1:18, 2006 Jul 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malet L AU - Reynaud M AU - Llorca PM AU - Falissard B FA - Malet, Laurent FA - Reynaud, Michel FA - Llorca, Pierre-Michel FA - Falissard, Bruno IN - Malet, Laurent. CHU Clermont-Ferrand, Clermont-Ferrand, F-63000, France; Inserm, U669, Paris, F-75014, France. lmalet@chu-clermontferrand.fr NJ - Substance abuse treatment, prevention, and policy VO - 1 PG - 18 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101258060 IO - Subst Abuse Treat Prev Policy PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1538583 SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/th [Therapy] MH - Case-Control Studies MH - *Clinical Protocols MH - *Education, Medical, Continuing/mt [Methods] MH - Female MH - Follow-Up Studies MH - France MH - Humans MH - Male MH - Middle Aged MH - *Physicians, Family/ed [Education] MH - Recurrence MH - Severity of Illness Index MH - Treatment Outcome AB - 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. AB - 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). AB - 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. AB - 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. NT - Original DateCompleted: 20070702 IS - 1747-597X IL - 1747-597X PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1747-597X-1-18 [pii] ID - 10.1186/1747-597X-1-18 [doi] ID - PMC1538583 [pmc] PP - epublish PH - 2006/04/19 [received] PH - 2006/07/14 [accepted] LG - English EP - 20060714 DP - 2006 Jul 14 EZ - 2006/07/18 09:00 DA - 2006/07/18 09:01 DT - 2006/07/18 09:00 YR - 2006 ED - 20090917 RD - 20140909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16842620 <639. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19705568 TI - [International course Training of teachers in general/family practice: 20 years of experience]. [Croatian] OT - Medunarodni tecaj za nastavnike iz opce medicine: 20-godisnje iskustvo. SO - Lijecnicki Vjesnik. 124 Suppl 2:36-9, 2002 Sep. AS - Lijec Vjesn. 124 Suppl 2:36-9, 2002 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vrcic-Keglevic M AU - Jaksic Z FA - Vrcic-Keglevic, Mladenka FA - Jaksic, Zelimir IN - Vrcic-Keglevic, Mladenka. Skola narodnog zdravlja Andrija Stampar, Medicinskog fakulteta Sveucilista u Zagrebu. NJ - Lijecnicki vjesnik VO - 124 Suppl 2 PG - 36-9 PI - Journal available in: Print PI - Citation processed from: Print JC - l6c, 0074253 IO - Lijec Vjesn SB - Index Medicus CP - Croatia MH - Croatia MH - *Education, Medical, Continuing MH - Europe MH - *Family Practice/ed [Education] MH - *International Cooperation AB - 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. IS - 0024-3477 IL - 0024-3477 PT - English Abstract PT - Journal Article PP - ppublish LG - Croatian DP - 2002 Sep EZ - 2002/09/01 00:00 DA - 2009/09/18 06:00 DT - 2009/08/26 09:00 YR - 2002 ED - 20090917 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=19705568 <640. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16369680 TI - Addiction medicine--training for general practice registrars. SO - Australian Family Physician. 34 Suppl 1:34-7, 2005 Dec. AS - Aust Fam Physician. 34 Suppl 1:34-7, 2005 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jansen C AU - Grinzi P AU - Monheit B AU - Parker R FA - Jansen, Carreen FA - Grinzi, Paul FA - Monheit, Benny FA - Parker, Rhian IN - Jansen, Carreen. Joint University Centre for Education and Training , University of Melbourne, Victoria. NJ - Australian family physician VO - 34 Suppl 1 PG - 34-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9ec, 0326701 IO - Aust Fam Physician SB - Index Medicus CP - Australia MH - Australia MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders MH - Victoria AB - 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. AB - 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. AB - 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. AB - 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. IS - 0300-8495 IL - 0300-8495 PT - Journal Article PP - ppublish LG - English DP - 2005 Dec EZ - 2005/12/22 09:00 DA - 2009/09/17 06:00 DT - 2005/12/22 09:00 YR - 2005 ED - 20090916 RD - 20051221 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16369680 <641. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19300982 TI - The future of endocannabinoid-oriented clinical research after CB1 antagonists. SO - Psychopharmacology. 205(1):171-4, 2009 Jul. AS - Psychopharmacology (Berl). 205(1):171-4, 2009 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Le Foll B AU - Gorelick DA AU - Goldberg SR FA - Le Foll, Bernard FA - Gorelick, David A FA - Goldberg, Steven R IN - Le Foll, Bernard. Translational Addiction Research Laboratory, Centre for Addiction and Mental Health, University of Toronto, 33 Russell Street, M5S 2S1, Toronto, ON, Canada. bernard_lefoll@camh.net NJ - Psychopharmacology VO - 205 IP - 1 PG - 171-4 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - qgi, 7608025 IO - Psychopharmacology (Berl.) SB - Index Medicus CP - Germany MH - *Cannabinoid Receptor Modulators/me [Metabolism] MH - *Clinical Trials as Topic MH - *Endocannabinoids MH - Humans MH - Obesity/dt [Drug Therapy] MH - *Receptor, Cannabinoid, CB1/ai [Antagonists & Inhibitors] AB - 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. AB - 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. RN - 0 (Cannabinoid Receptor Modulators) RN - 0 (Endocannabinoids) RN - 0 (Receptor, Cannabinoid, CB1) ES - 1432-2072 IL - 0033-3158 DO - https://dx.doi.org/10.1007/s00213-009-1506-7 PT - Journal Article PT - Research Support, N.I.H., Intramural ID - 10.1007/s00213-009-1506-7 [doi] ID - PMC2695840 [pmc] ID - NIHMS108378 [mid] PP - ppublish PH - 2009/01/09 [received] PH - 2009/02/24 [accepted] GI - No: Z01 DA000001-23 Organization: (NULL) *Intramural NIH HHS* Country: United States GI - No: Z01 DA000003-22 Organization: (NULL) *Intramural NIH HHS* Country: United States LG - English EP - 20090320 DP - 2009 Jul EZ - 2009/03/21 09:00 DA - 2009/09/03 06:00 DT - 2009/03/21 09:00 YR - 2009 ED - 20090902 RD - 20180425 UP - 20180425 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=19300982 <642. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19459096 TI - Movies as a vehicle to teach addiction medicine. [Review] [32 refs] SO - International Review of Psychiatry. 21(3):213-7, 2009 Jun. AS - Int Rev Psychiatry. 21(3):213-7, 2009 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cape G FA - Cape, Gavin IN - Cape, Gavin. Department of Psychological Medicine, University of Otago, Dunedin, New Zealand. gavin.cape@stonebow.otago.ac.nz NJ - International review of psychiatry (Abingdon, England) VO - 21 IP - 3 PG - 213-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8918131 IO - Int Rev Psychiatry SB - Index Medicus CP - England MH - Attitude to Health MH - *Behavior, Addictive/px [Psychology] MH - Behavior, Addictive/th [Therapy] MH - *Education, Medical/mt [Methods] MH - Humans MH - *Motion Pictures MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - Teaching/mt [Methods] MH - *Teaching AB - 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. [References: 32] ES - 1369-1627 IL - 0954-0261 DO - https://dx.doi.org/10.1080/09540260902747094 PT - Journal Article PT - Review ID - 911474131 [pii] ID - 10.1080/09540260902747094 [doi] PP - ppublish LG - English DP - 2009 Jun EZ - 2009/05/22 09:00 DA - 2009/09/01 06:00 DT - 2009/05/22 09:00 YR - 2009 ED - 20090831 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19459096 <643. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19431026 TI - Tobacco education in US physician assistant programs. SO - Journal of Cancer Education. 24(2):107-13, 2009. AS - J Cancer Educ. 24(2):107-13, 2009. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Houston LN AU - Warner M AU - Corelli RL AU - Fenlon CM AU - Hudmon KS FA - Houston, Lisa N FA - Warner, Mary FA - Corelli, Robin L FA - Fenlon, Christine M FA - Hudmon, Karen Suchanek IN - Houston, Lisa N. Yale University, New Haven, Connecticut, USA. NJ - Journal of cancer education : the official journal of the American Association for Cancer Education VO - 24 IP - 2 PG - 107-13 PI - Journal available in: Print PI - Citation processed from: Internet JC - avy, 8610343 IO - J Cancer Educ SB - Index Medicus CP - England MH - *Health Education/st [Standards] MH - *Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Humans MH - *Physician Assistants/ed [Education] MH - *Professional Competence/st [Standards] MH - Surveys and Questionnaires MH - *Tobacco Use Cessation MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States AB - BACKGROUND: Few health degree programs incorporate sufficient tobacco cessation education in core curricula. AB - 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. AB - 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. AB - 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. ES - 1543-0154 IL - 0885-8195 DO - https://dx.doi.org/10.1080/08858190902854475 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 911054167 [pii] ID - 10.1080/08858190902854475 [doi] PP - ppublish GI - No: P50-AA15632 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R25 CA90720 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2009 EZ - 2009/05/12 09:00 DA - 2009/08/12 09:00 DT - 2009/05/12 09:00 YR - 2009 ED - 20090811 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19431026 <644. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19351786 TI - Short-, intermediate-, and long-term outcomes of Pennsylvania's continuum of tobacco education pilot project. SO - Nicotine & Tobacco Research. 11(4):387-93, 2009 Apr. AS - Nicotine Tob Res. 11(4):387-93, 2009 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leone FT AU - Evers-Casey S AU - Veloski J AU - Patkar AA AU - Kanzleiter L AU - Pennsylvania Continuum of Tobacco Education work group FA - Leone, Frank T FA - Evers-Casey, Sarah FA - Veloski, Jon FA - Patkar, Ashwin A FA - Kanzleiter, Linda FA - Pennsylvania Continuum of Tobacco Education work group IN - Leone, Frank T. Center for Tobacco Research and Treatment, Jefferson Medical College, Thomas Jefferson University, 834 Walnut Street, Suite 650, Philadelphia, PA 19107, USA. frank.leone@jefferson.edu IR - Weibel S IR - Herman J IR - George J IR - Gingrich D IR - Leong SL IR - Mahoney J IR - Clifton M IR - Shiffman S IR - Vitale F NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 11 IP - 4 PG - 387-93 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Clinical Clerkship MH - *Curriculum MH - Data Collection MH - *Education, Medical MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Interviews as Topic MH - *Outcome Assessment (Health Care) MH - Pennsylvania MH - Physician-Patient Relations MH - Pilot Projects MH - *Smoking Cessation AB - 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. AB - 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. AB - 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. AB - 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. ES - 1469-994X IL - 1462-2203 DO - https://dx.doi.org/10.1093/ntr/ntp017 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - ntp017 [pii] ID - 10.1093/ntr/ntp017 [doi] PP - ppublish LG - English EP - 20090407 DP - 2009 Apr EZ - 2009/04/09 09:00 DA - 2009/08/06 09:00 DT - 2009/04/09 09:00 YR - 2009 ED - 20090805 RD - 20090420 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19351786 <645. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19438094 TI - [Risk reduction among cocaine users: a motivational approach in the GP's office]. [Review] [15 refs] [French] OT - Reduction des risques au cabinet du generaliste chez les consommateurs de cocaine: une perspective motivationnelle. SO - Revue Medicale Suisse. 5(200):916-20, 2009 Apr 22. AS - Rev Med Suisse. 5(200):916-20, 2009 Apr 22. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rossier V AU - Zimmrmann G AU - Monnat M FA - Rossier, Valerie FA - Zimmrmann, Gregoire FA - Monnat, Martine IN - Rossier, Valerie. Centre Saint-Martin, Unite de toxicodependance, Service de psychiatrie communautaire, Departement de psychiatrie, CHUV, Rue Saint-Martin 7 1003 Lausanne. valerie.rossier@chuv.ch NJ - Revue medicale suisse VO - 5 IP - 200 PG - 916-20 PI - Journal available in: Print PI - Citation processed from: Print JC - 101219148 IO - Rev Med Suisse SB - Index Medicus CP - Switzerland MH - Behavior Therapy/mt [Methods] MH - *Cocaine-Related Disorders/pc [Prevention & Control] MH - Cocaine-Related Disorders/px [Psychology] MH - Communication MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice MH - Health Education MH - Health Promotion MH - Humans MH - Motivation MH - *Physician's Role MH - *Risk Reduction Behavior AB - Today, cocaine use is a public health issue. Cocaine is a powerfully addictive stimulant drug which use is increasing among some part of the population. After a brief description of the physical and psychological effects of cocaine use, the article presents a motivational way for general practitioners to deal with risk-reduction issues. Based on the Transtheoretical Model of human behavior change and providing clinical examples, the article focuses particularly on the two earliest stages of change: "pre-contemplation" and "contemplation". [References: 15] IS - 1660-9379 IL - 1660-9379 PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - French DP - 2009 Apr 22 EZ - 2009/05/15 09:00 DA - 2009/06/20 09:00 DT - 2009/05/15 09:00 YR - 2009 ED - 20090619 RD - 20090514 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19438094 <646. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19335946 TI - Learning about smoking during medical school: are we still missing opportunities?. [Review] [70 refs] SO - International Journal of Tuberculosis & Lung Disease. 13(4):429-37, 2009 Apr. AS - Int J Tuberc Lung Dis. 13(4):429-37, 2009 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chatkin J AU - Chatkin G FA - Chatkin, J FA - Chatkin, G IN - Chatkin, J. Faculdade de Medicina da Pontificia Universidade Catolica do Rio Grande Sul (PUCRS), Porto Alegre, Brazil. jmchatkin@pucrs.br NJ - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease VO - 13 IP - 4 PG - 429-37 PI - Journal available in: Print PI - Citation processed from: Print JC - cy6, 9706389 IO - Int. J. Tuberc. Lung Dis. SB - Index Medicus CP - France MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Medical MH - Humans MH - Physicians MH - Role MH - Schools, Medical MH - Smoking/ep [Epidemiology] MH - *Smoking MH - Smoking Cessation MH - Students, Medical AB - 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 transdisciplinary vision regarding smoking. All are possibilities that can explain such lost opportunities in treating smokers. [References: 70] IS - 1027-3719 IL - 1027-3719 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2009 Apr EZ - 2009/04/02 09:00 DA - 2009/06/13 09:00 DT - 2009/04/02 09:00 YR - 2009 ED - 20090612 RD - 20090401 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19335946 <647. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19135010 TI - A descriptive study on emergency department doctors' and nurses' knowledge and attitudes concerning substance use and substance users. SO - International emergency nursing. 17(1):3-14, 2009 Jan. AS - Int Emerg Nurs. 17(1):3-14, 2009 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kelleher S AU - Cotter P FA - Kelleher, Sean FA - Cotter, Patrick IN - Kelleher, Sean. School of Nursing and Midwifery, Brookfield Health Sciences Complex, University College Cork, Ireland. s.kelleher@ucc.ie NJ - International emergency nursing VO - 17 IP - 1 PG - 3-14 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101472191 IO - Int Emerg Nurs SB - Nursing Journal CP - England MH - Adult MH - *Attitude of Health Personnel MH - Clinical Competence MH - Drug Users/px [Psychology] MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/og [Organization & Administration] MH - Emergency Nursing/ed [Education] MH - Emergency Nursing/og [Organization & Administration] MH - Emergency Service, Hospital/og [Organization & Administration] MH - *Emergency Service, Hospital MH - Empathy MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Ireland MH - Male MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - *Medical Staff, Hospital MH - Middle Aged MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - *Nursing Staff, Hospital MH - Practice Guidelines as Topic MH - Professional Role MH - Stereotyping MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - AIM: The aim of this study was to determine emergency department doctors' and nurses' knowledge and attitudes regarding problematic substance use and substance users. AB - 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. AB - 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. AB - 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. ES - 1878-013X IL - 1878-013X DO - https://dx.doi.org/10.1016/j.ienj.2008.08.003 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S1755-599X(08)00096-7 [pii] ID - 10.1016/j.ienj.2008.08.003 [doi] PP - ppublish PH - 2008/05/19 [received] PH - 2008/08/18 [revised] PH - 2008/08/19 [accepted] LG - English EP - 20081011 DP - 2009 Jan EZ - 2009/01/13 09:00 DA - 2009/06/13 09:00 DT - 2009/01/13 09:00 YR - 2009 ED - 20090612 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19135010 <648. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19398629 TI - Integrating case topics in medical school curriculum to enhance multiple skill learning: using fetal alcohol spectrum disorders as an exemplary case. SO - Academic Psychiatry. 33(2):143-8, 2009 Mar-Apr. AS - Acad Psychiatry. 33(2):143-8, 2009 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paley B AU - O'Connor MJ AU - Baillie SJ AU - Guiton G AU - Stuber ML FA - Paley, Blair FA - O'Connor, Mary J FA - Baillie, Susan J FA - Guiton, Gretchen FA - Stuber, Margaret L IN - Paley, Blair. Department of Psychiatry and Biobehavioral Sciences, David Geffen School of Medicine at University of California, Los Angeles, CA 90024, USA. bpaley@mednet.ucla.edu NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 33 IP - 2 PG - 143-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4380512 OI - Source: NLM. NIHMS307616 SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - *Clinical Clerkship MH - Clinical Competence MH - Curriculum MH - Data Collection MH - Education MH - *Education, Medical MH - Female MH - *Fetal Alcohol Spectrum Disorders MH - Humans MH - Infant, Newborn MH - Los Angeles MH - *Neurosciences/ed [Education] MH - Patient Simulation MH - Pregnancy MH - *Problem-Based Learning MH - *Psychiatry/ed [Education] MH - Schools, Medical AB - 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 curricular structure that emphasizes problem-based learning. AB - 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. AB - 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. AB - 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. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.33.2.143 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 33/2/143 [pii] ID - 10.1176/appi.ap.33.2.143 [doi] ID - PMC4380512 [pmc] ID - NIHMS307616 [mid] PP - ppublish GI - No: K07 AT003346 Organization: (AT) *NCCIH NIH HHS* Country: United States GI - No: MM-M0263-03 Organization: *PHS HHS* Country: United States LG - English DP - 2009 Mar-Apr EZ - 2009/04/29 09:00 DA - 2009/06/12 09:00 DT - 2009/04/29 09:00 YR - 2009 ED - 20090611 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19398629 <649. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19398628 TI - What do psychiatric residents think of addiction psychiatry as a career?. SO - Academic Psychiatry. 33(2):139-42, 2009 Mar-Apr. AS - Acad Psychiatry. 33(2):139-42, 2009 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Renner JA Jr AU - Karam-Hage M AU - Levinson M AU - Craig T AU - Eld B FA - Renner, John A Jr FA - Karam-Hage, Maher FA - Levinson, Marjorie FA - Craig, Thomas FA - Eld, Beatrice IN - Renner, John A Jr. Boston University, Boston, MA, USA. John.Renner@va.gov NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 33 IP - 2 PG - 139-42 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Career Choice MH - Data Collection MH - Fellowships and Scholarships MH - Humans MH - *Internship and Residency MH - Motivation MH - *Psychiatry/ed [Education] MH - *Specialization MH - *Substance-Related Disorders MH - United States AB - OBJECTIVE: The authors attempt to better understand the recent decline in the number of applicants to addiction psychiatry training. AB - METHODS: The Corresponding Committee on Training and Education in Addiction Psychiatry of APA'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 Members-in-Training. The 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. AB - 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. AB - CONCLUSION: These findings may be used to improve addiction psychiatry training and recruitment. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.33.2.139 PT - Journal Article ID - 33/2/139 [pii] ID - 10.1176/appi.ap.33.2.139 [doi] PP - ppublish LG - English DP - 2009 Mar-Apr EZ - 2009/04/29 09:00 DA - 2009/06/12 09:00 DT - 2009/04/29 09:00 YR - 2009 ED - 20090611 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19398628 <650. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19398625 TI - Teaching the physician-manager role to psychiatric residents: development and implementation of a pilot curriculum. SO - Academic Psychiatry. 33(2):125-30, 2009 Mar-Apr. AS - Acad Psychiatry. 33(2):125-30, 2009 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stergiopoulos V AU - Maggi J AU - Sockalingam S FA - Stergiopoulos, Vicky FA - Maggi, Julie FA - Sockalingam, Sanjeev IN - Stergiopoulos, Vicky. Department of Psychiatry, University of Toronto, Ontario M5B 1W8, Canada. stergiopoulosv@smh.toronto.on.ca NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 33 IP - 2 PG - 125-30 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Achievement MH - Attitude of Health Personnel MH - Career Choice MH - Career Mobility MH - Curriculum MH - Education MH - *Education, Medical, Graduate MH - Hospitals, University MH - Humans MH - *Internship and Residency MH - Leadership MH - Ontario MH - *Physician Executives/ed [Education] MH - Pilot Projects MH - Psychiatric Department, Hospital MH - *Psychiatry/ed [Education] AB - OBJECTIVE: The authors describe a pilot physician-manager curriculum designed to address the learning needs of psychiatric residents in administrative psychiatry and health systems. AB - 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. AB - 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 contextually relevant topics are essential in meeting their needs. AB - 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. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.33.2.125 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 33/2/125 [pii] ID - 10.1176/appi.ap.33.2.125 [doi] PP - ppublish LG - English DP - 2009 Mar-Apr EZ - 2009/04/29 09:00 DA - 2009/06/12 09:00 DT - 2009/04/29 09:00 YR - 2009 ED - 20090611 RD - 20090428 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19398625 <651. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19363893 TI - Why don't they just quit?. SO - South Dakota Medicine: The Journal of the South Dakota State Medical Association. Spec No:40-2, 2009. AS - S D Med. Spec No:40-2, 2009. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McNaughton CA FA - McNaughton, Clifford A IN - McNaughton, Clifford A. Department of Psychiatry, Sanford School of Medicine of The University of South Dakota, USA. NJ - South Dakota medicine : the journal of the South Dakota State Medical Association VO - Spec No PG - 40-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 101265265 IO - S D Med SB - Index Medicus CP - United States MH - *Behavior, Addictive/px [Psychology] MH - Humans MH - *Smoking/px [Psychology] MH - *Smoking Cessation/px [Psychology] MH - *Tobacco Use Disorder/px [Psychology] AB - 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. IS - 0038-3317 IL - 0038-3317 PT - Journal Article PP - ppublish LG - English DP - 2009 EZ - 2009/04/15 09:00 DA - 2009/05/22 09:00 DT - 2009/04/15 09:00 YR - 2009 ED - 20090521 RD - 20090414 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19363893 <652. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19349447 TI - A 4-year curriculum on substance use disorders for psychiatry residents. SO - Academic Psychiatry. 33(1):60-6, 2009 Jan-Feb. AS - Acad Psychiatry. 33(1):60-6, 2009 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Iannucci R AU - Sanders K AU - Greenfield SF FA - Iannucci, Rocco FA - Sanders, Kathy FA - Greenfield, Shelly F IN - Iannucci, Rocco. Department of Psychiatry, Berkshire Medical Center, Pittsfield, Mass., USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 33 IP - 1 PG - 60-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2898176 OI - Source: NLM. NIHMS205453 SB - Index Medicus CP - United States MH - Adult MH - Clinical Competence MH - Curriculum MH - Faculty, Medical MH - Humans MH - *Internship and Residency MH - Massachusetts MH - Psychiatric Department, Hospital MH - *Psychiatry/ed [Education] MH - Specialization MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. AB - 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. AB - 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. AB - 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. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.33.1.60 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 33/1/60 [pii] ID - 10.1176/appi.ap.33.1.60 [doi] ID - PMC2898176 [pmc] ID - NIHMS205453 [mid] PP - ppublish GI - No: K24 DA019855 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K24 DA019855-01 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2009 Jan-Feb EZ - 2009/04/08 09:00 DA - 2009/05/12 09:00 DT - 2009/04/08 09:00 YR - 2009 ED - 20090511 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19349447 <653. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19263558 TI - Physicians' knowledge of alcohol, tobacco and folic acid in pregnancy. SO - Substance Abuse. 28(1):3-9, 2007 Mar. AS - Subst Abus. 28(1):3-9, 2007 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lefebvre LG AU - Ordean A AU - Midmer D AU - Kahan M AU - Tolomiczenko G FA - Lefebvre, L G FA - Ordean, A FA - Midmer, D FA - Kahan, M FA - Tolomiczenko, G IN - Lefebvre, L G. Department of Family and Community Medicine, University of Toronto, Toronto, Ontario, Canada. Lisa.Lefebvre@utoronto.ca NJ - Substance abuse VO - 28 IP - 1 PG - 3-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Ethanol MH - Female MH - *Folic Acid MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Pregnancy MH - *Professional Competence MH - Surveys and Questionnaires MH - *Tobacco AB - 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. AB - DESIGN: Self-administered survey. AB - SETTING: Family Medicine Forum 2004 in Toronto, Canada. AB - PARTICIPANTS: Physicians attending Family Medicine Forum 2004 in Toronto who provide antenatal care. AB - MAIN OUTCOME MEASURES: Knowledge of folic acid, smoking and alcohol in pregnancy. Clinical confidence and interest in resources regarding problematic substance use in pregnancy. AB - 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. AB - 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. RN - 3K9958V90M (Ethanol) RN - 935E97BOY8 (Folic Acid) IS - 0889-7077 IL - 0889-7077 DO - https://dx.doi.org/10.1300/J465v28n01_02 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J465v28n01_02 [doi] PP - ppublish LG - English DP - 2007 Mar EZ - 2007/03/01 00:00 DA - 2009/04/30 09:00 DT - 2009/03/06 09:00 YR - 2007 ED - 20090429 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=19263558 <654. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19344049 TI - Buprenorphine: a review. [Review] [40 refs] SO - Journal of Opioid Management. 5(1):59-64, 2009 Jan-Feb. AS - J Opioid Manag. 5(1):59-64, 2009 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wakhlu S FA - Wakhlu, Sidarth IN - Wakhlu, Sidarth. UT Southwestern Medical Center, Dallas, Texas, USA. NJ - Journal of opioid management VO - 5 IP - 1 PG - 59-64 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - Aged MH - Buprenorphine/me [Metabolism] MH - Buprenorphine/pd [Pharmacology] MH - Buprenorphine/tu [Therapeutic Use] MH - *Buprenorphine MH - History, 20th Century MH - History, 21st Century MH - Humans MH - Male MH - Middle Aged MH - Narcotic Antagonists/me [Metabolism] MH - Narcotic Antagonists/pd [Pharmacology] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - *Narcotic Antagonists MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Opioid-Related Disorders/hi [History] MH - United States AB - A significant breakthrough in the treatment of opioid addiction occurred with the passage of the Data Addiction Treatment Act of 2000 (DATA 2000), 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. [References: 40] RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) IS - 1551-7489 IL - 1551-7489 PT - Case Reports PT - Historical Article PT - Journal Article PT - Review PP - ppublish LG - English DP - 2009 Jan-Feb EZ - 2009/04/07 09:00 DA - 2009/04/18 09:00 DT - 2009/04/07 09:00 YR - 2009 ED - 20090417 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19344049 <655. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19149808 TI - New impetus to aim 'higher, faster, stronger'. SO - Addiction. 104(2):174-6; discussion 177-8, 2009 Feb. AS - Addiction. 104(2):174-6; discussion 177-8, 2009 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crome I FA - Crome, Ilana IN - Crome, Ilana. Department of Psychiatry, Keele University School of Medicine, UK. pca03@keele.ac.uk CM - Comment on: Addiction. 2009 Feb;104(2):169-72; PMID: 18778386 NJ - Addiction (Abingdon, England) VO - 104 IP - 2 PG - 174-6; discussion 177-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Delivery of Health Care/st [Standards] MH - *Delivery of Health Care MH - Education, Medical MH - Humans MH - Medicine MH - National Health Programs/st [Standards] MH - *National Health Programs MH - Psychiatry MH - Specialization MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United Kingdom ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2008.02381.x PT - Journal Article PT - Comment ID - ADD2381 [pii] ID - 10.1111/j.1360-0443.2008.02381.x [doi] PP - ppublish LG - English DP - 2009 Feb EZ - 2009/01/20 09:00 DA - 2009/04/18 09:00 DT - 2009/01/20 09:00 YR - 2009 ED - 20090417 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19149808 <656. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18778386 TI - Why should addiction medicine be an attractive field for young physicians?. SO - Addiction. 104(2):169-72, 2009 Feb. AS - Addiction. 104(2):169-72, 2009 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Soyka M AU - Gorelick DA FA - Soyka, Michael FA - Gorelick, David A IN - Soyka, Michael. Psychiatric Hospital, University of Munich, Munich, Germany. CM - Comment in: Addiction. 2009 Feb;104(2):176-7; discussion 177-8; PMID: 19149809 CM - Comment in: Addiction. 2009 Jul;104(7):1258-9; PMID: 19563568 CM - Comment in: Addiction. 2009 Feb;104(2):174-6; discussion 177-8; PMID: 19149808 CM - Comment in: Addiction. 2009 Feb;104(2):173-4; discussion 177-8; PMID: 19149807 NJ - Addiction (Abingdon, England) VO - 104 IP - 2 PG - 169-72 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Career Choice MH - Education, Medical MH - Humans MH - Psychiatry/td [Trends] MH - *Psychiatry MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - 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? AB - METHODS: We offer the opinions of two experience addiction psychiatrists. AB - 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. AB - 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. ES - 1360-0443 IL - 0965-2140 DO - https://dx.doi.org/10.1111/j.1360-0443.2008.02330.x PT - Journal Article PT - Research Support, N.I.H., Intramural ID - ADD2330 [pii] ID - 10.1111/j.1360-0443.2008.02330.x [doi] PP - ppublish GI - Organization: *Intramural NIH HHS* Country: United States LG - English EP - 20080904 DP - 2009 Feb EZ - 2008/09/10 09:00 DA - 2009/04/18 09:00 DT - 2008/09/10 09:00 YR - 2009 ED - 20090417 RD - 20150813 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18778386 <657. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19219670 TI - A comparison of substance use disorder severity and course in American Indian male and female veterans. SO - American Journal on Addictions. 18(1):87-92, 2009 Jan-Feb. AS - Am J Addict. 18(1):87-92, 2009 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J AU - Canive J AU - Thuras P AU - Thompson J AU - Crosby RD AU - Garrard J FA - Westermeyer, Joseph FA - Canive, Jose FA - Thuras, Paul FA - Thompson, James FA - Crosby, Ross D FA - Garrard, Judith IN - Westermeyer, Joseph. Department of Mental Health Services, Minneapolis VAMC, Minneapolis, Minnesota, USA. weste010@umn.edu NJ - The American journal on addictions VO - 18 IP - 1 PG - 87-92 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - Comorbidity MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Indians, North American MH - Male MH - Middle Aged MH - Patient Acceptance of Health Care MH - Psychiatric Status Rating Scales MH - *Sex Characteristics MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Veterans AB - 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. ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1080/10550490802544912 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 908702108 [pii] ID - 10.1080/10550490802544912 [doi] PP - ppublish LG - English DP - 2009 Jan-Feb EZ - 2009/02/17 09:00 DA - 2009/04/15 09:00 DT - 2009/02/17 09:00 YR - 2009 ED - 20090414 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19219670 <658. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19240441 TI - Applying team-based learning in primary care residency programs to increase patient alcohol screenings and brief interventions. SO - Academic Medicine. 84(3):340-6, 2009 Mar. AS - Acad Med. 84(3):340-6, 2009 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shellenberger S AU - Seale JP AU - Harris DL AU - Johnson JA AU - Dodrill CL AU - Velasquez MM FA - Shellenberger, Sylvia FA - Seale, J Paul FA - Harris, Dona L FA - Johnson, J Aaron FA - Dodrill, Carrie L FA - Velasquez, Mary M IN - Shellenberger, Sylvia. Medical Center of Central Georgia & Mercer University School of Medicine, Macon, Georgia 31206, USA. Shellenberger.Sylvia@mccg.org NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 84 IP - 3 PG - 340-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - *Education, Medical, Graduate/og [Organization & Administration] MH - Feasibility Studies MH - Humans MH - *Internship and Residency/og [Organization & Administration] MH - *Mass Screening/ut [Utilization] MH - *Patient Care Team MH - *Primary Health Care MH - Program Development MH - Program Evaluation MH - Reinforcement (Psychology) AB - PURPOSE: Educational research demonstrates little evidence of long-term retention from traditional lectures in residency programs. Team-based learning (TBL), an alternative, active learning technique, incites competition and generates discussion. This report presents data evaluating the ability of TBL to reinforce and enhance concepts taught during initial training in a National Institutes of Health-funded alcohol screening and brief intervention (SBI) program conducted in eight residency programs from 2005 to 2007 under the auspices of Mercer University School of Medicine. AB - METHOD: After initial training of three hours, the authors conducted three TBL booster sessions of one and a quarter hours, spaced four months apart at each site. They assessed feasibility through the amount of preparation time for faculty and staff, residents' evaluations of their training, self-reported use of SBI, residents' performance on individual quizzes compared with group quizzes, booster session evaluations, and levels of confidence in conducting SBI. AB - RESULTS: After initial training and three TBL reinforcement sessions, 42 residents (63%) reported that they performed SBI and that their levels of confidence in performing interventions in their current and future practices was moderately high. Participants preferred TBL formats over lectures. Group performance was superior to individual performance on initial assessments. When invited to select a model for conducting SBI in current and future practices, all residents opted for procedures that included clinician involvement. Faculty found TBL to be efficient but labor-intensive for training large groups. AB - CONCLUSIONS: TBL was well received by residents and helped maintain a newly learned clinical skill. Future research should compare TBL to other learning methods. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0b013e3181972855 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1097/ACM.0b013e3181972855 [doi] ID - 00001888-200903000-00018 [pii] PP - ppublish GI - No: R25 AA014915-01A1 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2009 Mar EZ - 2009/02/26 09:00 DA - 2009/04/01 09:00 DT - 2009/02/26 09:00 YR - 2009 ED - 20090331 RD - 20090225 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19240441 <659. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19130384 TI - Implementing smokeless tobacco instruction into medical student education: addressing the gap. SO - Teaching & Learning in Medicine. 21(1):33-7, 2009 Jan-Mar. AS - Teach Learn Med. 21(1):33-7, 2009 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spangler J AU - Foley KL AU - Crandall S AU - Lane C AU - Walker K AU - MacRae M AU - Vaden K AU - Marion G FA - Spangler, John FA - Foley, Kristie Long FA - Crandall, Sonia FA - Lane, Chan FA - Walker, Kathy FA - MacRae, Marla FA - Vaden, Karen FA - Marion, Gail IN - Spangler, John. Department of Family and Community Medicine, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157, USA. jspangle@wfubmc.edu NJ - Teaching and learning in medicine VO - 21 IP - 1 PG - 33-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - dx5, 8910884 IO - Teach Learn Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465384 OI - Source: NLM. NIHMS696171 SB - Index Medicus CP - United States MH - Adolescent MH - *Counseling/ed [Education] MH - *Curriculum MH - Education, Medical, Undergraduate MH - Female MH - Humans MH - Internet MH - Male MH - *Students, Medical MH - *Tobacco Use Cessation MH - Young Adult AB - BACKGROUND: Despite the unique health and epidemiological aspects of smokeless tobacco use, medical education regarding this topic is virtually lacking. AB - 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. AB - 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. AB - CONCLUSIONS: This Web-based, comprehensive curriculum-the only curriculum we are aware of treating the topic of smokeless tobacco use-appears to be effective and well received. Smokeless tobacco should be included in medical education. ES - 1532-8015 IL - 1040-1334 DO - https://dx.doi.org/10.1080/10401330802573944 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 907458746 [pii] ID - 10.1080/10401330802573944 [doi] ID - PMC4465384 [pmc] ID - NIHMS696171 [mid] PP - ppublish GI - No: R01 TW007927 Organization: (TW) *FIC NIH HHS* Country: United States GI - No: R25 CA096562 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R25CA096562 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2009 Jan-Mar EZ - 2009/01/09 09:00 DA - 2009/03/31 09:00 DT - 2009/01/09 09:00 YR - 2009 ED - 20090330 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19130384 <660. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19190293 TI - Evaluation of an evidence-based tobacco treatment curriculum for psychiatry residency training programs. SO - Academic Psychiatry. 32(6):484-92, 2008 Nov-Dec. AS - Acad Psychiatry. 32(6):484-92, 2008 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prochaska JJ AU - Fromont SC AU - Leek D AU - Hudmon KS AU - Louie AK AU - Jacobs MH AU - Hall SM FA - Prochaska, Judith J FA - Fromont, Sebastien C FA - Leek, Desiree FA - Hudmon, Karen Suchanek FA - Louie, Alan K FA - Jacobs, Marc H FA - Hall, Sharon M IN - Prochaska, Judith J. Department of Psychiatry, University of California, San Francisco, CA 94143-0984, USA. JProchaska@ucsf.edu NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 32 IP - 6 PG - 484-92 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2705754 OI - Source: NLM. NIHMS122178 SB - Index Medicus CP - United States MH - California MH - *Curriculum MH - Education/ec [Economics] MH - *Education MH - *Evidence-Based Medicine/ed [Education] MH - *Evidence-Based Medicine/mt [Methods] MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Psychiatry/ec [Economics] MH - *Psychiatry/ed [Education] AB - 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 treating tobacco dependence among individuals with mental illness. AB - 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. AB - RESULTS: The curriculum was associated with improvements in psychiatry residents' knowledge, attitudes, confidence, and counseling 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. AB - 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. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.32.6.484 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 32/6/484 [pii] ID - 10.1176/appi.ap.32.6.484 [doi] ID - PMC2705754 [pmc] ID - NIHMS122178 [mid] PP - ppublish GI - No: P50 DA009253-15 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 MH083684 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: P50 DA009253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA018691-05 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA09253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA018691 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 MH060482 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2008 Nov-Dec EZ - 2009/02/05 09:00 DA - 2009/03/31 09:00 DT - 2009/02/05 09:00 YR - 2008 ED - 20090330 RD - 20170414 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19190293 <661. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19189571 TI - [Realization of problems related with tobacco addiction under medical studies]. [Polish] OT - Realizacja zagadnien zwiazanych z nalogiem palenia tytoniu w trakcie studiow medycznych. SO - Przeglad Lekarski. 65(10):651-2, 2008. AS - Przegl Lek. 65(10):651-2, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kurpas D AU - Wojtal M AU - Bielska D AU - Kaczorowska M AU - Steciwko A FA - Kurpas, Donata FA - Wojtal, Mariola FA - Bielska, Dorota FA - Kaczorowska, Monika FA - Steciwko, Andrzej IN - Kurpas, Donata. Katedra i Zaklad Medycyny Rodzinnej, Akademia Medyczna we Wroclawiu. dkurpas@hotmail.com NJ - Przeglad lekarski VO - 65 IP - 10 PG - 651-2 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - Population Surveillance MH - Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - Quitting by current smokers is therefore the only way in which tobacco-related mortality can be reduced in the medium term. An anonymous questionnaire containing questioners on the subject of the realization of problems connected with the tobacco addiction in the route of medical studies was carried amongst students of the 6th year of the Medical Department of Wroclaw Medical University in the academic year 2007/2008. 177 students took part in the study (64% of women, 34% of men). 72.4% of students came from cities with the population above 100 hundred of inhabitants. 8.5% of students isn't regarding the nicotine addiction as illness. 94.4% of students is claiming that problems concerning nicotinism were being brought up on the university. 81.7% of students is judging that he is able to give an anti-smoking advice to a patient. 89.8% of students think that every doctor should ask each patients opinion about smoking cigarettes independently of whether he is an ill or healthy person. It is surprising that persons not regarding nicotine addiction as illness are still amongst students of 6th year of the Medical Department. Not all examined also confirmed that they had met with discussing the problem of nicotinism during medical studies. Majority examined thinks that he is able to give an anti-smoking advice to a patient. Dominating percentage examined thinks that every doctor should ask each of patients' opinion about smoking cigarettes independently of whether he is an ill or healthy person. Knowledge is being passed down to students on the subject of nicotine addiction during main subjects realized during medical studies. However this knowledge seems insufficient in spite of high self-assessment of students. IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2008 EZ - 2009/02/05 09:00 DA - 2009/03/18 09:00 DT - 2009/02/05 09:00 YR - 2008 ED - 20090317 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19189571 <662. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19189569 TI - [Opinion of students of the Medical Department of Wroclaw Medical University on the subject of the fight against tobacco addiction]. [Polish] OT - Opinia studentow Wydzialu Lekarskiego Akademii Medycznej we Wroclawiu na temat walki z nalogiem palenia tytoniu. SO - Przeglad Lekarski. 65(10):645-6, 2008. AS - Przegl Lek. 65(10):645-6, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kurpas D AU - Wojtal M AU - Bielska D AU - Kaczorowska M AU - Steciwko A FA - Kurpas, Donata FA - Wojtal, Mariola FA - Bielska, Dorota FA - Kaczorowska, Monika FA - Steciwko, Andrzej IN - Kurpas, Donata. Katedra i Zaklad Medycyny Rodzinnej, Akademia Medyczna we Wroclawiu. dkurpas@hotmail.com NJ - Przeglad lekarski VO - 65 IP - 10 PG - 645-6 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion/lj [Legislation & Jurisprudence] MH - Health Promotion/mt [Methods] MH - Health Promotion/og [Organization & Administration] MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - Population Surveillance MH - Program Development/mt [Methods] MH - Smoking/ep [Epidemiology] MH - *Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Young Adult AB - Problem of prophylaxis of nicotine-related diseases and leading of programs of the fight against tobacco addiction are being given out to be shared nominative case of main plans led in the framework of health care in majority of European countries. An anonymous questionnaire containing questions concerning students' opinion on the subject of the fight against tobacco addiction was carried amongst students of the 6th year of the Medical Department of Wroclaw Medical University in the academic year 2007/2008. 177 students took part in the study (64% of women, 34% of men). 72.4% of students came from cities with the population above 100 hundred of inhabitants. 64.4% of students is regarding problem of nicotinism in Poland as important. 62.2% of students think that promoting not-smoking in media is most effective method. 76.7% of students is justifying total smoking ban in public places and is behind accepting such regulations in Poland. 1.14% of students is against smoking ban in public places regarding it as limiting their freedom. Majority of students thinks that nicotinism is an essential problem in Poland. Dominating percentage examined thinks that promoting not-smoking in media is most effective method. Majority of students is justifying a total smoking ban in public places and is behind accepting such regulations in Poland. Only scarce percentage examined is against a smoking ban in public places regarding it as limiting their freedom. Undoubtedly students notice problem of tobacco smoking in Poland as important, at the same time rarely taking into consideration keeping anti-tobacco programs on the level of health care--are handing responsibility for realization of these programs to media or government organizations. Students are supporting regulations introducing a ban on smoking in public places. IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2008 EZ - 2009/02/05 09:00 DA - 2009/03/18 09:00 DT - 2009/02/05 09:00 YR - 2008 ED - 20090317 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19189569 <663. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19189555 TI - [The nursing students of Public Higher Medical Professional School in Opole spreading non-smoking lifestyle]. [Polish] OT - Studenci pielegniarstwa Panstwowej Medycznej Wyzszej Szkoly Zawodowej w Opolu wobec promowania niepalenia. SO - Przeglad Lekarski. 65(10):588-90, 2008. AS - Przegl Lek. 65(10):588-90, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wojtal M AU - Kurpas D AU - Bielska D AU - Steciwko A FA - Wojtal, Mariola FA - Kurpas, Donata FA - Bielska, Dorota FA - Steciwko, Andrzej IN - Wojtal, Mariola. Zaklad Pielegniarstwa Ogolnego, Panstwowa Medyczna Wyzsza Szkola Zawodowa w Opolu. mariola30@onet.eu NJ - Przeglad lekarski VO - 65 IP - 10 PG - 588-90 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - Female MH - *Health Promotion/mt [Methods] MH - Health Promotion/og [Organization & Administration] MH - Humans MH - Male MH - Poland MH - Population Surveillance MH - *Risk Reduction Behavior MH - *Smoking Prevention MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Young Adult AB - 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. IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2008 EZ - 2009/02/05 09:00 DA - 2009/03/18 09:00 DT - 2009/02/05 09:00 YR - 2008 ED - 20090317 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19189555 <664. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18803913 TI - Training physicians to treat substance use disorders. [Review] [53 refs] SO - Current Psychiatry Reports. 10(5):399-404, 2008 Oct. AS - Curr Psychiatry Rep. 10(5):399-404, 2008 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Polydorou S AU - Gunderson EW AU - Levin FR FA - Polydorou, Soteri FA - Gunderson, Erik W FA - Levin, Frances R IN - Polydorou, Soteri. Columbia University Medical Center/New York State Psychiatric Institute, 1051 Riverside Drive, Unit 66, New York, NY 10032, USA. NJ - Current psychiatry reports VO - 10 IP - 5 PG - 399-404 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100888960, dym IO - Curr Psychiatry Rep PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2741399 OI - Source: NLM. NIHMS129773 SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/rh [Rehabilitation] MH - Clinical Competence MH - Curriculum MH - *Education, Medical MH - Education, Medical, Continuing MH - Education, Medical, Graduate MH - Humans MH - Internship and Residency MH - Mass Screening MH - Psychiatry/ed [Education] MH - Specialization MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. [References: 53] ES - 1535-1645 IL - 1523-3812 PT - Journal Article PT - Review ID - PMC2741399 [pmc] ID - NIHMS129773 [mid] PP - ppublish GI - No: K02 DA000465 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02 DA000465-09 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA020000-04 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2008 Oct EZ - 2008/09/23 09:00 DA - 2009/02/28 09:00 DT - 2008/09/23 09:00 YR - 2008 ED - 20090227 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18803913 <665. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19151314 TI - Random urine drug testing. SO - Anesthesia & Analgesia. 108(2):676; author reply 676-7, 2009 Feb. AS - Anesth Analg. 108(2):676; author reply 676-7, 2009 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brock MF AU - Roy RC FA - Brock, Margaret F FA - Roy, Raymond C CM - Comment on: Anesth Analg. 2008 Aug;107(2):630-5; PMID: 18633044 NJ - Anesthesia and analgesia VO - 108 IP - 2 PG - 676; author reply 676-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Anesthesiology MH - Humans MH - Internship and Residency MH - *Physicians MH - *Substance Abuse Detection MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] ES - 1526-7598 IL - 0003-2999 DO - https://dx.doi.org/10.1213/ane.0b013e3181901da6 PT - Comment PT - Letter ID - 108/2/676 [pii] ID - 10.1213/ane.0b013e3181901da6 [doi] PP - ppublish LG - English DP - 2009 Feb EZ - 2009/01/20 09:00 DA - 2009/02/10 09:00 DT - 2009/01/20 09:00 YR - 2009 ED - 20090209 RD - 20090119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19151314 <666. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19087915 TI - [Study of smoking behavior and smoking-related attitudes among preclinical medical students]. [Hungarian] OT - Preklinikai orvostanhallgatok dohanyzasanak es dohanyzassal kapcsolatos attitudjeinek vizsgalata. SO - Orvosi Hetilap. 149(52):2471-8, 2008 Dec 21. AS - Orv Hetil. 149(52):2471-8, 2008 Dec 21. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Piko B FA - Piko, Bettina IN - Piko, Bettina. Szegedi Tudomanyegyetem, Altalanos Orvostudomanyi Kar, Magatartas-tudomanyi Intezet, Szeged. pikobettina@yahoo.com NJ - Orvosi hetilap VO - 149 IP - 52 PG - 2471-8 PI - Journal available in: Print PI - Citation processed from: Print JC - ol8, 0376412 IO - Orv Hetil SB - Index Medicus CP - Hungary MH - *Attitude to Health MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Hungary/ep [Epidemiology] MH - Male MH - Physician's Role MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Young Adult AB - UNLABELLED: 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. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0030-6002 IL - 0030-6002 DO - https://dx.doi.org/10.1556/OH.2008.28516 PT - English Abstract PT - Journal Article ID - R637880L85247320 [pii] ID - 10.1556/OH.2008.28516 [doi] PP - ppublish LG - Hungarian DP - 2008 Dec 21 EZ - 2008/12/18 09:00 DA - 2009/02/07 09:00 DT - 2008/12/18 09:00 YR - 2008 ED - 20090206 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19087915 <667. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18843073 TI - Towards evidence based emergency medicine: best BETs from the Manchester Royal Infirmary. BET 3. Training and prescription of naloxone for personal use in overdose for opiate addicts. [Review] [3 refs] SO - Emergency Medicine Journal. 25(10):688-9, 2008 Oct. AS - Emerg Med J. 25(10):688-9, 2008 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barrie J FA - Barrie, Jenifer IN - Barrie, Jenifer. Manchester Royal Infirmary, Manchester, UK. NJ - Emergency medicine journal : EMJ VO - 25 IP - 10 PG - 688-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - b0u, 100963089 IO - Emerg Med J SB - Index Medicus CP - England MH - Drug Overdose/dt [Drug Therapy] MH - Evidence-Based Emergency Medicine MH - *Heroin/po [Poisoning] MH - *Heroin Dependence/dt [Drug Therapy] MH - Humans MH - Male MH - *Naloxone/ad [Administration & Dosage] MH - *Narcotic Antagonists/ad [Administration & Dosage] MH - *Narcotics/po [Poisoning] MH - Self Administration RN - 0 (Narcotic Antagonists) RN - 0 (Narcotics) RN - 36B82AMQ7N (Naloxone) RN - 70D95007SX (Heroin) ES - 1472-0213 IL - 1472-0205 DO - https://dx.doi.org/10.1136/emj.2008.065698 PT - Journal Article PT - Review ID - 25/10/688 [pii] ID - 10.1136/emj.2008.065698 [doi] PP - ppublish LG - English DP - 2008 Oct EZ - 2008/10/10 09:00 DA - 2009/02/04 09:00 DT - 2008/10/10 09:00 YR - 2008 ED - 20090203 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18843073 <668. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19034736 TI - Outcomes of DATA 2000 certification trainings for the provision of buprenorphine treatment in the Veterans Health Administration. SO - American Journal on Addictions. 17(6):459-62, 2008 Nov-Dec. AS - Am J Addict. 17(6):459-62, 2008 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gordon AJ AU - Liberto J AU - Granda S AU - Salmon-Cox S AU - Andree T AU - McNicholas L FA - Gordon, Adam J FA - Liberto, Joseph FA - Granda, Stephanie FA - Salmon-Cox, Sara FA - Andree, Tykia FA - McNicholas, Laura IN - Gordon, Adam J. Mental Illness Research, Education, and Clinical Center, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania 15206, USA. adam.gordon@va.gov CM - Comment in: Am J Addict. 2009 Jul-Aug;18(4):336; author reply 337-8; PMID: 19444740 NJ - The American journal on addictions VO - 17 IP - 6 PG - 459-62 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - *Buprenorphine/tu [Therapeutic Use] MH - *Certification MH - *Education MH - Follow-Up Studies MH - *Health Occupations/ed [Education] MH - Humans MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - *Practice Patterns, Physicians' MH - United States MH - *United States Department of Veterans Affairs MH - Veterans AB - 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. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1080/10550490802408613 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. ID - 905998268 [pii] ID - 10.1080/10550490802408613 [doi] PP - ppublish LG - English DP - 2008 Nov-Dec EZ - 2008/11/27 09:00 DA - 2009/01/24 09:00 DT - 2008/11/27 09:00 YR - 2008 ED - 20090123 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19034736 <669. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18676427 TI - Doctors' health and fitness to practise: treating addicted doctors. [Review] [43 refs] SO - Occupational Medicine (Oxford). 58(5):334-40, 2008 Aug. AS - Occup Med (Oxf). 58(5):334-40, 2008 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marshall EJ FA - Marshall, E Jane IN - Marshall, E Jane. National Addiction Centre, Institute of Psychiatry, King's College London, London, UK. jane.marshall@slam.nhs.uk NJ - Occupational medicine (Oxford, England) VO - 58 IP - 5 PG - 334-40 PI - Journal available in: Print PI - Citation processed from: Internet JC - a79, 9205857 IO - Occup Med (Lond) SB - Index Medicus CP - England MH - Adult MH - Aged MH - Clinical Competence/st [Standards] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Occupational Medicine MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] AB - 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'. [References: 43] ES - 1471-8405 IL - 0962-7480 DO - https://dx.doi.org/10.1093/occmed/kqn081 PT - Journal Article PT - Review ID - kqn081 [pii] ID - 10.1093/occmed/kqn081 [doi] PP - ppublish LG - English DP - 2008 Aug EZ - 2008/08/05 09:00 DA - 2009/01/08 09:00 DT - 2008/08/05 09:00 YR - 2008 ED - 20090107 RD - 20080804 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18676427 <670. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18761254 TI - One approach to the return to residency for anesthesia residents recovering from opioid addiction. SO - Journal of Clinical Anesthesia. 20(5):397-400, 2008 Aug. AS - J Clin Anesth. 20(5):397-400, 2008 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bryson EO AU - Levine A FA - Bryson, Ethan O FA - Levine, Adam IN - Bryson, Ethan O. Department of Anesthesiology, The Mount Sinai Medical Center, PO Box 1010, New York, NY 10029-6574, USA. ethan.bryson@msnyuhealth.org CM - Comment in: J Clin Anesth. 2008 Aug;20(5):325-7; PMID: 18761237 NJ - Journal of clinical anesthesia VO - 20 IP - 5 PG - 397-400 PI - Journal available in: Print PI - Citation processed from: Print JC - an9, 8812166 IO - J Clin Anesth SB - Index Medicus CP - United States MH - *Anesthesiology/ed [Education] MH - Hospitals, Teaching MH - Humans MH - *Internship and Residency MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Physician Impairment MH - Recurrence MH - Time Factors MH - Treatment Outcome AB - 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. AB - 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. AB - SETTING: Academic anesthesia practice in a large teaching hospital. AB - 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. AB - 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. IS - 0952-8180 IL - 0952-8180 DO - https://dx.doi.org/10.1016/j.jclinane.2007.10.011 PT - Journal Article ID - S0952-8180(08)00059-7 [pii] ID - 10.1016/j.jclinane.2007.10.011 [doi] PP - ppublish PH - 2007/05/21 [received] PH - 2007/10/04 [revised] PH - 2007/10/22 [accepted] LG - English DP - 2008 Aug EZ - 2008/09/02 09:00 DA - 2009/01/07 09:00 DT - 2008/09/02 09:00 YR - 2008 ED - 20090106 RD - 20080901 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18761254 <671. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18761237 TI - Reentry of anesthesiology residents after treatment of chemical dependency--is it rational?. SO - Journal of Clinical Anesthesia. 20(5):325-7, 2008 Aug. AS - J Clin Anesth. 20(5):325-7, 2008 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tetzlaff JE AU - Collins GB FA - Tetzlaff, John E FA - Collins, Gregory B CM - Comment on: J Clin Anesth. 2008 Aug;20(5):397-400; PMID: 18761254 NJ - Journal of clinical anesthesia VO - 20 IP - 5 PG - 325-7 PI - Journal available in: Print PI - Citation processed from: Print JC - an9, 8812166 IO - J Clin Anesth SB - Index Medicus CP - United States MH - Anesthesiology/ed [Education] MH - Humans MH - Internship and Residency MH - *Physician Impairment MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Treatment Outcome IS - 0952-8180 IL - 0952-8180 DO - https://dx.doi.org/10.1016/j.jclinane.2008.04.001 PT - Comment PT - Editorial ID - S0952-8180(08)00120-7 [pii] ID - 10.1016/j.jclinane.2008.04.001 [doi] PP - ppublish PH - 2008/04/11 [received] PH - 2008/04/14 [accepted] LG - English DP - 2008 Aug EZ - 2008/09/02 09:00 DA - 2009/01/07 09:00 DT - 2008/09/02 09:00 YR - 2008 ED - 20090106 RD - 20080901 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18761237 <672. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19042211 TI - A review of systems for continued education and training in the substance abuse field. SO - Substance Abuse. 29(3):95-102, 2008. AS - Subst Abus. 29(3):95-102, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Uchtenhagen A AU - Stamm R AU - Huber J AU - Vuille R FA - Uchtenhagen, Ambros FA - Stamm, Rene FA - Huber, Jakob FA - Vuille, Rodolphe IN - Uchtenhagen, Ambros. Research Institute for Public Health and Addiction, Zurich University, Zurich. uchtenhagen@isgf.uzh.ch NJ - Substance abuse VO - 29 IP - 3 PG - 95-102 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Curriculum MH - *Education/og [Organization & Administration] MH - *Education, Medical, Continuing MH - Humans MH - *Substance-Related Disorders/rh [Rehabilitation] MH - *Teaching/mt [Methods] AB - 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. IS - 0889-7077 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897070802219263 PT - Journal Article ID - 10.1080/08897070802219263 [doi] PP - ppublish LG - English DP - 2008 EZ - 2008/12/02 09:00 DA - 2009/01/01 09:00 DT - 2008/12/02 09:00 YR - 2008 ED - 20081231 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19042211 <673. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19050025 TI - Doctors' health. Medical students and alcohol. SO - BMJ. 337:a2798, 2008 Dec 02. AS - BMJ. 337:a2798, 2008 Dec 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Utku F AU - Checinski K FA - Utku, Ferhal FA - Checinski, Ken NJ - BMJ (Clinical research ed.) VO - 337 PG - a2798 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 8900488, bmj, 101090866 IO - BMJ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Curriculum MH - *Education, Medical, Undergraduate MH - Health Behavior MH - London MH - *Substance-Related Disorders ES - 1756-1833 IL - 0959-535X DI - 337/dec02_1/a2798 DO - https://dx.doi.org/10.1136/bmj.a2798 PT - Letter PP - epublish LG - English EP - 20081202 DP - 2008 Dec 02 EZ - 2008/12/04 09:00 DA - 2008/12/31 09:00 DT - 2008/12/04 09:00 YR - 2008 ED - 20081230 RD - 20120306 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19050025 <674. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 19042316 TI - Medical students' experiences with addicted patients: a web-based survey. SO - Substance Abuse. 29(1):25-32, 2008. AS - Subst Abus. 29(1):25-32, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Midmer D AU - Kahan M AU - Wilson L FA - Midmer, Deana FA - Kahan, Meldon FA - Wilson, Lynn IN - Midmer, Deana. Department of Family and Community Medicine, University of Toronto, 12 Weatherell St, Toronto, ON, Canada. NJ - Substance abuse VO - 29 IP - 1 PG - 25-32 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Behavior, Addictive/ep [Epidemiology] MH - *Education, Medical, Undergraduate MH - Humans MH - *Internet MH - *Patients/sn [Statistics & Numerical Data] MH - *Physician-Patient Relations MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Surveys and Questionnaires AB - UNLABELLED: 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. AB - 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. IS - 0889-7077 IL - 0889-7077 DO - https://dx.doi.org/10.1300/J465v29n01_04 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J465v29n01_04 [doi] PP - ppublish LG - English DP - 2008 EZ - 2008/12/02 09:00 DA - 2008/12/31 09:00 DT - 2008/12/02 09:00 YR - 2008 ED - 20081230 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=19042316 <675. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18789608 TI - Smoking cessation advice: Swiss physicians lack training. SO - Cancer Detection & Prevention. 32(3):209-14, 2008. AS - Cancer Detect Prev. 32(3):209-14, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - von Garnier C AU - Kochuparackal S AU - Miedinger D AU - Leuppi JD AU - Tamm M AU - Battegay E AU - Zeller A FA - von Garnier, Christophe FA - Kochuparackal, Sascha FA - Miedinger, David FA - Leuppi, Jorg D FA - Tamm, Michael FA - Battegay, Edouard FA - Zeller, Andreas IN - von Garnier, Christophe. Respiratory Medicine, Department of Medicine, Basel University Hospital, 4031 Basel, Switzerland. christophe.vongarnier@insel.ch NJ - Cancer detection and prevention VO - 32 IP - 3 PG - 209-14 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cnz, 7704778 IO - Cancer Detect. Prev. SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Female MH - Humans MH - Male MH - Patient Education as Topic/st [Standards] MH - Patient Education as Topic/sn [Statistics & Numerical Data] MH - *Patient Education as Topic MH - *Physician's Role MH - Physicians/st [Standards] MH - Physicians/sn [Statistics & Numerical Data] MH - Professional Practice/st [Standards] MH - Professional Practice/sn [Statistics & Numerical Data] MH - *Smoking Cessation MH - Surveys and Questionnaires MH - Switzerland AB - 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. AB - METHODS: A prospective observational study in which 314 consecutive outpatients were contacted by phone within 24h after their consultation. Questions and information concerning smoking asked and/or provided by the registrar to patients were collected. AB - 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. AB - 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. ES - 1525-1500 IL - 0361-090X DO - https://dx.doi.org/10.1016/j.cdp.2008.08.001 PT - Journal Article ID - S0361-090X(08)00101-3 [pii] ID - 10.1016/j.cdp.2008.08.001 [doi] PP - ppublish PH - 2008/08/20 [accepted] LG - English EP - 20080911 DP - 2008 EZ - 2008/09/16 09:00 DA - 2008/12/31 09:00 DT - 2008/09/16 09:00 YR - 2008 ED - 20081230 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18789608 <676. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18329227 TI - Improving acceptance of naltrexone in community addiction treatment centers: a pilot study. SO - Journal of Substance Abuse Treatment. 35(3):260-8, 2008 Oct. AS - J Subst Abuse Treat. 35(3):260-8, 2008 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thomas SE AU - Miller PM AU - Randall PK AU - Book SW FA - Thomas, Suzanne E FA - Miller, Peter M FA - Randall, Patrick K FA - Book, Sarah W IN - Thomas, Suzanne E. Center for Drug and Alcohol Programs, Charleston Alcohol Research Center, Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina, Charleston, SC 29425, USA. thomass@musc.edu NJ - Journal of substance abuse treatment VO - 35 IP - 3 PG - 260-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - kai, 8500909 IO - J Subst Abuse Treat PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2612537 OI - Source: NLM. NIHMS71151 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/rh [Rehabilitation] MH - Community Health Services MH - Data Collection MH - Female MH - Follow-Up Studies MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Inservice Training MH - Male MH - Middle Aged MH - *Naltrexone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - Pilot Projects MH - Substance Abuse Treatment Centers AB - 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. RN - 0 (Narcotic Antagonists) RN - 5S6W795CQM (Naltrexone) ES - 1873-6483 IL - 0740-5472 DO - https://dx.doi.org/10.1016/j.jsat.2007.11.001 PT - Journal Article PT - Multicenter Study PT - Research Support, N.I.H., Extramural ID - S0740-5472(07)00348-0 [pii] ID - 10.1016/j.jsat.2007.11.001 [doi] ID - PMC2612537 [pmc] ID - NIHMS71151 [mid] PP - ppublish PH - 2007/09/13 [received] PH - 2007/11/13 [revised] PH - 2007/11/19 [accepted] GI - No: R21 AA015065 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R21 AA015065-02 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: AA015065 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English EP - 20080307 DP - 2008 Oct EZ - 2008/03/11 09:00 DA - 2008/12/20 09:00 DT - 2008/03/11 09:00 YR - 2008 ED - 20081219 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18329227 <677. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18757602 TI - Assessment and treatment of co-occurring eating disorders in publicly funded addiction treatment programs. SO - Psychiatric Services. 59(9):1056-9, 2008 Sep. AS - Psychiatr Serv. 59(9):1056-9, 2008 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gordon SM AU - Johnson JA AU - Greenfield SF AU - Cohen L AU - Killeen T AU - Roman PM FA - Gordon, Susan Merle FA - Johnson, J Aaron FA - Greenfield, Shelly F FA - Cohen, Lisa FA - Killeen, Therese FA - Roman, Paul M IN - Gordon, Susan Merle. Research Department, Seabrook House, 133 PolkLn., P.O. Box 5055, Seabrook, NJ 08302-5055, USA. sgordon@seabrookhouse.org NJ - Psychiatric services (Washington, D.C.) VO - 59 IP - 9 PG - 1056-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9502838, b8t IO - Psychiatr Serv PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3417144 OI - Source: NLM. NIHMS193085 SB - Index Medicus CP - United States MH - Adult MH - *Anorexia Nervosa/ep [Epidemiology] MH - *Anorexia Nervosa/rh [Rehabilitation] MH - *Bulimia Nervosa/ep [Epidemiology] MH - *Bulimia Nervosa/rh [Rehabilitation] MH - Combined Modality Therapy MH - *Community Mental Health Services/sn [Statistics & Numerical Data] MH - Comorbidity MH - Cross-Sectional Studies MH - Female MH - *Financing, Government MH - Health Services Accessibility/sn [Statistics & Numerical Data] MH - Health Surveys MH - Humans MH - Inservice Training MH - Longitudinal Studies MH - Male MH - Mass Screening MH - Middle Aged MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - *Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - OBJECTIVE: Publicly funded addiction treatment programs were surveyed to increase understanding of treatment options for persons with co-occurring eating and substance use disorders. AB - 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. AB - 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. AB - 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. ES - 1557-9700 IL - 1075-2730 DO - https://dx.doi.org/10.1176/appi.ps.59.9.1056 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 59/9/1056 [pii] ID - 10.1176/ps.2008.59.9.1056 [doi] ID - PMC3417144 [pmc] ID - NIHMS193085 [mid] PP - ppublish GI - No: U10 DA015831 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA013035 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K24-DA-019855 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023187-01A1 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10-DA-013043 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K24 DA019855 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA013043 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10-DA-15831 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01-DA-014482 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA014482 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA023187 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10-DA-13035 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2008 Sep EZ - 2008/09/02 09:00 DA - 2008/12/17 09:00 DT - 2008/09/02 09:00 YR - 2008 ED - 20081216 RD - 20170304 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18757602 <678. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18971651 TI - Title VII innovations in American medical and dental education: responding to 21st century priorities for the health of the American public. SO - Academic Medicine. 83(11):1015-20, 2008 Nov. AS - Acad Med. 83(11):1015-20, 2008 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reynolds PP FA - Reynolds, P Preston IN - Reynolds, P Preston. Division of General Medicine, Geriatrics and Palliative Care, Department of Medicine, University of Virginia Center for Biomedical Ethics and Humanities, Charlottesville, Virginia, USA. ppr8q@virginia.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 83 IP - 11 PG - 1015-20 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Academic Medical Centers/ec [Economics] MH - Education, Medical, Graduate/ec [Economics] MH - Education, Medical, Undergraduate/ec [Economics] MH - Education, Medical, Undergraduate/mt [Methods] MH - Family Practice/ec [Economics] MH - *Family Practice/ed [Education] MH - Financing, Government/lj [Legislation & Jurisprudence] MH - General Practice, Dental/ec [Economics] MH - *General Practice, Dental/ed [Education] MH - Humans MH - *Medically Underserved Area MH - *Patient Care Team MH - Patient-Centered Care MH - *Professional Competence MH - *Training Support/lj [Legislation & Jurisprudence] MH - United States AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0b013e3181892966 PT - Journal Article ID - 10.1097/ACM.0b013e3181892966 [doi] ID - 00001888-200811000-00010 [pii] PP - ppublish LG - English DP - 2008 Nov EZ - 2008/10/31 09:00 DA - 2008/12/17 09:00 DT - 2008/10/31 09:00 YR - 2008 ED - 20081126 RD - 20081030 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18971651 <679. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18820494 TI - Tobacco world: evaluation of a tobacco cessation training program for third-year medical students. SO - Academic Medicine. 83(10 Suppl):S25-8, 2008 Oct. AS - Acad Med. 83(10 Suppl):S25-8, 2008 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leong SL AU - Lewis PR AU - Curry WJ AU - Gingrich DL FA - Leong, Shou Ling FA - Lewis, Peter R FA - Curry, William J FA - Gingrich, Dennis L IN - Leong, Shou Ling. Penn State College of Medicine, 500 University Drive H-154, Hershey, PA 17033-0850, USA. sleong@hmc.psu.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 83 IP - 10 Suppl PG - S25-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - *Clinical Clerkship MH - Clinical Competence MH - *Curriculum MH - *Directive Counseling MH - *Family Practice/ed [Education] MH - Humans MH - Physician's Role MH - Pilot Projects MH - Program Evaluation MH - Self Efficacy MH - *Smoking Cessation AB - 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. AB - 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. AB - 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. AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0b013e318183e271 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1097/ACM.0b013e318183e271 [doi] ID - 00001888-200810001-00007 [pii] PP - ppublish LG - English DP - 2008 Oct EZ - 2008/10/10 09:00 DA - 2008/12/17 09:00 DT - 2008/10/10 09:00 YR - 2008 ED - 20081124 RD - 20080929 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18820494 <680. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18954774 TI - Evaluation of training of surgery interns to perform brief alcohol interventions for trauma patients. SO - Journal of the American College of Surgeons. 207(5):639-45, 2008 Nov. AS - J Am Coll Surg. 207(5):639-45, 2008 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - MacLeod JB AU - Hungerford DW AU - Dunn C AU - Hartzler B FA - MacLeod, Jana B A FA - Hungerford, Daniel W FA - Dunn, Chris FA - Hartzler, Bryan IN - MacLeod, Jana B A. Department of Surgery, Emory University, School of Medicine, Atlanta, GA 30303, USA. NJ - Journal of the American College of Surgeons VO - 207 IP - 5 PG - 639-45 PI - Journal available in: Print PI - Citation processed from: Internet JC - bzb, 9431305 IO - J. Am. Coll. Surg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/co [Complications] MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Clinical Competence MH - Cohort Studies MH - *Directive Counseling MH - Female MH - *General Surgery/ed [Education] MH - Humans MH - *Internship and Residency MH - Male MH - Middle Aged MH - Patient Simulation MH - Wounds and Injuries/et [Etiology] MH - *Wounds and Injuries/px [Psychology] MH - Wounds and Injuries/th [Therapy] AB - BACKGROUND: Because nearly half of injured patients admitted to trauma centers misuse alcohol, the American College of Surgeons has required that Level I trauma centers have a mechanism for providing brief bedside counseling interventions (BI) to patients with alcohol problems. We hypothesized that with minimal training, surgical interns could become proficient at performing BI. AB - STUDY DESIGN: First-year surgical interns were trained in an 8-hour BI workshop. A group of first-year medicine interns who were not trained in BI served as the comparison group. BI skills of both groups were assessed before and 5 weeks after this training using simulated interviews with standardized patient actors trained to depict a scenario of a challenging patient with an alcohol problem. Audiotapes of those interviews were rated by trained, blinded coders. AB - RESULTS: Before the training, both groups demonstrated similar BI skill levels. Compared with the control group, after training, the surgical interns showed marked improvements in BI skills, including more frequently giving patients feedback on their blood alcohol concentration results (p=0.000), providing guidelines for low-risk drinking (p=0.000), offering patients more than 1 change option (p=0.000), asking permission to discuss drinking (p=0.003), and offering patients hope and encouragement (p=0.003). AB - CONCLUSIONS: After training, surgery interns effectively demonstrated BI skills when challenged to do so in a standardized patient actor scenario. This model of intern screening and brief intervention training constitutes a viable alternative for trauma centers as they look for options to meet the American College of Surgeons' new requirement to provide BI for trauma patients with alcohol problems. Future research should further evaluate surgical interns' ability to routinely implement these skills in their daily clinical environments. ES - 1879-1190 IL - 1072-7515 DO - https://dx.doi.org/10.1016/j.jamcollsurg.2008.06.327 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S1072-7515(08)00925-3 [pii] ID - 10.1016/j.jamcollsurg.2008.06.327 [doi] PP - ppublish PH - 2008/05/03 [received] PH - 2008/06/16 [revised] PH - 2008/06/17 [accepted] LG - English DP - 2008 Nov EZ - 2008/10/29 09:00 DA - 2008/11/19 09:00 DT - 2008/10/29 09:00 YR - 2008 ED - 20081118 RD - 20090521 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18954774 <681. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18703771 TI - Substance abuse issues among women in domestic violence programs: findings from North Carolina. SO - Violence Against Women. 14(9):985-97, 2008 Sep. AS - Violence Against Women. 14(9):985-97, 2008 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martin SL AU - Moracco KE AU - Chang JC AU - Council CL AU - Dulli LS FA - Martin, Sandra L FA - Moracco, Kathryn E FA - Chang, Judy C FA - Council, Carol L FA - Dulli, Lisa S IN - Martin, Sandra L. University of North Carolina at Chapel Hill, USA. NJ - Violence against women VO - 14 IP - 9 PG - 985-97 PI - Journal available in: Print PI - Citation processed from: Print JC - 9506308 IO - Violence Against Women SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Battered Women/sn [Statistics & Numerical Data] MH - Community Networks MH - Female MH - Humans MH - Middle Aged MH - Needs Assessment MH - North Carolina/ep [Epidemiology] MH - Program Evaluation MH - *Public Housing/st [Standards] MH - Socioeconomic Factors MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - *Women's Health MH - Women's Health Services/og [Organization & Administration] AB - 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. IS - 1077-8012 IL - 1077-8012 DO - https://dx.doi.org/10.1177/1077801208322103 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 14/9/985 [pii] ID - 10.1177/1077801208322103 [doi] PP - ppublish GI - No: R49/CCR402444 Organization: *PHS HHS* Country: United States LG - English DP - 2008 Sep EZ - 2008/08/16 09:00 DA - 2008/11/19 09:00 DT - 2008/08/16 09:00 YR - 2008 ED - 20081118 RD - 20080815 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18703771 <682. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18675976 TI - 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. SO - Homo. 59(4):329-42, 2008. AS - Homo. 59(4):329-42, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Skrzypczak M AU - Szwed A AU - Pawlinska-Chmara R AU - Skrzypulec V FA - Skrzypczak, M FA - Szwed, A FA - Pawlinska-Chmara, R FA - Skrzypulec, V IN - Skrzypczak, M. Department of Human Biological Development, Institute of Anthropology, Faculty of Biology, Adam Mickiewicz University, Umultowska 89, 61-614 Poznan, Poland. maskrz@amu.edu.pl NJ - Homo : internationale Zeitschrift fur die vergleichende Forschung am Menschen VO - 59 IP - 4 PG - 329-42 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 0374655 IO - Homo SB - Index Medicus CP - Germany MH - Adult MH - Aged MH - Aged, 80 and over MH - Alcohol Drinking MH - *Body Height MH - *Body Mass Index MH - Educational Status MH - Female MH - Humans MH - Middle Aged MH - *Obesity/et [Etiology] MH - Obesity/pa [Pathology] MH - Poland MH - Smoking MH - Surveys and Questionnaires MH - *Waist-Hip Ratio AB - 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. IS - 0018-442X IL - 0018-442X DO - https://dx.doi.org/10.1016/j.jchb.2008.06.003 PT - Journal Article ID - S0018-442X(08)00037-1 [pii] ID - 10.1016/j.jchb.2008.06.003 [doi] PP - ppublish PH - 2007/05/27 [received] PH - 2008/03/17 [accepted] LG - English EP - 20080803 DP - 2008 EZ - 2008/08/05 09:00 DA - 2008/11/19 09:00 DT - 2008/08/05 09:00 YR - 2008 ED - 20081118 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18675976 <683. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18644923 TI - Doctors with difficulties: why so few women?. SO - Postgraduate Medical Journal. 84(992):318-20, 2008 Jun. AS - Postgrad Med J. 84(992):318-20, 2008 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Firth-Cozens J FA - Firth-Cozens, J IN - Firth-Cozens, J. London Deanery, Stewart House, 32 Russell Square, London WC1B 5DN, UK. jfirth-cozens@londondeanery.ac.uk NJ - Postgraduate medical journal VO - 84 IP - 992 PG - 318-20 PI - Journal available in: Print PI - Citation processed from: Internet JC - pfx, 0234135 IO - Postgrad Med J SB - Index Medicus CP - England MH - *Clinical Competence/st [Standards] MH - Communication MH - Emotions MH - Female MH - Humans MH - Mental Health MH - Personality MH - Physician Impairment/sn [Statistics & Numerical Data] MH - *Physician Impairment MH - *Physicians, Women/st [Standards] MH - Physicians, Women/sn [Statistics & Numerical Data] MH - Psychometrics MH - Referral and Consultation MH - Sex Distribution MH - Trust AB - 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 under-represented 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 non-representative 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. ES - 1469-0756 IL - 0032-5473 DO - https://dx.doi.org/10.1136/pgmj.2008.068478 PT - Journal Article ID - 84/992/318 [pii] ID - 10.1136/pgmj.2008.068478 [doi] PP - ppublish LG - English DP - 2008 Jun EZ - 2008/07/23 09:00 DA - 2008/11/18 09:00 DT - 2008/07/23 09:00 YR - 2008 ED - 20081117 RD - 20091022 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18644923 <684. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18843829 TI - Jordanian nurses' and physicians' learning needs for promoting smoking cessation. SO - Progress in Cardiovascular Nursing. 23(2):79-83, 2008. AS - Prog Cardiovasc Nurs. 23(2):79-83, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shishani K AU - Nawafleh H AU - Sivarajan Froelicher E FA - Shishani, Kawkab FA - Nawafleh, Hani FA - Sivarajan Froelicher, Erika IN - Shishani, Kawkab. Faculty of Nursing, The Hashemite University, PO Box 150459, Zarqa, 13115 Jordan. kawkab.shishani@gmail.com NJ - Progress in cardiovascular nursing VO - 23 IP - 2 PG - 79-83 PI - Journal available in: Print PI - Citation processed from: Print JC - prn, 8704064 IO - Prog Cardiovasc Nurs SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Aged MH - *Attitude of Health Personnel MH - Chi-Square Distribution MH - Clinical Competence MH - Cross-Sectional Studies MH - Female MH - Health Knowledge, Attitudes, Practice MH - *Health Promotion MH - Humans MH - Jordan/ep [Epidemiology] MH - Logistic Models MH - Male MH - Medical Staff, Hospital/ed [Education] MH - Medical Staff, Hospital/px [Psychology] MH - Medical Staff, Hospital/sn [Statistics & Numerical Data] MH - *Medical Staff, Hospital MH - Middle Aged MH - Multivariate Analysis MH - *Needs Assessment/og [Organization & Administration] MH - Nursing Methodology Research MH - Nursing Staff, Hospital/ed [Education] MH - Nursing Staff, Hospital/px [Psychology] MH - Nursing Staff, Hospital/sn [Statistics & Numerical Data] MH - *Nursing Staff, Hospital MH - Prevalence MH - Self Efficacy MH - Sex Distribution MH - Smoking/ep [Epidemiology] MH - *Smoking MH - Smoking Cessation MH - Smoking Prevention MH - Surveys and Questionnaires AB - 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. IS - 0889-7204 IL - 0889-7204 PT - Journal Article PP - ppublish LG - English DP - 2008 EZ - 2008/10/11 09:00 DA - 2008/10/31 09:00 DT - 2008/10/11 09:00 YR - 2008 ED - 20081030 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18843829 <685. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709285 TI - Perceptions of drugs benefits and barriers to quit by undergraduate health students. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:621-6, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:621-6, 2008 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Henriquez PC AU - Carvalho AM FA - Henriquez, Patricia Cid FA - Carvalho, Ana Maria Pimenta de IN - Henriquez, Patricia Cid. Ribeirao Preto, College of Nursing, University of Sao Paulo. NJ - Revista latino-americana de enfermagem VO - 16 Spec No PG - 621-6 PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 IO - Rev Lat Am Enfermagem SB - Nursing Journal CP - Brazil MH - Adult MH - *Attitude MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] AB - 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. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700019 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0104-11692008000700019 [pii] PP - ppublish PH - 2007/06/15 [received] PH - 2008/03/07 [accepted] LG - English DP - 2008 Jul-Aug EZ - 2008/09/25 09:00 DA - 2008/10/29 09:00 DT - 2008/09/25 09:00 YR - 2008 ED - 20081028 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18709285 <686. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18709277 TI - Undergraduate students' motivations for the consumption of legal drugs. SO - Revista Latino-Americana de Enfermagem. 16 Spec No:572-6, 2008 Jul-Aug. AS - Rev Lat Am Enfermagem. 16 Spec No:572-6, 2008 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hernandez Rodriguez VM AU - Scherer ZA FA - Hernandez Rodriguez, Veronica Margarita FA - Scherer, Zeyne Alves Pires IN - Hernandez Rodriguez, Veronica Margarita. School of Nursing, University Autonoma of Queretaro, Mexico. covetojo@yahoo.com NJ - Revista latino-americana de enfermagem VO - 16 Spec No PG - 572-6 PI - Journal available in: Print PI - Citation processed from: Print JC - bxx, 9420934 IO - Rev Lat Am Enfermagem SB - Nursing Journal CP - Brazil MH - Drug Therapy MH - *Education, Medical, Undergraduate MH - Humans MH - *Motivation MH - *Students, Nursing/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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. IS - 0104-1169 IL - 0104-1169 DI - S0104-11692008000700011 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0104-11692008000700011 [pii] PP - ppublish PH - 2006/11/06 [received] PH - 2007/12/10 [accepted] LG - English DP - 2008 Jul-Aug EZ - 2008/09/25 09:00 DA - 2008/10/29 09:00 DT - 2008/09/25 09:00 YR - 2008 ED - 20081028 RD - 20080818 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18709277 <687. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18585771 TI - The pediatric residency training on tobacco project: four-year parent outcome findings. SO - Preventive Medicine. 47(2):221-4, 2008 Aug. AS - Prev Med. 47(2):221-4, 2008 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Pyle SA AU - Haddock CK AU - Schwab JV FA - Hymowitz, Norman FA - Pyle, Sara A FA - Haddock, C Keith FA - Schwab, Joseph V IN - Hymowitz, Norman. Department of Psychiatry, UMDNJ-New Jersey Medical School, Behavioral Health Sciences Building F-1534, 183 South Orange Avenue, Newark, NJ 07103, USA. hymowitz@umdnj.edu NJ - Preventive medicine VO - 47 IP - 2 PG - 221-4 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - Adult MH - Child MH - Child, Preschool MH - Female MH - Health Surveys MH - Humans MH - Infant MH - *Internship and Residency MH - Male MH - New Jersey/ep [Epidemiology] MH - New York/ep [Epidemiology] MH - *Outcome Assessment (Health Care) MH - *Parents MH - *Pediatrics/ed [Education] MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation MH - Tobacco Smoke Pollution/pc [Prevention & Control] AB - OBJECTIVE: To assess parent behavioral change and perception of resident intervention on tobacco. AB - 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. AB - 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. AB - CONCLUSION: The results support the efficacy of the special training program and underscore the importance of preparing pediatric residents to address tobacco. RN - 0 (Tobacco Smoke Pollution) ES - 1096-0260 IL - 0091-7435 DO - https://dx.doi.org/10.1016/j.ypmed.2008.05.011 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - S0091-7435(08)00271-5 [pii] ID - 10.1016/j.ypmed.2008.05.011 [doi] PP - ppublish PH - 2008/02/15 [received] PH - 2008/05/21 [revised] PH - 2008/05/22 [accepted] GI - No: R01 HD40683 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English EP - 20080630 DP - 2008 Aug EZ - 2008/07/01 09:00 DA - 2008/10/29 09:00 DT - 2008/07/01 09:00 YR - 2008 ED - 20081028 RD - 20080804 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18585771 <688. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18820533 TI - 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. SO - Academic Medicine. 83(10):982-9, 2008 Oct. AS - Acad Med. 83(10):982-9, 2008 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Springer CM AU - Tannert Niang KM AU - Matte TD AU - Miller N AU - Bassett MT AU - Frieden TR FA - Springer, Carolyn M FA - Tannert Niang, Kathryn M FA - Matte, Thomas D FA - Miller, Nancy FA - Bassett, Mary T FA - Frieden, Thomas R IN - Springer, Carolyn M. Adelphi University, Derner Institute of Advanced Psychological Studies, Garden City, New York, USA. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 83 IP - 10 PG - 982-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Analysis of Variance MH - *Clinical Competence/sn [Statistics & Numerical Data] MH - Cross-Sectional Studies MH - *Education, Medical, Undergraduate MH - Educational Measurement MH - Female MH - Forecasting MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - New York City MH - Patient Education as Topic/mt [Methods] MH - Physician-Patient Relations MH - Population Surveillance MH - Probability MH - *Smoking Cessation/mt [Methods] MH - Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder/th [Therapy] AB - 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. AB - 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. AB - 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. AB - 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. ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0b013e3181850b68 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1097/ACM.0b013e3181850b68 [doi] ID - 00001888-200810000-00020 [pii] PP - ppublish LG - English DP - 2008 Oct EZ - 2008/09/30 09:00 DA - 2008/10/25 09:00 DT - 2008/09/30 09:00 YR - 2008 ED - 20081024 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18820533 <689. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18593064 TI - 2008 update on addiction medicine/psychiatry in the State of Connecticut. Part II of II. SO - Connecticut Medicine. 72(5):281-5, 2008 May. AS - Conn Med. 72(5):281-5, 2008 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kraus ML FA - Kraus, Mark L IN - Kraus, Mark L. Yale University School of Medicine, USA. NJ - Connecticut medicine VO - 72 IP - 5 PG - 281-5 PI - Journal available in: Print PI - Citation processed from: Print JC - dqf, 0372745 IO - Conn Med SB - Index Medicus CP - United States MH - *Community Health Services/og [Organization & Administration] MH - Connecticut MH - Health Education MH - Health Promotion MH - Humans MH - Insurance Coverage MH - *Mental Health Services/og [Organization & Administration] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders/th [Therapy] MH - Wounds and Injuries/et [Etiology] MH - Wounds and Injuries/pc [Prevention & Control] AB - 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. IS - 0010-6178 IL - 0010-6178 PT - Journal Article PP - ppublish LG - English DP - 2008 May EZ - 2008/07/03 09:00 DA - 2008/09/18 09:00 DT - 2008/07/03 09:00 YR - 2008 ED - 20080917 RD - 20080702 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18593064 <690. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18612733 TI - Working with patients with alcohol problems: a controlled trial of the impact of a rich media web module on medical student performance. SO - Journal of General Internal Medicine. 23(7):1006-9, 2008 Jul. AS - J Gen Intern Med. 23(7):1006-9, 2008 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee JD AU - Triola M AU - Gillespie C AU - Gourevitch MN AU - Hanley K AU - Truncali A AU - Zabar S AU - Kalet A FA - Lee, Joshua D FA - Triola, Marc FA - Gillespie, Colleen FA - Gourevitch, Marc N FA - Hanley, Kathleen FA - Truncali, Andrea FA - Zabar, Sondra FA - Kalet, Adina IN - Lee, Joshua D. Division of General Internal Medicine, New York University School of Medicine, New York, NY, USA. joshua.lee@med.nyu.edu NJ - Journal of general internal medicine VO - 23 IP - 7 PG - 1006-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2517918 SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Computer-Assisted Instruction MH - *Education, Medical, Undergraduate MH - Educational Measurement MH - Humans MH - *Internet MH - *Medical History Taking AB - 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. AB - SETTING: First year medical school curriculum. AB - PROGRAM DESCRIPTION: The web module included pre/posttests, Flash(c), 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. AB - 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. AB - 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. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-008-0557-5 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1007/s11606-008-0557-5 [doi] ID - PMC2517918 [pmc] PP - ppublish GI - No: 12-191-1077 Organization: *PHS HHS* Country: United States LG - English DP - 2008 Jul EZ - 2008/07/10 09:00 DA - 2008/08/30 09:00 DT - 2008/07/10 09:00 YR - 2008 ED - 20080829 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18612733 <691. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18580603 TI - A review of barriers and facilitators of HIV treatment among injection drug users. [Review] [118 refs] SO - AIDS. 22(11):1247-56, 2008 Jul 11. AS - AIDS. 22(11):1247-56, 2008 Jul 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wood E AU - Kerr T AU - Tyndall MW AU - Montaner JS FA - Wood, Evan FA - Kerr, Thomas FA - Tyndall, Mark W FA - Montaner, Julio S G NJ - AIDS (London, England) VO - 22 IP - 11 PG - 1247-56 PI - Journal available in: Print PI - Citation processed from: Internet JC - aid, 8710219 IO - AIDS SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Antiretroviral Therapy, Highly Active/ut [Utilization] MH - *HIV Infections/dt [Drug Therapy] MH - HIV Infections/tm [Transmission] MH - Health Policy MH - *Health Services Accessibility MH - Humans MH - Patient Compliance MH - *Substance Abuse, Intravenous/co [Complications] MH - Treatment Outcome AB - 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. [References: 118] ES - 1473-5571 IL - 0269-9370 DO - https://dx.doi.org/10.1097/QAD.0b013e3282fbd1ed PT - Editorial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Review ID - 10.1097/QAD.0b013e3282fbd1ed [doi] ID - 00002030-200807110-00001 [pii] PP - ppublish LG - English DP - 2008 Jul 11 EZ - 2008/06/27 09:00 DA - 2008/08/22 09:00 DT - 2008/06/27 09:00 YR - 2008 ED - 20080821 RD - 20080626 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18580603 <692. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18425710 TI - 'Race' matters: racialization and egalitarian discourses involving Aboriginal people in the Canadian health care context. SO - Ethnicity & Health. 13(2):109-27, 2008 Apr. AS - Ethn Health. 13(2):109-27, 2008 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tang SY AU - Browne AJ FA - Tang, Sannie Y FA - Browne, Annette J IN - Tang, Sannie Y. School of Nursing, University of British Columbia, Vancouver, Canada. sytang@interchange.ubc.ca NJ - Ethnicity & health VO - 13 IP - 2 PG - 109-27 PI - Journal available in: Print PI - Citation processed from: Print JC - cy1, 9608374 IO - Ethn Health SB - Index Medicus CP - England MH - Attitude of Health Personnel/eh [Ethnology] MH - Attitude to Health/eh [Ethnology] MH - Canada MH - Emergency Service, Hospital MH - Female MH - *Health Services Accessibility MH - Health Services Needs and Demand MH - *Health Services, Indigenous MH - *Healthcare Disparities MH - Humans MH - Interviews as Topic MH - *Inuits MH - Male MH - *Prejudice AB - 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. IS - 1355-7858 IL - 1355-7858 DO - https://dx.doi.org/10.1080/13557850701830307 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 792291739 [pii] ID - 10.1080/13557850701830307 [doi] PP - ppublish LG - English DP - 2008 Apr EZ - 2008/04/22 09:00 DA - 2008/08/20 09:00 DT - 2008/04/22 09:00 YR - 2008 ED - 20080819 RD - 20080421 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18425710 <693. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18467479 TI - "Attitude is a little thing that makes a big difference": reflection techniques for addiction psychiatry training. SO - Academic Psychiatry. 32(3):218-24, 2008 May-Jun. AS - Acad Psychiatry. 32(3):218-24, 2008 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ballon BC AU - Skinner W FA - Ballon, Bruce C FA - Skinner, Wayne IN - Ballon, Bruce C. Department of Psychiatry, University of Toronto, Toronto, Ontario M5S 2S1, Canada. bruce_ballon@camh.net NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 32 IP - 3 PG - 218-24 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Awareness MH - Clinical Competence MH - Curriculum MH - Focus Groups/mt [Methods] MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - *Journalism, Medical MH - Periodicals as Topic/ut [Utilization] MH - Physician-Patient Relations MH - *Professional Practice MH - *Psychiatry/ed [Education] MH - *Reading MH - *Students, Medical/px [Psychology] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] MH - Thinking MH - Writing AB - OBJECTIVE: The authors aim to incorporate educational reflection techniques in an addiction psychiatry postgraduate core rotation in order to increase critical self-awareness of attitudes, values, and beliefs related to working with people with substance use and other addictive disorders. AB - METHODS: Reflection discussion times, reflection journaling, and mandatory end-of-rotation reflection papers were embedded into a core addiction psychiatry postgraduate training block. Qualitative analysis of 28 reflection papers was performed to determine key factors and constructs that impacted on the development of attitudes and professionalism. AB - RESULTS: A number of constructs emerged that demonstrated the attitudes, beliefs, stereotypes, and stigmas students have regarding addictive disorders. Some constructs also highlighted that students felt much more comfortable dealing with addictive disorders after the training and would treat individuals with these conditions in a more effective manner. AB - CONCLUSION: Reflection techniques were endorsed as extremely valuable by students, especially in the development of professional attitudes that will help clinicians effectively engage and provide appropriate care for individuals suffering from addictive disorders. The authors suggest that reflective practices be used more extensively in psychiatric training in order to build and establish reflexive self-awareness as a core professional competence essential to work effectively in clinical practice, especially in the most demanding contexts. IS - 1042-9670 IL - 1042-9670 DO - https://dx.doi.org/10.1176/appi.ap.32.3.218 PT - Journal Article ID - 32/3/218 [pii] ID - 10.1176/appi.ap.32.3.218 [doi] PP - ppublish LG - English DP - 2008 May-Jun EZ - 2008/05/10 09:00 DA - 2008/08/09 09:00 DT - 2008/05/10 09:00 YR - 2008 ED - 20080808 RD - 20080509 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18467479 <694. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18068309 TI - Evolutional pattern of drug use by medical students. SO - Addictive Behaviors. 33(3):490-5, 2008 Mar. AS - Addict Behav. 33(3):490-5, 2008 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Da Silveira DX AU - Rosa-Oliveira L AU - Di Pietro M AU - Niel M AU - Doering-Silveira E AU - Jorge MR FA - Da Silveira, Dartiu Xavier FA - Rosa-Oliveira, Leonardo FA - Di Pietro, Monica FA - Niel, Marcelo FA - Doering-Silveira, Evelyn FA - Jorge, Miguel Roberto IN - Da Silveira, Dartiu Xavier. Addiction Unit (PROAD), Department of Psychiatry, Federal University of Sao Paulo (UNIFESP), Brazil. dartiu@terra.com.br NJ - Addictive behaviors VO - 33 IP - 3 PG - 490-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 2gw, 7603486 IO - Addict Behav SB - Index Medicus CP - England MH - Brazil/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Sex Factors MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Time Factors AB - 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. IS - 0306-4603 IL - 0306-4603 PT - Journal Article ID - S0306-4603(07)00290-0 [pii] ID - 10.1016/j.addbeh.2007.10.005 [doi] PP - ppublish PH - 2007/05/08 [received] PH - 2007/09/22 [revised] PH - 2007/10/10 [accepted] LG - English EP - 20071024 DP - 2008 Mar EZ - 2007/12/11 09:00 DA - 2008/08/08 09:00 DT - 2007/12/11 09:00 YR - 2008 ED - 20080807 RD - 20080107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18068309 <695. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18293125 TI - HIV risks among gay- and non-gay-identified migrant money boys in Shanghai, China. SO - AIDS Care. 20(2):170-80, 2008 Feb. AS - AIDS Care. 20(2):170-80, 2008 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wong FY AU - Huang ZJ AU - He N AU - Smith BD AU - Ding Y AU - Fu C AU - Young D FA - Wong, F Y FA - Huang, Z J FA - He, N FA - Smith, B D FA - Ding, Y FA - Fu, C FA - Young, D IN - Wong, F Y. Department of International Health, Georgetown University Nursing and Health Studies, 3700 Reservoir Road, Washington, DC 20057, USA. fyw@georgetown.edu NJ - AIDS care VO - 20 IP - 2 PG - 170-80 PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o IO - AIDS Care SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adolescent MH - Adult MH - China/ep [Epidemiology] MH - *Depressive Disorder/px [Psychology] MH - Epidemiologic Methods MH - HIV Infections/ep [Epidemiology] MH - HIV Infections/pc [Prevention & Control] MH - *HIV Infections/px [Psychology] MH - Health Knowledge, Attitudes, Practice MH - *Homosexuality, Male/px [Psychology] MH - Homosexuality, Male/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - *Sex Work/sn [Statistics & Numerical Data] MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] MH - Transients and Migrants/px [Psychology] MH - *Transients and Migrants/sn [Statistics & Numerical Data] MH - Urban Health AB - 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. IS - 0954-0121 IL - 0954-0121 DO - https://dx.doi.org/10.1080/09540120701534707 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 790753340 [pii] ID - 10.1080/09540120701534707 [doi] PP - ppublish GI - No: R01 DA 15623-04S1 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2008 Feb EZ - 2008/02/23 09:00 DA - 2008/08/05 09:00 DT - 2008/02/23 09:00 YR - 2008 ED - 20080804 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18293125 <696. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18540738 TI - A randomized control trial examining the effect of acceptance and commitment training on clinician willingness to use evidence-based pharmacotherapy. SO - Journal of Consulting & Clinical Psychology. 76(3):449-58, 2008 Jun. AS - J Consult Clin Psychol. 76(3):449-58, 2008 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Varra AA AU - Hayes SC AU - Roget N AU - Fisher G FA - Varra, Alethea A FA - Hayes, Steven C FA - Roget, Nancy FA - Fisher, Gary IN - Varra, Alethea A. Veterans Affairs Puget Sound Healthcare System, Mental Health Service, Seattle, WA 98108, USA. alethea.varra@va.gov NJ - Journal of consulting and clinical psychology VO - 76 IP - 3 PG - 449-58 PI - Journal available in: Print PI - Citation processed from: Print JC - 0136553, hw3 IO - J Consult Clin Psychol SB - Index Medicus CP - United States MH - Combined Modality Therapy MH - *Drug Therapy/mt [Methods] MH - *Education, Medical MH - Ethnic Groups/sn [Statistics & Numerical Data] MH - *Evidence-Based Medicine/mt [Methods] MH - Female MH - Humans MH - *Intention MH - Male MH - Middle Aged MH - *Motivation MH - *Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - *Psychotherapy/mt [Methods] MH - Social Support MH - Substance-Related Disorders/eh [Ethnology] MH - *Substance-Related Disorders/th [Therapy] MH - *Teaching/mt [Methods] AB - This study evaluated the effectiveness of acceptance and commitment training (ACT) for increasing drug and alcohol counselors' willingness to use evidence-based agonist and antagonist pharmacotherapy. Fifty-nine drug and alcohol counselors were randomly assigned to either a 1-day ACT workshop or a 1-day educational control workshop. Both groups then attended a 2-day workshop on empirically supported treatments for substance abuse. Measures were taken at pre- and posttraining and 3-month follow-up on reported use of pharmacotherapy, willingness to use pharmacotherapy, perceived barriers to implementing new treatments, and general acceptance. As compared with those in the education alone condition, participants in the ACT condition showed significantly higher rates of referrals to pharmacotherapy at follow-up, rated barriers to learning new treatments as less believable at posttraining and follow-up, and showed greater psychological flexibility at posttraining and follow-up. Mediational analyses indicated that reduced believability of barriers and greater psychological flexibility mediated the impact of the intervention. Results support the idea that acceptance-based interventions may be helpful in addressing the psychological factors related to poor adoption of evidence-based treatments. Copyright (c) 2008 APA, all rights reserved IS - 0022-006X IL - 0022-006X DO - https://dx.doi.org/10.1037/0022-006X.76.3.449 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 2008-06469-009 [pii] ID - 10.1037/0022-006X.76.3.449 [doi] PP - ppublish LG - English DP - 2008 Jun EZ - 2008/06/11 09:00 DA - 2008/07/30 09:00 DT - 2008/06/11 09:00 YR - 2008 ED - 20080729 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18540738 <697. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18409966 TI - [Smoking: results of an interventation for health education of young workers attending to the SPISAL Service for pre-employment medical examination]. [Italian] OT - Fumo: risultati di un intervento di educazione alla salute rivolto al giovani lavoratori che si presentano al Servizio SPISAL per la visita di assunzione. SO - Giornale Italiano di Medicina del Lavoro Ed Ergonomia. 29(3 Suppl):796-7, 2007 Jul-Sep. AS - G Ital Med Lav Ergon. 29(3 Suppl):796-7, 2007 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcolina D AU - De Marzo N AU - D'Isep ME FA - Marcolina, D FA - De Marzo, N FA - D'Isep, M E IN - Marcolina, D. Servizio di Prevenzione Igiene e Sicurezza negli Ambienti di Lavoro ULSS n. 1 Belluno Veneto. NJ - Giornale italiano di medicina del lavoro ed ergonomia VO - 29 IP - 3 Suppl PG - 796-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 9712708, cxb IO - G Ital Med Lav Ergon SB - Index Medicus CP - Italy MH - Adolescent MH - Adult MH - Female MH - *Health Education MH - *Health Promotion MH - Humans MH - Male MH - *Occupational Health MH - *Smoking Prevention AB - 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. IS - 1592-7830 IL - 1592-7830 PT - Journal Article PP - ppublish LG - Italian DP - 2007 Jul-Sep EZ - 2008/04/16 09:00 DA - 2008/07/26 09:00 DT - 2008/04/16 09:00 YR - 2007 ED - 20080725 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18409966 <698. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18393085 TI - Medical student judgments of adolescents with alcohol use disorders (AUD). SO - Substance Use & Misuse. 43(5):709-21, 2008. AS - Subst Use Misuse. 43(5):709-21, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee CS AU - Abrantes AM AU - Colby SM AU - Lopez SR AU - Jordan TJ FA - Lee, Christina S FA - Abrantes, Ana M FA - Colby, Suzanne M FA - Lopez, Steven R FA - Jordan, Theresa J IN - Lee, Christina S. Department of Community Health, Center for Alcohol and Addiction Studies, Butler Hospital and Brown Medical School, Brown University, Providence, Rhode Island 02912, USA. Christina_Lee@Brown.edu NJ - Substance use & misuse VO - 43 IP - 5 PG - 709-21 PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 IO - Subst Use Misuse PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3107532 OI - Source: NLM. NIHMS193443 SB - Index Medicus CP - England MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adult MH - African Americans/px [Psychology] MH - African Americans/sn [Statistics & Numerical Data] MH - Alcohol Drinking/px [Psychology] MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/px [Psychology] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/px [Psychology] MH - *Attitude to Health MH - Clinical Competence MH - Curriculum/st [Standards] MH - Education, Medical/st [Standards] MH - European Continental Ancestry Group/px [Psychology] MH - European Continental Ancestry Group/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - *Judgment MH - Male MH - Probability MH - Sex Factors MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires AB - UNLABELLED: The clinical encounter presents opportunities for detection and intervention of adolescent alcohol use disorders (AUDs). AB - 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. IS - 1082-6084 IL - 1082-6084 DO - https://dx.doi.org/10.1080/10826080701202791 PT - Comparative Study PT - Journal Article ID - 791990713 [pii] ID - 10.1080/10826080701202791 [doi] ID - PMC3107532 [pmc] ID - NIHMS193443 [mid] PP - ppublish GI - No: F31 AA005558 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: F31 AA005558-01 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: F31 AA005559 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2008 EZ - 2008/04/09 09:00 DA - 2008/07/18 09:00 DT - 2008/04/09 09:00 YR - 2008 ED - 20080717 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18393085 <699. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18464003 TI - Adolescent substance use disorders and psychiatrists: competent assessment and treatment?. SO - American Journal on Addictions. 17(3):245-6, 2008 May-Jun. AS - Am J Addict. 17(3):245-6, 2008 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Thompson CR AU - Del-Pan N AU - Beckson M AU - Weinstock R FA - Thompson, Christopher R FA - Del-Pan, Nadia FA - Beckson, Mace FA - Weinstock, Robert NJ - The American journal on addictions VO - 17 IP - 3 PG - 245-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adolescent MH - *Adolescent Psychiatry/ed [Education] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - *Child Psychiatry/ed [Education] MH - Clinical Competence MH - Comorbidity MH - Curriculum MH - Data Collection MH - Education, Medical, Continuing MH - Fellowships and Scholarships MH - Humans MH - Mass Screening MH - Mental Disorders/di [Diagnosis] MH - Mental Disorders/px [Psychology] MH - Mental Disorders/rh [Rehabilitation] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1080/10550490802020053 PT - Letter ID - 792840838 [pii] ID - 10.1080/10550490802020053 [doi] PP - ppublish LG - English DP - 2008 May-Jun EZ - 2008/05/09 09:00 DA - 2008/07/09 09:00 DT - 2008/05/09 09:00 YR - 2008 ED - 20080708 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18464003 <700. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18393059 TI - Impact of a brief training on medical resident screening for alcohol misuse and illicit drug use. SO - American Journal on Addictions. 17(2):149-54, 2008 Mar-Apr. AS - Am J Addict. 17(2):149-54, 2008 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunderson EW AU - Levin FR AU - Owen P FA - Gunderson, Erik W FA - Levin, Frances R FA - Owen, Patricia IN - Gunderson, Erik W. Department of Medicine, Columbia University College of Physicians and Surgeons, New York, New York, USA. eg2009@columbia.edu NJ - The American journal on addictions VO - 17 IP - 2 PG - 149-54 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3146173 OI - Source: NLM. NIHMS171411 SB - Index Medicus CP - England MH - Adult MH - Aged MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - Comorbidity MH - Cross-Sectional Studies MH - Curriculum MH - Feasibility Studies MH - Female MH - Guideline Adherence MH - Humans MH - *Inservice Training MH - *Internship and Residency MH - Male MH - Manuals as Topic MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - New York MH - *Street Drugs MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] AB - 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. RN - 0 (Street Drugs) ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1080/10550490701861144 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 791991594 [pii] ID - 10.1080/10550490701861144 [doi] ID - PMC3146173 [pmc] ID - NIHMS171411 [mid] PP - ppublish GI - No: K23 DA 020000 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA020000-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA09236 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA020000 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02 DA000465 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02 DA 000465 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: L30 DA018521-02 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA009236 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2008 Mar-Apr EZ - 2008/04/09 09:00 DA - 2008/07/09 09:00 DT - 2008/04/09 09:00 YR - 2008 ED - 20080708 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18393059 <701. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18571014 TI - Accuracy of data collected by surgical residents. SO - Journal of Oral & Maxillofacial Surgery. 66(7):1335-42, 2008 Jul. AS - J Oral Maxillofac Surg. 66(7):1335-42, 2008 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shetty V AU - Murphy DA AU - Zigler C AU - Resell J AU - Yamashita DD FA - Shetty, Vivek FA - Murphy, Debra A FA - Zigler, Cory FA - Resell, Judith FA - Yamashita, Dennis Duke IN - Shetty, Vivek. Section of Oral and Maxillofacial Surgery, University of California at Los Angeles, Los Angeles, CA 90095-1668, USA. vshetty@ucla.edu NJ - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons VO - 66 IP - 7 PG - 1335-42 PI - Journal available in: Print PI - Citation processed from: Internet JC - jic, 8206428 IO - J. Oral Maxillofac. Surg. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2481507 OI - Source: NLM. NIHMS57014 SB - Core Clinical Journals (AIM) SB - Dental Journals SB - Index Medicus CP - United States MH - Adult MH - *Data Collection MH - Demography MH - Ethnic Groups MH - Female MH - Health Status Disparities MH - Humans MH - *Internship and Residency/st [Standards] MH - Interviews as Topic MH - Los Angeles MH - Male MH - Maxillofacial Injuries/su [Surgery] MH - *Maxillofacial Injuries MH - *Medical Records/st [Standards] MH - Observer Variation MH - Reproducibility of Results MH - Socioeconomic Factors MH - Substance-Related Disorders MH - Surgery, Oral/ed [Education] MH - *Surgery, Oral AB - 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. AB - 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. AB - 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 (kappa = 1), and ethnicity (kappa = .84) but dropped off considerably for marital status (kappa = .22) and alcohol (kappa = .18) and drug use (kappa = .16). The missing data per variable ranged from 4.5% (gender) to 46.9% (employment and education). AB - 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. ES - 1531-5053 IL - 0278-2391 DO - https://dx.doi.org/10.1016/j.joms.2008.01.065 PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0278-2391(08)00255-3 [pii] ID - 10.1016/j.joms.2008.01.065 [doi] ID - PMC2481507 [pmc] ID - NIHMS57014 [mid] PP - ppublish PH - 2007/10/16 [received] PH - 2008/01/03 [revised] PH - 2008/01/23 [accepted] GI - No: R01 DA016850 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA016850-05 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2008 Jul EZ - 2008/06/24 09:00 DA - 2008/07/08 09:00 DT - 2008/06/24 09:00 YR - 2008 ED - 20080707 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18571014 <702. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18478988 TI - 2008 update on addiction medicine/psychiatry in the state of Connecticut. Part I of II. SO - Connecticut Medicine. 72(4):215-21, 2008 Apr. AS - Conn Med. 72(4):215-21, 2008 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kraus ML FA - Kraus, Mark L IN - Kraus, Mark L. Yale University School of Medicine, USA. NJ - Connecticut medicine VO - 72 IP - 4 PG - 215-21 PI - Journal available in: Print PI - Citation processed from: Print JC - dqf, 0372745 IO - Conn Med SB - Index Medicus CP - United States MH - *Community Health Services/og [Organization & Administration] MH - Connecticut MH - Education, Medical, Graduate MH - Government Agencies MH - Health Education MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - *Mental Health Services/og [Organization & Administration] MH - *Societies, Medical/og [Organization & Administration] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders/th [Therapy] IS - 0010-6178 IL - 0010-6178 PT - Journal Article PP - ppublish LG - English DP - 2008 Apr EZ - 2008/05/16 09:00 DA - 2008/07/03 09:00 DT - 2008/05/16 09:00 YR - 2008 ED - 20080702 RD - 20080515 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18478988 <703. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18519300 TI - Addressing alcohol problems in primary care settings: a study of general medical practitioners in Cape Town, South Africa. SO - Scandinavian Journal of Public Health. 36(3):298-302, 2008 May. AS - Scand J Public Health. 36(3):298-302, 2008 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Koopman FA AU - Parry CD AU - Myers B AU - Reagon G FA - Koopman, Fred A FA - Parry, Charles D H FA - Myers, Bronwyn FA - Reagon, Gavin IN - Koopman, Fred A. Alcohol and Drug Abuse Research Unit, Medical Research Council, South Africa. NJ - Scandinavian journal of public health VO - 36 IP - 3 PG - 298-302 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - dew, 100883503 IO - Scand J Public Health SB - Index Medicus CP - Sweden MH - Adult MH - Alcohol Drinking/ae [Adverse Effects] MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Alcoholism/pc [Prevention & Control] MH - Cross-Sectional Studies MH - Education, Medical, Continuing MH - *Family Practice MH - Humans MH - Middle Aged MH - Physician-Patient Relations MH - Physicians, Family/ed [Education] MH - Physicians, Family/px [Psychology] MH - *Practice Patterns, Physicians' MH - Risk Factors MH - South Africa MH - Surveys and Questionnaires AB - AIMS: To explore alcohol-related practices among general practitioners (GPs) in the Cape Town metropole and to examine barriers to addressing risky drinking among patients. AB - METHOD: A cross-sectional survey of 50 GPs was conducted between November 2004 and April 2005. A questionnaire assessing GPs' alcohol-related practices and barriers to alcohol-related interventions was administered to participating GPs. AB - RESULTS: In the past 12 months, most GPs reported seeing only 11-30 patients for alcohol problems specifically. While only 12% thought that they could effectively help patients reduce their alcohol consumption, 78% of GPs indicated that, given adequate training and support, they could become more effective. Among the barriers that hindered their ability to intervene in patients' alcohol-related problems were difficulties in getting reimbursed for treating patients with alcohol problems, insufficient training, lack of materials with which to do screening and counselling, perceptions of ineffectiveness, and time constraints. AB - CONCLUSIONS: GPs are willing to conduct interventions for risky drinking but require additional training in these interventions as well as appropriate support and intervention tools. IS - 1403-4948 IL - 1403-4948 DO - https://dx.doi.org/10.1177/1403494808086914 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1403494808086914 [pii] ID - 10.1177/1403494808086914 [doi] PP - ppublish LG - English EP - 20080307 DP - 2008 May EZ - 2008/06/04 09:00 DA - 2008/06/20 09:00 DT - 2008/06/04 09:00 YR - 2008 ED - 20080619 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18519300 <704. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18443030 TI - Moving beyond myths of substance use disorders. SO - Journal of the American Osteopathic Association. 108(4):214-5, 2008 Apr. AS - J Am Osteopath Assoc. 108(4):214-5, 2008 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clay SW FA - Clay, Steven W CM - Comment on: J Am Osteopath Assoc. 2007 Sep;107(9 Suppl 5):ES27-38; PMID: 17908828 NJ - The Journal of the American Osteopathic Association VO - 108 IP - 4 PG - 214-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Education, Medical, Continuing MH - Education, Medical, Undergraduate MH - Humans MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/pc [Prevention & Control] ES - 1945-1997 IL - 0098-6151 PT - Comment PT - Letter ID - 108/4/214 [pii] PP - ppublish LG - English DP - 2008 Apr EZ - 2008/04/30 09:00 DA - 2008/06/17 09:00 DT - 2008/04/30 09:00 YR - 2008 ED - 20080616 RD - 20090521 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18443030 <705. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18412911 TI - Understanding illicit substance use in the real world. SO - Medical Education. 42(5):532, 2008 May. AS - Med Educ. 42(5):532, 2008 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ciccarone D AU - Jain S AU - Bourgois P FA - Ciccarone, Dan FA - Jain, Sharad FA - Bourgois, Philippe IN - Ciccarone, Dan. Department of Family and Community Medicine, University of California San Francisco, San Francisco, California 94143, USA. ciccaron@fcm.ucsf.edu NJ - Medical education VO - 42 IP - 5 PG - 532 PI - Journal available in: Print PI - Citation processed from: Internet JC - mz3, 7605655 IO - Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2597378 OI - Source: NLM. NIHMS67309 SB - Index Medicus CP - England MH - Clinical Competence/st [Standards] MH - *Education, Medical, Undergraduate/mt [Methods] MH - Humans MH - Personal Satisfaction MH - San Francisco MH - *Substance-Related Disorders ES - 1365-2923 IL - 0308-0110 DO - https://dx.doi.org/10.1111/j.1365-2923.2008.03074.x PT - Journal Article ID - MED3074 [pii] ID - 10.1111/j.1365-2923.2008.03074.x [doi] ID - PMC2597378 [pmc] ID - NIHMS67309 [mid] PP - ppublish GI - No: K23 DA016165 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA016165-04 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA010164 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA010164-12 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2008 May EZ - 2008/04/17 09:00 DA - 2008/06/14 09:00 DT - 2008/04/17 09:00 YR - 2008 ED - 20080613 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18412911 <706. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18267053 TI - Non-medical use and abuse of commonly prescribed medications. SO - Current Medical Research & Opinion. 24(3):869-77, 2008 Mar. AS - Curr Med Res Opin. 24(3):869-77, 2008 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Riggs P FA - Riggs, Paula IN - Riggs, Paula. Department of Psychiatry, University of Colorado School of Medicine, Denver, CO 80262, USA. paula.riggs@uchsc.edu NJ - Current medical research and opinion VO - 24 IP - 3 PG - 869-77 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dux, 0351014 IO - Curr Med Res Opin SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - Child MH - *Drug Prescriptions MH - Drug-Related Side Effects and Adverse Reactions MH - *Education, Continuing MH - Education, Medical, Continuing MH - Epidemiologic Studies MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Humans MH - Male MH - Middle Aged MH - Patient Education as Topic MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Public Health MH - Risk Factors MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - BACKGROUND: The steep escalation in non-medical use and abuse of prescription medications in recent years has begun to seriously affect public health, calling for increased clinician awareness. Effective action and collaborative efforts are required to reduce prescription drug abuse while ensuring that availability of needed prescription medications for the majority of patients who use them appropriately is not inadvertently diminished. AB - OBJECTIVE: To educate physicians, clinicians, and other healthcare providers about the scope of non-medical prescription drug abuse and effective clinical management strategies to reduce abuse and diversion of prescription medications. AB - RESEARCH DESIGN AND METHODS: Articles were identified through PubMed and PsycINFO searches (January 2000 to November 2007). Search terms included combinations of 'prescription drug abuse', 'substance abuse', and 'non-medical use of prescription drugs'. Government agency Web sites were searched for additional references. AB - RESULTS: Data from recent national surveys and other published reports indicate that the lifetime prevalence of non-medical prescription drug use/abuse in the United States is approximately 20% (48 million persons aged > or = 12 years). Public health concern is further heightened by a significant increase in past-month use among adolescents (3.3% of 12-17 year olds) and young adults (6.4% of 18-25 year olds) and the vulnerability of a growing elderly population. AB - CONCLUSIONS: Increased clinician awareness of the scope, demographics, and current trends in prescription medication abuse can be used to enhance screening and effective clinical management skills and strategies to reduce abuse and diversion of prescription drugs without compromising access to needed medications for the majority of patients who use them appropriately. ES - 1473-4877 IL - 0300-7995 DO - https://dx.doi.org/10.1185/030079908X273435 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 4291 [pii] ID - 10.1185/030079908X273435 [doi] PP - ppublish LG - English EP - 20080208 DP - 2008 Mar EZ - 2008/02/13 09:00 DA - 2008/06/14 09:00 DT - 2008/02/13 09:00 YR - 2008 ED - 20080613 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18267053 <707. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18477273 TI - A survey of inhalational anaesthetic abuse in anaesthesia training programmes. SO - Anaesthesia. 63(6):616-20, 2008 Jun. AS - Anaesthesia. 63(6):616-20, 2008 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson JE AU - Kiselanova N AU - Stevens Q AU - Lutz R AU - Mandler T AU - Tran ZV AU - Wischmeyer PE FA - Wilson, J E FA - Kiselanova, N FA - Stevens, Q FA - Lutz, R FA - Mandler, T FA - Tran, Z V FA - Wischmeyer, P E IN - Wilson, J E. Department of Anaesthesia, University of Colorado Health Sciences Center, Denver, Colorado, USA. NJ - Anaesthesia VO - 63 IP - 6 PG - 616-20 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4mc, 0370524 IO - Anaesthesia SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Anesthesiology/ed [Education] MH - *Anesthetics, Inhalation MH - *Education, Medical, Graduate MH - Health Surveys MH - Humans MH - Physician Impairment/sn [Statistics & Numerical Data] MH - *Professional Misconduct/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - United States/ep [Epidemiology] AB - This study aims to assess the prevalence and outcomes of inhalational anaesthetic abuse among anaesthesia training programmes. Online surveys were completed by chairpersons of academic anaesthesia training programmes in the United States. The response rate was 84% (106/126 programmes). Twenty-two percent of the departments had had at least one incident of inhalational anaesthetic abuse. Forty-eight percent (15/31) of the persons abusing inhalational anaesthetics were sent for rehabilitation. Only 22% (7/31) of those found to be abusing inhalational anaesthetics were ultimately able to return successfully to anaesthesia practice with sustained recovery. The mortality rate among individuals found abusing inhalational anaesthetics was 26% (8/31). The majority of the anaesthesia departments (97/104, 93%) did not have any pharmacy accounting of inhalational anaesthetics. This is the first published survey of inhalational anaesthesia abuse. Inhalational anaesthetic abuse should be considered in at-risk individuals or those with a history of substance abuse. The concern about substance abuse is not unique to American anaesthetists. Countries around the world deal with similar substance abuse issues. RN - 0 (Anesthetics, Inhalation) ES - 1365-2044 IL - 0003-2409 DO - https://dx.doi.org/10.1111/j.1365-2044.2008.05444.x PT - Journal Article PT - Multicenter Study ID - ANA5444 [pii] ID - 10.1111/j.1365-2044.2008.05444.x [doi] PP - ppublish LG - English DP - 2008 Jun EZ - 2008/05/15 09:00 DA - 2008/06/12 09:00 DT - 2008/05/15 09:00 YR - 2008 ED - 20080611 RD - 20080514 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18477273 <708. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18081918 TI - A critical review of candidacy for orthotopic liver transplantation in alcoholic liver disease. [Review] [71 refs] SO - American Journal of Gastroenterology. 103(3):734-43; quiz 744, 2008 Mar. AS - Am J Gastroenterol. 103(3):734-43; quiz 744, 2008 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kotlyar DS AU - Burke A AU - Campbell MS AU - Weinrieb RM FA - Kotlyar, David S FA - Burke, Anne FA - Campbell, Mical S FA - Weinrieb, Robert M IN - Kotlyar, David S. University of Pennsylvania School of Medicine, Philadelphia, Pennsylvania 19104, USA. NJ - The American journal of gastroenterology VO - 103 IP - 3 PG - 734-43; quiz 744 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 3he, 0421030 IO - Am. J. Gastroenterol. SB - Index Medicus CP - United States MH - Alcohol Drinking MH - Humans MH - Liver Diseases, Alcoholic/px [Psychology] MH - *Liver Diseases, Alcoholic/su [Surgery] MH - Liver Transplantation/ut [Utilization] MH - *Liver Transplantation MH - Mental Disorders/co [Complications] MH - *Patient Selection MH - Referral and Consultation MH - Smoking MH - Tissue and Organ Procurement MH - Waiting Lists AB - 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. [References: 71] IS - 0002-9270 IL - 0002-9270 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - AJG1691 [pii] ID - 10.1111/j.1572-0241.2007.01691.x [doi] PP - ppublish LG - English EP - 20071214 DP - 2008 Mar EZ - 2007/12/18 09:00 DA - 2008/06/07 09:00 DT - 2007/12/18 09:00 YR - 2008 ED - 20080606 RD - 20080317 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18081918 <709. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18299776 TI - Harm-reduction for unwanted pregnancies and unwanted addictions: an instructive analogy. SO - Adicciones. 20(1):5-13, 2008. AS - ADICCIONES. 20(1):5-13, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brewer C FA - Brewer, Colin NJ - Adicciones VO - 20 IP - 1 PG - 5-13 PI - Journal available in: Print PI - Citation processed from: Print JC - 9605506 IO - Adicciones SB - Index Medicus CP - Spain MH - Ambulatory Care Facilities MH - Female MH - *Harm Reduction MH - Humans MH - Pregnancy MH - *Pregnancy, Unwanted MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. IS - 0214-4840 IL - 0214-4840 PT - Editorial ID - 283 [pii] PP - ppublish LG - English LG - Spanish DP - 2008 EZ - 2008/02/27 09:00 DA - 2008/05/31 09:00 DT - 2008/02/27 09:00 YR - 2008 ED - 20080530 RD - 20080226 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18299776 <710. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18286250 TI - [First warnings of the dangers involved in tobacco use. Medical-scientific knowledge and recommendations for prevention in the second half of the 19th century and the first half of the 20th century]. [Review] [102 refs] [German] OT - Erste Warnungen vor den Gefahren des Tabakkonsums. Medizinisch-wissenschaftliche Kenntnisse und Vorschlage zur Pravention in der zweiten Halfte des 19. sowie ersten Halfte des 20. Jahrhunderts. SO - Wiener Medizinische Wochenschrift. 158(1-2):49-61, 2008. AS - Wien Med Wochenschr. 158(1-2):49-61, 2008. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lux R AU - Walter U FA - Lux, Richard FA - Walter, Ulla IN - Lux, Richard. Institut fur Epidemiologie, Sozialmedizin und Gesundheitssystemforschung, Medizinische Hochschule Hannover, Carl-Neuberg-Strasse 1, Hannover, Germany. lux.richard@mh-hannover.de NJ - Wiener medizinische Wochenschrift (1946) VO - 158 IP - 1-2 PG - 49-61 PI - Journal available in: Print PI - Citation processed from: Print JC - xou, 8708475 IO - Wien Med Wochenschr SB - Index Medicus CP - Austria MH - Animal Experimentation/hi [History] MH - Animals MH - Austria MH - *Biomedical Research/hi [History] MH - Child, Preschool MH - Eye Diseases/et [Etiology] MH - Female MH - France MH - Germany MH - History, 18th Century MH - History, 19th Century MH - History, 20th Century MH - Humans MH - Infant, Newborn MH - *Internal Medicine/hi [History] MH - Italy MH - Male MH - Medicine MH - Mental Disorders/et [Etiology] MH - Middle Aged MH - *Nicotine/ae [Adverse Effects] MH - Nicotine/po [Poisoning] MH - *Smoking/ae [Adverse Effects] MH - Smoking/hi [History] MH - *Smoking Prevention MH - Specialization MH - Switzerland MH - *Tobacco Use Disorder/hi [History] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - United Kingdom AB - References to historical aspects of tobacco research and the ensuing recommendations for the prevention of tobacco-associated diseases can only be found rudimentarily in newer studies. This article systematically reviews the historical literature on the subject, with special attention given to selected journals published between 1850 and 1950. The analysis offers a chronological summary of the knowledge about tobacco ingredients and their effects, about tobacco-attributed diseases as well as of the usually non-institutionalized recommendations for their prevention. The report clearly shows the early knowledge about the toxic effects of tobacco and its products, the causation of ophthalmologic diseases and the effects on the cardiovascular system, the respiratory and nervous systems as well as the reproduction system. The knowledge of the pathogenesis of tobacco-attributable mental disorders, addiction and cancer is also reported. From today's view, some former strategies of prevention are regarded as obsolete; some seem to be very topical. In summary, research concentrating on the characteristics of tobacco and tobacco-associated diseases is witness to a continuity spanning different epochs and political systems. [References: 102] RN - 6M3C89ZY6R (Nicotine) IS - 0043-5341 IL - 0043-5341 DO - https://dx.doi.org/10.1007/s10354-007-0449-z PT - Historical Article PT - Journal Article PT - Review ID - 10.1007/s10354-007-0449-z [doi] PP - ppublish PH - 2006/11/13 [received] PH - 2007/06/08 [accepted] LG - German DP - 2008 EZ - 2008/02/21 09:00 DA - 2008/05/31 09:00 DT - 2008/02/21 09:00 YR - 2008 ED - 20080530 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18286250 <711. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18211313 TI - Substance use in emergency medicine training programs. SO - Academic Emergency Medicine. 15(1):45-53, 2008 Jan. AS - Acad Emerg Med. 15(1):45-53, 2008 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McBeth BD AU - Ankel FK AU - Ling LJ AU - Asplin BR AU - Mason EJ AU - Flottemesch TJ AU - McNamara RM FA - McBeth, Brian D FA - Ankel, Felix K FA - Ling, Louis J FA - Asplin, Brent R FA - Mason, Emily J FA - Flottemesch, Thomas J FA - McNamara, Robert M IN - McBeth, Brian D. Department of Emergency Medicine, San Francisco General Hospital/University of California, San Francisco, CA, USA. bmcbeth@sfghed.ucsf.edu NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 15 IP - 1 PG - 45-53 PI - Journal available in: Print PI - Citation processed from: Internet JC - ce1, 9418450 IO - Acad Emerg Med SB - Index Medicus CP - United States MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - Caffeine MH - *Emergency Medicine/ed [Education] MH - *Emergency Medicine/sn [Statistics & Numerical Data] MH - Female MH - Health Surveys MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - Middle Aged MH - Prevalence MH - *Substance-Related Disorders/ep [Epidemiology] MH - Tobacco Use Disorder/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - OBJECTIVES: To explore the prevalence of substance use among emergency medicine (EM) residents and compare to a prior study conducted in 1992. AB - 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. AB - 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). AB - 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. RN - 3G6A5W338E (Caffeine) ES - 1553-2712 IL - 1069-6563 DO - https://dx.doi.org/10.1111/j.1553-2712.2007.00008.x PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - ACEM008 [pii] ID - 10.1111/j.1553-2712.2007.00008.x [doi] PP - ppublish LG - English DP - 2008 Jan EZ - 2008/01/24 09:00 DA - 2008/05/30 09:00 DT - 2008/01/24 09:00 YR - 2008 ED - 20080529 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18211313 <712. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18409307 TI - [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]. [Polish] OT - Studenci Wydzialow Lekarskiego i Zdrowia Publicznego AM w Bialymstoku wobec nikotynizmu na tle Narodowego Programu Zdrowia w Polsce. SO - Przeglad Lekarski. 64(10):777-80, 2007. AS - Przegl Lek. 64(10):777-80, 2007. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bielska D AU - Litwiejko A AU - Trofimiuk E AU - Kurpas D FA - Bielska, Dorota FA - Litwiejko, Alicja FA - Trofimiuk, Emil FA - Kurpas, Donata IN - Bielska, Dorota. Zaklad Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego, Akademii Medycznej w Bialymstoku. d.bielska1@wp.pl NJ - Przeglad lekarski VO - 64 IP - 10 PG - 777-80 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - *Attitude to Health MH - Female MH - Humans MH - Male MH - *National Health Programs MH - *Nicotine/ae [Adverse Effects] MH - Poland MH - Smoking Cessation MH - Smoking Prevention MH - *Students, Medical MH - *Students, Public Health MH - Substance-Related Disorders MH - Surveys and Questionnaires MH - Tobacco Smoke Pollution/pc [Prevention & Control] MH - *Tobacco Use Disorder AB - 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. RN - 0 (Tobacco Smoke Pollution) RN - 6M3C89ZY6R (Nicotine) IS - 0033-2240 IL - 0033-2240 PT - Comparative Study PT - Journal Article PP - ppublish LG - Polish DP - 2007 EZ - 2008/04/16 09:00 DA - 2008/05/29 09:00 DT - 2008/04/16 09:00 YR - 2007 ED - 20080528 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18409307 <713. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18325102 TI - A web-based Alcohol Clinical Training (ACT) curriculum: is in-person faculty development necessary to affect teaching?. SO - BMC Medical Education. 8:11, 2008 Mar 06. AS - BMC Med Educ. 8:11, 2008 Mar 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alford DP AU - Richardson JM AU - Chapman SE AU - Dube CE AU - Schadt RW AU - Saitz R FA - Alford, Daniel P FA - Richardson, Jessica M FA - Chapman, Sheila E FA - Dube, Catherine E FA - Schadt, Robert W FA - Saitz, Richard IN - Alford, Daniel P. Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston Medical Center, Boston, MA, USA. dalford@bu.edu NJ - BMC medical education VO - 8 PG - 11 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2329623 SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - *Clinical Competence MH - Curriculum MH - Data Collection MH - Education MH - *Education, Medical, Continuing/mt [Methods] MH - *Faculty, Medical MH - Humans MH - *Internet MH - *Mass Screening MH - Models, Educational MH - Pilot Projects MH - Prospective Studies MH - *Teaching/mt [Methods] AB - BACKGROUND: Physicians receive little education about unhealthy alcohol use and as a result patients often do not receive efficacious interventions. The objective of this study is to evaluate whether a free web-based alcohol curriculum would be used by physician educators and whether in-person faculty development would increase its use, confidence in teaching and teaching itself. AB - METHODS: Subjects were physician educators who applied to attend a workshop on the use of a web-based curriculum about alcohol screening and brief intervention and cross-cultural efficacy. All physicians were provided the curriculum web address. Intervention subjects attended a 3-hour workshop including demonstration of the website, modeling of teaching, and development of a plan for using the curriculum. All subjects completed a survey prior to and 3 months after the workshop. AB - RESULTS: Of 20 intervention and 13 control subjects, 19 (95%) and 10 (77%), respectively, completed follow-up. Compared to controls, intervention subjects had greater increases in confidence in teaching alcohol screening, and in the frequency of two teaching practices - teaching about screening and eliciting patient health beliefs. Teaching confidence and teaching practices improved significantly in 9 of 10 comparisons for intervention, and in 0 comparisons for control subjects. At follow-up 79% of intervention but only 50% of control subjects reported using any part of the curriculum (p = 0.20). AB - CONCLUSION: In-person training for physician educators on the use of a web-based alcohol curriculum can increase teaching confidence and practices. Although the web is frequently used for dissemination, in-person training may be preferable to effect widespread teaching of clinical skills like alcohol screening and brief intervention. ES - 1472-6920 IL - 1472-6920 DO - https://dx.doi.org/10.1186/1472-6920-8-11 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 1472-6920-8-11 [pii] ID - 10.1186/1472-6920-8-11 [doi] ID - PMC2329623 [pmc] PP - epublish PH - 2007/06/13 [received] PH - 2008/03/06 [accepted] GI - No: R25 AA013822 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R25 AA13822 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English EP - 20080306 DP - 2008 Mar 06 EZ - 2008/03/08 09:00 DA - 2008/05/22 09:00 DT - 2008/03/08 09:00 YR - 2008 ED - 20080521 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18325102 <714. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18274568 TI - Alcohols and other substance use/abuse among junior doctors and medical students in a teaching institute. SO - Jnma, Journal of the Nepal Medical Association. 46(167):126-9, 2007 Jul-Sep. AS - Jnm. 46(167):126-9, 2007 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shyangwa PM AU - Joshi D AU - Lal R FA - Shyangwa, P M FA - Joshi, D FA - Lal, R IN - Shyangwa, P M. B.P. Koirala Institute of Health Sciences, Dharan, Nepal. pshyangwa@yahoo.com NJ - JNMA; journal of the Nepal Medical Association VO - 46 IP - 167 PG - 126-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 0045233 IO - JNMA J Nepal Med Assoc SB - Index Medicus CP - Nepal MH - Adolescent MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - Female MH - Hospitals, Teaching MH - Humans MH - Male MH - *Medical Staff, Hospital/sn [Statistics & Numerical Data] MH - Nepal MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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. IS - 0028-2715 IL - 0028-2715 PT - Journal Article PP - ppublish LG - English DP - 2007 Jul-Sep EZ - 2008/02/16 09:00 DA - 2008/05/16 09:00 DT - 2008/02/16 09:00 YR - 2007 ED - 20080515 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18274568 <715. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18194573 TI - A systematic review of delay in the diagnosis and treatment of tuberculosis. [Review] [57 refs] SO - BMC Public Health. 8:15, 2008 Jan 14. AS - BMC Public Health. 8:15, 2008 Jan 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Storla DG AU - Yimer S AU - Bjune GA FA - Storla, Dag Gundersen FA - Yimer, Solomon FA - Bjune, Gunnar Aksel IN - Storla, Dag Gundersen. Department of International Health, Institute of General Practice and Community Medicine, University of Oslo, PO Box 1130 Blindern, N-0318 Oslo, Norway. dgstorla@online.no NJ - BMC public health VO - 8 PG - 15 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 IO - BMC Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2265684 SB - Index Medicus CP - England MH - Diagnostic Errors MH - Female MH - HIV Infections/co [Complications] MH - Humans MH - Male MH - Observation MH - Patient Acceptance of Health Care MH - Risk Factors MH - Socioeconomic Factors MH - Time Factors MH - Tuberculosis, Pulmonary/co [Complications] MH - *Tuberculosis, Pulmonary/di [Diagnosis] MH - *Tuberculosis, Pulmonary/dt [Drug Therapy] AB - 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. AB - 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. AB - 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. AB - 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. [References: 57] ES - 1471-2458 IL - 1471-2458 DO - https://dx.doi.org/10.1186/1471-2458-8-15 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 1471-2458-8-15 [pii] ID - 10.1186/1471-2458-8-15 [doi] ID - PMC2265684 [pmc] PP - epublish PH - 2007/07/26 [received] PH - 2008/01/14 [accepted] LG - English EP - 20080114 DP - 2008 Jan 14 EZ - 2008/01/16 09:00 DA - 2008/04/25 09:00 DT - 2008/01/16 09:00 YR - 2008 ED - 20080424 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18194573 <716. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17978327 TI - Effects of training community staff in interventions for substance misuse in dual diagnosis patients with psychosis (COMO study): cluster randomised trial. SO - British Journal of Psychiatry. 191:451-2, 2007 Nov. AS - Br J Psychiatry. 191:451-2, 2007 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson S AU - Thornicroft G AU - Afuwape S AU - Leese M AU - White IR AU - Hughes E AU - Wanigaratne S AU - Miles H AU - Craig T FA - Johnson, S FA - Thornicroft, G FA - Afuwape, S FA - Leese, M FA - White, I R FA - Hughes, E FA - Wanigaratne, S FA - Miles, H FA - Craig, T IN - Johnson, S. Department of Mental Health Sciences, University College London, 67-73 Riding House Street, London, UK. s.johnson@ucl.ac.uk NJ - The British journal of psychiatry : the journal of mental science VO - 191 PG - 451-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 0342367, b1k IO - Br J Psychiatry SB - Index Medicus CP - England MH - Clinical Competence MH - Community Mental Health Services MH - *Community Psychiatry/ed [Education] MH - Diagnosis, Dual (Psychiatry) MH - *Education, Medical, Continuing/mt [Methods] MH - Follow-Up Studies MH - Hospitalization/sn [Statistics & Numerical Data] MH - Humans MH - London MH - *Psychotic Disorders/th [Therapy] MH - *Substance-Related Disorders/th [Therapy] MH - Treatment Outcome AB - A cluster randomised controlled trial was used to investigate the effectiveness of training staff in 13 London community mental health teams (CMHTs) to deliver substance misuse interventions to patients with psychosis and comorbid substance misuse ('dual diagnosis'). The primary hypotheses, which were that experimental group patients would spend fewer daysin hospital over 18 months of follow-up and show reduced alcohol and drug consumption, were not confirmed, although confidence intervals were wide for some outcomes. Current UK policy guidance advocates training CMHT professionals to deliver dual diagnosis interventions, but the effectiveness of this strategy has not so far been demonstrated. IS - 0007-1250 IL - 0007-1250 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial ID - 191/5/451 [pii] ID - 10.1192/bjp.bp.106.032367 [doi] PP - ppublish GI - No: MC_U105260558 Organization: *Medical Research Council* Country: United Kingdom LG - English DP - 2007 Nov EZ - 2007/11/06 09:00 DA - 2008/04/16 09:00 DT - 2007/11/06 09:00 YR - 2007 ED - 20080415 RD - 20170922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17978327 <717. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18295039 TI - Incorporating the prevention paradigm into administrative psychiatry. SO - Psychiatric Clinics of North America. 31(1):73-84, 2008 Mar. AS - Psychiatr Clin North Am. 31(1):73-84, 2008 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Compton MT FA - Compton, Michael T IN - Compton, Michael T. Department of Psychiatry and Behavioral Sciences, Emory University School of Medicine, Atlanta, GA, USA. mcompto@emory.edu NJ - The Psychiatric clinics of North America VO - 31 IP - 1 PG - 73-84 PI - Journal available in: Print PI - Citation processed from: Internet JC - pbn, 7708110 IO - Psychiatr. Clin. North Am. SB - Index Medicus CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - Community Mental Health Services/og [Organization & Administration] MH - Cooperative Behavior MH - Curriculum/td [Trends] MH - Education, Medical, Graduate/og [Organization & Administration] MH - Forecasting MH - *Health Promotion/og [Organization & Administration] MH - Humans MH - Mass Screening/og [Organization & Administration] MH - *Mental Disorders/pc [Prevention & Control] MH - *Mental Health Services/og [Organization & Administration] MH - *Primary Prevention/og [Organization & Administration] MH - Psychiatry/ed [Education] MH - *Psychiatry/og [Organization & Administration] MH - Research MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - This overview describes the application of primary, secondary, and tertiary prevention-as well as universal, selective, and indicated preventive interventions-to psychiatric and substance use disorders. Ways in which the psychiatrist with a clearly defined administrative role, such as the medical director of a program, service, agency, or organization, or a psychiatrist in some other directorial role (eg, director of education or clinical program director), can apply the prevention paradigm are described. Specifically, a prevention orientation is relevant to administrative psychiatry in the domains of service delivery, education and training, research, and community consultation and advocacy. ES - 1558-3147 IL - 0193-953X DO - https://dx.doi.org/10.1016/j.psc.2007.11.004 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0193-953X(07)00115-3 [pii] ID - 10.1016/j.psc.2007.11.004 [doi] PP - ppublish GI - No: MH067589 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2008 Mar EZ - 2008/02/26 09:00 DA - 2008/04/15 09:00 DT - 2008/02/26 09:00 YR - 2008 ED - 20080414 RD - 20080225 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18295039 <718. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17707898 TI - The pediatric residency training on tobacco project: four-year resident outcome findings. SO - Preventive Medicine. 45(6):481-90, 2007 Dec. AS - Prev Med. 45(6):481-90, 2007 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Schwab JV AU - Haddock CK AU - Pyle SA AU - Schwab LM FA - Hymowitz, Norman FA - Schwab, Joseph V FA - Haddock, Christopher Keith FA - Pyle, Sara A FA - Schwab, Lisa M IN - Hymowitz, Norman. Department of Psychiatry, UMDNJ-New Jersey Medical School, Behavioral Health Sciences Building, F1510, 183 South Orange Avenue, Newark, NJ 07103, USA. Hymowitz@umdnj.edu NJ - Preventive medicine VO - 45 IP - 6 PG - 481-90 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pm4, 0322116 IO - Prev Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2258138 OI - Source: NLM. NIHMS36480 SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - Curriculum MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - New Jersey MH - New York MH - *Pediatrics/ed [Education] MH - Program Evaluation MH - *Smoking Cessation MH - *Smoking Prevention MH - *Tobacco Smoke Pollution/pc [Prevention & Control] AB - OBJECTIVE: To evaluate the efficacy of a special program for training pediatric residents to address tobacco. AB - 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. AB - 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. AB - 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. RN - 0 (Tobacco Smoke Pollution) IS - 0091-7435 IL - 0091-7435 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - S0091-7435(07)00319-2 [pii] ID - 10.1016/j.ypmed.2007.07.024 [doi] ID - PMC2258138 [pmc] ID - NIHMS36480 [mid] PP - ppublish PH - 2007/04/23 [received] PH - 2007/07/18 [revised] PH - 2007/07/19 [accepted] GI - No: R01 HD040683 Organization: (HD) *NICHD NIH HHS* Country: United States GI - No: R01 HD040683-03 Organization: (HD) *NICHD NIH HHS* Country: United States GI - No: R01 HD40683 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English EP - 20070726 DP - 2007 Dec EZ - 2007/08/21 09:00 DA - 2008/04/10 09:00 DT - 2007/08/21 09:00 YR - 2007 ED - 20080409 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17707898 <719. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18223360 TI - Proposal for a medical master class system of medical education for common complex medical entities. SO - American Journal of Therapeutics. 15(1):92-6, 2008 Jan-Feb. AS - Am J Ther. 15(1):92-6, 2008 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kale SA AU - Barkin RL FA - Kale, Scott A FA - Barkin, Robert L IN - Kale, Scott A. Kaledoc@aol.com NJ - American journal of therapeutics VO - 15 IP - 1 PG - 92-6 PI - Journal available in: Print PI - Citation processed from: Print JC - db7, 9441347 IO - Am J Ther SB - Index Medicus CP - United States MH - Ambulatory Care/og [Organization & Administration] MH - Ambulatory Care/st [Standards] MH - *Education, Medical/og [Organization & Administration] MH - Education, Medical/st [Standards] MH - *Faculty, Medical/og [Organization & Administration] MH - Faculty, Medical/st [Standards] MH - Humans MH - Internship and Residency/og [Organization & Administration] MH - Internship and Residency/st [Standards] MH - *Teaching/og [Organization & Administration] MH - Teaching/st [Standards] MH - United States AB - 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. IS - 1075-2765 IL - 1075-2765 DO - https://dx.doi.org/10.1097/MJT.0b013e31815fa680 PT - Journal Article ID - 10.1097/MJT.0b013e31815fa680 [doi] ID - 00045391-200801000-00016 [pii] PP - ppublish LG - English DP - 2008 Jan-Feb EZ - 2008/01/29 09:00 DA - 2008/03/28 09:00 DT - 2008/01/29 09:00 YR - 2008 ED - 20080327 RD - 20080128 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18223360 <720. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18202932 TI - Putting 'addiction' back into psychiatry: the RANZCP Section of Addiction Psychiatry. SO - Australasian Psychiatry. 16(1):39-43, 2008 Feb. AS - Australas. psychiatry. 16(1):39-43, 2008 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lubman D AU - Jurd S AU - Baigent M AU - Krabman P FA - Lubman, Dan FA - Jurd, Stephen FA - Baigent, Michael FA - Krabman, Peter IN - Lubman, Dan. ORYGEN Research Centre, Department of Psychiatry, University of Melbourne, Melbourne, Vic, Australia. dan.lubman@mh.org.au NJ - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists VO - 16 IP - 1 PG - 39-43 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9613603 IO - Australas Psychiatry SB - Index Medicus CP - England MH - *Alcoholism/hi [History] MH - Alcoholism/rh [Rehabilitation] MH - Australia MH - Clinical Competence/st [Standards] MH - Education, Medical, Continuing/td [Trends] MH - Education, Medical, Graduate/td [Trends] MH - Forecasting MH - *Gambling MH - Health Services Needs and Demand/td [Trends] MH - History, 20th Century MH - History, 21st Century MH - Humans MH - Practice Guidelines as Topic MH - *Psychiatry/hi [History] MH - Psychiatry/td [Trends] MH - *Societies, Medical/hi [History] MH - Societies, Medical/td [Trends] MH - *Substance-Related Disorders/hi [History] MH - Substance-Related Disorders/rh [Rehabilitation] AB - 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. AB - 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. ES - 1440-1665 IL - 1039-8562 DO - https://dx.doi.org/10.1080/10398560701760227 PT - Historical Article PT - Journal Article ID - 789686210 [pii] ID - 10.1080/10398560701760227 [doi] PP - ppublish LG - English DP - 2008 Feb EZ - 2008/01/19 09:00 DA - 2008/03/28 09:00 DT - 2008/01/19 09:00 YR - 2008 ED - 20080326 RD - 20130520 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18202932 <721. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17940207 TI - Treatment and prevention of pain due to vaso-occlusive crises in adults with sickle cell disease: an educational void. SO - Blood. 111(3):997-1003, 2008 Feb 01. AS - Blood. 111(3):997-1003, 2008 Feb 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Solomon LR FA - Solomon, Lawrence R IN - Solomon, Lawrence R. Adult Sickle Cell Disease Program, Section of Hematology, Department of Medicine, Yale University School of Medicine, New Haven, CT 06520-8021, USA. lawrence.solomon@yale.edu NJ - Blood VO - 111 IP - 3 PG - 997-1003 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - a8g, 7603509 IO - Blood SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Acute Disease MH - Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - *Anemia, Sickle Cell/co [Complications] MH - Anemia, Sickle Cell/dt [Drug Therapy] MH - Clinical Competence MH - Humans MH - Hydroxyurea/bl [Blood] MH - Opioid-Related Disorders/co [Complications] MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - *Pain/pc [Prevention & Control] MH - Physicians MH - Practice Guidelines as Topic/st [Standards] MH - *Practice Guidelines as Topic AB - 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 vaso-occlusive 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. RN - 0 (Analgesics, Opioid) RN - X6Q56QN5QC (Hydroxyurea) IS - 0006-4971 IL - 0006-4971 PT - Journal Article ID - blood-2007-07-089144 [pii] ID - 10.1182/blood-2007-07-089144 [doi] PP - ppublish LG - English EP - 20071016 DP - 2008 Feb 01 EZ - 2007/10/18 09:00 DA - 2008/03/28 09:00 DT - 2007/10/18 09:00 YR - 2008 ED - 20080326 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=17940207 <722. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18239755 TI - Caring for patients with opioid dependence. SO - Australian Family Physician. 37(1-2):57-60, 2008 Jan-Feb. AS - Aust Fam Physician. 37(1-2):57-60, 2008 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bunker J AU - Winstock A AU - Zwar NA FA - Bunker, Jeremy FA - Winstock, Adam FA - Zwar, Nicholas A IN - Bunker, Jeremy. General Practice Unit, Sydney South West Area Health Service. jeremyb@sigpet.com.au NJ - Australian family physician VO - 37 IP - 1-2 PG - 57-60 PI - Journal available in: Print PI - Citation processed from: Print JC - 9ec, 0326701 IO - Aust Fam Physician SB - Index Medicus CP - Australia MH - Australia MH - Buprenorphine/tu [Therapeutic Use] MH - Drug Therapy/mt [Methods] MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice/mt [Methods] MH - Humans MH - *Methadone/tu [Therapeutic Use] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - Narcotics/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Opioid-Related Disorders/rh [Rehabilitation] AB - Australian general practitioners have a pivotal role in helping their patients with problems of alcohol and tobacco dependence, but have been less likely than their peers in the United Kingdom to be involved in the management of opioid dependence. This is despite the fact that most GPs are seeing opioid dependent patients whether they know it or not, and that GPs are ideally placed to manage this problem given the other advantages of the general practice context--continuity, accessibility, and whole patient care, including the ability to address other health issues. RN - 0 (Narcotic Antagonists) RN - 0 (Narcotics) RN - 40D3SCR4GZ (Buprenorphine) RN - UC6VBE7V1Z (Methadone) IS - 0300-8495 IL - 0300-8495 PT - Journal Article PP - ppublish LG - English DP - 2008 Jan-Feb EZ - 2008/02/02 09:00 DA - 2008/03/14 09:00 DT - 2008/02/02 09:00 YR - 2008 ED - 20080313 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med6&AN=18239755 <723. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17935588 TI - From the specificity hypothesis to patient-centered process: advancing the evolution of behavioral treatment research. SO - Addiction. 102(11):1840, 2007 Nov. AS - Addiction. 102(11):1840, 2007 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gifford EV FA - Gifford, Elizabeth V NJ - Addiction (Abingdon, England) VO - 102 IP - 11 PG - 1840 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Behavioral Research/mt [Methods] MH - Behavioral Research/td [Trends] MH - Education, Medical MH - Humans MH - *Physician-Patient Relations MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/th [Therapy] IS - 0965-2140 IL - 0965-2140 PT - Letter ID - ADD2019 [pii] ID - 10.1111/j.1360-0443.2007.02019.x [doi] PP - ppublish LG - English DP - 2007 Nov EZ - 2007/10/16 09:00 DA - 2008/03/08 09:00 DT - 2007/10/16 09:00 YR - 2007 ED - 20080307 RD - 20071015 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17935588 <724. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17924186 TI - Neighborhood and individual factors in marijuana and other illicit drug use in a sample of low-income women. SO - American Journal of Community Psychology. 40(3-4):167-80, 2007 Dec. AS - Am J Community Psychol. 40(3-4):167-80, 2007 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sunder PK AU - Grady JJ AU - Wu ZH FA - Sunder, Punita K FA - Grady, James J FA - Wu, Z Helen IN - Sunder, Punita K. Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. sunder@bcm.tmc.edu NJ - American journal of community psychology VO - 40 IP - 3-4 PG - 167-80 PI - Journal available in: Print PI - Citation processed from: Print JC - 3fv, 0364535 IO - Am J Community Psychol SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Female MH - Humans MH - *Marijuana Abuse/ep [Epidemiology] MH - Psychology MH - *Residence Characteristics MH - Risk Factors MH - Rural Population/sn [Statistics & Numerical Data] MH - *Social Environment MH - Socioeconomic Factors MH - *Street Drugs AB - 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. RN - 0 (Street Drugs) IS - 0091-0562 IL - 0091-0562 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 10.1007/s10464-007-9135-y [doi] PP - ppublish GI - No: K01 DA021814 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA 14841 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2007 Dec EZ - 2007/10/10 09:00 DA - 2008/03/07 09:00 DT - 2007/10/10 09:00 YR - 2007 ED - 20080306 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17924186 <725. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18021917 TI - Smoking cessation a critical component of medical management in chronic disease populations. [Review] [72 refs] SO - American Journal of Preventive Medicine. 33(6 Suppl):S414-22, 2007 Dec. AS - Am J Prev Med. 33(6 Suppl):S414-22, 2007 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gritz ER AU - Vidrine DJ AU - Fingeret MC FA - Gritz, Ellen R FA - Vidrine, Damon J FA - Fingeret, Michelle Cororve IN - Gritz, Ellen R. University of Texas MD Anderson Cancer Center; Department of Behavioral Science, Houston, Texas 77230-1439, USA. egritz@mdanderson.org NJ - American journal of preventive medicine VO - 33 IP - 6 Suppl PG - S414-22 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - Biomedical Research/mt [Methods] MH - Biomedical Research/td [Trends] MH - *Chronic Disease MH - Comorbidity MH - Controlled Clinical Trials as Topic MH - Disease Progression MH - Humans MH - Smoking/ae [Adverse Effects] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Tobacco Use Disorder/rh [Rehabilitation] AB - Many innovative and effective smoking-cessation treatments, both behavioral and pharmacologic, have been developed over the past several decades. However, these treatments traditionally have been developed for use with populations of healthy smokers. Despite the disease management implications, efforts to design and evaluate cessation interventions targeting smokers diagnosed with chronic diseases are reported infrequently in the literature. The purpose of this paper is to provide a brief overview of the evidence linking continued smoking to disease progression and adverse treatment outcomes across a range of common chronic diseases: cardiovascular disease (CVD), chronic obstructive pulmonary disease (COPD), diabetes, asthma, cancer, and human immunodeficiency virus/acquired immunodeficiency syndrome (HIV/AIDS). Where studies are available, the efficacy of smoking-cessation interventions specifically developed or applied to these patient populations is reviewed. Finally, limitations and gaps in smoking research and treatment with chronically ill patients are discussed, and future research priorities are recommended. [References: 72] IS - 0749-3797 IL - 0749-3797 PT - Journal Article PT - Review ID - S0749-3797(07)00572-7 [pii] ID - 10.1016/j.amepre.2007.09.013 [doi] PP - ppublish PH - 2007/03/26 [received] PH - 2007/08/03 [revised] PH - 2007/09/19 [accepted] LG - English DP - 2007 Dec EZ - 2007/12/06 09:00 DA - 2008/02/29 09:00 DT - 2007/12/06 09:00 YR - 2007 ED - 20080228 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18021917 <726. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18075408 TI - Physician attitudes toward opioid prescribing for patients with persistent noncancer pain. SO - Clinical Journal of Pain. 23(9):799-803, 2007 Nov-Dec. AS - Clin J Pain. 23(9):799-803, 2007 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lin JJ AU - Alfandre D AU - Moore C FA - Lin, Jenny J FA - Alfandre, David FA - Moore, Carlton IN - Lin, Jenny J. Division of General Internal Medicine, Department of Medicine, Mount Sinai School of Medicine, New York, NY 10029, USA. jennyj.lin@mountsinai.org NJ - The Clinical journal of pain VO - 23 IP - 9 PG - 799-803 PI - Journal available in: Print PI - Citation processed from: Print JC - beg, 8507389 IO - Clin J Pain SB - Index Medicus CP - United States MH - *Analgesics, Opioid/sd [Supply & Distribution] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Analysis of Variance MH - *Attitude of Health Personnel MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Neoplasms/co [Complications] MH - Odds Ratio MH - Pain, Intractable/dt [Drug Therapy] MH - Pain, Intractable/ep [Epidemiology] MH - Pain, Intractable/et [Etiology] MH - *Physicians/px [Psychology] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Surveys and Questionnaires AB - 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. AB - METHODS: Anonymous survey of geriatric and internal medicine physicians at a large urban academic medical center about their beliefs and behaviors regarding opioid prescribing. AB - 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). AB - 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. RN - 0 (Analgesics, Opioid) IS - 0749-8047 IL - 0749-8047 PT - Journal Article ID - 10.1097/AJP.0b013e3181565cf1 [doi] ID - 00002508-200711000-00011 [pii] PP - ppublish LG - English DP - 2007 Nov-Dec EZ - 2007/12/14 09:00 DA - 2008/02/15 09:00 DT - 2007/12/14 09:00 YR - 2007 ED - 20080214 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18075408 <727. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17919317 TI - Disentangling the stigma of HIV/AIDS from the stigmas of drugs use, commercial sex and commercial blood donation - a factorial survey of medical students in China. SO - BMC Public Health. 7:280, 2007 Oct 05. AS - BMC Public Health. 7:280, 2007 Oct 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan KY AU - Yang Y AU - Zhang KL AU - Reidpath DD FA - Chan, Kit Yee FA - Yang, Yi FA - Zhang, Kong-Lai FA - Reidpath, Daniel D IN - Chan, Kit Yee. School of Health and Social Development, Deakin University, Burwood Highway, Burwood, Victoria 3125, Australia. kchan16@gmail.com NJ - BMC public health VO - 7 PG - 280 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100968562 IO - BMC Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2180176 SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Blood Donors MH - Blood Transfusion MH - China/ep [Epidemiology] MH - Education, Medical, Undergraduate MH - Factor Analysis, Statistical MH - Female MH - HIV Infections/ep [Epidemiology] MH - HIV Infections/et [Etiology] MH - HIV Infections/th [Therapy] MH - *HIV Infections MH - Humans MH - Judgment MH - Male MH - Prejudice MH - Sex Work MH - *Stereotyped Behavior MH - *Students, Medical/px [Psychology] MH - *Substance Abuse, Intravenous MH - Surveys and Questionnaires AB - BACKGROUND: HIV/AIDS related stigma interferes with the provision of appropriate care and support for people living with HIV/AIDS. Currently, programs to address the stigma approach it as if it occurs in isolation, separate from the co-stigmas related to the various modes of disease transmission including injection drug use (IDU) and commercial sex (CS). In order to develop better programs to address HIV/AIDS related stigma, the inter-relationship (or 'layering') between HIV/AIDS stigma and the co-stigmas needs to be better understood. This paper describes an experimental study for disentangling the layering of HIV/AIDS related stigmas. AB - METHODS: The study used a factorial survey design. 352 medical students from Guangzhou were presented with four random vignettes each describing a hypothetical male. The vignettes were identical except for the presence of a disease diagnosis (AIDS, leukaemia, or no disease) and a co-characteristic (IDU, CS, commercial blood donation (CBD), blood transfusion or no co-characteristic). After reading each vignette, participants completed a measure of social distance that assessed the level of stigmatising attitudes. AB - RESULTS: Bivariate and multivariable analyses revealed statistically significant levels of stigma associated with AIDS, IDU, CS and CBD. The layering of stigma was explored using a recently developed technique. Strong interactions between the stigmas of AIDS and the co-characteristics were also found. AIDS was significantly less stigmatising than IDU or CS. Critically, the stigma of AIDS in combination with either the stigmas of IDU or CS was significantly less than the stigma of IDU alone or CS alone. AB - CONCLUSION: The findings pose several surprising challenges to conventional beliefs about HIV/AIDS related stigma and stigma interventions that have focused exclusively on the disease stigma. Contrary to the belief that having a co-stigma would add to the intensity of stigma attached to people with HIV/AIDS, the findings indicate the presence of an illness might have a moderating effect on the stigma of certain co-characteristics like IDU. The strong interdependence between the stigmas of HIV/AIDS and the co-stigmas of IDU and CS suggest that reducing the co-stigmas should be an integral part of HIV/AIDS stigma intervention within this context. ES - 1471-2458 IL - 1471-2458 PT - Journal Article ID - 1471-2458-7-280 [pii] ID - 10.1186/1471-2458-7-280 [doi] ID - PMC2180176 [pmc] PP - epublish PH - 2006/11/27 [received] PH - 2007/10/05 [accepted] LG - English EP - 20071005 DP - 2007 Oct 05 EZ - 2007/10/09 09:00 DA - 2008/02/02 09:00 DT - 2007/10/09 09:00 YR - 2007 ED - 20080201 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17919317 <728. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17954865 TI - The health status of patients of a student-run free medical clinic in inner-city Buffalo, NY. SO - Journal of the American Board of Family Medicine: JABFM. 20(6):572-80, 2007 Nov-Dec. AS - J Am Board Fam Med. 20(6):572-80, 2007 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cadzow RB AU - Servoss TJ AU - Fox CH FA - Cadzow, Renee B FA - Servoss, Timothy J FA - Fox, Chester H IN - Cadzow, Renee B. Department of Family Medicine, Primary Care Research Institute, State University of New York at Buffalo, Buffalo, NY 14215, USA. rcadzow@buffalo.edu NJ - Journal of the American Board of Family Medicine : JABFM VO - 20 IP - 6 PG - 572-80 PI - Journal available in: Print PI - Citation processed from: Print JC - 101256526 IO - J Am Board Fam Med SB - Index Medicus CP - United States MH - Adult MH - *Ambulatory Care Facilities MH - Female MH - *Health Status MH - *Health Status Disparities MH - Health Status Indicators MH - Health Surveys MH - Humans MH - Male MH - Middle Aged MH - New York MH - Pilot Projects MH - Poverty MH - Psychometrics MH - Risk Assessment MH - Social Support MH - Socioeconomic Factors MH - *Students, Medical MH - Surveys and Questionnaires MH - *Urban Population AB - 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. AB - 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. AB - 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. AB - 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. IS - 1557-2625 IL - 1557-2625 PT - Journal Article ID - 20/6/572 [pii] ID - 10.3122/jabfm.2007.06.070036 [doi] PP - ppublish LG - English DP - 2007 Nov-Dec EZ - 2007/10/24 09:00 DA - 2008/01/31 09:00 DT - 2007/10/24 09:00 YR - 2007 ED - 20080130 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17954865 <729. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18018813 TI - Tobacco awareness in three U.S. medical schools. SO - Journal of Addictive Diseases. 26(3):101-6, 2007. AS - J Addict Dis. 26(3):101-6, 2007. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schkrohowsky JG AU - Kalesan B AU - Alberg AJ FA - Schkrohowsky, Joshua G FA - Kalesan, Bindu FA - Alberg, Anthony J IN - Schkrohowsky, Joshua G. The Johns Hopkins University School of Medicine, Baltimore, MD, USA. NJ - Journal of addictive diseases VO - 26 IP - 3 PG - 101-6 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Adult MH - Attitude to Health MH - *Awareness MH - Cross-Sectional Studies MH - Culture MH - Female MH - Humans MH - Male MH - *Schools, Medical/sn [Statistics & Numerical Data] MH - Smoking Cessation/mt [Methods] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/rh [Rehabilitation] MH - United States/ep [Epidemiology] AB - PURPOSE: To evaluate the attitudes, knowledge, and beliefs of future physicians regarding smoking cessation and tobacco-related issues and the development of these attributes during the course of medical education. AB - METHODS: In a cross-sectional survey, questionnaires were completed by 298 first- and fourth-year medical students at three medical schools from 2003 through 2004. The primary outcomes were knowledge of the health effects of tobacco and smoking cessation strategies, attitudes toward smoking cessation, and anticipated clinical behavior with respect to addressing smoking behavior and cessation with future patients. AB - RESULTS: Fourth-year medical students had knowledge scores that were 13% higher than first-year students for smoking-caused morbidity and mortality and understanding the physician's /role in smoking cessation. The average proportion of correct responses for specific knowledge of smoking cessation was only 64% and did not differ significantly between fourth- and first-year medical students. Three-quarters of fourth-year students felt they needed further training in counseling patients to stop smoking. AB - CONCLUSION: In this study, medical students had not received adequate education to provide effective and appropriate smoking cessation counseling to their patients. In general, this indicates a need for medical schools to place greater emphasis on developing the knowledge-base and skills required for future physicians to effectively guide their nicotine-dependent patients to stop smoking. IS - 1055-0887 IL - 1055-0887 PT - Journal Article ID - 10.1300/J069v26n03_11 [doi] PP - ppublish LG - English DP - 2007 EZ - 2007/11/21 09:00 DA - 2008/01/19 09:00 DT - 2007/11/21 09:00 YR - 2007 ED - 20080118 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18018813 <730. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17948351 TI - Quality of care in Emergency Psychiatry: developing an international network. SO - European Psychiatry: the Journal of the Association of European Psychiatrists. 22(6):411-2, 2007 Sep. AS - Eur Psychiatry. 22(6):411-2, 2007 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Damsa C AU - Andreoli A AU - Zullino D AU - Adam E AU - Mihai A AU - Maris S AU - Caihol L AU - Lazignac C AU - Allen MH FA - Damsa, Cristian FA - Andreoli, Antonio FA - Zullino, Daniele FA - Adam, Eric FA - Mihai, Adriana FA - Maris, Susanne FA - Caihol, Lionel FA - Lazignac, Coralie FA - Allen, Michael H IN - Damsa, Cristian. Cantonal Universitary Hospital Geneva, Geneva, Switzerland. c.damsa@bluewin.ch NJ - European psychiatry : the journal of the Association of European Psychiatrists VO - 22 IP - 6 PG - 411-2 PI - Journal available in: Print PI - Citation processed from: Print JC - djf, 9111820 IO - Eur. Psychiatry SB - Index Medicus CP - France MH - Curriculum/st [Standards] MH - *Emergency Services, Psychiatric/og [Organization & Administration] MH - Europe MH - *Guidelines as Topic/st [Standards] MH - Humans MH - *International Cooperation MH - Internship and Residency/og [Organization & Administration] MH - Multicenter Studies as Topic/st [Standards] MH - Psychiatry/ed [Education] MH - Psychomotor Agitation/di [Diagnosis] MH - *Psychomotor Agitation/th [Therapy] MH - *Quality of Health Care/og [Organization & Administration] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - *Suicide/pc [Prevention & Control] MH - Suicide/px [Psychology] MH - United States IS - 0924-9338 IL - 0924-9338 PT - Journal Article ID - S0924-9338(06)90120-5 [pii] PP - ppublish LG - English DP - 2007 Sep EZ - 2007/10/20 09:00 DA - 2008/01/11 09:00 DT - 2007/10/20 09:00 YR - 2007 ED - 20080110 RD - 20171128 UP - 20171129 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=17948351 <731. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17574800 TI - Assessment of spirituality and its relevance to addiction treatment. SO - Journal of Substance Abuse Treatment. 33(3):257-64, 2007 Oct. AS - J Subst Abuse Treat. 33(3):257-64, 2007 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Dermatis H AU - Bunt G AU - Williams C AU - Trujillo M AU - Steinke P FA - Galanter, Marc FA - Dermatis, Helen FA - Bunt, Gregory FA - Williams, Caroline FA - Trujillo, Manuel FA - Steinke, Paul IN - Galanter, Marc. Division of Alcoholism and Drug Abuse, New York University School of Medicine, New York, NY 10016, USA. marcgalanter@nyu.edu NJ - Journal of substance abuse treatment VO - 33 IP - 3 PG - 257-64 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Alcoholics Anonymous MH - *Alcoholism/rh [Rehabilitation] MH - *Behavior, Addictive/rh [Rehabilitation] MH - Cohort Studies MH - Cross-Sectional Studies MH - Hospitals, General MH - Humans MH - Methadone/tu [Therapeutic Use] MH - Psychiatric Department, Hospital MH - Psychometrics MH - Residential Treatment MH - Secondary Prevention MH - *Self Concept MH - *Spirituality MH - Substance Abuse Treatment Centers MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Temperance/px [Psychology] MH - Therapeutic Community AB - 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. RN - UC6VBE7V1Z (Methadone) IS - 0740-5472 IL - 0740-5472 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0740-5472(06)00206-6 [pii] ID - 10.1016/j.jsat.2006.06.014 [doi] PP - ppublish PH - 2006/04/13 [received] PH - 2006/06/15 [revised] PH - 2006/06/16 [accepted] LG - English EP - 20070615 DP - 2007 Oct EZ - 2007/06/19 09:00 DA - 2008/01/11 09:00 DT - 2007/06/19 09:00 YR - 2007 ED - 20080110 RD - 20141120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17574800 <732. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17376637 TI - Do total smoking bans affect the recruitment and retention of adolescents in inpatient substance abuse treatment programs? A 5-year medical chart review, 2001-2005. SO - Journal of Substance Abuse Treatment. 33(3):279-85, 2007 Oct. AS - J Subst Abuse Treat. 33(3):279-85, 2007 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Callaghan RC AU - Brewster JM AU - Johnson J AU - Taylor L AU - Beach G AU - Lentz T FA - Callaghan, Russell C FA - Brewster, Joan M FA - Johnson, Joy FA - Taylor, Lawren FA - Beach, Glenn FA - Lentz, Tim IN - Callaghan, Russell C. Centre for Addiction and Mental Health, Toronto, Ontario, Canada. russell_callaghan@camh.net NJ - Journal of substance abuse treatment VO - 33 IP - 3 PG - 279-85 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Alcoholism/rh [Rehabilitation] MH - British Columbia MH - Child MH - Female MH - Humans MH - Male MH - *Organizational Policy MH - *Patient Compliance/px [Psychology] MH - Patient Selection MH - Residential Treatment MH - Retrospective Studies MH - *Smoking Prevention MH - *Substance Abuse Treatment Centers/lj [Legislation & Jurisprudence] MH - Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Treatment Outcome MH - *Treatment Refusal/px [Psychology] AB - Adolescents engaged in substance abuse treatment manifest a rate of cigarette smoking approximately four times higher than that of youth in the general population ( approximately 80% vs. 20%) and a high rate of smoking persistence into adulthood. Although there has been a shift toward the implementation of no-smoking policies in substance abuse treatment programs, few studies have examined the relation between cigarette-smoking bans and key clinical outcomes. The current study examined the medical charts of all adolescents (N = 520) admitted to the only adolescent hospital-based substance abuse treatment program in the northern two thirds of the province of British Columbia, Canada. During the span of the study period (March 2001-December 2005), the treatment site moved from a partial smoking ban to a total smoking ban, and then retreated to partial smoking ban. The total smoking ban was not associated with a lower proportion of adolescent smokers seeking treatment at the facility or a lower treatment completion rate among smokers. Total smoking bans do not appear to be an obstacle for adolescent smokers seeking residential substance abuse treatment, nor do total smoking bans appear to compromise the treatment completion rates of smokers in comparison to nonsmokers. Despite these null findings, the effective implementation of smoke-free policies in adolescent substance abuse treatment programs requires not only large-scale organizational change but also the transformation of current commonly held beliefs about tobacco dependence in addictions treatment and recovery communities. IS - 0740-5472 IL - 0740-5472 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0740-5472(07)00002-5 [pii] ID - 10.1016/j.jsat.2006.12.008 [doi] PP - ppublish PH - 2006/07/07 [received] PH - 2006/12/04 [revised] PH - 2006/12/24 [accepted] LG - English EP - 20070321 DP - 2007 Oct EZ - 2007/03/23 09:00 DA - 2008/01/11 09:00 DT - 2007/03/23 09:00 YR - 2007 ED - 20080110 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17376637 <733. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 18055689 TI - The role of schools in combating illicit substance abuse. SO - Pediatrics. 120(6):1379-84, 2007 Dec. AS - Pediatrics. 120(6):1379-84, 2007 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Council on School Health, American Academy of Pediatrics AU - Committee on Substance Abuse, American Academy of Pediatrics AU - Mears CJ AU - Knight JR FA - Council on School Health, American Academy of Pediatrics FA - Committee on Substance Abuse, American Academy of Pediatrics FA - Mears, Cynthia J FA - Knight, John R NJ - Pediatrics VO - 120 IP - 6 PG - 1379-84 PI - Journal available in: Print PI - Citation processed from: Internet JC - oxv, 0376422 IO - Pediatrics SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Humans MH - *Role MH - *Schools MH - *Street Drugs MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. RN - 0 (Street Drugs) ES - 1098-4275 IL - 0031-4005 PT - Journal Article ID - 120/6/1379 [pii] ID - 10.1542/peds.2007-2905 [doi] PP - ppublish LG - English DP - 2007 Dec EZ - 2007/12/07 09:00 DA - 2008/01/08 09:00 DT - 2007/12/07 09:00 YR - 2007 ED - 20080107 RD - 20071206 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=18055689 <734. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17662105 TI - What difference does training make? A randomized trial with waiting-list control of general practitioners seeking advanced training in drug misuse. SO - Addiction. 102(10):1637-47, 2007 Oct. AS - Addiction. 102(10):1637-47, 2007 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Strang J AU - Hunt C AU - Gerada C AU - Marsden J FA - Strang, John FA - Hunt, Claire FA - Gerada, Clare FA - Marsden, John IN - Strang, John. National Addiction Centre, Institute of Psychiatry and the Maudsley, King's College London, London, UK. j.strang@iop.kcl.ac.uk NJ - Addiction (Abingdon, England) VO - 102 IP - 10 PG - 1637-47 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Adult MH - Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - Education, Medical, Continuing/ec [Economics] MH - *Education, Medical, Continuing/st [Standards] MH - England MH - *Family Practice/st [Standards] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Patient Satisfaction MH - *Physician's Role MH - Physician-Patient Relations/es [Ethics] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - AIM: To measure changes in knowledge, attitudes and clinical practice of general practitioners (GPs) enrolled to receive training in the management of drug misusers. AB - DESIGN: Two-group randomized trial with training (T) and waiting-list (WL) control comparison conditions. AB - SETTING AND PARTICIPANTS: A total of 112 GPs working in primary care practices in England. AB - INTERVENTIONS: A 6-month, part-time, mixed-methods training course provided by the Royal College of General Practitioners. GPs randomized to the WL control received no special training or guidance during the study period. AB - OUTCOME MEASURES AND ANALYSIS: Knowledge, therapeutic attitudes (commitment, role security, situational constraints and prescribing confidence) and clinical practice behaviour change (numbers of drug misusers seen, treated). Intention-to-treat/train (ITT) analysis, supplemented by treatment/training received (TR) analysis. AB - FINDINGS: Training applicants had positive attitudes towards and were already involved in the care of drug misusers. Improvements in attitudes and behaviour were greatest among the T group, although only 'role security' and 'situational constraint' reached statistical significance (ITT). A subgroup in the WL group circumvented their allocation and received training, prompting supplementary analysis by TR. Overall, GPs who received training showed markedly greater improvements in knowledge, attitudinal and prescribing confidence measures and remained more actively involved in treating drug misusers than GPs who remained in the WL control group (TR analysis). AB - CONCLUSIONS: GPs seeking special training for the care of drug misusers are both positively disposed to this patient population and clinically active. Benefits unambiguously attributable to the course were modest. While a TR effect was observed, strict adherence to ITT analysis failed to identify significant benefits observed with the training provided. Randomisation and waiting-list controls design are insufficient as a research method for training evaluation studies if ITT analysis is used exclusively. IS - 0965-2140 IL - 0965-2140 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - ADD1929 [pii] ID - 10.1111/j.1360-0443.2007.01929.x [doi] PP - ppublish LG - English EP - 20070728 DP - 2007 Oct EZ - 2007/07/31 09:00 DA - 2007/12/13 09:00 DT - 2007/07/31 09:00 YR - 2007 ED - 20071212 RD - 20130723 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17662105 <735. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17955780 TI - Students' attitudes and practices towards drug and alcohol use at Tabriz University of Medical Sciences. SO - Eastern Mediterranean Health Journal. 13(4):967-71, 2007 Jul-Aug. AS - East Mediterr Health J. 13(4):967-71, 2007 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jodati AR AU - Shakurie SK AU - Nazari M AU - Raufie MB FA - Jodati, A R FA - Shakurie, S K FA - Nazari, M FA - Raufie, M B IN - Jodati, A R. Research Unit of the Guidance and Consultation Centre, Tabriz University of Medical Sciences, Golestan, Islamic Republic of Iran. NJ - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit VO - 13 IP - 4 PG - 967-71 PI - Journal available in: Print PI - Citation processed from: Print JC - daq, 9608387 IO - East. Mediterr. Health J. SB - Index Medicus CP - Egypt MH - Adolescent MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - *Attitude of Health Personnel MH - Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Housing MH - Humans MH - Iran MH - Male MH - Men/px [Psychology] MH - Motivation MH - Organizational Culture MH - Schools, Medical/og [Organization & Administration] MH - Self-Assessment MH - *Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - Universities/og [Organization & Administration] AB - This questionnaire survey examined attitudes and practices towards alcohol and drug use among male university students living in a dormitory at Tabriz University of Medical Sciences, Islamic Republic of Iran. Of 173 students, about one third (32%) had tried alcohol or drugs at least once in the last 6 months: 16% had tried alcohol, 6% cannabis, 6% opium and 2% heroin. Sixteen students (9%) reported they were abusing alcohol and 16 (9%) other illicit drugs, with 2 using drugs by injection. Many students believed that smoking and drug and alcohol use in the dormitory created disruption and an unpleasant atmosphere. IS - 1020-3397 IL - 1020-3397 PT - Journal Article PP - ppublish LG - English DP - 2007 Jul-Aug EZ - 2007/10/25 09:00 DA - 2007/12/06 09:00 DT - 2007/10/25 09:00 YR - 2007 ED - 20071120 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17955780 <736. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17627894 TI - State medical board members' beliefs about pain, addiction, and diversion and abuse: a changing regulatory environment. SO - Journal of Pain. 8(9):682-91, 2007 Sep. AS - J PAIN. 8(9):682-91, 2007 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gilson AM AU - Maurer MA AU - Joranson DE FA - Gilson, Aaron M FA - Maurer, Martha A FA - Joranson, David E IN - Gilson, Aaron M. Pain and Policy Studies Group, Comprehensive Cancer Center, University of Wisconsin, Madison, Wisconsin 53711-1068, USA. amgilson@wisc.edu NJ - The journal of pain : official journal of the American Pain Society VO - 8 IP - 9 PG - 682-91 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 100898657 IO - J Pain SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude to Health MH - Chronic Disease MH - *Clinical Competence MH - *Criminal Law/lj [Legislation & Jurisprudence] MH - Criminal Law/td [Trends] MH - Drug Utilization MH - *Drug and Narcotic Control/lj [Legislation & Jurisprudence] MH - Drug and Narcotic Control/td [Trends] MH - Federal Government MH - Humans MH - *Licensure, Medical MH - Middle Aged MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain Clinics/lj [Legislation & Jurisprudence] MH - Pain Clinics/st [Standards] MH - Practice Guidelines as Topic MH - Practice Patterns, Physicians' MH - Specialty Boards/st [Standards] MH - *Specialty Boards/td [Trends] MH - State Government MH - Surveys and Questionnaires MH - Wisconsin AB - UNLABELLED: Three national surveys were conducted in 1991, 1997, and 2004 to evaluate state medical board members' knowledge and attitudes about prescribing opioid analgesics for pain management. Topics addressed include perceived legality of prolonged opioid prescribing, characteristics of addiction, prevalence of medication abuse and diversion, and perceived importance and influence of medical board policy. Questions were added in 2004 to determine board members' views about law enforcement involvement in physician investigations and prosecutions. This study assesses medical regulators' current beliefs and compares the 2004 responses with previous responses to determine how knowledge and attitudes about prescribing opioids have changed in recent years. Survey results show that board members have a greater understanding of pain management issues, particularly regarding characteristics of addiction and the legality of prolonged opioid prescribing for chronic noncancer pain. During the last 15 years, there has been substantial regulatory policy development, with medical boards adopting regulations, guidelines, or policy statements to provide guidance to licensees about using opioids to treat pain. However, many board members believe that federal and state law enforcement agencies have increased criminal investigations and prosecutions of physicians. We discuss appropriate regulatory and law enforcement responses to opioid prescribing violations, and suggest crucial next steps. AB - PERSPECTIVE: The authors examine the evolution of state medical board members' knowledge and attitudes about prescribing opioid analgesics to treat chronic pain, demonstrate that medical regulators believe that there have been increased criminal investigations and prosecutions of physicians for their prescribing practices, and suggest ways to avoid unwarranted criminal prosecutions. RN - 0 (Analgesics, Opioid) IS - 1526-5900 IL - 1526-5900 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S1526-5900(07)00715-8 [pii] ID - 10.1016/j.jpain.2007.05.012 [doi] PP - ppublish PH - 2006/09/13 [received] PH - 2007/03/15 [revised] PH - 2007/05/19 [accepted] LG - English EP - 20070712 DP - 2007 Sep EZ - 2007/07/14 09:00 DA - 2007/12/06 09:00 DT - 2007/07/14 09:00 YR - 2007 ED - 20071120 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17627894 <737. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17610070 TI - Cross-boundary substance uses among Hong Kong Chinese young adults. SO - Journal of Urban Health. 84(5):704-21, 2007 Sep. AS - J Urban Health. 84(5):704-21, 2007 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lau JT AU - Tsui HY AU - Lam LT AU - Lau M FA - Lau, Joseph T F FA - Tsui, Hi Yi FA - Lam, Lawrence T FA - Lau, Mason IN - Lau, Joseph T F. Centre for Epidemiology and Biostatistics, School of Public Health, Faculty of Medicine, The Chinese University of Hong Kong, School of Public Health, Prince of Wales Hospital, Shatin, NT, Hong Kong. jlau@cuhk.edu.hk NJ - Journal of urban health : bulletin of the New York Academy of Medicine VO - 84 IP - 5 PG - 704-21 PI - Journal available in: Print PI - Citation processed from: Print JC - c5l, 9809909 IO - J Urban Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2231849 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - China MH - Cross-Sectional Studies MH - Drug and Narcotic Control MH - Female MH - Hong Kong/ep [Epidemiology] MH - Humans MH - Male MH - Peer Group MH - Perception MH - *Psychotropic Drugs/ad [Administration & Dosage] MH - Psychotropic Drugs/ec [Economics] MH - Sex Factors MH - Sexual Behavior/px [Psychology] MH - Sexual Behavior/sn [Statistics & Numerical Data] MH - Socioeconomic Factors MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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. RN - 0 (Psychotropic Drugs) IS - 1099-3460 IL - 1099-3460 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1007/s11524-007-9206-2 [doi] ID - PMC2231849 [pmc] PP - ppublish LG - English DP - 2007 Sep EZ - 2007/07/05 09:00 DA - 2007/12/06 09:00 DT - 2007/07/05 09:00 YR - 2007 ED - 20071120 RD - 20140904 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17610070 <738. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17761623 TI - Tobacco cessation counseling training with standardized patients. SO - Journal of Dental Education. 71(9):1171-8, 2007 Sep. AS - J Dent Educ. 71(9):1171-8, 2007 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Walsh SE AU - Singleton JA AU - Worth CT AU - Krugler J AU - Moore R AU - Wesley GC AU - Mitchell CK FA - Walsh, Sarah E FA - Singleton, Jacqueline A FA - Worth, Celeste T FA - Krugler, Jacqueline FA - Moore, Regan FA - Wesley, Gina C FA - Mitchell, Charlene K IN - Walsh, Sarah E. Kentucky Cancer Program, James Graham Brown Cancer Center, University of Louisville, 529 S. Jackson Street, Louisville, KY 40202, USA. sarah.walsh@louisville.edu NJ - Journal of dental education VO - 71 IP - 9 PG - 1171-8 PI - Journal available in: Print PI - Citation processed from: Print JC - hy7, 8000150 IO - J Dent Educ SB - Dental Journals SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Clinical Competence MH - *Counseling/ed [Education] MH - Dental Hygienists/ed [Education] MH - Educational Measurement MH - General Practice, Dental/ed [Education] MH - Gynecology/ed [Education] MH - Humans MH - Internship and Residency MH - Obstetrics/ed [Education] MH - Periodontics/ed [Education] MH - Pilot Projects MH - Self Concept MH - *Smoking Cessation MH - Smoking Prevention MH - *Teaching/mt [Methods] MH - Tobacco Use Cessation MH - Tobacco Use Disorder/pc [Prevention & Control] AB - A pilot study was conducted to assess clinician receptivity to tobacco cessation counseling training methods using standardized patients. Additionally, the study assessed changes in clinician knowledge and behavioral intentions following the training. Medical and dental residents and dental hygiene students from the University of Louisville attended a one- to two-hour lecture addressing the counseling strategies (the Five As/the Five Rs) and pharmacotherapy recommended in the U.S. Public Health Service Clinical Practice Guideline: Treating Tobacco Use and Dependence. Participants subsequently had three training encounters with standardized patients representing various stages of change including a patient ready to quit, a patient contemplating quitting, and a patient resistant to quitting. Thirty-six participants completed a preprogram survey prior to the lecture and a postprogram evaluation that included questions about their attitudes and beliefs about tobacco, their comfort level with various aspects of tobacco intervention, and eight knowledge questions. Participants demonstrated a statistically significant increase in objective knowledge about the practices recommended in the Clinical Practice Guideline following intervention. Results also indicate a significant increase in subjective measures of participant receptivity, self-reported comfort, and perceived skill with various aspects of tobacco intervention. Overall, participants were found to be very receptive to training sessions on tobacco cessation counseling with standardized patients. In light of the educational gains and positive response from participants, the use of standardized patients is a promising strategy for training on tobacco cessation counseling. IS - 0022-0337 IL - 0022-0337 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 71/9/1171 [pii] PP - ppublish LG - English DP - 2007 Sep EZ - 2007/09/01 09:00 DA - 2007/11/09 09:00 DT - 2007/09/01 09:00 YR - 2007 ED - 20071108 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17761623 <739. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17297068 TI - Effects of practitioner education, practitioner payment and reimbursement of patients' drug costs on smoking cessation in primary care: a cluster randomised trial. SO - Tobacco Control. 16(1):15-21, 2007 Feb. AS - Tob Control. 16(1):15-21, 2007 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Twardella D AU - Brenner H FA - Twardella, Dorothee FA - Brenner, Hermann IN - Twardella, Dorothee. Department of Epidemiology, German Center for Research on Ageing, Heidelberg, Germany. NJ - Tobacco control VO - 16 IP - 1 PG - 15-21 PI - Journal available in: Print PI - Citation processed from: Internet JC - clu, 9209612 IO - Tob Control PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2598437 SB - Index Medicus CP - England MH - Adult MH - Aged MH - Cluster Analysis MH - Cotinine/bl [Blood] MH - Delivery of Health Care/ec [Economics] MH - *Delivery of Health Care/mt [Methods] MH - Family Practice MH - Female MH - Germany MH - Health Expenditures MH - Humans MH - Logistic Models MH - Male MH - Middle Aged MH - Physicians, Family/ed [Education] MH - Primary Health Care MH - Self Disclosure MH - Smoking Cessation/ec [Economics] MH - *Smoking Cessation/sn [Statistics & Numerical Data] AB - OBJECTIVE: To evaluate new strategies to enhance the promotion of smoking cessation in general practice. AB - DESIGN: Cluster randomised trial, 2x2 factorial design. AB - SETTING: 82 medical practices in Germany, including 94 general practitioners. AB - PARTICIPANTS: 577 patients who smoked at least 10 cigarettes per day (irrespective of their intention to stop smoking) and were aged 36-75 years. AB - 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). AB - MAIN OUTCOME MEASURE: Self-reported smoking abstinence obtained at 12 months follow-up and validated by serum cotinine. AB - 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). AB - 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. RN - K5161X06LL (Cotinine) ES - 1468-3318 IL - 0964-4563 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 16/1/15 [pii] ID - 10.1136/tc.2006.016253 [doi] ID - PMC2598437 [pmc] PP - ppublish LG - English DP - 2007 Feb EZ - 2007/02/14 09:00 DA - 2007/11/08 09:00 DT - 2007/02/14 09:00 YR - 2007 ED - 20071107 RD - 20140907 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17297068 <740. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17368415 TI - Validating medical students' self-report of smoking-related communication skills and educational experiences. SO - Ambulatory Pediatrics. 7(2):187-91, 2007 Mar-Apr. AS - Ambul Pediatr. 7(2):187-91, 2007 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brooks KR AU - Siegel B AU - Lash TL AU - Geller AC AU - Fitzgerald A AU - Tracy C AU - Prout MN FA - Brooks, Katie R FA - Siegel, Benjamin FA - Lash, Timothy L FA - Geller, Alan C FA - Fitzgerald, Alison FA - Tracy, Caroline FA - Prout, Marianne N IN - Brooks, Katie R. Department of Dermatology, Boston University School of Medicine, Boston, Mass., USA. NJ - Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association VO - 7 IP - 2 PG - 187-91 PI - Journal available in: Print PI - Citation processed from: Print JC - 101089367 IO - Ambul Pediatr SB - Index Medicus CP - United States MH - *Clinical Clerkship MH - *Communication MH - *Directive Counseling MH - *Education, Medical, Undergraduate MH - Humans MH - Pediatrics MH - Reproducibility of Results MH - Self-Assessment MH - *Smoking MH - *Students, Medical AB - 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. AB - 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. AB - 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 per cent confidence interval, 0.89-0.99) and the specificity was 0.88 (95 per cent confidence interval, 0.72-0.97). For measures where the observer could not determine practice, agreement between the student and preceptor was between 57 per cent and 83 per cent . Specifically, with regard to whether the preceptor made expectations clear with the student, students and preceptors agreed 83% of the time. AB - 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. IS - 1530-1567 IL - 1530-1567 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S1530-1567(06)00266-8 [pii] ID - 10.1016/j.ambp.2006.11.009 [doi] PP - ppublish PH - 2006/05/25 [received] PH - 2006/11/14 [revised] PH - 2006/11/22 [accepted] GI - No: 1R25-CA91958-05 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2007 Mar-Apr EZ - 2007/03/21 09:00 DA - 2007/11/07 09:00 DT - 2007/03/21 09:00 YR - 2007 ED - 20071106 RD - 20101118 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17368415 <741. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17908828 TI - Improving physician and medical student education in substance use disorders. [Review] [47 refs] SO - Journal of the American Osteopathic Association. 107(9 Suppl 5):ES27-38, 2007 Sep. AS - J Am Osteopath Assoc. 107(9 Suppl 5):ES27-38, 2007 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wyatt SA AU - Dekker MA FA - Wyatt, Stephen A FA - Dekker, Michael A IN - Wyatt, Stephen A. Dual Diagnosis Program, Middlesex Hospital, 28 Crescent St, Middletown, CT 06457, USA. wyattsa@sbcglobal.net CM - Comment in: J Am Osteopath Assoc. 2008 Apr;108(4):214-5; PMID: 18443030 NJ - The Journal of the American Osteopathic Association VO - 107 IP - 9 Suppl 5 PG - ES27-38 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - *Clinical Competence/st [Standards] MH - Education, Medical, Continuing/st [Standards] MH - *Education, Medical, Continuing/td [Trends] MH - Education, Medical, Undergraduate/st [Standards] MH - *Education, Medical, Undergraduate/td [Trends] MH - Humans MH - *Physicians/st [Standards] MH - Physicians/td [Trends] MH - *Students, Medical MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - 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. [References: 47] ES - 1945-1997 IL - 0098-6151 PT - Journal Article PT - Review ID - 107/suppl_5/ES27 [pii] PP - ppublish LG - English DP - 2007 Sep EZ - 2007/10/19 09:00 DA - 2007/11/02 09:00 DT - 2007/10/19 09:00 YR - 2007 ED - 20071101 RD - 20090521 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17908828 <742. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17674238 TI - Benzodiazepine dependence in Singapore. SO - Substance Use & Misuse. 42(8):1345-52, 2007. AS - Subst Use Misuse. 42(8):1345-52, 2007. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dong Y AU - Winslow M AU - Chan YH AU - Subramaniam M AU - Whelan G FA - Dong, Yanhong FA - Winslow, Munidasa FA - Chan, Yiong Huak FA - Subramaniam, Mythily FA - Whelan, Gregory IN - Dong, Yanhong. Community Addiction Management Program, Institute of Mental Health, Singapore. NJ - Substance use & misuse VO - 42 IP - 8 PG - 1345-52 PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 IO - Subst Use Misuse SB - Index Medicus CP - England MH - Adult MH - Anti-Anxiety Agents/ad [Administration & Dosage] MH - *Anti-Anxiety Agents/ae [Adverse Effects] MH - Anti-Anxiety Agents/sd [Supply & Distribution] MH - Benzodiazepines/ad [Administration & Dosage] MH - *Benzodiazepines/ae [Adverse Effects] MH - Benzodiazepines/sd [Supply & Distribution] MH - Education, Medical, Continuing MH - Female MH - Humans MH - Male MH - Malingering/px [Psychology] MH - Mental Disorders/dt [Drug Therapy] MH - Mental Disorders/px [Psychology] MH - Physicians/st [Standards] MH - Practice Patterns, Physicians' MH - Singapore/ep [Epidemiology] MH - Sleep Initiation and Maintenance Disorders/dt [Drug Therapy] MH - Sleep Initiation and Maintenance Disorders/px [Psychology] MH - Street Drugs/ae [Adverse Effects] MH - Street Drugs/sd [Supply & Distribution] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] AB - The study, conducted in 2003-2005, was aimed at investigating the pattern of benzodiazepine (BZD) use and the attitudes and perceptions of doctors' prescribing practices by a hundred BZD-dependent patients in Singapore. Data on patients' demographic characteristics, psychiatric profiles, patterns of BZD use, and perceptions about doctors' prescribing practices were collected. A benzodiazepine dependence self-report questionnaire (Bendep-SRQ) was also administered. The mean age of the study participants was 39.4 years (SD = 9.7); 88% were Chinese, 58% were males, 46% were married, 48% had received secondary school education, and 48% were unemployed. BZD abuse in Singapore is contributed to by both doctor-shopping behavior and doctors' prescribing practices. Doctors need training on the assessment and management of BZD dependence. The study's limitations were noted. This project was supported by an institutional block grant received from the National Medical Research Council, Singapore. RN - 0 (Anti-Anxiety Agents) RN - 0 (Street Drugs) RN - 12794-10-4 (Benzodiazepines) IS - 1082-6084 IL - 1082-6084 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 781101807 [pii] ID - 10.1080/10826080701211867 [doi] PP - ppublish LG - English DP - 2007 EZ - 2007/08/04 09:00 DA - 2007/11/01 09:00 DT - 2007/08/04 09:00 YR - 2007 ED - 20071031 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17674238 <743. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17898389 TI - A survey of propofol abuse in academic anesthesia programs. SO - Anesthesia & Analgesia. 105(4):1066-71, table of contents, 2007 Oct. AS - Anesth Analg. 105(4):1066-71, table of contents, 2007 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wischmeyer PE AU - Johnson BR AU - Wilson JE AU - Dingmann C AU - Bachman HM AU - Roller E AU - Tran ZV AU - Henthorn TK FA - Wischmeyer, Paul E FA - Johnson, Bradley R FA - Wilson, Joel E FA - Dingmann, Colleen FA - Bachman, Heidi M FA - Roller, Evan FA - Tran, Zung Vu FA - Henthorn, Thomas K IN - Wischmeyer, Paul E. Department of Anesthesiology, University of Colorado, Denver, Colorado, USA. Paul.Wischmeyer@UCHSC.edu CM - Comment in: Anesth Analg. 2007 Oct;105(4):897-8; PMID: 17898362 NJ - Anesthesia and analgesia VO - 105 IP - 4 PG - 1066-71, table of contents PI - Journal available in: Print PI - Citation processed from: Internet JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Academic Medical Centers MH - Anesthesiology/ed [Education] MH - *Anesthesiology/sn [Statistics & Numerical Data] MH - Data Collection MH - *Internship and Residency MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - *Professional Misconduct/sn [Statistics & Numerical Data] MH - *Propofol MH - *Substance-Related Disorders/ep [Epidemiology] AB - BACKGROUND: Although propofol has not traditionally been considered a drug of abuse, subanesthetic doses may have an abuse potential. We used this survey to assess prevalence and outcome of propofol abuse in academic anesthesiology programs. AB - METHODS: E-mail surveys were sent to the 126 academic anesthesiology training programs in the United States. AB - RESULTS: The survey response rate was 100%. One or more incidents of propofol abuse or diversion in the past 10 yr were reported by 18% of departments. The observed incidence of propofol abuse was 10 per 10,000 anesthesia providers per decade, a fivefold increase from previous surveys of propofol abuse (P = 0.005). Of the 25 reported individuals abusing propofol, 7 died as a result of the propofol abuse (28%), 6 of whom were residents. There was no established system to control or monitor propofol as is done with opioids at 71% of programs. There was an association between lack of control of propofol (e.g., pharmacy accounting) at the time of abuse and incidence of abuse at the program (P = 0.048). AB - CONCLUSIONS: Propofol abuse in academic anesthesiology likely has increased over the last 10 yr. Much of the mortality is in residents. Most programs have no pharmacy accounting or control of propofol stocks. This may be of concern, given that all programs reporting deaths from propofol abuse were centers in which there was no pharmacy accounting for the drug. RN - YI7VU623SF (Propofol) ES - 1526-7598 IL - 0003-2999 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 105/4/1066 [pii] ID - 10.1213/01.ane.0000270215.86253.30 [doi] PP - ppublish LG - English DP - 2007 Oct EZ - 2007/09/28 09:00 DA - 2007/10/30 09:00 DT - 2007/09/28 09:00 YR - 2007 ED - 20071029 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17898389 <744. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16969604 TI - Prevalence of psychoactive drug use among medical students in Rio de Janeiro. SO - Social Psychiatry & Psychiatric Epidemiology. 41(12):989-96, 2006 Dec. AS - Soc Psychiatry Psychiatr Epidemiol. 41(12):989-96, 2006 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lambert Passos SR AU - Alvarenga Americano do Brasil PE AU - Borges dos Santos MA AU - Costa de Aquino MT FA - Lambert Passos, Sonia Regina FA - Alvarenga Americano do Brasil, Pedro Emmanuel FA - Borges dos Santos, Maria Angelica FA - Costa de Aquino, Maria Tereza IN - Lambert Passos, Sonia Regina. Dept. of Epidemiology, Evandro Chagas Clinical Research, Oswaldo Cruz Foundation, Rio de Janeiro, Brazil. sonialambert@ipec.fiocruz.br NJ - Social psychiatry and psychiatric epidemiology VO - 41 IP - 12 PG - 989-96 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - uvp, 8804358 IO - Soc Psychiatry Psychiatr Epidemiol SB - Index Medicus CP - Germany MH - Adolescent MH - Adult MH - Brazil MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - *Psychotropic Drugs/tu [Therapeutic Use] MH - Schools, Medical/sn [Statistics & Numerical Data] MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/eh [Ethnology] MH - Universities/sn [Statistics & Numerical Data] AB - BACKGROUND: Drug use and abuse may hamper learning capabilities and the development of technical skills in medical students and, therefore, the quality of care offered to patients. The aim of this investigation was to estimate the prevalence of psychoactive drug use among medical students of public universities in Rio de Janeiro, Brazil, and to identify characteristics associated with substance use. AB - METHOD: This was a cross-sectional investigation designed to include all medical students of four universities. The final sample included 1,054 students. Patterns of licit and illicit drug use (at least once in lifetime drug use, drug use in the last 30 days (LTD) and CAGE) before and during medical school were assessed by a multiple-choice, self-administered anonymous questionnaire. AB - RESULTS: Alcohol abuse was more prevalent among male students from higher income families. Alcohol LTD use was more prevalent among male students with college-educated parents. Tobacco, cannabis and inhalant lifetime use was more prevalent among males and tranquillizer use among females. Tobacco, cannabis and tranquillizer lifetime use was more prevalent among students with divorced or dead parents. Inhalant lifetime use was more prevalent among students from higher income families. Students who had college-educated, divorced or dead parents or evidenced tobacco, cocaine or inhalant lifetime use were more prevalent among cannabis users. Male students from higher income families had higher prevalence of cocaine lifetime use. AB - CONCLUSION: Substance use in this group of medical students is not widespread compared to rates reported for developed countries. Preventive efforts should focus on alcohol and cannabis use by medical students. RN - 0 (Psychotropic Drugs) ES - 1433-9285 IL - 0933-7954 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1007/s00127-006-0114-7 [doi] PP - ppublish PH - 2006/07/18 [accepted] LG - English EP - 20060912 DP - 2006 Dec EZ - 2006/09/14 09:00 DA - 2007/10/30 09:00 DT - 2006/09/14 09:00 YR - 2006 ED - 20071029 RD - 20170919 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16969604 <745. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17668328 TI - Employment and work among drug court clients: 12-month outcomes. SO - Substance Use & Misuse. 42(7):1109-26, 2007. AS - Subst Use Misuse. 42(7):1109-26, 2007. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Leukefeld C AU - Webster JM AU - Staton-Tindall M AU - Duvall J FA - Leukefeld, Carl FA - Webster, J Matthew FA - Staton-Tindall, Michele FA - Duvall, Jamieson IN - Leukefeld, Carl. Center on Drug and Alcohol Research, University of Kentucky, Lexington, Kentucky 40506-0350, USA. cdar@uky.edu NJ - Substance use & misuse VO - 42 IP - 7 PG - 1109-26 PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 IO - Subst Use Misuse SB - Index Medicus CP - England MH - Adult MH - *Crime/sn [Statistics & Numerical Data] MH - Demography MH - Educational Status MH - Employment/lj [Legislation & Jurisprudence] MH - *Employment/sn [Statistics & Numerical Data] MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Severity of Illness Index MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Time Factors AB - 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. IS - 1082-6084 IL - 1082-6084 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 780963029 [pii] ID - 10.1080/10826080701409701 [doi] PP - ppublish GI - No: R01 DA113076 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2007 EZ - 2007/08/02 09:00 DA - 2007/10/19 09:00 DT - 2007/08/02 09:00 YR - 2007 ED - 20071018 RD - 20071203 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17668328 <746. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17626190 TI - Does psychiatry residency training reflect the "real world" of psychiatry practice? A survey of residency graduates. SO - Academic Psychiatry. 31(4):281-9, 2007 Jul-Aug. AS - Acad Psychiatry. 31(4):281-9, 2007 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Petersen T AU - Fava M AU - Alpert JE AU - Vorono S AU - Sanders KM AU - Mischoulon D FA - Petersen, Timothy FA - Fava, Maurizio FA - Alpert, Jonathan E FA - Vorono, Sienna FA - Sanders, Kathy M FA - Mischoulon, David IN - Petersen, Timothy. Department of Psychiatry, Massachusetts General Hospital, Boston, MA 02114, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 31 IP - 4 PG - 281-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Clinical Competence MH - Cohort Studies MH - Curriculum MH - Data Collection MH - *Education, Medical, Graduate MH - Fellowships and Scholarships MH - Hospitals, General MH - Humans MH - *Internship and Residency MH - Massachusetts MH - Physician's Role MH - Program Evaluation MH - Psychiatric Department, Hospital MH - *Psychiatry/ed [Education] AB - OBJECTIVE: The authors determine whether Massachusetts General Hospital's residency graduates believed their training reflected their current practice activities. AB - 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. AB - 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. AB - 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. IS - 1042-9670 IL - 1042-9670 PT - Journal Article ID - 31/4/281 [pii] ID - 10.1176/appi.ap.31.4.281 [doi] PP - ppublish LG - English DP - 2007 Jul-Aug EZ - 2007/07/13 09:00 DA - 2007/10/16 09:00 DT - 2007/07/13 09:00 YR - 2007 ED - 20071015 RD - 20070712 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17626190 <747. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17129684 TI - Education inequality and use of cigarettes, alcohol, and marijuana. SO - Drug & Alcohol Dependence. 90 Suppl 1:S4-15, 2007 Sep. AS - Drug Alcohol Depend. 90 Suppl 1:S4-15, 2007 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galea S AU - Ahern J AU - Tracy M AU - Rudenstine S AU - Vlahov D FA - Galea, Sandro FA - Ahern, Jennifer FA - Tracy, Melissa FA - Rudenstine, Sasha FA - Vlahov, David IN - Galea, Sandro. Department of Epidemiology, University of Michigan School of Public Health, Ann Arbor, MI 48104-2548, USA. sgalea@umich.edu NJ - Drug and alcohol dependence VO - 90 Suppl 1 PG - S4-15 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ebs, 7513587 IO - Drug Alcohol Depend PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2062506 OI - Source: NLM. NIHMS27074 SB - Index Medicus CP - Ireland MH - Adolescent MH - Adult MH - Aged MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Educational Status MH - Female MH - Health Surveys MH - Humans MH - Income MH - Male MH - *Marijuana Abuse/ep [Epidemiology] MH - Middle Aged MH - New York City MH - Residence Characteristics MH - *Smoking/ep [Epidemiology] MH - Social Values MH - *Socioeconomic Factors MH - *Urban Population/sn [Statistics & Numerical Data] AB - 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. IS - 0376-8716 IL - 0376-8716 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - S0376-8716(06)00428-5 [pii] ID - 10.1016/j.drugalcdep.2006.11.008 [doi] ID - PMC2062506 [pmc] ID - NIHMS27074 [mid] PP - ppublish PH - 2006/03/15 [received] PH - 2006/11/05 [revised] PH - 2006/11/06 [accepted] GI - No: R01 MH078152 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: MH 066391 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: DA 017642 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 MH078152-01 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 DA017642 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 MH066391 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 DA017642-01 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA017642-04S1 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20061128 DP - 2007 Sep EZ - 2006/11/30 09:00 DA - 2007/10/16 09:00 DT - 2006/11/30 09:00 YR - 2007 ED - 20071015 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17129684 <748. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17124259 TI - Appropriate remedial action? medical students, medical schools, and smoking and health education in New York and the United States, 1964-87. SO - Journal of the History of Medicine & Allied Sciences. 62(3):316-35, 2007 Jul. AS - J Hist Med Allied Sci. 62(3):316-35, 2007 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cortas CS AU - Talley CL FA - Cortas, Chadi S FA - Talley, Colin L IN - Cortas, Chadi S. Columbia University College of Physicians and Surgeons, 630 West 168th Street, P&S 529, New York, New York 10032, USA. csc43@columbia.edu NJ - Journal of the history of medicine and allied sciences VO - 62 IP - 3 PG - 316-35 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - idj, 0413415 IO - J Hist Med Allied Sci SB - Index Medicus SB - History of Medicine Journals CP - England MH - *Attitude of Health Personnel MH - *Education, Medical, Undergraduate/hi [History] MH - *Health Education/hi [History] MH - *Health Knowledge, Attitudes, Practice MH - History, 20th Century MH - Humans MH - New York MH - Organizational Policy MH - *Schools, Medical/hi [History] MH - *Smoking/hi [History] MH - *Students, Medical/hi [History] MH - United States AB - 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. IS - 0022-5045 IL - 0022-5045 PT - Historical Article PT - Journal Article ID - jrl047 [pii] ID - 10.1093/jhmas/jrl047 [doi] PP - ppublish LG - English EP - 20061123 DP - 2007 Jul EZ - 2006/11/25 09:00 DA - 2007/10/16 09:00 DT - 2006/11/25 09:00 YR - 2007 ED - 20071015 RD - 20070608 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17124259 <749. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17691267 TI - [Early screening and brief intervention among excessive alcohol users: mobilizing general practitioners in an efficient way]. [French] OT - Reperage precoce et intervention breve aupres des consommateurs excessifs d'alcool. Etude de trois methodes de promotion du reperage precoce et de l'intervention breve. SO - Revue du Praticien. 57(11):1219-26, 2007 Jun 15. AS - Rev Prat. 57(11):1219-26, 2007 Jun 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Michaud P AU - Fouilland P AU - Dewost AV AU - Abesdris J AU - de Rohan S AU - Toubal S AU - Gremy I AU - Fauvel G AU - Heather N FA - Michaud, Philippe FA - Fouilland, Patrick FA - Dewost, Anne-Violaine FA - Abesdris, Julie FA - de Rohan, Stella FA - Toubal, Samir FA - Gremy, Isabelle FA - Fauvel, Guillaume FA - Heather, Nick IN - Michaud, Philippe. Boire moins c'est mieux, Association nationale de prevention en alcoologie et addictologie (ANPAA), 3, avenue Gallieni, 92000 Nanterre. bmcm@anpa.asso.fr NJ - La Revue du praticien VO - 57 IP - 11 PG - 1219-26 PI - Journal available in: Print PI - Citation processed from: Print JC - t1d, 0404334 IO - Rev Prat SB - Index Medicus CP - France MH - *Alcoholism/pc [Prevention & Control] MH - Data Interpretation, Statistical MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice MH - France MH - Humans MH - Surveys and Questionnaires MH - Telephone MH - Time Factors MH - World Health Organization AB - OBJECTIVE: The program "Boire moins, c'est mieux" (BMCM--"The less alcohol, the better") initiated by the ANPAA offered 550 general practitioners (GPs) in 2003 to follow training courses so as to perform "early screening and brief intervention" (ESBI) in general practice. Phone calls to the medical offices, a financial compensation offer and a media campaign in the immediate environment of general practitioners were used. The study aimed at assessing the respective efficiency of these three methods. AB - METHOD: Mailing was the control mobilization method. Phone calls were used in addition to mailing for one GP out of two, according to a previous draw. Financial compensation (2 + for each questionnaire filled out, and 10 + for each BI delivered) was used when GPs were invited a second time to attend the training. Community-based mobilization only occurred in the site in Saint-Quentin-en-Yvelines (France). The primary endpoint was the actual participation to the training evenings. The secondary endpoints were the registration to trainings and the ESBI activity following the training. AB - RESULTS: Phone calls enabled to multiple by 7 the number of participants attending training sessions, as compared to the impact of mailing only (p < 10-7); phone calls had no proper impact on ESBI activity following the training. Financial compensation had a powerful impact on the level of ESBI activities (p = 10-4); however, announcing it had no effect on registrations and barely modified the impact of phone calls. The proportion of the population benefiting from a screening action doubled in the site where a community-based action occurred (p < 10-7). AB - CONCLUSION: A mere phone call was particularly efficient in increasing the number of trained GPs. Financial incentive led to an activity level very close to systematic screening. Community-based approach increased significantly the proportion of the screened population. IS - 0035-2640 IL - 0035-2640 PT - Comparative Study PT - English Abstract PT - Evaluation Studies PT - Journal Article PP - ppublish LG - French DP - 2007 Jun 15 EZ - 2007/08/19 09:00 DA - 2007/10/10 09:00 DT - 2007/08/19 09:00 YR - 2007 ED - 20071009 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17691267 <750. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16837417 TI - Utilizing a substance use attitudes, practices and knowledge survey for multidisciplinary curriculum development. SO - Substance Abuse. 26(3-4):63-6, 2005 Dec. AS - Subst Abus. 26(3-4):63-6, 2005 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alexander D AU - Waters V AU - McQueen K AU - Basinger S FA - Alexander, Dale FA - Waters, Vicki FA - McQueen, Katherine FA - Basinger, Scott IN - Alexander, Dale. University of Houston, TX 77204-4492, USA. dalexander@uh.edu NJ - Substance abuse VO - 26 IP - 3-4 PG - 63-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Culture MH - Curriculum MH - Fellowships and Scholarships MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel/ed [Education] MH - Humans MH - *Inservice Training MH - Mass Screening MH - *Program Development MH - Program Evaluation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires MH - Texas AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PP - ppublish LG - English DP - 2005 Dec EZ - 2006/07/14 09:00 DA - 2007/09/27 09:00 DT - 2006/07/14 09:00 YR - 2005 ED - 20070926 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16837417 <751. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16837412 TI - Training providers at a university health center in substance use screening. SO - Substance Abuse. 26(3-4):39-42, 2005 Dec. AS - Subst Abus. 26(3-4):39-42, 2005 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eckert-Norton M AU - Baez A AU - Morrison A FA - Eckert-Norton, Margaret FA - Baez, Annecy FA - Morrison, Ann IN - Eckert-Norton, Margaret. SUNY Downstate Medical Center, Brooklyn, NY 11203, USA. margaret.eckert-norton@downstate.edu NJ - Substance abuse VO - 26 IP - 3-4 PG - 39-42 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Counseling/ed [Education] MH - Cross-Sectional Studies MH - Curriculum MH - Fellowships and Scholarships MH - Humans MH - *Inservice Training MH - *Mass Screening MH - New York MH - Program Evaluation MH - *Student Health Services MH - Students/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PP - ppublish LG - English DP - 2005 Dec EZ - 2006/07/14 09:00 DA - 2007/09/27 09:00 DT - 2006/07/14 09:00 YR - 2005 ED - 20070926 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16837412 <752. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16837409 TI - Community-based substance abuse training: helping children living in families with substance-abusing adults. SO - Substance Abuse. 26(3-4):27-30, 2005 Dec. AS - Subst Abus. 26(3-4):27-30, 2005 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bonder BR AU - Hulisz D AU - Marsh S AU - Bonaguro J FA - Bonder, Bette R FA - Hulisz, Darrell FA - Marsh, Sybil FA - Bonaguro, John IN - Bonder, Bette R. Cleveland State University, OH 44115, USA. b.bonder@csuohio.edu NJ - Substance abuse VO - 26 IP - 3-4 PG - 27-30 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adolescent MH - Child MH - *Child of Impaired Parents/px [Psychology] MH - *Community Health Services MH - Cooperative Behavior MH - Curriculum MH - Education MH - Education, Medical MH - *Faculty MH - Family Practice MH - Focus Groups MH - *Health Education MH - Health Personnel/ed [Education] MH - Health Services Needs and Demand MH - Humans MH - Interprofessional Relations MH - Ohio MH - Program Evaluation MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - Elementary school staff requested and were provided with strategies for helping students and a resource guide to services for students living with substance-abusing adults. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PP - ppublish LG - English DP - 2005 Dec EZ - 2006/07/14 09:00 DA - 2007/09/27 09:00 DT - 2006/07/14 09:00 YR - 2005 ED - 20070926 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16837409 <753. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16837407 TI - Interdisciplinary service-learning substance abuse projects: processes and outcomes. SO - Substance Abuse. 26(3-4):17-20, 2005 Dec. AS - Subst Abus. 26(3-4):17-20, 2005 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Straussner SL AU - Marcus MT AU - Brown RL AU - Madden T AU - Graham AV AU - Schoener EP FA - Straussner, S Lala A FA - Marcus, Marianne T FA - Brown, Richard L FA - Madden, Theresa FA - Graham, Antonnette V FA - Schoener, Eugene P IN - Straussner, S Lala A. New York University School of Social Work, New York, NY 10003, USA. lala.straussner@nyu.edu NJ - Substance abuse VO - 26 IP - 3-4 PG - 17-20 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/rh [Rehabilitation] MH - Child MH - *Cooperative Behavior MH - Curriculum MH - *Faculty MH - Faculty, Medical MH - Family Practice/ed [Education] MH - *Fellowships and Scholarships MH - Health Education MH - *Health Personnel/ed [Education] MH - Health Services Needs and Demand MH - Humans MH - *Interprofessional Relations MH - Mass Screening MH - Program Development MH - *Smoking Prevention MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PP - ppublish LG - English DP - 2005 Dec EZ - 2006/07/14 09:00 DA - 2007/09/27 09:00 DT - 2006/07/14 09:00 YR - 2005 ED - 20070926 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16837407 <754. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16837406 TI - Creating change agents: a national substance abuse education project. SO - Substance Abuse. 26(3-4):5-15, 2005 Dec. AS - Subst Abus. 26(3-4):5-15, 2005 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marcus MT AU - Brown RL AU - Straussner SL AU - Schoener E AU - Henry R AU - Graham AV AU - Madden T AU - Saunders LA FA - Marcus, Marianne T FA - Brown, Richard L FA - Straussner, S Lala A FA - Schoener, Eugene FA - Henry, Rebecca FA - Graham, Antonnette V FA - Madden, Theresa FA - Saunders, Laura A IN - Marcus, Marianne T. Association for Medical Education and Research in Substance Abuse, Providence, RI 02908, USA. NJ - Substance abuse VO - 26 IP - 3-4 PG - 5-15 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Clinical Competence MH - Computer-Assisted Instruction MH - Cooperative Behavior MH - Curriculum MH - Education MH - *Education, Medical MH - *Faculty, Medical MH - *Fellowships and Scholarships MH - Humans MH - Internet MH - Interprofessional Relations MH - Mentors MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - OBJECTIVE: This study evaluated the effects of a national interdisciplinary faculty development program, Project MAINSTREAM, on creating curriculum enhancement in health professional education. AB - 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. AB - 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. AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: U78HP00001 Organization: *PHS HHS* Country: United States LG - English DP - 2005 Dec EZ - 2006/07/14 09:00 DA - 2007/09/27 09:00 DT - 2006/07/14 09:00 YR - 2005 ED - 20070926 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16837406 <755. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16492660 TI - Implementing alcohol screening and intervention in a family medicine residency clinic. SO - Substance Abuse. 26(1):23-31, 2005 Mar. AS - Subst Abus. 26(1):23-31, 2005 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seale JP AU - Shellenberger S AU - Tillery WK AU - Boltri J AU - Vogel R AU - Barton B AU - McCauley M FA - Seale, J Paul FA - Shellenberger, Sylvia FA - Tillery, Wanda Kaye FA - Boltri, John FA - Vogel, Robert FA - Barton, Barbara FA - McCauley, Megan IN - Seale, J Paul. Department of Family Medicine, Medical Center of Central Georgia and Mercer University School of Medicine, Macon, GA 31206, USA. seale.paul@mccg.org NJ - Substance abuse VO - 26 IP - 1 PG - 23-31 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Counseling MH - Cross-Sectional Studies MH - Curriculum MH - *Family Practice/ed [Education] MH - Georgia MH - *Health Plan Implementation MH - Humans MH - *Internship and Residency MH - *Mass Screening MH - Outpatient Clinics, Hospital MH - Pamphlets MH - Program Evaluation MH - Surveys and Questionnaires AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PP - ppublish LG - English DP - 2005 Mar EZ - 2006/02/24 09:00 DA - 2007/09/27 09:00 DT - 2006/02/24 09:00 YR - 2005 ED - 20070926 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16492660 <756. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16172091 TI - Faculty development in small-group teaching skills associated with a training course on office-based treatment of opioid dependence. SO - Substance Abuse. 25(4):35-40, 2004 Dec. AS - Subst Abus. 25(4):35-40, 2004 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wong JG AU - Holmboe ES AU - Jara GB AU - Martin J AU - Becker WC AU - Fiellin DA FA - Wong, Jeffrey G FA - Holmboe, Eric S FA - Jara, Gail B FA - Martin, Judith FA - Becker, William C FA - Fiellin, David A IN - Wong, Jeffrey G. Yale University School of Medicine, USA. wong@musc.edu. NJ - Substance abuse VO - 25 IP - 4 PG - 35-40 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Ambulatory Care MH - *Buprenorphine/tu [Therapeutic Use] MH - Curriculum MH - Education, Medical MH - *Faculty, Medical MH - Female MH - Humans MH - *Inservice Training MH - Male MH - Middle Aged MH - *Narcotics/tu [Therapeutic Use] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Specialization MH - United States AB - 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. RN - 0 (Narcotics) RN - 40D3SCR4GZ (Buprenorphine) IS - 0889-7077 IL - 0889-7077 PT - Journal Article PP - ppublish LG - English DP - 2004 Dec EZ - 2005/09/21 09:00 DA - 2007/09/27 09:00 DT - 2005/09/21 09:00 YR - 2004 ED - 20070926 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16172091 <757. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16172088 TI - A resident clerkship that combines inpatient and outpatient training in substance abuse and HIV care. SO - Substance Abuse. 25(4):11-5, 2004 Dec. AS - Subst Abus. 25(4):11-5, 2004 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rastegar DA AU - Fingerhood MI AU - Jasinski DR FA - Rastegar, Darius A FA - Fingerhood, Michael I FA - Jasinski, Donald R IN - Rastegar, Darius A. Division of Chemical Dependence, John Hopkins Bayview Medical Center, Baltimore, MD 21224, USA. drastega@jhmi.edu NJ - Substance abuse VO - 25 IP - 4 PG - 11-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Ambulatory Care MH - Attitude of Health Personnel MH - Baltimore MH - *Clinical Clerkship MH - Clinical Competence MH - Comorbidity MH - Curriculum MH - HIV Infections/ep [Epidemiology] MH - HIV Infections/px [Psychology] MH - *HIV Infections/rh [Rehabilitation] MH - *Hospitalization MH - Humans MH - *Internship and Residency MH - Prejudice MH - Substance Abuse Treatment Centers MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PP - ppublish LG - English DP - 2004 Dec EZ - 2005/09/21 09:00 DA - 2007/09/27 09:00 DT - 2005/09/21 09:00 YR - 2004 ED - 20070926 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16172088 <758. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16150679 TI - Knowing how and showing how: interdisciplinary collaboration on substance abuse skill OSCEs for medical, nursing and social work students. SO - Substance Abuse. 25(3):33-7, 2004 Sep. AS - Subst Abus. 25(3):33-7, 2004 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baez A AU - Eckert-Norton M AU - Morrison A FA - Baez, Annecy FA - Eckert-Norton, Margaret FA - Morrison, Ann IN - Baez, Annecy. Lehman College, City University of New York, 250 Bedford Park Blvd West, Bronx, NY 10468, USA. NJ - Substance abuse VO - 25 IP - 3 PG - 33-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Clinical Competence MH - Humans MH - *Interdisciplinary Communication MH - *Social Work MH - *Students MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/nu [Nursing] MH - *Teaching/mt [Methods] MH - Videotape Recording IS - 0889-7077 IL - 0889-7077 PT - Case Reports PT - Journal Article PP - ppublish LG - English DP - 2004 Sep EZ - 2005/09/10 09:00 DA - 2007/09/26 09:00 DT - 2005/09/10 09:00 YR - 2004 ED - 20070925 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16150679 <759. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16150677 TI - Check-out my bottle collection: assisting medical trainees in taking a better alcohol-use history. SO - Substance Abuse. 25(3):27-8, 2004 Sep. AS - Subst Abus. 25(3):27-8, 2004 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Welsh CJ FA - Welsh, Christopher J NJ - Substance abuse VO - 25 IP - 3 PG - 27-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholism/ep [Epidemiology] MH - Humans MH - *Mass Screening/mt [Methods] MH - *Students, Medical MH - *Teaching IS - 0889-7077 IL - 0889-7077 PT - Letter PP - ppublish LG - English DP - 2004 Sep EZ - 2005/09/10 09:00 DA - 2007/09/26 09:00 DT - 2005/09/10 09:00 YR - 2004 ED - 20070925 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16150677 <760. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17347120 TI - Medical students' knowledge about alcohol and drug problems: results of the medical council of Canada examination. SO - Substance Abuse. 27(4):1-7, 2006 Dec. AS - Subst Abus. 27(4):1-7, 2006 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahan M AU - Midmer D AU - Wilson L AU - Borsoi D FA - Kahan, Meldon FA - Midmer, Deana FA - Wilson, Lynn FA - Borsoi, Diane IN - Kahan, Meldon. Center for Addiction and Mental Health, Toronto, ON, Canada. kahanm@stjoe.on.ca NJ - Substance abuse VO - 27 IP - 4 PG - 1-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholism MH - Canada MH - Curriculum MH - *Education, Medical MH - Faculty, Medical MH - Humans MH - Licensure, Medical MH - Practice Guidelines as Topic MH - *Substance Withdrawal Syndrome MH - *Substance-Related Disorders AB - 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. AB - METHODS: Based on learning objectives developed by medical faculty, twenty-two questions on addictions were included in the 1998 Canadian licensing examination. AB - 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. AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2006 Dec EZ - 2007/03/10 09:00 DA - 2007/09/18 09:00 DT - 2007/03/10 09:00 YR - 2006 ED - 20070917 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17347120 <761. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17135179 TI - Evaluation of a combined online and in person training in the use of buprenorphine. SO - Substance Abuse. 27(3):39-45, 2006 Sep. AS - Subst Abus. 27(3):39-45, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunderson EW AU - Fiellin DA AU - Levin FR AU - Sullivan LE AU - Kleber HD FA - Gunderson, Erik W FA - Fiellin, David A FA - Levin, Frances R FA - Sullivan, Lynn E FA - Kleber, Herbert D IN - Gunderson, Erik W. Columbia University College of Physicians and Surgeon and New York State Psychiatric Institute, New York, NY, USA. eg2009@columbia.edu NJ - Substance abuse VO - 27 IP - 3 PG - 39-45 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3864017 OI - Source: NLM. NIHMS171409 SB - Index Medicus CP - United States MH - Adult MH - *Buprenorphine/tu [Therapeutic Use] MH - *Computer-Assisted Instruction MH - Curriculum MH - Drug Prescriptions MH - *Education, Medical MH - Fellowships and Scholarships MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Inservice Training MH - *Internet MH - Internship and Residency MH - Male MH - *Narcotics/tu [Therapeutic Use] MH - *Opioid-Related Disorders/rh [Rehabilitation] AB - To evaluate buprenorphine training methodology, we surveyed physicians who had completed a combined online and in person buprenorphine curriculum. Of 53/70 (76%) survey respondents, 57% were psychiatrists and 40% generalists. On a scale of 1 (very poor) to 7 (superlative), the overall training rated a mean of 5.8. The online course (5.0) rated lower than in person training components (p < .001) except for material that addressed the logistics of office practice. The in person patient interview received the highest rating (mean 6.3, p < .001). The 67% of physicians who intended to prescribe buprenorphine after the training were more likely than hesitant physicians to agree that the course provided enough information (p < .05) and that telephone access to experienced providers would improve their confidence (p < .05). Physicians hesitant to prescribe cited lack of experience as the main barrier (41%), with 24% concerned about induction difficulty and reimbursement. Overall, physicians preferred in person instruction and may benefit from additional experiential training and support after curriculum participation. RN - 0 (Narcotics) RN - 40D3SCR4GZ (Buprenorphine) IS - 0889-7077 IL - 0889-7077 PT - Comparative Study PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1300/J465v27n03_06 [doi] ID - PMC3864017 [pmc] ID - NIHMS171409 [mid] PP - ppublish GI - No: K23 DA02000 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA020000-01 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K05 DA14284 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K05 DA014284 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K12 DA00167 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K12 DA000167 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02 DA00465 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02 DA000465 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: L30 DA018521-02 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2006 Sep EZ - 2006/12/01 09:00 DA - 2007/09/18 09:00 DT - 2006/12/01 09:00 YR - 2006 ED - 20070917 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17135179 <762. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17135176 TI - Training HIV physicians to prescribe buprenorphine for opioid dependence. SO - Substance Abuse. 27(3):13-8, 2006 Sep. AS - Subst Abus. 27(3):13-8, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sullivan LE AU - Tetrault J AU - Bangalore D AU - Fiellin DA FA - Sullivan, Lynn E FA - Tetrault, Jeanette FA - Bangalore, Deepa FA - Fiellin, David A IN - Sullivan, Lynn E. Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 6520-8025, USA. lynn.sullivan@yale.edu NJ - Substance abuse VO - 27 IP - 3 PG - 13-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Antiretroviral Therapy, Highly Active/ae [Adverse Effects] MH - Buprenorphine/ae [Adverse Effects] MH - *Buprenorphine/tu [Therapeutic Use] MH - Comorbidity MH - Cross-Sectional Studies MH - Curriculum MH - Drug Interactions MH - Drug Prescriptions MH - Female MH - *HIV Infections/ep [Epidemiology] MH - HIV Infections/rh [Rehabilitation] MH - Humans MH - *Inservice Training MH - Male MH - Middle Aged MH - Narcotics/ae [Adverse Effects] MH - *Narcotics/tu [Therapeutic Use] MH - New York MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/rh [Rehabilitation] MH - Specialization AB - 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. RN - 0 (Narcotics) RN - 40D3SCR4GZ (Buprenorphine) IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, N.I.H., Extramural ID - 10.1300/J465v27n03_03 [doi] PP - ppublish GI - No: K12 DA00167 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2006 Sep EZ - 2006/12/01 09:00 DA - 2007/09/18 09:00 DT - 2006/12/01 09:00 YR - 2006 ED - 20070917 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17135176 <763. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17135175 TI - Teaching internal medicine resident physicians about Alcoholics Anonymous: a pilot study of an educational intervention. SO - Substance Abuse. 27(3):5-11, 2006 Sep. AS - Subst Abus. 27(3):5-11, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rose AJ AU - Stein MR AU - Arnsten JH AU - Saitz R FA - Rose, Adam J FA - Stein, Melissa R FA - Arnsten, Julia H FA - Saitz, Richard IN - Rose, Adam J. Section of General Internal Medicine &Boston University School of Medicine and Boston Veterans Administration Medical Center, Boston, MA 02118-2644, USA. adamrose@bu.edu NJ - Substance abuse VO - 27 IP - 3 PG - 5-11 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1803081 OI - Source: NLM. NIHMS17736 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholics Anonymous MH - Curriculum MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Inservice Training MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - New York City MH - Pilot Projects MH - Referral and Consultation AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, Non-P.H.S. ID - PMC1803081 [pmc] ID - NIHMS17736 [mid] ID - 10.1300/J465v27n03_02 [doi] PP - ppublish GI - No: R01 DA015302 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA013582 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA13582 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA15302 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2006 Sep EZ - 2006/12/01 09:00 DA - 2007/09/18 09:00 DT - 2006/12/01 09:00 YR - 2006 ED - 20070917 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17135175 <764. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17135174 TI - Educational half day: an innovative way to incorporate substance abuse curriculum into residency training. SO - Substance Abuse. 27(3):1-3, 2006 Sep. AS - Subst Abus. 27(3):1-3, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nigwekar SU AU - Morse DS FA - Nigwekar, Sagar U FA - Morse, Diane S IN - Nigwekar, Sagar U. Internal Medicine, Rochester General Hospital, Rochester, NY 14621, USA. NJ - Substance abuse VO - 27 IP - 3 PG - 1-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Clinical Competence MH - Curriculum MH - Hospitals, General MH - Humans MH - *Inservice Training MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - New York MH - *Substance-Related Disorders AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article ID - 10.1300/J465v27n03_01 [doi] PP - ppublish LG - English DP - 2006 Sep EZ - 2006/12/01 09:00 DA - 2007/09/18 09:00 DT - 2006/12/01 09:00 YR - 2006 ED - 20070917 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17135174 <765. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17668346 TI - A survey of alcohol consumption among first-year military medical students. SO - American Journal of Drug & Alcohol Abuse. 33(4):605-10, 2007. AS - Am J Drug Alcohol Abuse. 33(4):605-10, 2007. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lande RG AU - Marin BA AU - Chang AS AU - Mason S AU - Lande GR FA - Lande, R Gregory FA - Marin, Barbara A FA - Chang, Audrey S FA - Mason, Sarah FA - Lande, Galen R IN - Lande, R Gregory. Army Substance Abuse Program, Walter Reed Army Medical Center, Washington, District of Columbia 20307, USA. rglande@pol.net NJ - The American journal of drug and alcohol abuse VO - 33 IP - 4 PG - 605-10 PI - Journal available in: Print PI - Citation processed from: Print JC - 3gw, 7502510 IO - Am J Drug Alcohol Abuse SB - Index Medicus CP - England MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - Alcoholic Intoxication/ep [Epidemiology] MH - Alcoholic Intoxication/px [Psychology] MH - Attitude to Health MH - Curriculum MH - Education, Medical, Undergraduate/sn [Statistics & Numerical Data] MH - Female MH - Health Surveys MH - Humans MH - Learning MH - Male MH - *Military Medicine/sn [Statistics & Numerical Data] MH - Schools, Medical/sn [Statistics & Numerical Data] MH - Self-Assessment MH - Sex Factors MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - 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. IS - 0095-2990 IL - 0095-2990 PT - Comparative Study PT - Journal Article ID - 780961418 [pii] ID - 10.1080/00952990701407678 [doi] PP - ppublish LG - English DP - 2007 EZ - 2007/08/02 09:00 DA - 2007/08/30 09:00 DT - 2007/08/02 09:00 YR - 2007 ED - 20070829 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17668346 <766. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17638800 TI - Testing for substance use in trauma patients: are we doing enough?. SO - Archives of Surgery. 142(7):633-8, 2007 Jul. AS - Arch Surg. 142(7):633-8, 2007 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - London JA AU - Battistella FD FA - London, Jason A FA - Battistella, Felix D IN - London, Jason A. Division of Trauma and Emergency Surgery, Department of Surgery, University of California, Davis Medical Center, Sacramento, CA 95817, USA. jason.london@ucdmc.ucdavis.edu NJ - Archives of surgery (Chicago, Ill. : 1960) VO - 142 IP - 7 PG - 633-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8ia, 9716528 IO - Arch Surg SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Alcoholism/di [Diagnosis] MH - Cohort Studies MH - Confidentiality MH - Continental Population Groups MH - Female MH - Glasgow Coma Scale MH - Humans MH - Injury Severity Score MH - Longitudinal Studies MH - Male MH - Mass Screening MH - Middle Aged MH - Patient Admission MH - Retrospective Studies MH - Sex Factors MH - *Substance Abuse Detection MH - *Wounds and Injuries/co [Complications] MH - Wounds, Nonpenetrating/co [Complications] MH - Wounds, Penetrating/co [Complications] AB - HYPOTHESIS: Only a fraction of trauma patients are being tested for substance use, and the proportion of those tested may have decreased over time. AB - DESIGN: Retrospective review of longitudinal data. AB - SETTING: National Trauma Data Bank. AB - PATIENTS: Individuals aged 15 to 50 years admitted with injuries from 1998 to 2003. AB - 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. AB - 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. AB - 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. IS - 0004-0010 IL - 0004-0010 PT - Comparative Study PT - Journal Article ID - 142/7/633 [pii] ID - 10.1001/archsurg.142.7.633 [doi] PP - ppublish LG - English DP - 2007 Jul EZ - 2007/07/20 09:00 DA - 2007/08/10 09:00 DT - 2007/07/20 09:00 YR - 2007 ED - 20070809 RD - 20070719 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17638800 <767. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17427146 TI - [Tobacco smoking among the first-year medical students]. [Polish] OT - Postawy wobec palenia tytoniu wsrod studentow pierwszego roku medycyny. SO - Pneumonologia i Alergologia Polska. 74(4):377-82, 2006. AS - Pneumonol Alergol Pol. 74(4):377-82, 2006. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sieminska A AU - Jassem JM AU - Uherek M AU - Wilanowski T AU - Nowak R AU - Jassem E FA - Sieminska, Alicja FA - Jassem, Joanna M FA - Uherek, Maja FA - Wilanowski, Tomasz FA - Nowak, Radoslaw FA - Jassem, Ewa IN - Sieminska, Alicja. Klinika Alergologii Akademii Medycznej w Gdansku, Poland. NJ - Pneumonologia i alergologia polska VO - 74 IP - 4 PG - 377-82 PI - Journal available in: Print PI - Citation processed from: Print JC - bom, 9302892 IO - Pneumonol Alergol Pol SB - Index Medicus CP - Poland MH - Adult MH - Attitude to Health MH - Female MH - *Health Education MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - Prevalence MH - Sex Distribution MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Smoking Prevention MH - Socioeconomic Factors MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - *Tobacco Smoke Pollution/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Tobacco Use Disorder/px [Psychology] MH - Universities AB - UNLABELLED: 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 Gdansk 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. AB - 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. RN - 0 (Tobacco Smoke Pollution) IS - 0867-7077 IL - 0867-7077 PT - Journal Article PP - ppublish LG - Polish DP - 2006 EZ - 2007/04/12 09:00 DA - 2007/08/10 09:00 DT - 2007/04/12 09:00 YR - 2006 ED - 20070809 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17427146 <768. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17270059 TI - Substitution treatment for opioid addicts in Germany. SO - Harm Reduction Journal. 4:5, 2007 Feb 02. AS - Harm Reduct J. 4:5, 2007 Feb 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Michels II AU - Stover H AU - Gerlach R FA - Michels, Ingo Ilja FA - Stover, Heino FA - Gerlach, Ralf IN - Michels, Ingo Ilja. Office of the Federal Drug Commissioner, Federal Ministry of Health, Berlin, Germany. ingoiljamichels@gmail.com NJ - Harm reduction journal VO - 4 PG - 5 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101153624 IO - Harm Reduct J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1797169 CP - England AB - 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. AB - 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. AB - 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. ES - 1477-7517 IL - 1477-7517 PT - Journal Article ID - 1477-7517-4-5 [pii] ID - 10.1186/1477-7517-4-5 [doi] ID - PMC1797169 [pmc] PP - epublish PH - 2006/11/24 [received] PH - 2007/02/02 [accepted] LG - English EP - 20070202 DP - 2007 Feb 02 EZ - 2007/02/03 09:00 DA - 2007/02/03 09:01 DT - 2007/02/03 09:00 YR - 2007 ED - 20070808 RD - 20161114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=17270059 <769. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17557189 TI - Long-term retention of smoking cessation counseling skills learned in the first year of medical school. SO - Journal of General Internal Medicine. 22(8):1161-5, 2007 Aug. AS - J Gen Intern Med. 22(8):1161-5, 2007 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kosowicz LY AU - Pfeiffer CA AU - Vargas M FA - Kosowicz, Lynn Y FA - Pfeiffer, Carol A FA - Vargas, Maximilian IN - Kosowicz, Lynn Y. University of Connecticut School of Medicine, Farmington, Connecticut 06030, USA. Kosowicz@nso1.uchc.edu NJ - Journal of general internal medicine VO - 22 IP - 8 PG - 1161-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2305726 SB - Index Medicus CP - United States MH - *Counseling/ed [Education] MH - Curriculum MH - *Education, Medical, Undergraduate MH - Educational Measurement MH - Humans MH - *Retention (Psychology) MH - *Smoking Cessation MH - *Students, Medical/px [Psychology] AB - 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. AB - OBJECTIVE: To assess retention of smoking cessation counseling skills learned in the first year of medical school. AB - DESIGN: Retrospective review of data collected for routine student and curriculum assessment. AB - PARTICIPANTS: Two cohorts of medical students at the University of Connecticut School of Medicine (total N = 112) in 1999-2001 and 2002-2004. AB - 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). AB - 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. ES - 1525-1497 IL - 0884-8734 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1007/s11606-007-0255-8 [doi] ID - PMC2305726 [pmc] PP - ppublish PH - 2006/12/19 [received] PH - 2007/05/18 [accepted] PH - 2007/05/08 [revised] LG - English EP - 20070608 DP - 2007 Aug EZ - 2007/06/09 09:00 DA - 2007/08/04 09:00 DT - 2007/06/09 09:00 YR - 2007 ED - 20070803 RD - 20140904 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17557189 <770. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17541671 TI - Effect of training on primary care residents' performance in brief alcohol intervention: a randomized controlled trial. SO - Journal of General Internal Medicine. 22(8):1144-9, 2007 Aug. AS - J Gen Intern Med. 22(8):1144-9, 2007 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chossis I AU - Lane C AU - Gache P AU - Michaud PA AU - Pecoud A AU - Rollnick S AU - Daeppen JB FA - Chossis, Isabelle FA - Lane, Claire FA - Gache, Pascal FA - Michaud, Pierre-Andre FA - Pecoud, Alain FA - Rollnick, Stephen FA - Daeppen, Jean-Bernard IN - Chossis, Isabelle. Alcohol Treatment Center, Lausanne University Hospital, Lausanne, Switzerland. NJ - Journal of general internal medicine VO - 22 IP - 8 PG - 1144-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2305743 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Alcoholism/th [Therapy] MH - Counseling/ed [Education] MH - Female MH - Humans MH - Hyperlipidemias/th [Therapy] MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Middle Aged MH - *Primary Health Care AB - BACKGROUND: Brief alcohol interventions (BAI) reduce alcohol use and related problems in primary care patients with hazardous drinking behavior. The effectiveness of teaching BAI on the performance of primary care residents has not been fully evaluated. AB - METHODS: A cluster randomized controlled trial was conducted with 26 primary care residents who were randomized to either an 8-hour, interactive BAI training workshop (intervention) or a lipid management workshop (control). During the 6-month period after training (i.e., from October 1, 2003 to March 30, 2004), 506 hazardous drinkers were identified in primary care, 260 of whom were included in the study. Patients were interviewed immediately and then 3 months after meeting with each resident to evaluate their perceptions of the BAI experience and to document drinking patterns. AB - RESULTS: Patients reported that BAI trained residents: conducted more components of BAI than did controls (2.4 vs 1.5, p = .001); were more likely to explain safe drinking limits (27% vs 10%, p = .001) and provide feedback on patients' alcohol use (33% vs 21%, p = .03); and more often sought patient opinions on drinking limits (19% vs 6%, p = .02). No between-group differences were observed in patient drinking patterns or in use of 9 of the 12 BAI components. AB - CONCLUSIONS: The BAI-trained residents did not put a majority of BAI components into practice, thus it is difficult to evaluate the influence of BAI on the reduction of alcohol use among hazardous drinkers. ES - 1525-1497 IL - 0884-8734 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 10.1007/s11606-007-0240-2 [doi] ID - PMC2305743 [pmc] PP - ppublish PH - 2006/09/04 [received] PH - 2007/05/04 [accepted] PH - 2007/03/14 [revised] LG - English EP - 20070531 DP - 2007 Aug EZ - 2007/06/02 09:00 DA - 2007/08/04 09:00 DT - 2007/06/02 09:00 YR - 2007 ED - 20070803 RD - 20140904 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17541671 <771. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17568248 TI - Cost-effectiveness analysis of a European primary-care physician training in smoking cessation counseling. SO - European Journal of Cardiovascular Prevention & Rehabilitation. 14(3):451-5, 2007 Jun. AS - Eur J Cardiovasc Prev Rehabil. 14(3):451-5, 2007 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pinget C AU - Martin E AU - Wasserfallen JB AU - Humair JP AU - Cornuz J FA - Pinget, Christophe FA - Martin, Erika FA - Wasserfallen, Jean-Blaise FA - Humair, Jean-Paul FA - Cornuz, Jacques IN - Pinget, Christophe. Health Technology Assessment Unit, Lausanne University Hospital, Switzerland. Christophe.Pinget@chuv.ch NJ - European journal of cardiovascular prevention and rehabilitation : official journal of the European Society of Cardiology, Working Groups on Epidemiology & Prevention and Cardiac Rehabilitation and Exercise Physiology VO - 14 IP - 3 PG - 451-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 101192000 IO - Eur J Cardiovasc Prev Rehabil SB - Index Medicus CP - England MH - Adult MH - Computer Simulation MH - Cost-Benefit Analysis MH - *Directive Counseling/ec [Economics] MH - *Education, Medical, Graduate/ec [Economics] MH - Feasibility Studies MH - Female MH - *Health Care Costs MH - Humans MH - *Internship and Residency/ec [Economics] MH - Male MH - Markov Chains MH - Middle Aged MH - Models, Economic MH - *Physicians/ec [Economics] MH - *Primary Health Care/ec [Economics] MH - Quality-Adjusted Life Years MH - Referral and Consultation/ec [Economics] MH - *Smoking Cessation/ec [Economics] MH - Switzerland AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: Training residents in smoking cessation counseling is a very cost-effective intervention and may be more efficient than currently accepted tobacco control interventions. IS - 1741-8267 IL - 1741-8267 PT - Evaluation Studies PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial ID - 10.1097/HJR.0b013e32804955a0 [doi] ID - 00149831-200706000-00017 [pii] PP - ppublish LG - English DP - 2007 Jun EZ - 2007/06/15 09:00 DA - 2007/08/03 09:00 DT - 2007/06/15 09:00 YR - 2007 ED - 20070802 RD - 20070614 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17568248 <772. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17454017 TI - The use of psychoactive substances among medical students in southern Brazil. SO - Drug & Alcohol Review. 26(3):279-85, 2007 May. AS - Drug Alcohol Rev. 26(3):279-85, 2007 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boniatti MM AU - Zubaran C AU - Panarotto D AU - Delazeri GJ AU - Tirello JL AU - Feldens Mde O AU - Sperotto VF FA - Boniatti, Marcio Manozzo FA - Zubaran, Carlos FA - Panarotto, Daniel FA - Delazeri, Gerson Jacob FA - Tirello, Jacson Luis FA - Feldens, Mauricio De Oliveira FA - Sperotto, Vagner Francisco Remonti IN - Boniatti, Marcio Manozzo. Department of Intensive Care Medicine, Hospital de Clinicas de Porto Alegre, Brazil. NJ - Drug and alcohol review VO - 26 IP - 3 PG - 279-85 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Adolescent MH - Adult MH - *Alcohol-Related Disorders/ep [Epidemiology] MH - Brazil MH - Cross-Sectional Studies MH - *Developing Countries MH - Female MH - Health Surveys MH - Humans MH - Male MH - *Psychotropic Drugs MH - Risk Factors MH - Schools, Medical/sn [Statistics & Numerical Data] MH - Social Environment MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - The objective of our study was to investigate the patterns of use of psychoactive substances among students of a medical school in Southern Brazil and to explore a putative role of discrete behavioral and social variables in their drug use. This is a descriptive and transversal cut study. All regularly enrolled medical students at the University of Caxias do Sul were invited to participate in the study. A self-administered questionnaire, which analyses lifetime drug use as well as drug use in the previous 30 days and 12 months was utilized to collect data. From a total of 318 regularly enrolled students, 183 (57.5%) completed and returned the questionnaires. The highest prevalence rates of lifetime drug use, drug use in the last 12 months and drug use in the last 30 days were observed, according to drug type, as follow in descending order: alcohol, tobacco, marijuana, inhalants, tranquilizers, amphetamine and cocaine. A multivariate analysis indicated that research respondents who live with their parents as well as those whose parents live together harmoniously, those who deny close ties to drug users, those who disapprove drug use, those who are not tobacco smokers and those who manifest religious beliefs and practice presented the most reduced levels of illicit drug use. The use of psychoactive substances among medical students in the University of Caxias do Sul is a significant problem. Appropriate and timely initiatives are needed to prevent and curb drug use among medical students. RN - 0 (Psychotropic Drugs) IS - 0959-5236 IL - 0959-5236 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 777061983 [pii] ID - 10.1080/09595230701247715 [doi] PP - ppublish LG - English DP - 2007 May EZ - 2007/04/25 09:00 DA - 2007/08/02 09:00 DT - 2007/04/25 09:00 YR - 2007 ED - 20070801 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17454017 <773. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17454713 TI - Smokers' attitudes and behaviors related to consumer demand for cessation counseling in the medical care setting. SO - Nicotine & Tobacco Research. 9(5):571-80, 2007 May. AS - Nicotine Tob Res. 9(5):571-80, 2007 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weber D AU - Wolff LS AU - Orleans T AU - Mockenhaupt RE AU - Massett HA AU - Vose KK FA - Weber, Deanne FA - Wolff, Lisa S FA - Orleans, Tracy FA - Mockenhaupt, Robin E FA - Massett, Holly A FA - Vose, Kathryn Kahler IN - Weber, Deanne. Porter Novelli, Washington, DC 20006, USA. deanne.weber@porternovelli.com NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 9 IP - 5 PG - 571-80 PI - Journal available in: Print PI - Citation processed from: Print JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Adult MH - *Counseling/mt [Methods] MH - Counseling/sn [Statistics & Numerical Data] MH - Female MH - *Health Services Needs and Demand/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - *Patient Education as Topic/og [Organization & Administration] MH - Patient Education as Topic/sn [Statistics & Numerical Data] MH - *Primary Health Care/og [Organization & Administration] MH - Primary Health Care/sn [Statistics & Numerical Data] MH - Regression Analysis MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - This study describes a new segmentation strategy exploring smokers' interest levels in counseling in the medical care setting in order to understand how public health communications can be designed to increase consumer demand for cessation services within this population. A subsample of 431 smokers from a large, nationally representative mail survey was analyzed and categorized into three cessation-demand groups: Low demand (LD), medium demand (MD), and high demand (HD). HD smokers were most likely to be heavy smokers, to make quitting a high priority, and to have self-efficacy in quitting. MD and LD smokers were less likely than HD smokers to have been told to quit smoking by a health care provider in the past or to believe that counseling is effective. The first step in the regression analysis revealed that age, cigarettes smoked per month, whether smokers were currently trying to quit, and whether they were ever told to quit smoking by their health care provider accounted for 21% of the variance in smokers' interest in smoking cessation counseling, F(4, 234) = 16.49, p<.001. When additional variables on attitudes toward smoking and quitting and perceived effectiveness of receiving counseling in the medical care setting were added to the model, an additional 11% of the variance in smokers' interest in cessation counseling was explained, F(12, 234) = 10.07, p<.001. Results suggest that by categorizing smokers by interest level in cessation counseling, we emerge with three distinct portraits of smokers who might be activated in different ways to increase consumer demand for cessation counseling. IS - 1462-2203 IL - 1462-2203 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 777551707 [pii] ID - 10.1080/14622200701189024 [doi] PP - ppublish LG - English DP - 2007 May EZ - 2007/04/25 09:00 DA - 2007/07/27 09:00 DT - 2007/04/25 09:00 YR - 2007 ED - 20070726 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17454713 <774. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17525783 TI - Opioid analgesia: perspectives on right use and utility. [Review] [103 refs] SO - Pain Physician. 10(3):479-91, 2007 May. AS - Pain physician. 10(3):479-91, 2007 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ballantyne JC FA - Ballantyne, Jane C IN - Ballantyne, Jane C. Massachusetts General Hospital Pain Center, Boston, MA 02114, USA. jballantyne@partners.org NJ - Pain physician VO - 10 IP - 3 PG - 479-91 PI - Journal available in: Print PI - Citation processed from: Print JC - 100954394 IO - Pain Physician SB - Index Medicus CP - United States MH - *Analgesia/ae [Adverse Effects] MH - Analgesia/es [Ethics] MH - *Analgesia/st [Standards] MH - Analgesics, Opioid/ad [Administration & Dosage] MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/st [Standards] MH - Drug Administration Schedule MH - Drug Tolerance MH - Humans MH - *Opioid-Related Disorders/pp [Physiopathology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain, Intractable/dt [Drug Therapy] MH - Patient Selection/es [Ethics] MH - Risk Assessment MH - Risk Factors MH - Treatment Failure AB - 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. [References: 103] RN - 0 (Analgesics, Opioid) IS - 1533-3159 IL - 1533-3159 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2007 May EZ - 2007/05/26 09:00 DA - 2007/07/25 09:00 DT - 2007/05/26 09:00 YR - 2007 ED - 20070724 RD - 20070525 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17525783 <775. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17577533 TI - Interest in genetic counseling and testing for adolescent nicotine addiction susceptibility among a sample of adolescent medicine providers attending a scientific conference on adolescent health. SO - Journal of Adolescent Health. 41(1):42-50, 2007 Jul. AS - J Adolesc Health. 41(1):42-50, 2007 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tercyak KP AU - Peshkin BN AU - Abraham A AU - Wine L AU - Walker LR FA - Tercyak, Kenneth P FA - Peshkin, Beth N FA - Abraham, Anisha FA - Wine, Lauren FA - Walker, Leslie R IN - Tercyak, Kenneth P. Lombardi Comprehensive Cancer Center, Georgetown University Medical Center, Washington, DC 20007, USA. tercyakk@georgetown.edu NJ - The Journal of adolescent health : official publication of the Society for Adolescent Medicine VO - 41 IP - 1 PG - 42-50 PI - Journal available in: Print PI - Citation processed from: Internet JC - a0j, 9102136 IO - J Adolesc Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2171031 OI - Source: NLM. NIHMS26037 SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Medicine/mt [Methods] MH - *Attitude of Health Personnel MH - Education, Medical, Continuing MH - *Genetic Counseling MH - Genetic Predisposition to Disease MH - *Genetic Testing MH - Humans MH - *Physicians/px [Psychology] MH - *Tobacco Use Disorder/ge [Genetics] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - PURPOSE: Preventing adolescents from smoking and becoming addicted to nicotine is an important public health issue. New research on the genetics of susceptibility to nicotine addition is emerging and may eventually help to identify adolescents at high risk. Over time, genetic counseling and testing for nicotine addiction susceptibility may become incorporated into tobacco control practice, and providers in primary care settings are likely to be at the forefront of these services. As such, it is important to understand the attitudes and practices of adolescent medicine providers toward tobacco control and genetic testing to anticipate better the needs and interests of these individuals and prepare for the future. This study describes adolescent medicine providers' interest, and correlates of their interest, in genetic counseling and testing for nicotine addiction susceptibility among their adolescent patients--a test that is not yet clinically available. AB - METHODS: Adolescent medicine providers attending a national scientific conference (N = 232) completed a survey about their patient tobacco control and other screening behaviors, perceptions of their patients' attitudes and beliefs toward tobacco control, and their own attitudes and beliefs about smoking and genetics. AB - RESULTS: Providers who engaged in more regular tobacco screening behaviors with their adolescent patients (odds ratio [OR] = 4.07, 95% confidence interval [CI] = 2.20, 7.751, p = .00) and those who were more optimistic that biobehavioral research would lead to significant improvements in adolescent smoking prevention and treatment (OR = 2.47, 95% CI = 1.40, 4.37, p = .00), were more interested in counseling and testing. AB - CONCLUSIONS: In the future, adolescent wellness visits may present an opportunity to offer genetic counseling and testing for nicotine addiction susceptibility. Implementation at the provider level may depend on tobacco screening behavior and research optimism. Educating providers about safe and effective adolescent tobacco control strategies incorporating genetics will be essential. ES - 1879-1972 IL - 1054-139X PT - Journal Article PT - Research Support, N.I.H., Extramural ID - PMC2171031 [pmc] ID - NIHMS26037 [mid] ID - S1054-139X(07)00134-6 [pii] PP - ppublish PH - 2006/09/19 [received] PH - 2007/02/21 [revised] PH - 2007/02/28 [accepted] GI - No: K07 CA091831 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: K07 CA091831-01A1 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: K07CA91831 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2007 Jul EZ - 2007/06/20 09:00 DA - 2007/07/20 09:00 DT - 2007/06/20 09:00 YR - 2007 ED - 20070719 RD - 20171107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17577533 <776. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17156115 TI - Chronic pain and ultrarapid opioid detoxification.[Expression of Concern in Pain Pract. 2005 Jun;5(2):135; PMID: 17177760] SO - Pain Practice. 5(1):33-42, 2005 03. AS - Pain pract.. 5(1):33-42, 2005 03. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Kaye AD AU - Banister RE AU - Hoover JM AU - Baluch AR AU - Jacobs S AU - Shah RV FA - Kaye, Alan D FA - Banister, Ron E FA - Hoover, Jason M FA - Baluch, Amir R FA - Jacobs, Scott FA - Shah, Rinoo V IN - Kaye, Alan D. Department of Anesthesiology, Rapid Detoxification Center, Louisiana State University School of Medicine, New Orleans, LA 70112, USA. NJ - Pain practice : the official journal of World Institute of Pain VO - 5 IP - 1 PG - 33-42 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101130835 IO - Pain Pract CP - United States AB - 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. ES - 1533-2500 IL - 1530-7085 PT - Journal Article ID - PPR5105 [pii] ID - 10.1111/j.1533-2500.2005.05105.x [doi] PP - ppublish LG - English DP - 2005 03 EZ - 2006/12/13 09:00 DA - 2006/12/13 09:01 DT - 2006/12/13 09:00 YR - 2005 ED - 20070718 RD - 20170309 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=17156115 <777. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17330999 TI - A first-year community-based service learning elective: design, implementation, and reflection. SO - Teaching & Learning in Medicine. 19(1):47-54, 2007. AS - Teach Learn Med. 19(1):47-54, 2007. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Averill NJ AU - Sallee JM AU - Robinson JT AU - McFarlin JM AU - Montgomery AA AU - Burkhardt GA AU - Schulz-Burton MD AU - Elam CL FA - Averill, Nathan J FA - Sallee, John M FA - Robinson, Jennifer T FA - McFarlin, Jessica M FA - Montgomery, Ashley A FA - Burkhardt, Gretchen A FA - Schulz-Burton, Morgan D FA - Elam, Carol L IN - Averill, Nathan J. University of Kentucky College of Medicine, Lexington, Kentucky 40536-0298, USA. njaver2@uky.edu NJ - Teaching and learning in medicine VO - 19 IP - 1 PG - 47-54 PI - Journal available in: Print PI - Citation processed from: Print JC - dx5, 8910884 IO - Teach Learn Med SB - Index Medicus CP - United States MH - *Community Health Planning MH - *Community-Institutional Relations MH - *Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Education, Medical, Undergraduate/og [Organization & Administration] MH - Humans MH - Kentucky MH - Problem-Based Learning MH - *Program Development MH - Program Evaluation MH - *Schools, Medical AB - BACKGROUND: Medical schools have increasingly begun to incorporate service learning practices into their curricula. AB - 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. AB - EVALUATION: We present personal reflections from the students, impressions of the participants, and qualitative data on the short-term effects of this intervention. AB - 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. IS - 1040-1334 IL - 1040-1334 PT - Journal Article ID - 10.1080/10401330709336623 [doi] PP - ppublish LG - English DP - 2007 EZ - 2007/03/03 09:00 DA - 2007/06/30 09:00 DT - 2007/03/03 09:00 YR - 2007 ED - 20070629 RD - 20070302 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17330999 <778. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17038182 TI - An educational campaign to increase chiropractic intern advising roles on patient smoking cessation. SO - Chiropractic & Osteopathy [Electronic Resource]. 14:24, 2006 Oct 12. AS - Chiropr Osteopat. 14:24, 2006 Oct 12. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Evans MW Jr AU - Hawk C AU - Strasser SM FA - Evans, Marion W Jr FA - Hawk, Cheryl FA - Strasser, Sheryl M IN - Evans, Marion W Jr. Parker College of Chiropractic Research Institute, 2500 Walnut Hill Lane, Dallas, Texas 75229, USA. wevans@parkercc.edu NJ - Chiropractic & osteopathy VO - 14 PG - 24 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101245797 IO - Chiropr Osteopat PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1618846 CP - England AB - 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. AB - OBJECTIVE: To test a campaign regarding initial impact aimed at increasing chiropractic interns advising on cessation and delivery of information to smokers on cessation. AB - 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. AB - 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. ES - 1746-1340 IL - 1746-1340 PT - Journal Article ID - 1746-1340-14-24 [pii] ID - 10.1186/1746-1340-14-24 [doi] ID - PMC1618846 [pmc] PP - epublish PH - 2006/08/14 [received] PH - 2006/10/12 [accepted] LG - English EP - 20061012 DP - 2006 Oct 12 EZ - 2006/10/14 09:00 DA - 2006/10/14 09:01 DT - 2006/10/14 09:00 YR - 2006 ED - 20070620 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=17038182 <779. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17364838 TI - Dual diagnosis in Spain. SO - Drug & Alcohol Review. 26(1):65-71, 2007 Jan. AS - Drug Alcohol Rev. 26(1):65-71, 2007 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gual A FA - Gual, Antoni IN - Gual, Antoni. Alcohol Unit, Neurosciences Institute, Hospital Clinic, Idibaps, Barcelona, Spain. tgual@clinic.ub.es NJ - Drug and alcohol review VO - 26 IP - 1 PG - 65-71 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Anxiety Disorders/di [Diagnosis] MH - Anxiety Disorders/ep [Epidemiology] MH - Anxiety Disorders/rh [Rehabilitation] MH - Comorbidity MH - Cross-Sectional Studies MH - Depressive Disorder/di [Diagnosis] MH - Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/rh [Rehabilitation] MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Humans MH - Male MH - *Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/rh [Rehabilitation] MH - Middle Aged MH - Prognosis MH - Recurrence MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - Risk Factors MH - Socioeconomic Factors MH - Spain MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - 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. IS - 0959-5236 IL - 0959-5236 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 769842261 [pii] ID - 10.1080/09595230601037000 [doi] PP - ppublish LG - English DP - 2007 Jan EZ - 2007/03/17 09:00 DA - 2007/05/31 09:00 DT - 2007/03/17 09:00 YR - 2007 ED - 20070530 RD - 20070316 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17364838 <780. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17429912 TI - Lack of recognition and complexity of foetal alcohol neuroimpairments. SO - Acta Paediatrica. 96(2):237-41, 2007 Feb. AS - Acta Paediatr. 96(2):237-41, 2007 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Elgen I AU - Bruaroy S AU - Laegreid LM FA - Elgen, I FA - Bruaroy, S FA - Laegreid, L M IN - Elgen, I. Department of Paediatrics, University of Bergen, Norway. irene.elgen@helse-bergen.no NJ - Acta paediatrica (Oslo, Norway : 1992) VO - 96 IP - 2 PG - 237-41 PI - Journal available in: Print PI - Citation processed from: Print JC - bgc, 9205968 IO - Acta Paediatr. SB - Index Medicus CP - Norway MH - Alcohol-Induced Disorders, Nervous System/co [Complications] MH - Alcohol-Induced Disorders, Nervous System/di [Diagnosis] MH - *Alcohol-Induced Disorders, Nervous System/ep [Epidemiology] MH - Child MH - Child, Preschool MH - Clinical Competence MH - *Education, Medical MH - Female MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - *Fetal Alcohol Spectrum Disorders/ep [Epidemiology] MH - *Health Personnel/ed [Education] MH - Humans MH - Infant MH - Infant, Newborn MH - Male MH - Norway/ep [Epidemiology] MH - Pregnancy MH - Prevalence MH - *Social Work/ed [Education] AB - AIMS: To obtain the recorded prevalence of foetal alcohol syndrome (FAS) and foetal alcohol spectrum disorders (FASD) in Norway, and evaluate the effect of a general information program to increase the recognition of FAS/FASD for health care and social workers. AB - METHODS: A questionnaire regarding prevalence of FAS/FASD was sent to all Norwegian paediatric and child psychiatry departments. In the region Hordaland county, an information program was carried out to educate health-care and social workers on symptoms and signs of FAS/FASD, and referral was encouraged for suspected cases. Referred children received a neuropaediatric evaluation, and the effect of the information program on recorded FAS/FASD was recorded. AB - RESULTS: Based on the national survey, a prevalence of 0.3 per 1000 was calculated. After the information program, the estimated prevalence in Hordaland County increased to 1.5 per 1000. In 5 years, 25 children were diagnosed with FAS and 22 with FASD. One-third of all children were mentally retarded. Microcephaly and neuroimpairments were more common among FAS children. Almost all children met the criteria of ADHD. AB - CONCLUSION: The rate of FAS/FASD may be greatly underestimated because of lack of knowledge. An information program aimed at health-care and social workers is effective. IS - 0803-5253 IL - 0803-5253 PT - Journal Article PP - ppublish LG - English DP - 2007 Feb EZ - 2007/04/13 09:00 DA - 2007/05/16 09:00 DT - 2007/04/13 09:00 YR - 2007 ED - 20070515 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17429912 <781. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17364855 TI - The influence of structured education and clinical experience on the attitudes of medical students towards substance misusers. SO - Drug & Alcohol Review. 26(2):191-200, 2007 Mar. AS - Drug Alcohol Rev. 26(2):191-200, 2007 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Silins E AU - Conigrave KM AU - Rakvin C AU - Dobbins T AU - Curry K FA - Silins, Edmund FA - Conigrave, Katherine M FA - Rakvin, Christine FA - Dobbins, Timothy FA - Curry, Kenneth IN - Silins, Edmund. School of Public Health, University of Sydney, Sydney, Australia. e.silins@unsw.edu.au NJ - Drug and alcohol review VO - 26 IP - 2 PG - 191-200 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Adult MH - *Attitude of Health Personnel MH - *Clinical Competence MH - Female MH - Humans MH - Male MH - Motivation MH - *Patient Education as Topic/og [Organization & Administration] MH - *Professional-Patient Relations MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - 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. IS - 0959-5236 IL - 0959-5236 PT - Journal Article ID - 771041665 [pii] ID - 10.1080/09595230601184661 [doi] PP - ppublish LG - English DP - 2007 Mar EZ - 2007/03/17 09:00 DA - 2007/05/10 09:00 DT - 2007/03/17 09:00 YR - 2007 ED - 20070509 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17364855 <782. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17456812 TI - Centers to weave addiction treatment into medical education. SO - JAMA. 297(16):1763, 2007 Apr 25. AS - JAMA. 297(16):1763, 2007 Apr 25. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kuehn BM FA - Kuehn, Bridget M NJ - JAMA VO - 297 IP - 16 PG - 1763 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Education, Medical/td [Trends] MH - Humans MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States ES - 1538-3598 IL - 0098-7484 PT - News ID - 297/16/1763 [pii] ID - 10.1001/jama.297.16.1763 [doi] PP - ppublish LG - English DP - 2007 Apr 25 EZ - 2007/04/26 09:00 DA - 2007/05/01 09:00 DT - 2007/04/26 09:00 YR - 2007 ED - 20070430 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17456812 <783. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17109311 TI - Overcoming policy and financing barriers to integrated buprenorphine and HIV primary care. [Review] [27 refs] SO - Clinical Infectious Diseases. 43 Suppl 4:S247-53, 2006 Dec 15. AS - Clin Infect Dis. 43 Suppl 4:S247-53, 2006 Dec 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schackman BR AU - Merrill JO AU - McCarty D AU - Levi J AU - Lubinski C FA - Schackman, Bruce R FA - Merrill, Joseph O FA - McCarty, Dennis FA - Levi, Jeffrey FA - Lubinski, Christine IN - Schackman, Bruce R. Department of Public Health, Weill Medical College of Cornell University, New York, NY 10021, USA. brs2006@med.cornell.edu NJ - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America VO - 43 Suppl 4 PG - S247-53 PI - Journal available in: Print PI - Citation processed from: Internet JC - a4j, 9203213 IO - Clin. Infect. Dis. SB - Index Medicus CP - United States MH - Antiretroviral Therapy, Highly Active/ec [Economics] MH - Buprenorphine/ec [Economics] MH - *Buprenorphine/tu [Therapeutic Use] MH - *Delivery of Health Care, Integrated/ec [Economics] MH - Delivery of Health Care, Integrated/mt [Methods] MH - Female MH - Financing, Government MH - HIV Infections/di [Diagnosis] MH - *HIV Infections/dt [Drug Therapy] MH - HIV Infections/ec [Economics] MH - Health Care Costs MH - Health Policy MH - *Health Resources MH - Humans MH - Insurance, Health, Reimbursement/ec [Economics] MH - Male MH - Narcotic Antagonists/ec [Economics] MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - Opioid-Related Disorders/di [Diagnosis] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Opioid-Related Disorders/ec [Economics] MH - Primary Health Care/ec [Economics] MH - Quality of Health Care MH - United States AB - 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. [References: 27] RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) ES - 1537-6591 IL - 1058-4838 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review ID - CID40082 [pii] ID - 10.1086/508190 [doi] PP - ppublish GI - No: 1H97HA03795 Organization: *PHS HHS* Country: United States GI - No: K01 DA17179 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA016341 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10 DA13036 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2006 Dec 15 EZ - 2006/11/17 09:00 DA - 2007/04/17 09:00 DT - 2006/11/17 09:00 YR - 2006 ED - 20070413 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17109311 <784. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16595349 TI - Dual diagnosis--policy and practice in Italy. SO - American Journal on Addictions. 15(2):125-30, 2006 Mar-Apr. AS - Am J Addict. 15(2):125-30, 2006 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carra G AU - Clerici M FA - Carra, Giuseppe FA - Clerici, Massimo IN - Carra, Giuseppe. Department of Mental Health Sciences, Royal Free and University College Medical School, London, UK. gcarra@ucl.ac.uk NJ - The American journal on addictions VO - 15 IP - 2 PG - 125-30 PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Comorbidity MH - *Cross-Cultural Comparison MH - Curriculum MH - Diagnosis, Dual (Psychiatry) MH - Education, Medical, Graduate MH - Female MH - *Health Policy MH - Health Services Needs and Demand MH - Humans MH - Italy MH - Male MH - *Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/rh [Rehabilitation] MH - *Opioid-Related Disorders/di [Diagnosis] MH - Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/rh [Rehabilitation] MH - Psychiatry/ed [Education] MH - Specialization MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - In Italy, dual diagnosis issues are affected by distinctive historical pathways. Since the end of the 1970s, the addiction field has been starved of psychiatric contribution, with the emphasis being on a pedagogical model of substance-related disorders and a bio-psycho-social model for mental health. As such, dual diagnosis treatment, service models, and research have only been developed in the last fifteen years. Substantial training needs with regard to dual diagnosis are identified in addiction and mental health professionals, and new graduate and undergraduate programs are required. Further research is needed as well as an evidence-based health policy from national and regional government. IS - 1055-0496 IL - 1055-0496 PT - Comparative Study PT - Journal Article ID - N00474J857204514 [pii] ID - 10.1080/10550490500528340 [doi] PP - ppublish LG - English DP - 2006 Mar-Apr EZ - 2006/04/06 09:00 DA - 2007/04/04 09:00 DT - 2006/04/06 09:00 YR - 2006 ED - 20070403 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16595349 <785. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17329196 TI - William Stewart Halsted: his life and contributions to surgery. SO - Lancet Oncology. 8(3):256-65, 2007 Mar. AS - Lancet Oncol. 8(3):256-65, 2007 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Osborne MP FA - Osborne, Michael P IN - Osborne, Michael P. Breast Service, New York Presbyterian Hospital, New York, NY 10021, USA. mpo2002@med.cornell.edu NJ - The Lancet. Oncology VO - 8 IP - 3 PG - 256-65 PI - Journal available in: Print PI - Citation processed from: Print JC - 100957246 IO - Lancet Oncol. SB - Index Medicus CP - England MH - *General Surgery/hi [History] MH - History, 19th Century MH - History, 20th Century MH - New York PN - Halsted WS AB - 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. IS - 1470-2045 IL - 1470-2045 PT - Biography PT - Historical Article PT - Journal Article PT - Portraits PT - Research Support, Non-U.S. Gov't ID - S1470-2045(07)70076-1 [pii] ID - 10.1016/S1470-2045(07)70076-1 [doi] PP - ppublish LG - English DP - 2007 Mar EZ - 2007/03/03 09:00 DA - 2007/03/30 09:00 DT - 2007/03/03 09:00 YR - 2007 ED - 20070329 RD - 20140818 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17329196 <786. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17132030 TI - Modelling the costs and outcomes of changing rates of screening for alcohol misuse by GPs in the Australian context. SO - Applied Health Economics & Health Policy. 5(3):155-66, 2006. AS - Appl Health Econ Health Policy. 5(3):155-66, 2006. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shanahan M AU - Shakeshaft A AU - Mattick RP FA - Shanahan, Marian FA - Shakeshaft, Anthony FA - Mattick, Richard P IN - Shanahan, Marian. National Drug and Alcohol Research Centre, University of New South Wales, Sydney, New South Wales, Australia. M.Shanahan@med.unsw.edu.au NJ - Applied health economics and health policy VO - 5 IP - 3 PG - 155-66 PI - Journal available in: Print PI - Citation processed from: Print JC - 101150314 IO - Appl Health Econ Health Policy SB - Index Medicus CP - New Zealand MH - Adult MH - Aged MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - Australia/ep [Epidemiology] MH - Cost-Benefit Analysis/sn [Statistics & Numerical Data] MH - Counseling/ec [Economics] MH - Education, Medical, Continuing/ec [Economics] MH - Education, Medical, Continuing/mt [Methods] MH - Family Practice/ed [Education] MH - *Family Practice/st [Standards] MH - Female MH - Humans MH - Male MH - *Mass Screening/ec [Economics] MH - *Mass Screening/ut [Utilization] MH - Medical Audit/ec [Economics] MH - Middle Aged MH - Models, Statistical MH - Outcome Assessment (Health Care) MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Program Evaluation MH - Reminder Systems/ec [Economics] MH - Risk-Taking AB - AIM: To assess the relative cost effectiveness of four strategies (academic detailing, computerised reminder systems, target payments and interactive continuing medical education) to increase the provision of screening and brief interventions by Australian GPs with the ultimate goal of decreasing risky alcohol consumption among their patients. AB - METHODS: This project used a modelling approach to combine information on the effectiveness and costs of four separate strategies to change GP behaviours to estimate their relative cost effectiveness. AB - RESULTS: The computerised reminder system and academic detailing appear most effective in achieving a decrease in the number of standard drinks consumed by risky drinkers. AB - CONCLUSION: Regardless of the assumptions made, the targeted payment strategy appeared to be the least cost-effective method to achieve a decrease in risky alcohol consumption while the other three strategies appear reasonably comparable. IS - 1175-5652 IL - 1175-5652 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 532 [pii] PP - ppublish LG - English DP - 2006 EZ - 2006/11/30 09:00 DA - 2007/03/23 09:00 DT - 2006/11/30 09:00 YR - 2006 ED - 20070322 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17132030 <787. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17054614 TI - Medical school selection: Screening for dysfunctional tendencies. SO - Medical Education. 40(11):1058-64, 2006 Nov. AS - Med Educ. 40(11):1058-64, 2006 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knights JA AU - Kennedy BJ FA - Knights, Janice A FA - Kennedy, Barbara J IN - Knights, Janice A. School of Psychology, James Cook University, Queensland, Australia. Janice.Knights@jcu.edu.au NJ - Medical education VO - 40 IP - 11 PG - 1058-64 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Adolescent MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - *Interpersonal Relations MH - Male MH - *Personality Assessment/st [Standards] MH - Queensland MH - *School Admission Criteria MH - *Schools, Medical MH - *Students, Medical/px [Psychology] AB - 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. AB - 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. AB - RESULTS: The HDS identified negative personality characteristics in medical students that were not detected in the selection interview. AB - 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. IS - 0308-0110 IL - 0308-0110 PT - Journal Article ID - MED2609 [pii] ID - 10.1111/j.1365-2929.2006.02609.x [doi] PP - ppublish LG - English DP - 2006 Nov EZ - 2006/10/24 09:00 DA - 2007/03/23 09:00 DT - 2006/10/24 09:00 YR - 2006 ED - 20070322 RD - 20061023 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17054614 <788. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17242046 TI - Addressing nicotine dependence in psychodynamic psychotherapy: perspectives from residency training. SO - Academic Psychiatry. 31(1):8-14, 2007 Jan-Feb. AS - Acad Psychiatry. 31(1):8-14, 2007 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prochaska JJ AU - Fromont SC AU - Banys P AU - Eisendrath SJ AU - Horowitz MJ AU - Jacobs MH AU - Hall SM FA - Prochaska, Judith J FA - Fromont, Sebastien C FA - Banys, Peter FA - Eisendrath, Stuart J FA - Horowitz, Mardi J FA - Jacobs, Marc H FA - Hall, Sharon M IN - Prochaska, Judith J. Department of Psychiatry, University of California, San Francisco, CA, USA. JProchaska@lppi.ucsf.edu NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 31 IP - 1 PG - 8-14 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Clinical Competence MH - Education, Medical, Graduate/mt [Methods] MH - Faculty, Medical MH - Female MH - Focus Groups MH - Humans MH - *Internship and Residency/mt [Methods] MH - Interviews as Topic MH - Male MH - *Psychiatry/ed [Education] MH - Psychiatry/mt [Methods] MH - *Psychotherapy/mt [Methods] MH - Tobacco Use Disorder/px [Psychology] MH - *Tobacco Use Disorder/th [Therapy] MH - United States AB - 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. AB - 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. AB - 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. AB - 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. IS - 1042-9670 IL - 1042-9670 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 31/1/8 [pii] ID - 10.1176/appi.ap.31.1.8 [doi] ID - PMC5108452 [pmc] ID - NIHMS828315 [mid] PP - ppublish GI - No: P50 DA009253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K05 DA016752 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50 DA09253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA018691 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 MH060482 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2007 Jan-Feb EZ - 2007/01/24 09:00 DA - 2007/03/21 09:00 DT - 2007/01/24 09:00 YR - 2007 ED - 20070320 RD - 20170414 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17242046 <789. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17264693 TI - Academic health center management of chronic diseases through knowledge networks: Project ECHO. SO - Academic Medicine. 82(2):154-60, 2007 Feb. AS - Acad Med. 82(2):154-60, 2007 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arora S AU - Geppert CM AU - Kalishman S AU - Dion D AU - Pullara F AU - Bjeletich B AU - Simpson G AU - Alverson DC AU - Moore LB AU - Kuhl D AU - Scaletti JV FA - Arora, Sanjeev FA - Geppert, Cynthia M A FA - Kalishman, Summers FA - Dion, Denise FA - Pullara, Frank FA - Bjeletich, Barbara FA - Simpson, Gary FA - Alverson, Dale C FA - Moore, Lori B FA - Kuhl, Dave FA - Scaletti, Joseph V IN - Arora, Sanjeev. Department of Medicine, University of New Mexico School of Medicine, Albuquerque, New Mexico 87131-0001, USA. SArora@salud.unm.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 82 IP - 2 PG - 154-60 PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 IO - Acad Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3855463 OI - Source: NLM. NIHMS461626 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Academic Medical Centers MH - *Computer Communication Networks/og [Organization & Administration] MH - *Hepatitis C, Chronic/th [Therapy] MH - Humans MH - New Mexico MH - Program Development MH - *Remote Consultation/og [Organization & Administration] AB - 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. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1097/ACM.0b013e31802d8f68 [doi] ID - 00001888-200702000-00007 [pii] ID - PMC3855463 [pmc] ID - NIHMS461626 [mid] PP - ppublish GI - No: M01 RR000997 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: UC1 HS015135 Organization: (HS) *AHRQ HHS* Country: United States GI - No: 1 UC1 HS015135 Organization: (HS) *AHRQ HHS* Country: United States LG - English DP - 2007 Feb EZ - 2007/02/01 09:00 DA - 2007/03/17 09:00 DT - 2007/02/01 09:00 YR - 2007 ED - 20070316 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17264693 <790. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17288236 TI - [The history of antitobacco actions in the last 500 years. Part. II. Medical actions]. [Polish] OT - Historia dzialan antynikotynowych w okresie ostatnich 500 lat. Czesc ii. Dzialania o charakterze medycznym. SO - Przeglad Lekarski. 63(10):1131-4, 2006. AS - Przegl Lek. 63(10):1131-4, 2006. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grzybowski A FA - Grzybowski, Andrzej IN - Grzybowski, Andrzej. Zaklad Historii Nauk Medycznych, Akademia Medyczna w Poznaniu. andrzej_grzybowski@um.poznan.pl NJ - Przeglad lekarski VO - 63 IP - 10 PG - 1131-4 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Canada MH - Cuba MH - Europe MH - Female MH - History, 15th Century MH - History, 16th Century MH - History, 17th Century MH - History, 18th Century MH - History, 20th Century MH - History, 21st Century MH - Humans MH - Lung Neoplasms/ep [Epidemiology] MH - Lung Neoplasms/hi [History] MH - Lung Neoplasms/pc [Prevention & Control] MH - Male MH - Medical History Taking/mt [Methods] MH - Medical History Taking/sn [Statistics & Numerical Data] MH - Smoking/ep [Epidemiology] MH - *Smoking/hi [History] MH - *Smoking Cessation/hi [History] MH - Smoking Cessation/lj [Legislation & Jurisprudence] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Smoking Prevention MH - *Tobacco Smoke Pollution/hi [History] MH - Tobacco Smoke Pollution/lj [Legislation & Jurisprudence] MH - *Tobacco Smoke Pollution/pc [Prevention & Control] MH - Tobacco Use Disorder/hi [History] MH - Tobacco Use Disorder/mo [Mortality] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United Kingdom MH - United States AB - Tobacco was brought to Europe by Christopher Columbus, who discovered it in Cuba in October, 1492. Spread of tobacco consumption was initiated by the French diplomat Jean Nicot de Villemain, who in 1560 recommended it in the form of powdered tobacco leaves to the French Queen Catherine de Medice to combat her migraine headaches, and introduced the term Nicotiana tobaccum. Tobacco consumption greatly rose after the I World War, and after the II World War it became very common, especially among man. In the first half of the 20th century the sale of tobacco products rose by 61%, and cigarettes dominated the market of tobacco products. At the beginning of the 20th century cigarettes constituted only 2% of the total sale of tobacco products, while in the middle of the 20th century--more than 80%. Although the first epidemiological papers indicating that "smoking is connected with the shortening of life span" were published in the first half of the 20th century, not until 1950 did Hill and Doll in Great Britain, and Wynder and Graham in USA in 1951 show a statistically significant correlation between cigarettes smoking and lung cancer occurrence. Many controversies according the use of tobacco accompanied it from the beginning of its presence in Europe. The conflicting opinions according to its influence to health coexisted in the 16th to 19th centuries. In this period, especially in the 19th century dominated moral and religious arguments against tobacco. In the 20th century however, and particularly in its second part, development in medical research was enhanced by civil voluntary actions against advertisement and passive smoking. This lead to the significant limitation of tobacco expansion in Europe, USA and Canada in the end of the 20th century. RN - 0 (Tobacco Smoke Pollution) IS - 0033-2240 IL - 0033-2240 PT - Historical Article PT - Journal Article PP - ppublish LG - Polish DP - 2006 EZ - 2007/02/10 09:00 DA - 2007/03/16 09:00 DT - 2007/02/10 09:00 YR - 2006 ED - 20070315 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17288236 <791. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17288214 TI - [Problems in tobacco smoking in opinion of VI year of medical students]. [Polish] OT - Problematyka nikotynizmu w opinii studentow VI roku medycyny. SO - Przeglad Lekarski. 63(10):1052-3, 2006. AS - Przegl Lek. 63(10):1052-3, 2006. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anand JS AU - Chodorowski Z AU - Hajduk A AU - Ciechanowicz R AU - Waldman W AU - Wiergowski M FA - Anand, Jacek Sein FA - Chodorowski, Zygmunt FA - Hajduk, Adam FA - Ciechanowicz, Robert FA - Waldman, Wojciech FA - Wiergowski, Marek IN - Anand, Jacek Sein. I Klinika Chorob Wewnetrznych i Ostrych Zatruc Akademii Medycznej w Gdansku. jsanand@amedec.amg.gda.pl NJ - Przeglad lekarski VO - 63 IP - 10 PG - 1052-3 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - *Education, Medical, Undergraduate/sn [Statistics & Numerical Data] MH - Female MH - Health Education MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Smoking Prevention MH - Street Drugs MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - UNLABELLED: The aim of our study was the evaluation of tobacco smoking among students of VI year of Medical University of Gdansk. 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. AB - 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. RN - 0 (Street Drugs) IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2006 EZ - 2007/02/10 09:00 DA - 2007/03/16 09:00 DT - 2007/02/10 09:00 YR - 2006 ED - 20070315 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17288214 <792. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17288213 TI - [Students of nursing and nicotine dependence]. [Polish] OT - Studenci pielegniarstwa a nikotynizm. SO - Przeglad Lekarski. 63(10):1048-51, 2006. AS - Przegl Lek. 63(10):1048-51, 2006. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zysnarska M AU - Biskupska M AU - Polocka-Molinska M FA - Zysnarska, Monika FA - Biskupska, Maria FA - Polocka-Molinska, Maria IN - Zysnarska, Monika. Zaklad Zdrowia Publicznego, Katedra Medycyny Spolecznej, Akademii Medycznej w Poznaniu. zysmonika@interia.pl NJ - Przeglad lekarski VO - 63 IP - 10 PG - 1048-51 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - Attitude of Health Personnel MH - Behavior, Addictive/ep [Epidemiology] MH - Cross-Sectional Studies MH - Education, Medical MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - Pregnancy MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Smoking Prevention MH - Students, Nursing/px [Psychology] MH - *Students, Nursing/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] MH - Tobacco Use Disorder/px [Psychology] AB - Tobacco smoking is a significant part of life stile and the factor, which determinates state of health in a high rate. It is a very important social problem in Poland, because in spite of relative extensive knowledge about tobacco influence on bio-, psycho-, socio-well being, percentage of smokers is still high. These remarks should lead to creation "the fashion of no smoking" among future health care workers. According to organized activity cycle in the first stage this research we decided to diagnose the environment of the students and then to plane and implement health promotion and disease prevention activities, and finally evaluate them. The aim of the study was to analyze tobacco smoking among students of Nursing. The problems concerned level of dependence, readiness to stop smoking and knowledge about harmfulness of nicotine. IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2006 EZ - 2007/02/10 09:00 DA - 2007/03/16 09:00 DT - 2007/02/10 09:00 YR - 2006 ED - 20070315 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17288213 <793. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17288209 TI - [The phenomenon of spreading smoking cigarettes among the first year course students in the Medical Academy]. [Polish] OT - Rozpowszechnienie palenia papierosow wsrod studentow I roku Akademii Medycznej. SO - Przeglad Lekarski. 63(10):1031-7, 2006. AS - Przegl Lek. 63(10):1031-7, 2006. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bielawska A AU - Kmieciak M AU - Jedrasiak L AU - Walkowiak I AU - Baczyk G FA - Bielawska, Anna FA - Kmieciak, Monika FA - Jedrasiak, Lidia FA - Walkowiak, Iwona FA - Baczyk, Grazyna IN - Bielawska, Anna. Pracownia Praktyki Pielegniarskiej, Katedra Pielegniarstwa, Akademia Medyczna w Poznaniu. NJ - Przeglad lekarski VO - 63 IP - 10 PG - 1031-7 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adolescent MH - Adult MH - Age Distribution MH - Attitude of Health Personnel MH - Behavior, Addictive/ep [Epidemiology] MH - Comorbidity MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Poland/ep [Epidemiology] MH - Prevalence MH - Risk Factors MH - Sex Distribution MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - *Tobacco Smoke Pollution/an [Analysis] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] AB - 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. RN - 0 (Tobacco Smoke Pollution) IS - 0033-2240 IL - 0033-2240 PT - Journal Article PP - ppublish LG - Polish DP - 2006 EZ - 2007/02/10 09:00 DA - 2007/03/16 09:00 DT - 2007/02/10 09:00 YR - 2006 ED - 20070315 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17288209 <794. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17315546 TI - Opioid contract use is associated with physician training level and practice specialty. SO - Journal of Opioid Management. 1(4):195-200, 2005 Sep-Oct. AS - J Opioid Manag. 1(4):195-200, 2005 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Touchet BK AU - Yates WR AU - Coon KA FA - Touchet, Bryan Keith FA - Yates, William Robert FA - Coon, Kim Annette IN - Touchet, Bryan Keith. The University of Oklahoma College of Medicine-Tulsa, USA. NJ - Journal of opioid management VO - 1 IP - 4 PG - 195-200 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Contracts MH - Data Collection MH - *Education, Medical/sn [Statistics & Numerical Data] MH - Humans MH - *Medicine/sn [Statistics & Numerical Data] MH - *Pain/dt [Drug Therapy] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - *Specialization MH - Surveys and Questionnaires AB - 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. RN - 0 (Analgesics, Opioid) IS - 1551-7489 IL - 1551-7489 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2005 Sep-Oct EZ - 2007/02/24 09:00 DA - 2007/03/16 09:00 DT - 2007/02/24 09:00 YR - 2005 ED - 20070314 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17315546 <795. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17315414 TI - In pain or drug-seeking? Resident continuity clinic, chronic nonmalignant pain, and addiction. SO - Journal of Opioid Management. 1(3):123-4, 2005 Jul-Aug. AS - J Opioid Manag. 1(3):123-4, 2005 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weaver M FA - Weaver, Michael NJ - Journal of opioid management VO - 1 IP - 3 PG - 123-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 101234523 IO - J Opioid Manag SB - Index Medicus CP - United States MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - Education, Medical MH - Humans MH - *Opioid-Related Disorders/px [Psychology] MH - *Outpatient Clinics, Hospital/og [Organization & Administration] MH - *Pain/dt [Drug Therapy] MH - Research RN - 0 (Analgesics, Opioid) IS - 1551-7489 IL - 1551-7489 PT - Editorial PP - ppublish LG - English DP - 2005 Jul-Aug EZ - 2007/02/24 09:00 DA - 2007/03/16 09:00 DT - 2007/02/24 09:00 YR - 2005 ED - 20070314 RD - 20120713 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17315414 <796. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17240247 TI - Medical students' attitudes toward pregnant women with substance use disorders. SO - American Journal of Obstetrics & Gynecology. 196(1):86.e1-5, 2007 Jan. AS - Am J Obstet Gynecol. 196(1):86.e1-5, 2007 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ramirez-Cacho WA AU - Strickland L AU - Beraun C AU - Meng C AU - Rayburn WF FA - Ramirez-Cacho, William A FA - Strickland, Lisa FA - Beraun, Cristina FA - Meng, Chen FA - Rayburn, William F IN - Ramirez-Cacho, William A. Department of Obstetrics and Gynecology, School of Medicine, University of New Mexico, Albuquerque, NM 87131, USA. NJ - American journal of obstetrics and gynecology VO - 196 IP - 1 PG - 86.e1-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - 3ni, 0370476 IO - Am. J. Obstet. Gynecol. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Attitude MH - *Clinical Clerkship MH - Female MH - Humans MH - Male MH - Pregnancy MH - *Pregnancy Complications MH - Prospective Studies MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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). AB - 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. ES - 1097-6868 IL - 0002-9378 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0002-9378(06)01149-5 [pii] ID - 10.1016/j.ajog.2006.06.092 [doi] PP - ppublish PH - 2006/02/06 [received] PH - 2006/06/21 [revised] PH - 2006/06/21 [accepted] LG - English DP - 2007 Jan EZ - 2007/01/24 09:00 DA - 2007/03/09 09:00 DT - 2007/01/24 09:00 YR - 2007 ED - 20070308 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17240247 <797. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17279219 TI - Opioids for managing chronic non-malignant pain: safe and effective prescribing. [Review] [79 refs] SO - Canadian Family Physician. 52(9):1091-6, 2006 Sep. AS - Can Fam Physician. 52(9):1091-6, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahan M AU - Srivastava A AU - Wilson L AU - Mailis-Gagnon A AU - Midmer D FA - Kahan, Meldon FA - Srivastava, Anita FA - Wilson, Lynn FA - Mailis-Gagnon, Angela FA - Midmer, Deana IN - Kahan, Meldon. Addiction Medical Service, St Joseph's Health Centre, Toronto, Ontario, Canada. kahanm@stjoe.on.ca CM - Comment in: Can Fam Physician. 2006 Dec;52(12):1540; author reply 1540; PMID: 17279231 NJ - Canadian family physician Medecin de famille canadien VO - 52 IP - 9 PG - 1091-6 PI - Journal available in: Print PI - Citation processed from: Internet JC - blo, 0120300 IO - Can Fam Physician PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1783736 SB - Index Medicus CP - Canada MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Canada MH - Chronic Disease MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Drug Utilization MH - Education, Medical, Continuing MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Pain/dt [Drug Therapy] MH - Pain/et [Etiology] MH - *Pain/pa [Pathology] MH - Pain Measurement MH - Prevalence MH - Randomized Controlled Trials as Topic MH - Risk Assessment MH - Severity of Illness Index AB - OBJECTIVE: To review the evidence on safe and effective prescribing of opioids for chronic non-malignant pain. AB - QUALITY OF EVIDENCE: MEDLINE was searched using the terms "opioid effectiveness" and "adverse effects." There is strong evidence that opioids are effective for both nociceptive and neuropathic pain, but limited evidence that they are effective for pain disorder. There is little information on their effectiveness at high doses or on the adverse effects of high doses. AB - MAIN MESSAGE: Opioids should be initiated after an adequate trial of acetaminophen or nonsteroidal anti-inflammatory drugs for nociceptive pain and of tricyclic antidepressants or anticonvulsants for neuropathic pain. Patients should be asked to sign treatment agreements and to give informed consent to treatment. Patients should experience a graded analgesic response with each dose increase. Titrate doses of immediate-release opioids slowly upward until pain reduction is achieved, and then switch patients to controlled-release opioids. Most patients with chronic non-malignant pain can be managed with<300 mg/d of morphine (or equivalent). AB - CONCLUSION: Opioids are safe and effective for managing chronic pain. [References: 79] RN - 0 (Analgesics, Opioid) ES - 1715-5258 IL - 0008-350X PT - Journal Article PT - Review ID - PMC1783736 [pmc] PP - ppublish LG - English DP - 2006 Sep EZ - 2007/02/07 09:00 DA - 2007/02/24 09:00 DT - 2007/02/07 09:00 YR - 2006 ED - 20070223 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17279219 <798. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17279218 TI - Misuse of and dependence on opioids: study of chronic pain patients. [Review] [49 refs] SO - Canadian Family Physician. 52(9):1081-7, 2006 Sep. AS - Can Fam Physician. 52(9):1081-7, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahan M AU - Srivastava A AU - Wilson L AU - Gourlay D AU - Midmer D FA - Kahan, Meldon FA - Srivastava, Anita FA - Wilson, Lynn FA - Gourlay, Douglas FA - Midmer, Deana IN - Kahan, Meldon. Addiction Medical Service, St Joseph's Health Centre, Toronto, Ontario, Canada. kahanm@stjoe.on.ca NJ - Canadian family physician Medecin de famille canadien VO - 52 IP - 9 PG - 1081-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - blo, 0120300 IO - Can Fam Physician PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1783735 SB - Index Medicus CP - Canada MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Canada/ep [Epidemiology] MH - Chronic Disease MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Drug Monitoring MH - Drug Utilization MH - Drug and Narcotic Control MH - Education, Medical, Continuing MH - Family Practice/st [Standards] MH - Family Practice/td [Trends] MH - Female MH - Humans MH - Incidence MH - Male MH - *Opioid-Related Disorders/ep [Epidemiology] MH - Opioid-Related Disorders/et [Etiology] MH - Opioid-Related Disorders/pp [Physiopathology] MH - Pain/di [Diagnosis] MH - *Pain/dt [Drug Therapy] MH - Physician's Role MH - Risk Assessment MH - Severity of Illness Index MH - *Substance Abuse Detection/mt [Methods] AB - OBJECTIVE: To review the evidence on identifying and managing misuse of and dependence on opioids among primary care patients with chronic pain. AB - QUALITY OF EVIDENCE: MEDLINE was searched using such terms as "opioid misuse" and "addiction." The few studies on the prevalence of opioid dependence in primary care populations were based on retrospective chart reviews (level II evidence). Most recommendations regarding identification and management of opioid misuse in primary care are based on expert opinion (level III evidence). AB - MAIN MESSAGE: Physicians should ask all patients receiving opioid therapy about current, past, and family history of addiction. Physicians should take "universal precautions" that include careful prescribing and ongoing vigilance for signs of misuse. Patients suspected of opioid misuse can be treated with a time-limited trial of structured opioid therapy if they are not acquiring opioids from other sources. The trial should consist of daily to weekly dispensing, regular urine testing, and tapering of doses of opioids. If the trial fails or is not indicated, patients should be referred for methadone or buprenorphine treatment. AB - CONCLUSION: Misuse of and dependence on opioids can be identified and managed successfully in primary care. [References: 49] RN - 0 (Analgesics, Opioid) ES - 1715-5258 IL - 0008-350X PT - Journal Article PT - Review ID - PMC1783735 [pmc] PP - ppublish LG - English DP - 2006 Sep EZ - 2007/02/07 09:00 DA - 2007/02/24 09:00 DT - 2007/02/07 09:00 YR - 2006 ED - 20070223 RD - 20140907 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17279218 <799. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17198448 TI - Consequence of body packing of illicit drugs. SO - Archives of Iranian Medicine. 10(1):20-3, 2007 Jan. AS - Arch Iran Med. 10(1):20-3, 2007 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hassanian-Moghaddam H AU - Abolmasoumi Z FA - Hassanian-Moghaddam, Hossein FA - Abolmasoumi, Zahra IN - Hassanian-Moghaddam, Hossein. Department of Clinical Toxicology and Forensic Medicine, Shaheed Beheshti University of Medical Sciences, Tehran, Iran. hassanian@sbmu.ac.ir NJ - Archives of Iranian medicine VO - 10 IP - 1 PG - 20-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 100889644 IO - Arch Iran Med SB - Index Medicus CP - Iran MH - Adult MH - Cadaver MH - Chromatography, Thin Layer MH - *Digestive System MH - Drug Overdose/et [Etiology] MH - Drug Overdose/me [Metabolism] MH - *Drug Overdose/mo [Mortality] MH - Foreign Bodies/co [Complications] MH - Foreign Bodies/me [Metabolism] MH - *Foreign Bodies/mo [Mortality] MH - Humans MH - Iran/ep [Epidemiology] MH - Male MH - Middle Aged MH - Retrospective Studies MH - Street Drugs/bl [Blood] MH - *Street Drugs/po [Poisoning] MH - Street Drugs/ur [Urine] MH - Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - Substance Abuse Detection/mt [Methods] AB - 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. AB - 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. AB - 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%). AB - 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 after a recent arrival on city terminals or when there is no history of recreational drug use. RN - 0 (Street Drugs) IS - 1029-2977 IL - 1029-2977 PT - Journal Article ID - 006 [pii] ID - 07101/AIM.006 [doi] PP - ppublish LG - English DP - 2007 Jan EZ - 2007/01/03 09:00 DA - 2007/02/23 09:00 DT - 2007/01/03 09:00 YR - 2007 ED - 20070222 RD - 20130515 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17198448 <800. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17163499 TI - Effects of a distance learning program on physicians' opioid- and benzodiazepine-prescribing skills. SO - Journal of Continuing Education in the Health Professions. 26(4):294-301, 2006. AS - J Contin Educ Health Prof. 26(4):294-301, 2006. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Midmer D AU - Kahan M AU - Marlow B FA - Midmer, Deana FA - Kahan, Meldon FA - Marlow, Bernard IN - Midmer, Deana. Faculty of Medicine, Department of Family and Community Medicine, University of Toronto, Toronto, Ontario. deana.midmer@utoronto.ca NJ - The Journal of continuing education in the health professions VO - 26 IP - 4 PG - 294-301 PI - Journal available in: Print PI - Citation processed from: Print JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - Adult MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - *Benzodiazepines/tu [Therapeutic Use] MH - *Clinical Competence MH - *Drug Prescriptions MH - Education MH - *Education, Distance MH - Electronic Mail MH - Female MH - Humans MH - Male MH - Ontario MH - *Practice Patterns, Physicians' MH - Program Evaluation AB - 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. AB - 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. AB - 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). AB - 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. RN - 0 (Analgesics, Opioid) RN - 12794-10-4 (Benzodiazepines) IS - 0894-1912 IL - 0894-1912 PT - Journal Article ID - 10.1002/chp.82 [doi] PP - ppublish LG - English DP - 2006 EZ - 2006/12/14 09:00 DA - 2007/02/22 09:00 DT - 2006/12/14 09:00 YR - 2006 ED - 20070221 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17163499 <801. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16915151 TI - Medical education and treatment of addictive disorders. SO - Medgenmed [Computer File]: Medscape General Medicine. 8(1):21, 2006 Jan 23. AS - MedGenMed. 8(1):21, 2006 Jan 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Brien CP FA - O'Brien, Charles P NJ - MedGenMed : Medscape general medicine VO - 8 IP - 1 PG - 21 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100894134, dqc IO - MedGenMed PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1681930 SB - Index Medicus CP - United States MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders/dt [Drug Therapy] ES - 1531-0132 IL - 1531-0132 PT - Editorial ID - 521277 [pii] ID - PMC1681930 [pmc] PP - epublish LG - English EP - 20060123 DP - 2006 Jan 23 EZ - 2006/08/18 09:00 DA - 2007/02/20 09:00 DT - 2006/08/18 09:00 YR - 2006 ED - 20070219 RD - 20140909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16915151 <802. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17095443 TI - Interdisciplinary benefits in Project MAINSTREAM: a promising health professions educational model to address global substance abuse. SO - Journal of Interprofessional Care. 20(6):655-64, 2006 Dec. AS - J Interprof Care. 20(6):655-64, 2006 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Madden TE AU - Graham AV AU - Straussner SL AU - Saunders LA AU - Schoener E AU - Henry R AU - Marcus MT AU - Brown RL FA - Madden, Theresa E FA - Graham, Antonnette V FA - Straussner, S Lala A FA - Saunders, Laura A FA - Schoener, Eugene FA - Henry, Rebecca FA - Marcus, Marianne T FA - Brown, Richard L IN - Madden, Theresa E. School of Dentistry, Oregon Health & Science University, USA. theresa.madden@stonebow.otago.ac.nz NJ - Journal of interprofessional care VO - 20 IP - 6 PG - 655-64 PI - Journal available in: Print PI - Citation processed from: Print JC - 9205811 IO - J Interprof Care SB - Index Medicus CP - England MH - Adult MH - *Education, Professional/mt [Methods] MH - Faculty MH - Female MH - Humans MH - *Interprofessional Relations MH - Male MH - Middle Aged MH - *Models, Educational MH - *Substance-Related Disorders AB - 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. IS - 1356-1820 IL - 1356-1820 PT - Journal Article ID - P44WM7072T318U33 [pii] ID - 10.1080/13561820600893890 [doi] PP - ppublish LG - English DP - 2006 Dec EZ - 2006/11/11 09:00 DA - 2007/02/17 09:00 DT - 2006/11/11 09:00 YR - 2006 ED - 20070216 RD - 20061110 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17095443 <803. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17024916 TI - Putting a face on addiction. SO - Minnesota Medicine. 89(9):12-3, 2006 Sep. AS - Minn Med. 89(9):12-3, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kiser K FA - Kiser, Kim NJ - Minnesota medicine VO - 89 IP - 9 PG - 12-3 PI - Journal available in: Print PI - Citation processed from: Print JC - nby, 8000173 IO - Minn Med SB - Index Medicus CP - United States MH - *Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Family Practice/ed [Education] MH - Humans MH - Internship and Residency MH - Minnesota MH - *Patient Admission MH - *Physician-Patient Relations MH - Specialization MH - *Substance Abuse Treatment Centers MH - *Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0026-556X IL - 0026-556X PT - Journal Article PP - ppublish LG - English DP - 2006 Sep EZ - 2006/10/10 09:00 DA - 2007/02/06 09:00 DT - 2006/10/10 09:00 YR - 2006 ED - 20070205 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17024916 <804. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17090791 TI - Family physicians and youth tobacco-free education: outcomes of the Colorado Tar Wars program. SO - Journal of the American Board of Family Medicine: JABFM. 19(6):579-89, 2006 Nov-Dec. AS - J Am Board Fam Med. 19(6):579-89, 2006 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cain JJ AU - Dickinson WP AU - Fernald D AU - Bublitz C AU - Dickinson LM AU - West D FA - Cain, Jeffrey J FA - Dickinson, W Perry FA - Fernald, Douglas FA - Bublitz, Caroline FA - Dickinson, L Miriam FA - West, David IN - Cain, Jeffrey J. Department of Family Medicine, University of Colorado Health Sciences Center, Denver, CO. cain.jeffrey@tchden.org CM - Comment in: J Am Board Fam Med. 2008 Jan-Feb;21(1):80; author reply 81; PMID: 18178711 NJ - Journal of the American Board of Family Medicine : JABFM VO - 19 IP - 6 PG - 579-89 PI - Journal available in: Print PI - Citation processed from: Print JC - 101256526 IO - J Am Board Fam Med SB - Index Medicus CP - United States MH - Child MH - Colorado MH - Female MH - *Health Education MH - Humans MH - Male MH - *Physicians, Family MH - Program Evaluation MH - Schools MH - *Smoking/ae [Adverse Effects] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. IS - 1557-2625 IL - 1557-2625 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 19/6/579 [pii] PP - ppublish LG - English DP - 2006 Nov-Dec EZ - 2006/11/09 09:00 DA - 2007/01/20 09:00 DT - 2006/11/09 09:00 YR - 2006 ED - 20070119 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17090791 <805. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17068932 TI - Adolescent cough medicine abuse in Hong Kong: implications for the design of positive youth development programs in Hong Kong. SO - International Journal of Adolescent Medicine & Health. 18(3):493-503, 2006 Jul-Sep. AS - Int J Adolesc Med Health. 18(3):493-503, 2006 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shek DT AU - Lam CM FA - Shek, Daniel T L FA - Lam, Ching-man IN - Shek, Daniel T L. Social Welfare Practice and Research Centre, Department of Social Work, The Chinese University of Hong Kong, Shatin. DANIELSHEK@CUHK.EDU.HK NJ - International journal of adolescent medicine and health VO - 18 IP - 3 PG - 493-503 PI - Journal available in: Print PI - Citation processed from: Print JC - 8506960 IO - Int J Adolesc Med Health SB - Index Medicus CP - Germany MH - Adolescent MH - *Adolescent Development MH - *Concept Formation MH - *Cough/dt [Drug Therapy] MH - Culture MH - *Curriculum MH - Data Collection MH - Female MH - Focus Groups MH - Hong Kong MH - Humans MH - Male MH - Sex Factors MH - *Substance-Related Disorders AB - 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. IS - 0334-0139 IL - 0334-0139 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2006 Jul-Sep EZ - 2006/10/31 09:00 DA - 2007/01/20 09:00 DT - 2006/10/31 09:00 YR - 2006 ED - 20070119 RD - 20061030 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17068932 <806. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17009064 TI - [Cocaine abuse in Vienna and European cities--a multi-center study]. [German] OT - Kokainmissbrauch in Wien und in europaischen Metropolen--eine multizentrische Studie. SO - Wiener Klinische Wochenschrift. 118(17-18):521-30, 2006 Sep. AS - Wien Klin Wochenschr. 118(17-18):521-30, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bawert A AU - Primus N AU - Jagsch R AU - Eder H AU - Zanki M AU - Thau K AU - Fischer G FA - Bawert, Andjela FA - Primus, Nicole FA - Jagsch, Reinhold FA - Eder, Harald FA - Zanki, Margarete FA - Thau, Kenneth FA - Fischer, Gabriele IN - Bawert, Andjela. Universitatsklinik fur Psychiatrie, Medizinische Universitat Wien, Wien, Austria. andjela.baewert@meduniwien.ac.at NJ - Wiener klinische Wochenschrift VO - 118 IP - 17-18 PG - 521-30 PI - Journal available in: Print PI - Citation processed from: Print JC - xop, 21620870r IO - Wien. Klin. Wochenschr. SB - Index Medicus CP - Austria MH - Adolescent MH - Adult MH - Age Factors MH - Austria/ep [Epidemiology] MH - Cities/ep [Epidemiology] MH - Cocaine-Related Disorders/ec [Economics] MH - *Cocaine-Related Disorders/ep [Epidemiology] MH - Cocaine-Related Disorders/th [Therapy] MH - Cocaine-Related Disorders/ur [Urine] MH - *Crack Cocaine MH - Cross-Sectional Studies MH - Education MH - Europe/ep [Epidemiology] MH - Health Surveys MH - Humans MH - Interviews as Topic MH - Middle Aged MH - Socioeconomic Factors MH - Time Factors MH - Unemployment MH - World Health Organization AB - 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. AB - 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. AB - 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). AB - 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. RN - 0 (Crack Cocaine) IS - 0043-5325 IL - 0043-5325 PT - Comparative Study PT - English Abstract PT - Journal Article PT - Multicenter Study ID - 10.1007/s00508-006-0661-7 [doi] PP - ppublish PH - 2006/05/30 [received] PH - 2006/06/21 [accepted] LG - German DP - 2006 Sep EZ - 2006/09/30 09:00 DA - 2007/01/20 09:00 DT - 2006/09/30 09:00 YR - 2006 ED - 20070119 RD - 20171010 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17009064 <807. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17021144 TI - Training in tobacco treatments in psychiatry: a national survey of psychiatry residency training directors. SO - Academic Psychiatry. 30(5):372-8, 2006 Sep-Oct. AS - Acad Psychiatry. 30(5):372-8, 2006 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prochaska JJ AU - Fromont SC AU - Louie AK AU - Jacobs MH AU - Hall SM FA - Prochaska, Judith J FA - Fromont, Sebastien C FA - Louie, Alan K FA - Jacobs, Marc H FA - Hall, Sharon M IN - Prochaska, Judith J. Department of Psychiatry, University of California, San Francisco, CA 94143, USA. JProchaska@LPPI.UCSF.EDU NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 30 IP - 5 PG - 372-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - Adult MH - Curriculum/st [Standards] MH - *Data Collection MH - *Education/ma [Manpower] MH - *Education/st [Standards] MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Psychiatry/ed [Education] MH - Psychiatry/ma [Manpower] MH - Psychiatry/mt [Methods] MH - *Psychiatry MH - *Teaching/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] MH - United States AB - 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. AB - 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. AB - 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. AB - 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. IS - 1042-9670 IL - 1042-9670 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - 30/5/372 [pii] ID - 10.1176/appi.ap.30.5.372 [doi] ID - PMC5110431 [pmc] ID - NIHMS828316 [mid] PP - ppublish GI - No: P50 DA009253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23DA018691 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50DA09253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K05 DA016752 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K23 DA018691 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 MH060482 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2006 Sep-Oct EZ - 2006/10/06 09:00 DA - 2007/01/11 09:00 DT - 2006/10/06 09:00 YR - 2006 ED - 20070110 RD - 20170414 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17021144 <808. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16965560 TI - Training primary care clinicians in maintenance care for moderated alcohol use. SO - Journal of General Internal Medicine. 21(12):1269-75, 2006 Dec. AS - J Gen Intern Med. 21(12):1269-75, 2006 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friedmann PD AU - Rose J AU - Hayaki J AU - Ramsey S AU - Charuvastra A AU - Dube C AU - Herman D AU - Stein MD FA - Friedmann, Peter D FA - Rose, Jennifer FA - Hayaki, Jumi FA - Ramsey, Susan FA - Charuvastra, Anthony FA - Dube, Catherine FA - Herman, Debra FA - Stein, Michael D IN - Friedmann, Peter D. Program to Integrate Psychosocial and Health Services, Research Service, Providence Veterans Affairs Medical Center, Providence, RI, USA. pfriedmann@lifespan.org NJ - Journal of general internal medicine VO - 21 IP - 12 PG - 1269-75 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1924751 SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Cues MH - *Education, Medical, Continuing MH - Humans MH - Medical Records MH - *Physicians, Family/ed [Education] MH - Population Surveillance MH - Professional Practice MH - Risk Reduction Behavior MH - Secondary Prevention AB - OBJECTIVE: To evaluate whether training primary care clinicians in maintenance care for patients who have changed their drinking influences practice behavior. AB - 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. AB - 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. AB - 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. ES - 1525-1497 IL - 0884-8734 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. ID - JGI611 [pii] ID - 10.1111/j.1525-1497.2006.00611.x [doi] ID - PMC1924751 [pmc] PP - ppublish GI - No: R01 AA013243 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English EP - 20060911 DP - 2006 Dec EZ - 2006/09/13 09:00 DA - 2006/12/21 09:00 DT - 2006/09/13 09:00 YR - 2006 ED - 20061220 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16965560 <809. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17041770 TI - [Medical quality circles for drug replacement therapy]. [German] OT - Verbesserte Umsetzung der Substitutionstherapie bei Drogenabhangigen durch Qualitatszirkel fur Arzte. SO - Wiener Medizinische Wochenschrift. 156(15-16):448-50, 2006 Aug. AS - Wien Med Wochenschr. 156(15-16):448-50, 2006 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tonies H AU - Maier M AU - Bawert A FA - Tonies, Hans FA - Maier, Manfred FA - Bawert, Andjela IN - Tonies, Hans. Abteilung fur Allgemeinmedizin am Zentrum fur Public Health der Medizinischen Universitat Wien, Wien, Austria. hans.toenies@meduniwien.ac.at NJ - Wiener medizinische Wochenschrift (1946) VO - 156 IP - 15-16 PG - 448-50 PI - Journal available in: Print PI - Citation processed from: Print JC - xou, 8708475 IO - Wien Med Wochenschr SB - Index Medicus CP - Austria MH - Austria MH - Curriculum MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - Humans MH - *Management Quality Circles MH - *Narcotics/tu [Therapeutic Use] MH - Opioid-Related Disorders/di [Diagnosis] MH - Opioid-Related Disorders/px [Psychology] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Program Evaluation MH - Substance Abuse Treatment Centers AB - Drug replacement therapy using synthetic opioids is in Vienna mostly carried out by primary care physicians. Group teaching in quality assurance groups has been installed in order to give these doctors the necessary personal and informational assistance. Evaluation has shown that: 1. 90% of the doctors were highly or well satisfied with the teaching. Only 10% were slightly critical. 2. They could better communicate with, and were able to show more tolerance towards, the "difficult" patients. 3. Specialized knowledge increased (risk of infection, "management of hepatitis", contact with authorities, co-medication). 4. Some critical remarks pointed towards ways in which this particular further education could in future be better organized and dealt with more intensively. RN - 0 (Narcotics) IS - 0043-5341 IL - 0043-5341 PT - English Abstract PT - Journal Article ID - 10.1007/s10354-006-0326-1 [doi] PP - ppublish PH - 2006/04/04 [received] PH - 2006/05/08 [accepted] LG - German DP - 2006 Aug EZ - 2006/10/17 09:00 DA - 2006/12/16 09:00 DT - 2006/10/17 09:00 YR - 2006 ED - 20061215 RD - 20171018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17041770 <810. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16531000 TI - Provision of smoking cessation counseling by general practitioners assisted by training and screening procedure. SO - Patient Education & Counseling. 63(1-2):232-8, 2006 Oct. AS - Patient Educ Couns. 63(1-2):232-8, 2006 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ulbricht S AU - Meyer C AU - Schumann A AU - Rumpf HJ AU - Hapke U AU - John U FA - Ulbricht, Sabina FA - Meyer, Christian FA - Schumann, Anja FA - Rumpf, Hans-Jurgen FA - Hapke, Ulfert FA - John, Ulrich IN - Ulbricht, Sabina. Institute of Epidemiology and Social Medicine, University of Greifswald, Walther-Rathenau-Str. 48, 17487 Greifswald, Germany. ulbricht@uni-greifswald.de NJ - Patient education and counseling VO - 63 IP - 1-2 PG - 232-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pec, 8406280 IO - Patient Educ Couns SB - Nursing Journal CP - Ireland MH - Adolescent MH - Adult MH - Aged MH - Attitude of Health Personnel MH - Attitude to Health MH - Communication MH - Counseling/ed [Education] MH - Counseling/mt [Methods] MH - *Counseling MH - *Education, Medical, Continuing/og [Organization & Administration] MH - Feasibility Studies MH - Female MH - Germany MH - Humans MH - Logistic Models MH - Male MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - Motivation MH - Needs Assessment MH - Physician's Role/px [Psychology] MH - Physician-Patient Relations MH - Physicians, Family/ed [Education] MH - Physicians, Family/og [Organization & Administration] MH - Physicians, Family/px [Psychology] MH - *Physicians, Family MH - Practice Patterns, Physicians'/og [Organization & Administration] MH - Program Evaluation MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires MH - Time Factors AB - OBJECTIVE: To examine which counseling behavior among GPs can be achieved after counseling training when organizational support is provided. AB - 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. AB - 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. AB - CONCLUSIONS: Smoking counseling in the general practice is feasible. AB - PRACTICE IMPLICATION: Involving staff in the screening procedure may support counseling activity of the GP. IS - 0738-3991 IL - 0738-3991 PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0738-3991(05)00328-9 [pii] ID - 10.1016/j.pec.2005.11.005 [doi] PP - ppublish PH - 2005/05/23 [received] PH - 2005/11/04 [revised] PH - 2005/11/04 [accepted] LG - English EP - 20060313 DP - 2006 Oct EZ - 2006/03/15 09:00 DA - 2006/12/12 09:00 DT - 2006/03/15 09:00 YR - 2006 ED - 20061208 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16531000 <811. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17122254 TI - Chemical dependency treatment outcomes of residents. SO - Anesthesia & Analgesia. 103(6):1588; author reply 1588-9, 2006 Dec. AS - Anesth Analg. 103(6):1588; author reply 1588-9, 2006 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fry RA FA - Fry, R A CM - Comment on: Anesth Analg. 2005 Nov;101(5):1457-62; PMID: 16244010 NJ - Anesthesia and analgesia VO - 103 IP - 6 PG - 1588; author reply 1588-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Anesthesiology MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders/th [Therapy] MH - Treatment Outcome ES - 1526-7598 IL - 0003-2999 PT - Comment PT - Letter ID - 103/6/1588 [pii] ID - 10.1213/01.ane.0000246305.42601.40 [doi] PP - ppublish LG - English DP - 2006 Dec EZ - 2006/11/24 09:00 DA - 2006/12/09 09:00 DT - 2006/11/24 09:00 YR - 2006 ED - 20061207 RD - 20061123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17122254 <812. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16905034 TI - Smoking cessation treatment by primary care physicians: An update and call for training. SO - American Journal of Preventive Medicine. 31(3):233-9, 2006 Sep. AS - Am J Prev Med. 31(3):233-9, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schnoll RA AU - Rukstalis M AU - Wileyto EP AU - Shields AE FA - Schnoll, Robert A FA - Rukstalis, Margaret FA - Wileyto, E Paul FA - Shields, Alexandra E IN - Schnoll, Robert A. Transdisciplinary Tobacco Use Research Center, Department of Psychiatry, University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. schnoll@mail.med.upenn.edu CM - Comment in: Am J Prev Med. 2007 Apr;32(4):358-9; PMID: 17383570 NJ - American journal of preventive medicine VO - 31 IP - 3 PG - 233-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Physician's Role MH - *Physicians, Family MH - *Practice Patterns, Physicians' MH - *Smoking Cessation/mt [Methods] MH - United States AB - BACKGROUND: Public health and government organizations have invested considerably to increase physician adherence to smoking-cessation practice guidelines. AB - 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. AB - 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. AB - 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. IS - 0749-3797 IL - 0749-3797 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - S0749-3797(06)00174-7 [pii] ID - 10.1016/j.amepre.2006.05.001 [doi] PP - ppublish PH - 2006/01/13 [received] PH - 2006/03/31 [revised] PH - 2006/05/01 [accepted] GI - No: P50 84718 Organization: *PHS HHS* Country: United States LG - English EP - 20060724 DP - 2006 Sep EZ - 2006/08/15 09:00 DA - 2006/12/09 09:00 DT - 2006/08/15 09:00 YR - 2006 ED - 20061207 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16905034 <813. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16831798 TI - Impact of educational outreach visits on smoking cessation activities performed by specialist physicians: a randomized trial. SO - Education for Health. 19(2):155-65, 2006 Jul. AS - EDUC HEALTH. 19(2):155-65, 2006 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Etter JF FA - Etter, Jean-Francois IN - Etter, Jean-Francois. Institute of Social and Preventive Medicine, University of Geneva, CMU, Switzerland. jean-francois.etter@imsp.ch NJ - Education for health (Abingdon, England) VO - 19 IP - 2 PG - 155-65 PI - Journal available in: Print PI - Citation processed from: Print JC - 9607101 IO - Educ Health (Abingdon) SB - Index Medicus CP - India MH - *Attitude of Health Personnel MH - Clinical Competence MH - *Community Health Nursing MH - Counseling MH - *Education, Medical, Continuing MH - Humans MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Primary Prevention MH - Private Practice MH - Program Evaluation MH - *Smoking Cessation/mt [Methods] MH - *Specialization MH - Statistics, Nonparametric MH - Surveys and Questionnaires MH - Switzerland MH - *Therapy, Computer-Assisted/mt [Methods] MH - Treatment Outcome AB - 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. AB - 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. AB - 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. AB - 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. IS - 1357-6283 IL - 1357-6283 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - X5Q11177638223L2 [pii] ID - 10.1080/13576280600742386 [doi] PP - ppublish LG - English DP - 2006 Jul EZ - 2006/07/13 09:00 DA - 2006/12/09 09:00 DT - 2006/07/13 09:00 YR - 2006 ED - 20061207 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16831798 <814. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17019917 TI - Pediatric residency training on tobacco: review and critique of the literature. [Review] [73 refs] SO - Journal of the National Medical Association. 98(9):1489-97, 2006 Sep. AS - J Natl Med Assoc. 98(9):1489-97, 2006 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N FA - Hymowitz, Norman IN - Hymowitz, Norman. Department of Psychiatry, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, Nework, NJ 07103, USA. hymowitz@umdnj.edu NJ - Journal of the National Medical Association VO - 98 IP - 9 PG - 1489-97 PI - Journal available in: Print PI - Citation processed from: Print JC - j9z, 7503090 IO - J Natl Med Assoc PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2569728 SB - Index Medicus CP - United States MH - *Curriculum MH - Humans MH - *Internship and Residency MH - *Pediatrics/ed [Education] MH - *Smoking Prevention MH - *Tobacco Use Disorder AB - OBJECTIVE: To review and critique the research literature on training pediatric residents to address tobacco. AB - METHODS: A Medline search was conducted to identify studies that specifically addressed pediatric residency training on tobacco, and Google Scholar was used to identify articles in which the referenced study was cited. AB - 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. AB - 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. [References: 73] IS - 0027-9684 IL - 0027-9684 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Review ID - PMC2569728 [pmc] PP - ppublish GI - No: R01 HD40683 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English DP - 2006 Sep EZ - 2006/10/06 09:00 DA - 2006/12/09 09:00 DT - 2006/10/06 09:00 YR - 2006 ED - 20061121 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17019917 <815. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16848336 TI - Global dissemination of a tobacco curriculum in medical schools. SO - International Journal of Tuberculosis & Lung Disease. 10(7):750-5, 2006 Jul. AS - Int J Tuberc Lung Dis. 10(7):750-5, 2006 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richmond R AU - Taylor R FA - Richmond, R FA - Taylor, R IN - Richmond, R. Department of Public Health and Community Medicine, University of New South Wales, Sydney, Australia. r.richmond@unsw.edu.au NJ - The international journal of tuberculosis and lung disease : the official journal of the International Union against Tuberculosis and Lung Disease VO - 10 IP - 7 PG - 750-5 PI - Journal available in: Print PI - Citation processed from: Print JC - cy6, 9706389 IO - Int. J. Tuberc. Lung Dis. SB - Index Medicus CP - France MH - *Curriculum MH - *Information Dissemination MH - *Schools, Medical/og [Organization & Administration] MH - *Smoking MH - Smoking Cessation MH - *Tobacco AB - 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. AB - 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). AB - 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. AB - 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. IS - 1027-3719 IL - 1027-3719 PT - Journal Article PP - ppublish LG - English DP - 2006 Jul EZ - 2006/07/20 09:00 DA - 2006/11/02 09:00 DT - 2006/07/20 09:00 YR - 2006 ED - 20061101 RD - 20060719 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16848336 <816. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16766741 TI - Don't ask, don't tell: substance use by resident physicians. SO - Academic Emergency Medicine. 13(8):893-5, 2006 Aug. AS - Acad Emerg Med. 13(8):893-5, 2006 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McBeth BD AU - Ankel FK FA - McBeth, Brian D FA - Ankel, Felix K IN - McBeth, Brian D. brian.d.mcbeth@healthpartners.com NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 13 IP - 8 PG - 893-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ce1, 9418450 IO - Acad Emerg Med SB - Index Medicus CP - United States MH - Education, Medical/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Internship and Residency/sn [Statistics & Numerical Data] MH - *Internship and Residency MH - Prevalence MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] ES - 1553-2712 IL - 1069-6563 PT - Journal Article ID - j.aem.2006.03.564 [pii] ID - 10.1197/j.aem.2006.03.564 [doi] PP - ppublish LG - English EP - 20060609 DP - 2006 Aug EZ - 2006/06/13 09:00 DA - 2006/10/28 09:00 DT - 2006/06/13 09:00 YR - 2006 ED - 20061027 RD - 20060801 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16766741 <817. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 17017308 TI - Perspectives of college students and their primary health care providers on substance abuse screening and intervention. SO - Journal of American College Health. 55(2):115-9, 2006 Sep-Oct. AS - J Am Coll Health. 55(2):115-9, 2006 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baldwin JA AU - Johnson RM AU - Gotz NK AU - Wayment HA AU - Elwell K FA - Baldwin, Julie A FA - Johnson, Rhonda M FA - Gotz, Nina K FA - Wayment, Heidi A FA - Elwell, Kristan IN - Baldwin, Julie A. Department of Community and Family Health, College of Public Health, University of South Florida, Tampa 33612, USA. jbaldwin@hsc.usf.edu NJ - Journal of American college health : J of ACH VO - 55 IP - 2 PG - 115-9 PI - Journal available in: Print PI - Citation processed from: Print JC - h5e, 8214119, 7503059 IO - J Am Coll Health SB - Index Medicus CP - United States MH - Attitude MH - Confidentiality MH - Humans MH - Needs Assessment MH - Physician-Patient Relations MH - *Physicians, Family/og [Organization & Administration] MH - *Student Health Services/og [Organization & Administration] MH - *Students/px [Psychology] MH - *Substance Abuse Detection MH - Substance-Related Disorders/di [Diagnosis] MH - *Universities AB - 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. IS - 0744-8481 IL - 0744-8481 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.3200/JACH.55.2.115-120 [doi] PP - ppublish GI - No: U78HP00001-A0 Organization: *PHS HHS* Country: United States LG - English DP - 2006 Sep-Oct EZ - 2006/10/05 09:00 DA - 2006/10/25 09:00 DT - 2006/10/05 09:00 YR - 2006 ED - 20061024 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=17017308 <818. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16912344 TI - Addressing substance abuse in medical school curricula. SO - Journal of the American Osteopathic Association. 106(7):425-6; author reply 426, 2006 Jul. AS - J Am Osteopath Assoc. 106(7):425-6; author reply 426, 2006 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prozialeck WC FA - Prozialeck, Walter C CM - Comment on: J Am Osteopath Assoc. 2005 Jun;105(6 Suppl 3):S18-25; PMID: 16118358 NJ - The Journal of the American Osteopathic Association VO - 106 IP - 7 PG - 425-6; author reply 426 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - Chicago MH - *Curriculum MH - Education, Medical, Undergraduate MH - Humans MH - *Osteopathic Medicine/ed [Education] MH - *Substance-Related Disorders IS - 0098-6151 IL - 0098-6151 PT - Comment PT - Letter ID - 106/7/425 [pii] PP - ppublish LG - English DP - 2006 Jul EZ - 2006/08/17 09:00 DA - 2006/10/21 09:00 DT - 2006/08/17 09:00 YR - 2006 ED - 20061020 RD - 20060816 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16912344 <819. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16997676 TI - "Should I give you my smoking lecture now or later?" Characterizing emergency physician smoking discussions and cessation counseling. SO - Annals of Emergency Medicine. 48(4):406-14, 414.e1-7, 2006 Oct. AS - Ann Emerg Med. 48(4):406-14, 414.e1-7, 2006 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vokes NI AU - Bailey JM AU - Rhodes KV FA - Vokes, Natalie I FA - Bailey, Jeannine M FA - Rhodes, Karin V IN - Vokes, Natalie I. Williams College, Williamstown, MA, USA. CM - Comment in: Ann Emerg Med. 2006 Oct;48(4):415-6; PMID: 16997677 NJ - Annals of emergency medicine VO - 48 IP - 4 PG - 406-14, 414.e1-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8002646 IO - Ann Emerg Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Academic Medical Centers/sn [Statistics & Numerical Data] MH - Adolescent MH - Adult MH - Aged MH - Child MH - Directive Counseling/lj [Legislation & Jurisprudence] MH - *Directive Counseling/mt [Methods] MH - Directive Counseling/og [Organization & Administration] MH - Domestic Violence MH - *Emergency Medical Services/og [Organization & Administration] MH - *Emergency Medicine/og [Organization & Administration] MH - Empathy MH - Female MH - *Hospitals, Community/sn [Statistics & Numerical Data] MH - Humans MH - Medical History Taking MH - Middle Aged MH - Multicenter Studies as Topic MH - Patient Education as Topic/sn [Statistics & Numerical Data] MH - *Patient Education as Topic MH - *Physician's Role MH - *Physician-Patient Relations MH - Physicians/px [Psychology] MH - Program Evaluation MH - Randomized Controlled Trials as Topic MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - Risk Assessment/mt [Methods] MH - Smoking/ae [Adverse Effects] MH - Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - *Smoking Cessation MH - *Smoking Prevention MH - Socioeconomic Factors MH - Suburban Population MH - Surveys and Questionnaires MH - Urban Population MH - Videotape Recording AB - STUDY OBJECTIVE: We determine frequency and manner in which emergency physicians address smoking with their patients. AB - 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. AB - 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. AB - 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. ES - 1097-6760 IL - 0196-0644 PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - S0196-0644(06)00563-4 [pii] ID - 10.1016/j.annemergmed.2006.03.037 [doi] PP - ppublish PH - 2005/08/17 [received] PH - 2006/03/15 [revised] PH - 2006/03/31 [accepted] GI - No: K23 MH64572 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 HS 11096-03 Organization: (HS) *AHRQ HHS* Country: United States LG - English EP - 20060630 DP - 2006 Oct EZ - 2006/09/26 09:00 DA - 2006/10/18 09:00 DT - 2006/09/26 09:00 YR - 2006 ED - 20061017 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16997676 <820. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16973447 TI - Improving medical student performance in smoking health promotion: effect of a vertically integrated curriculum. SO - Medical Teacher. 28(5):e135-8, 2006 Aug. AS - Med Teach. 28(5):e135-8, 2006 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sawyer SM AU - Cooke R AU - Conn J AU - Marks MK AU - Roseby R AU - Cerritelli B FA - Sawyer, S M FA - Cooke, R FA - Conn, J FA - Marks, M K FA - Roseby, R FA - Cerritelli, B IN - Sawyer, S M. Royal Children's Hospital, Parkville, Australia. susan.sawyer@rch.org.au NJ - Medical teacher VO - 28 IP - 5 PG - e135-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 7909593, mf9 IO - Med Teach SB - Index Medicus CP - England MH - Adolescent MH - *Adolescent Behavior MH - Cohort Studies MH - *Curriculum MH - *Education, Medical, Undergraduate MH - *Educational Measurement MH - *Health Promotion MH - Humans MH - *Smoking/ae [Adverse Effects] MH - *Students, Medical MH - Teaching AB - 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. ES - 1466-187X IL - 0142-159X PT - Comparative Study PT - Journal Article ID - N702188714355545 [pii] ID - 10.1080/01421590600726615 [doi] PP - ppublish LG - English DP - 2006 Aug EZ - 2006/09/16 09:00 DA - 2006/10/18 09:00 DT - 2006/09/16 09:00 YR - 2006 ED - 20061017 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16973447 <821. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16677975 TI - Alcohol-related problems: emergency physicians' current practice and attitudes. SO - Journal of Emergency Medicine. 30(3):263-8, 2006 Apr. AS - J Emerg Med. 30(3):263-8, 2006 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Rourke M AU - Richardson LD AU - Wilets I AU - D'Onofrio G FA - O'Rourke, Maria FA - Richardson, Lynne D FA - Wilets, Ilene FA - D'Onofrio, Gail IN - O'Rourke, Maria. Department of Emergency Medicine, Mount Sinai School of Medicine, New York, NY, USA. NJ - The Journal of emergency medicine VO - 30 IP - 3 PG - 263-8 PI - Journal available in: Print PI - Citation processed from: Print JC - ibo, 8412174 IO - J Emerg Med SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - *Emergency Service, Hospital MH - Humans MH - Internship and Residency MH - *Practice Patterns, Physicians' MH - Psychotherapy, Brief MH - Surveys and Questionnaires MH - United States AB - To determine whether emergency physicians' (EPs) attitudes affect their support and practice of brief intervention in the Emergency Department (ED), EPs completed an anonymous survey. EPs were asked about their attitudes toward patients with alcohol problems, current ED screening, use of brief intervention, and barriers to use of brief intervention. Chi-square analysis was used and a step-wise regression model was constructed. Respondents reported a high prevalence of patients with alcohol-related problems: 18% in a typical shift. Eighty-one percent said it is important to advise patients to change behavior; half said using a brief intervention is important. Attending physicians had significantly less alcohol education than residents, but were significantly more likely to support the use of brief intervention. Support was not associated with gender, race, census, hours of education, or personal experience. EPs who felt that brief intervention was an integral part of their job were more likely to use it in their daily practice. IS - 0736-4679 IL - 0736-4679 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0736-4679(05)00448-8 [pii] ID - 10.1016/j.jemermed.2005.05.031 [doi] PP - ppublish PH - 2004/05/16 [received] PH - 2005/02/16 [revised] PH - 2005/05/03 [accepted] LG - English DP - 2006 Apr EZ - 2006/05/09 09:00 DA - 2006/10/13 09:00 DT - 2006/05/09 09:00 YR - 2006 ED - 20061012 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16677975 <822. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16492576 TI - A web-based smoking cessation and prevention curriculum for medical students: why, how, what, and what next. SO - Drug & Alcohol Review. 25(1):39-47, 2006 Jan. AS - Drug Alcohol Rev. 25(1):39-47, 2006 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pederson LL AU - Blumenthal DS AU - Dever A AU - McGrady G FA - Pederson, Linda L FA - Blumenthal, Daniel S FA - Dever, Alan FA - McGrady, Gene IN - Pederson, Linda L. Community Health and Preventive Medicine, Morehouse School of Medicine, Atlanta, GA 30310, USA. NJ - Drug and alcohol review VO - 25 IP - 1 PG - 39-47 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Adult MH - *Computer-Assisted Instruction MH - Counseling/ed [Education] MH - Curriculum MH - *Education, Medical MH - Female MH - Georgia MH - Humans MH - *Internet MH - Male MH - Patient Education as Topic MH - Practice Guidelines as Topic MH - Program Evaluation MH - *Smoking Cessation MH - *Smoking Prevention AB - 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. IS - 0959-5236 IL - 0959-5236 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - X6833N266GX75068 [pii] ID - 10.1080/09595230500459503 [doi] PP - ppublish LG - English DP - 2006 Jan EZ - 2006/02/24 09:00 DA - 2006/10/13 09:00 DT - 2006/02/24 09:00 YR - 2006 ED - 20061011 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16492576 <823. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15768338 TI - Medical examinations at entry to treatment for drug abuse as an opportunity to initiate care for hepatitis C virus infection. SO - Clinical Infectious Diseases. 40 Suppl 5:S297-303, 2005 Apr 15. AS - Clin Infect Dis. 40 Suppl 5:S297-303, 2005 Apr 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hagan H AU - Strauss SM AU - Astone JM AU - Des Jarlais DC FA - Hagan, Holly FA - Strauss, Shiela M FA - Astone, Janetta M FA - Des Jarlais, Don C IN - Hagan, Holly. Center for Drug Use and HIV Research, National Development and Research Institutes, New York, New York 10010, USA. holly.hagan@ndri.org NJ - Clinical infectious diseases : an official publication of the Infectious Diseases Society of America VO - 40 Suppl 5 PG - S297-303 PI - Journal available in: Print PI - Citation processed from: Internet JC - a4j, 9203213 IO - Clin. Infect. Dis. SB - Index Medicus CP - United States MH - Cross-Sectional Studies MH - Hepatitis C/co [Complications] MH - *Hepatitis C/di [Diagnosis] MH - *Hepatitis C/th [Therapy] MH - Humans MH - Physical Examination/st [Standards] MH - *Physical Examination/ut [Utilization] MH - *Substance Abuse Treatment Centers/st [Standards] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires AB - 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. ES - 1537-6591 IL - 1058-4838 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - CID34649 [pii] ID - 10.1086/427444 [doi] PP - ppublish GI - No: DA-13409 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2005 Apr 15 EZ - 2005/03/16 09:00 DA - 2006/10/07 09:00 DT - 2005/03/16 09:00 YR - 2005 ED - 20061006 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15768338 <824. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16835034 TI - Complementary medicine for alcohol dependence in Italian services: a mail questionnaire. SO - Complementary Therapies in Clinical Practice. 12(3):216-21, 2006 Aug. AS - Complement Ther Clin Pract. 12(3):216-21, 2006 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bardazzi G AU - Merluzzi JA AU - Voller F AU - Fontana A AU - Abenavoli L AU - Leggio L AU - Addolorato G AU - Alcohol and Complementary Medicine Research Group of the Italian Society for Alcohol Studies FA - Bardazzi, Gabriele FA - Merluzzi, Jo-Anne FA - Voller, Fabio FA - Fontana, Aldo FA - Abenavoli, Ludovico FA - Leggio, Lorenzo FA - Addolorato, Giovanni FA - Alcohol and Complementary Medicine Research Group of the Italian Society for Alcohol Studies IN - Bardazzi, Gabriele. Centro Diurno Alcologico, UFM C, Azienda Sanitaria Fiorentina, Villa Basilewsky, Via Lorenzo il Magnifico, 104, 50127 Firenze, Italy. gabriele.bardazzi@asf.toscana.it NJ - Complementary therapies in clinical practice VO - 12 IP - 3 PG - 216-21 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101225531 IO - Complement Ther Clin Pract SB - Nursing Journal CP - England MH - Alcohol-Related Disorders/ep [Epidemiology] MH - *Alcohol-Related Disorders/th [Therapy] MH - Alcoholism/pc [Prevention & Control] MH - Complementary Therapies/og [Organization & Administration] MH - *Complementary Therapies/sn [Statistics & Numerical Data] MH - Health Education/og [Organization & Administration] MH - *Health Education/sn [Statistics & Numerical Data] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Italy/ep [Epidemiology] MH - Primary Health Care/sn [Statistics & Numerical Data] MH - Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance Abuse Treatment Centers/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - 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. IS - 1744-3881 IL - 1744-3881 PT - Journal Article ID - S1744-3881(05)00133-7 [pii] ID - 10.1016/j.ctcp.2005.12.003 [doi] PP - ppublish PH - 2005/12/12 [accepted] LG - English EP - 20060519 DP - 2006 Aug EZ - 2006/07/13 09:00 DA - 2006/09/28 09:00 DT - 2006/07/13 09:00 YR - 2006 ED - 20060927 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16835034 <825. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16696628 TI - A longitudinal evaluation of medical student knowledge, skills and attitudes to alcohol and drugs. SO - Addiction. 101(6):841-9, 2006 Jun. AS - Addiction. 101(6):841-9, 2006 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cape G AU - Hannah A AU - Sellman D FA - Cape, Gavin FA - Hannah, Annette FA - Sellman, Doug IN - Cape, Gavin. Department of Psychological Medicine, University of Otago, Dunedin, New Zealand. gavin.cape@stonebow.otago.ac.nz NJ - Addiction (Abingdon, England) VO - 101 IP - 6 PG - 841-9 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Adult MH - *Attitude of Health Personnel MH - *Clinical Competence MH - *Education, Medical, Undergraduate/st [Standards] MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - New Zealand MH - *Psychiatry/ed [Education] MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] AB - AIM: To examine the knowledge, skills and attitudes of medical students to alcohol and drugs as training progresses. AB - DESIGN: A longitudinal, prospective, cohort-based design. AB - SETTING: The four schools of medicine in New Zealand. AB - PARTICIPANTS: All second-year medical students (first year of pre-clinical medical health sciences) in New Zealand were administered a questionnaire which was repeated in the fourth (first year of significant clinical exposure) and then sixth years (final year). A response rate of 98% in the second year, 75% in the fourth year and 34% in the sixth year, with a total of 637 respondents (47.8% male) and an overall response rate of 68%. QUESTIONNAIRE: The questionnaire consisted of 43 questions assessing knowledge and skills -- a mixture of true/false and scenario stem-based multiple-choice questions and 25 attitudinal questions scored on a Likert scale. Demographic questions included first language, ethnicity and personal consumption of alcohol and tobacco. AB - FINDINGS: The competence (knowledge plus skills) correct scores increased from 23.4% at the second year to 53.6% at the fourth year to 71.8% at the sixth year, being better in those students who drank alcohol and whose first language was English (P < 0.002). As training progressed the student's perceptions of their role adequacy regarding the effectiveness of the management of illicit drug users diminished. For example, at second year 21% and at sixth year 51% of students felt least effective in helping patients to reduce illicit drug use. At the sixth year, 15% of sixth year students regarded the self-prescription of psychoactive drugs as responsible practice. AB - CONCLUSION: Education on alcohol and drugs for students remains a crucial but under provided part of the undergraduate medical curriculum. This research demonstrated that while positive teaching outcomes were apparent, further changes to medical student curricula need to be considered to address specific knowledge deficits and to increase the therapeutic commitment and professional safety of medical students to alcohol and drugs. IS - 0965-2140 IL - 0965-2140 PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't ID - ADD1476 [pii] ID - 10.1111/j.1360-0443.2006.01476.x [doi] PP - ppublish LG - English DP - 2006 Jun EZ - 2006/05/16 09:00 DA - 2006/09/22 09:00 DT - 2006/05/16 09:00 YR - 2006 ED - 20060921 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16696628 <826. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16583110 TI - [Use of psychoactive drugs by health sciences undergraduate students at the Federal University in Amazonas, Brazil]. [Portuguese] OT - Uso de psicotropicos entre universitarios da area da saude da Universidade Federal do Amazonas, Brasil. SO - Cadernos de Saude Publica. 22(3):663-71, 2006 Mar. AS - Cad Saude Publica. 22(3):663-71, 2006 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lucas AC AU - Parente RC AU - Picanco NS AU - Conceicao DA AU - Costa KR AU - Magalhaes IR AU - Siqueira JC FA - Lucas, Ana Cyra dos Santos FA - Parente, Rosana Cristina Pereira FA - Picanco, Neila Soares FA - Conceicao, Denis Alvaci FA - Costa, Karen Regina Carim da FA - Magalhaes, Igor Rafael dos Santos FA - Siqueira, Joao Cladirson Alves IN - Lucas, Ana Cyra dos Santos. Faculdade de Ciencias da Saude, Universidade Federal do Amazonas, Manaus, Brazil. alucas@ufam.edu.br NJ - Cadernos de saude publica VO - 22 IP - 3 PG - 663-71 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - c4a, 8901573 IO - Cad Saude Publica SB - Index Medicus CP - Brazil MH - Adolescent MH - Adult MH - Age Distribution MH - Age Factors MH - Brazil/ep [Epidemiology] MH - *Education, Medical, Undergraduate/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Prevalence MH - *Psychotropic Drugs MH - Sex Distribution MH - Sex Factors MH - Socioeconomic Factors MH - Students, Medical/px [Psychology] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] AB - A survey was conducted with 521 undergraduate health sciences students from the Federal University in Amazonas, Manaus, Brazil. Lifetime 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. RN - 0 (Psychotropic Drugs) IS - 0102-311X IL - 0102-311X PT - English Abstract PT - Journal Article ID - S0102-311X2006000300021 [pii] ID - /S0102-311X2006000300021 [doi] PP - ppublish LG - Portuguese EP - 20060327 DP - 2006 Mar EZ - 2006/04/04 09:00 DA - 2006/09/01 09:00 DT - 2006/04/04 09:00 YR - 2006 ED - 20060831 RD - 20130318 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16583110 <827. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16704387 TI - Teaching about Substance Abuse with Objective Structured Clinical Exams. SO - Journal of General Internal Medicine. 21(5):453-9, 2006 May. AS - J Gen Intern Med. 21(5):453-9, 2006 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Parish SJ AU - Ramaswamy M AU - Stein MR AU - Kachur EK AU - Arnsten JH FA - Parish, Sharon J FA - Ramaswamy, Megha FA - Stein, Melissa R FA - Kachur, Elizabeth K FA - Arnsten, Julia H IN - Parish, Sharon J. Division of General Internal Medicine, Department of Medicine, Albert Einstein College of Medicine, Montefiore Medical Center, Bronx, NY, USA. sparish@montefiore.org NJ - Journal of general internal medicine VO - 21 IP - 5 PG - 453-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1484780 SB - Index Medicus CP - United States MH - *Clinical Competence MH - *Educational Measurement/mt [Methods] MH - Family Practice/ed [Education] MH - Humans MH - Internal Medicine/ed [Education] MH - *Internship and Residency/mt [Methods] MH - Medical History Taking MH - Physical Examination MH - Physician-Patient Relations MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] AB - BACKGROUND: Although residents commonly manage substance abuse disorders, optimal approaches to teaching these specialized interviewing and intervention skills are unknown. AB - 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. AB - DESIGN: Five-station OSCE, including different substance abuse disorders and readiness to change stages, administered during postgraduate year-3 ambulatory rotations for 2 years. AB - PARTICIPANTS: One hundred and thirty-one internal and family medicine residents. AB - 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. AB - 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. AB - 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. ES - 1525-1497 IL - 0884-8734 PT - Evaluation Studies PT - Journal Article ID - JGI426 [pii] ID - 10.1111/j.1525-1497.2006.00426.x [doi] ID - PMC1484780 [pmc] PP - ppublish GI - No: R25 DA014551 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551-02 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551-03 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551-04 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2006 May EZ - 2006/05/18 09:00 DA - 2006/08/30 09:00 DT - 2006/05/18 09:00 YR - 2006 ED - 20060829 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16704387 <828. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16797268 TI - Drug use and kidney donation: what are high-risk behaviors today?. SO - Transplantation Proceedings. 38(5):1221-3, 2006 Jun. AS - Transplant Proc. 38(5):1221-3, 2006 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Piccoli GB AU - Soragna G AU - Putaggio S AU - Consiglio V AU - Mezza E AU - Bonetto A AU - Geuna S FA - Piccoli, G B FA - Soragna, G FA - Putaggio, S FA - Consiglio, V FA - Mezza, E FA - Bonetto, A FA - Geuna, S IN - Piccoli, G B. Nephrology, University of Torino, Torino, Italy. gbpiccoli@yahoo.it NJ - Transplantation proceedings VO - 38 IP - 5 PG - 1221-3 PI - Journal available in: Print PI - Citation processed from: Print JC - we9, 0243532 IO - Transplant. Proc. SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Attitude to Health MH - Education, Medical, Continuing MH - Humans MH - Italy/ep [Epidemiology] MH - Middle Aged MH - *Patient Selection MH - Risk-Taking MH - Students MH - Students, Medical MH - Students, Nursing MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - *Tissue Donors/sn [Statistics & Numerical Data] MH - Tissue Donors/sd [Supply & Distribution] AB - BACKGROUND: "Social risk behaviors" are usually considered as contraindications for organ donation. The organ shortage, however, necessitates expansion of the donor pool. Reconsideration of the policy toward substance abusers may be important. Opinions of the overall population may be of use to define this cultural-sensitive issue. AB - METHODS: A semistructured questionnaire on organ donation, including opinions on drug use (cannabis and cocaine), was administered to various groups of the general public and caregivers: high school students (liceo classico: 59 students, median age 18 years; istituto tecnico: 108, age 17); first- and fourth-year medical school (77, age 19; 46, age 22); continuing medical education (44, age 32); third-year nursing school (31, age 23); "senior citizen university" (51, age 63). AB - RESULTS: Cannabis use was mainly accepted for kidney donation (48.6% yes, 26.6% no, 29.8% uncertain/blank), but cocaine use was not (22.1% yes, 44.2% no, 33.7% uncertain/blank). In the univariate analysis, opinions differed according to age, sex, and belonging to the health care teams upon multivariate analysis being a member of the health care team was the strongest predictor of responses (P<.01). AB - CONCLUSION: It is difficult to define social risk behaviors. Since opinions are important for organ donation, further studies and discussion are needed to periodically analyze our policies. IS - 0041-1345 IL - 0041-1345 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0041-1345(06)00185-0 [pii] ID - 10.1016/j.transproceed.2006.02.095 [doi] PP - ppublish PH - 2005/09/17 [received] LG - English DP - 2006 Jun EZ - 2006/06/27 09:00 DA - 2006/08/23 09:00 DT - 2006/06/27 09:00 YR - 2006 ED - 20060822 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16797268 <829. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16861473 TI - Addicted anesthesiology residents: recommendations after treatment. SO - Anesthesia & Analgesia. 103(2):513-5; author reply 515, 2006 Aug. AS - Anesth Analg. 103(2):513-5; author reply 515, 2006 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Matsumura JS AU - Berry AJ FA - Matsumura, Jerry S FA - Berry, Arnold J CM - Comment on: Anesth Analg. 2005 Nov;101(5):1457-62; PMID: 16244010 NJ - Anesthesia and analgesia VO - 103 IP - 2 PG - 513-5; author reply 515 PI - Journal available in: Print PI - Citation processed from: Internet JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Anesthesiology/ed [Education] MH - Humans MH - *Internship and Residency MH - Physician Impairment MH - Substance Abuse Detection MH - *Substance-Related Disorders/th [Therapy] ES - 1526-7598 IL - 0003-2999 PT - Comment PT - Letter ID - 103/2/513-a [pii] ID - 10.1213/01.ANE.0000227112.85233.DB [doi] PP - ppublish LG - English DP - 2006 Aug EZ - 2006/07/25 09:00 DA - 2006/08/10 09:00 DT - 2006/07/25 09:00 YR - 2006 ED - 20060809 RD - 20060724 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16861473 <830. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16611521 TI - Prescribing to substance misusers. Letter response. SO - British Journal of General Practice. 56(525):301-2, 2006 Apr. AS - Br J Gen Pract. 56(525):301-2, 2006 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Willott S FA - Willott, Stephen CM - Comment on: Br J Gen Pract. 2005 Dec;55(521):967; PMID: 16378574 NJ - The British journal of general practice : the journal of the Royal College of General Practitioners VO - 56 IP - 525 PG - 301-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 9005323, ark IO - Br J Gen Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1832243 SB - Index Medicus CP - England MH - Education, Medical, Continuing/og [Organization & Administration] MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0960-1643 IL - 0960-1643 PT - Comment PT - Letter ID - PMC1832243 [pmc] PP - ppublish LG - English DP - 2006 Apr EZ - 2006/04/14 09:00 DA - 2006/08/10 09:00 DT - 2006/04/14 09:00 YR - 2006 ED - 20060809 RD - 20140909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16611521 <831. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16515317 TI - [Quality assurance in patient addiction treated with drug substitution]. [German] OT - Qualitatssicherung bei Suchtpatienten unter Drogensubstitution. SO - Krankenpflege Journal. 43(7-10):248, 2005. AS - Krankenpfl J. 43(7-10):248, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Krankenpflege Journal VO - 43 IP - 7-10 PG - 248 PI - Journal available in: Print PI - Citation processed from: Print JC - kyn, 8006304 IO - Krankenpfl J SB - Nursing Journal CP - Germany MH - *Antiviral Agents/ad [Administration & Dosage] MH - Antiviral Agents/ae [Adverse Effects] MH - *Buprenorphine/ad [Administration & Dosage] MH - Buprenorphine/ae [Adverse Effects] MH - Comorbidity MH - Drug Information Services MH - Drug Interactions MH - Drug Therapy, Combination MH - *Education, Medical, Continuing MH - Hepatitis C/co [Complications] MH - *Hepatitis C/nu [Nursing] MH - Hepatitis C/rh [Rehabilitation] MH - Humans MH - *Interferon-alpha/ad [Administration & Dosage] MH - Interferon-alpha/ae [Adverse Effects] MH - *Methadone/ad [Administration & Dosage] MH - Methadone/ae [Adverse Effects] MH - Multimedia MH - *Narcotic Antagonists/ad [Administration & Dosage] MH - Narcotic Antagonists/ae [Adverse Effects] MH - Opioid-Related Disorders/co [Complications] MH - *Opioid-Related Disorders/nu [Nursing] MH - Opioid-Related Disorders/rh [Rehabilitation] MH - Polyethylene Glycols MH - *Quality Assurance, Health Care MH - Recombinant Proteins MH - *Ribavirin/ad [Administration & Dosage] MH - Ribavirin/ae [Adverse Effects] MH - Treatment Outcome MH - Viral Load RN - 0 (Antiviral Agents) RN - 0 (Interferon-alpha) RN - 0 (Narcotic Antagonists) RN - 0 (Recombinant Proteins) RN - 30IQX730WE (Polyethylene Glycols) RN - 40D3SCR4GZ (Buprenorphine) RN - 43K1W2T1M6 (interferon alfa-2b) RN - 49717AWG6K (Ribavirin) RN - G8RGG88B68 (peginterferon alfa-2b) RN - UC6VBE7V1Z (Methadone) IS - 0174-108X IL - 0174-108X PT - Comparative Study PT - Journal Article PP - ppublish LG - German DP - 2005 EZ - 2006/03/07 09:00 DA - 2006/07/18 09:00 DT - 2006/03/07 09:00 YR - 2005 ED - 20060717 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16515317 <832. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16499531 TI - Putting woman-centered care into practice: a new (ANEW) approach to psychosocial risk assessment during pregnancy. SO - Birth. 33(1):46-55, 2006 Mar. AS - Birth. 33(1):46-55, 2006 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunn J AU - Hegarty K AU - Nagle C AU - Forster D AU - Brown S AU - Lumley J FA - Gunn, Jane FA - Hegarty, Kelsey FA - Nagle, Cate FA - Forster, Della FA - Brown, Stephanie FA - Lumley, Judith IN - Gunn, Jane. Department of General Practice, University of Melbourne, Australia. NJ - Birth (Berkeley, Calif.) VO - 33 IP - 1 PG - 46-55 PI - Journal available in: Print PI - Citation processed from: Print JC - abd, 8302042 IO - Birth SB - Index Medicus CP - United States MH - Adult MH - Child Abuse/di [Diagnosis] MH - *Clinical Competence MH - *Communication MH - Depression/di [Diagnosis] MH - Domestic Violence MH - *Education, Medical MH - Female MH - Humans MH - Infant MH - Infant Care MH - Infant, Newborn MH - *Midwifery/ed [Education] MH - Mothers/px [Psychology] MH - Practice Patterns, Physicians' MH - Pregnancy MH - *Prenatal Care/st [Standards] MH - *Prenatal Diagnosis MH - Psychometrics MH - *Risk Assessment MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: The program increased the self-reported comfort and competency of health professionals to identify and care for women with psychosocial issues. IS - 0730-7659 IL - 0730-7659 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - BIR073 [pii] ID - 10.1111/j.0730-7659.2006.00073.x [doi] PP - ppublish LG - English DP - 2006 Mar EZ - 2006/02/28 09:00 DA - 2006/07/04 09:00 DT - 2006/02/28 09:00 YR - 2006 ED - 20060703 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16499531 <833. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16708505 TI - The pediatric resident training on tobacco project: interim findings. SO - Journal of the National Medical Association. 98(2):190-203, 2006 Feb. AS - J Natl Med Assoc. 98(2):190-203, 2006 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Schwab J AU - Haddock CK AU - Pyle S AU - Meshberg S FA - Hymowitz, Norman FA - Schwab, Joseph FA - Haddock, Christopher Keith FA - Pyle, Sara FA - Meshberg, Sarah IN - Hymowitz, Norman. Department of Psychiatry, UMDNJ-New Jersey Medical School, Newark, NJ 07103, USA. hymowitz@umdnj.edu NJ - Journal of the National Medical Association VO - 98 IP - 2 PG - 190-203 PI - Journal available in: Print PI - Citation processed from: Print JC - j9z, 7503090 IO - J Natl Med Assoc PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2595064 SB - Index Medicus CP - United States MH - Adolescent MH - *Attitude of Health Personnel MH - Child MH - Clinical Competence MH - Educational Measurement MH - Humans MH - *Internship and Residency/st [Standards] MH - New Jersey MH - New York MH - *Pediatrics/ed [Education] MH - *Program Evaluation MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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. AB - 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. AB - 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. AB - 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. IS - 0027-9684 IL - 0027-9684 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural ID - PMC2595064 [pmc] PP - ppublish GI - No: R01H040683 Organization: *PHS HHS* Country: United States LG - English DP - 2006 Feb EZ - 2006/05/20 09:00 DA - 2006/07/01 09:00 DT - 2006/05/20 09:00 YR - 2006 ED - 20060630 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16708505 <834. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16183470 TI - Attitudes, knowledge, and perceptions of Chinese doctors toward drug abuse. SO - Journal of Substance Abuse Treatment. 29(3):215-20, 2005 Oct. AS - J Subst Abuse Treat. 29(3):215-20, 2005 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tang YL AU - Wiste A AU - Mao PX AU - Hou YZ FA - Tang, Yi-lang FA - Wiste, Anna FA - Mao, Pei-xian FA - Hou, Ye-zhi IN - Tang, Yi-lang. Beijing Anding Hospital, Capital University of Medical Sciences, Beijing, China. ytang@genetics.emory.edu NJ - Journal of substance abuse treatment VO - 29 IP - 3 PG - 215-20 PI - Journal available in: Print PI - Citation processed from: Print JC - kai, 8500909 IO - J Subst Abuse Treat SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - China/eh [Ethnology] MH - Clinical Competence MH - Education, Medical MH - Humans MH - *Physicians MH - *Social Perception MH - Substance-Related Disorders/eh [Ethnology] MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - We assessed the attitudes, knowledge, and perceptions of Chinese doctors who worked with drug abusers to provide direction for planned drug and alcohol education and training. A 34-item questionnaire was developed; 523 copies were distributed and 446 (84.5%) validated copies were collected. Half of the respondents (50.0%) had no formal training before they started treating drug abusers. Among them, only 16.6% were psychiatrists. Less than half of the respondents agreed that drug abuse (addiction) is a brain disorder. Male and female doctors and doctors from different facilities tended to have different opinions on reasons for relapse, efficacy of treatments, and awareness of treatment modalities, among others. Doctors from involuntary facilities were more likely to disagree with the idea that drug addiction is a brain disorder and favored compulsory treatment. Doctors involved in drug abuse treatment in China are not well prepared or experienced in drug abuse treatment and have negative attitudes toward drug abuse and abusers. IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0740-5472(05)00137-6 [pii] ID - 10.1016/j.jsat.2005.06.006 [doi] PP - ppublish PH - 2005/06/21 [received] PH - 2005/06/24 [revised] PH - 2005/06/27 [accepted] LG - English DP - 2005 Oct EZ - 2005/09/27 09:00 DA - 2006/06/23 09:00 DT - 2005/09/27 09:00 YR - 2005 ED - 20060622 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16183470 <835. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16719249 TI - Managing opioid addiction with buprenorphine. [Review] [29 refs][Summary for patients in Am Fam Physician. 2006 May 1;73(9):1580; PMID: 16719250] SO - American Family Physician. 73(9):1573-8, 2006 May 01. AS - Am Fam Physician. 73(9):1573-8, 2006 May 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Donaher PA AU - Welsh C FA - Donaher, Paul A FA - Welsh, Christopher IN - Donaher, Paul A. Whitsett Center, Chestertown, MD, USA. CM - Comment in: Am Fam Physician. 2006 May 1;73(9):1513-4; PMID: 16719242 NJ - American family physician VO - 73 IP - 9 PG - 1573-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 3bt, 1272646 IO - Am Fam Physician SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Ambulatory Care/mt [Methods] MH - *Buprenorphine/tu [Therapeutic Use] MH - Drug Prescriptions MH - Humans MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - *Opioid-Related Disorders/dt [Drug Therapy] MH - Treatment Outcome MH - United States AB - 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. [References: 29] RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) IS - 0002-838X IL - 0002-838X PT - Journal Article PT - Review PP - ppublish LG - English DP - 2006 May 01 EZ - 2006/05/25 09:00 DA - 2006/06/16 09:00 DT - 2006/05/25 09:00 YR - 2006 ED - 20060615 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16719249 <836. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16703720 TI - Addressing the insidious health and financial burden of tobacco use in Missouri: the role of medical and public health professionals. [Review] [30 refs] SO - Missouri Medicine. 103(2):175-9, 2006 Mar-Apr. AS - Mo Med. 103(2):175-9, 2006 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Everett KD AU - Bullock L AU - Longo DR FA - Everett, Kevin D FA - Bullock, Linda FA - Longo, Daniel R IN - Everett, Kevin D. Department of Family and Community Medicine, University of Missouri, Columbia, USA. NJ - Missouri medicine VO - 103 IP - 2 PG - 175-9 PI - Journal available in: Print PI - Citation processed from: Print JC - new, 0400744 IO - Mo Med SB - Index Medicus CP - United States MH - Cost of Illness MH - Health Promotion MH - Humans MH - Leadership MH - Liability, Legal MH - Missouri MH - *Public Health MH - *Public Policy MH - Smoking/ec [Economics] MH - *Smoking Cessation MH - *Smoking Prevention MH - Social Marketing MH - Tobacco Industry/ec [Economics] MH - Tobacco Industry/lj [Legislation & Jurisprudence] MH - Tobacco Use Disorder/ec [Economics] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - Despite the widespread knowledge that tobacco use causes death and debilitating disease, tobacco control efforts in Missouri remain inadequate. No other health issue combines the prevalence, lethality, and neglect of tobacco addiction. This paper discusses comprehensive tobacco-use prevention and cessation programs that could, if implemented, effectively reduce tobacco-related health problems. Successful tobacco control efforts change society by creating an environment in which nonsmoking is the norm and quitting smoking is supported. This paper concludes that it is time for medicine and public health professionals to communicate, collaborate, and assume leadership in reducing the health burden of tobacco use in Missouri. [References: 30] IS - 0026-6620 IL - 0026-6620 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2006 Mar-Apr EZ - 2006/05/18 09:00 DA - 2006/06/16 09:00 DT - 2006/05/18 09:00 YR - 2006 ED - 20060615 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16703720 <837. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16002034 TI - Alcohol use and HIV risk behaviors among HIV-infected hospitalized patients in St. Petersburg, Russia. SO - Drug & Alcohol Dependence. 79(2):251-6, 2005 Aug 01. AS - Drug Alcohol Depend. 79(2):251-6, 2005 Aug 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krupitsky EM AU - Horton NJ AU - Williams EC AU - Lioznov D AU - Kuznetsova M AU - Zvartau E AU - Samet JH FA - Krupitsky, Evgeny M FA - Horton, Nicholas J FA - Williams, Emily C FA - Lioznov, Dmitri FA - Kuznetsova, Maria FA - Zvartau, Edwin FA - Samet, Jeffrey H IN - Krupitsky, Evgeny M. St. Petersburg Scientific-Research Center of Addictions and Psychopharmacology, St. Petersburg State Pavlov Medical University, St. Petersburg 197089, Russia. NJ - Drug and alcohol dependence VO - 79 IP - 2 PG - 251-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ebs, 7513587 IO - Drug Alcohol Depend PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360173 OI - Source: NLM. NIHMS4058 SB - Index Medicus CP - Ireland MH - Adult MH - Alcoholism/co [Complications] MH - *Alcoholism/ep [Epidemiology] MH - Female MH - HIV Infections/co [Complications] MH - *HIV Infections/ep [Epidemiology] MH - *Hospitalization MH - Humans MH - Male MH - *Risk-Taking MH - Russia/ep [Epidemiology] MH - *Sexual Behavior MH - Substance Abuse, Intravenous/co [Complications] MH - Substance Abuse, Intravenous/ep [Epidemiology] AB - 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. AB - 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. AB - 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). AB - 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. IS - 0376-8716 IL - 0376-8716 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - S0376-8716(05)00054-2 [pii] ID - 10.1016/j.drugalcdep.2005.01.015 [doi] ID - PMC1360173 [pmc] ID - NIHMS4058 [mid] PP - ppublish PH - 2004/05/14 [received] PH - 2005/01/03 [revised] PH - 2005/01/03 [accepted] GI - No: R01 AA011785 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01-AA11785 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English EP - 20050302 DP - 2005 Aug 01 EZ - 2005/07/09 09:00 DA - 2006/06/10 09:00 DT - 2005/07/09 09:00 YR - 2005 ED - 20060609 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16002034 <838. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16539219 TI - Medical use, illicit use, and diversion of abusable prescription drugs. SO - Journal of American College Health. 54(5):269-78, 2006 Mar-Apr. AS - J Am Coll Health. 54(5):269-78, 2006 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCabe SE AU - Teter CJ AU - Boyd CJ FA - McCabe, Sean Esteban FA - Teter, Christian J FA - Boyd, Carol J IN - McCabe, Sean Esteban. Substance Abuse Research Center, University of Michigan, Ann Arbor 48105-2194, USA. plius@umich.edu NJ - Journal of American college health : J of ACH VO - 54 IP - 5 PG - 269-78 PI - Journal available in: Print PI - Citation processed from: Print JC - h5e, 8214119, 7503059 IO - J Am Coll Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1876754 OI - Source: NLM. NIHMS14394 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Analgesics/ad [Administration & Dosage] MH - Anti-Anxiety Agents/ad [Administration & Dosage] MH - Central Nervous System Stimulants/ad [Administration & Dosage] MH - *Drug Prescriptions/sn [Statistics & Numerical Data] MH - Female MH - *Health Surveys MH - Humans MH - Hypnotics and Sedatives/ad [Administration & Dosage] MH - Internet MH - Male MH - Midwestern United States/ep [Epidemiology] MH - Prevalence MH - *Students/px [Psychology] MH - Students/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - *Universities/sn [Statistics & Numerical Data] AB - 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. RN - 0 (Analgesics) RN - 0 (Anti-Anxiety Agents) RN - 0 (Central Nervous System Stimulants) RN - 0 (Hypnotics and Sedatives) IS - 0744-8481 IL - 0744-8481 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't ID - PMC1876754 [pmc] ID - NIHMS14394 [mid] ID - 10.3200/JACH.54.5.269-278 [doi] PP - ppublish GI - No: R03 DA018239 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R03 DA019492 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R03 DA 018329 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2006 Mar-Apr EZ - 2006/03/17 09:00 DA - 2006/06/07 09:00 DT - 2006/03/17 09:00 YR - 2006 ED - 20060606 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16539219 <839. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16521976 TI - Education program about tobacco for medical students. [Review] [11 refs] SO - Przeglad Lekarski. 62(10):1148-50, 2005. AS - Przegl Lek. 62(10):1148-50, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Florek E AU - Piekoszewski W FA - Florek, Ewa FA - Piekoszewski, Wojciech IN - Florek, Ewa. Laboratory of Environmental Research, Department of Toxicology, University of Medical Sciences, Poznan, Poland. eflorek@amp.edu.pl NJ - Przeglad lekarski VO - 62 IP - 10 PG - 1148-50 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Humans MH - Motivation MH - *Patient Education as Topic MH - Poland/ep [Epidemiology] MH - *Program Development MH - *Students, Medical MH - Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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. [References: 11] IS - 0033-2240 IL - 0033-2240 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2005 EZ - 2006/03/09 09:00 DA - 2006/06/01 09:00 DT - 2006/03/09 09:00 YR - 2005 ED - 20060531 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16521976 <840. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16521968 TI - [The attitude of sixth year students of the Faculty of Medicine towards the problem of addiction to nicotine]. [Polish] OT - Postawa studentow VI roku wydzialu lekarskiego wobec problemu nikotynizmu. SO - Przeglad Lekarski. 62(10):1116-8, 2005. AS - Przegl Lek. 62(10):1116-8, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bielska D AU - Litwiejko A AU - Trofimiuk E FA - Bielska, Dorota FA - Litwiejko, Alicja FA - Trofimiuk, Emil IN - Bielska, Dorota. Zaklad Medycyny Rodzinnej i Pielegniarstwa Srodowiskowego Akademii Medycznej w Bialymstoku. d.bielska1@wp.pl NJ - Przeglad lekarski VO - 62 IP - 10 PG - 1116-8 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - Adult MH - *Attitude to Health MH - Curriculum MH - Education, Medical MH - Female MH - Humans MH - Male MH - Patient Education as Topic MH - *Students, Medical MH - Surveys and Questionnaires MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - According to the guidelines of the National Health Program, assumed by the Polish Ministry of Health for the years 1996 - 2005, it could be expected that, particularly at medical universities, education of future doctors in the field of problems connected to addiction to nicotine is taken into consideration. However, the research conducted in the form of anonymous survey among the sixth year students of the Faculty of Medicine at the Medical University of Bialystok in the academic years 2001/2002 and 2004/2005 does not corroborate those expectations. The survey proves that the future graduates' knowledge of the aforementioned topic is fragmentary and confirms the necessity of including that issue in the educational curriculum in the area of family medicine. IS - 0033-2240 IL - 0033-2240 PT - English Abstract PT - Journal Article PP - ppublish LG - Polish DP - 2005 EZ - 2006/03/09 09:00 DA - 2006/06/01 09:00 DT - 2006/03/09 09:00 YR - 2005 ED - 20060531 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16521968 <841. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16279864 TI - The bipolar spectrum: diagnostic and pharmacologic considerations. [Review] [31 refs] SO - Expert Review of Neurotherapeutics. 4(6 Suppl 2):S3-8, 2004 Nov. AS - Expert rev. neurotherapeutics. 4(6 Suppl 2):S3-8, 2004 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moller HJ AU - Curtis VA FA - Moller, Hans-Jurgen FA - Curtis, Vivienne A IN - Moller, Hans-Jurgen. Psychiatric Department, University of Munich, Nussbaumstr 7, D-80336 Munich, Germany. hans-juergen.moeller@psy.med.uni-muenchen.de NJ - Expert review of neurotherapeutics VO - 4 IP - 6 Suppl 2 PG - S3-8 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101129944 IO - Expert Rev Neurother SB - Index Medicus CP - England MH - Bipolar Disorder/cl [Classification] MH - *Bipolar Disorder/di [Diagnosis] MH - Bipolar Disorder/ep [Epidemiology] MH - *Bipolar Disorder/pp [Physiopathology] MH - Comorbidity MH - Diagnosis, Differential MH - Diagnostic and Statistical Manual of Mental Disorders MH - Follow-Up Studies MH - Humans MH - Models, Biological MH - Personality Disorders/co [Complications] MH - Personality Disorders/ep [Epidemiology] MH - Predictive Value of Tests MH - Psychiatric Status Rating Scales AB - 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. [References: 31] ES - 1744-8360 IL - 1473-7175 PT - Journal Article PT - Review ID - 10.1586/14737175.4.6.S3 [doi] PP - ppublish LG - English DP - 2004 Nov EZ - 2005/11/11 09:00 DA - 2006/04/15 09:00 DT - 2005/11/11 09:00 YR - 2004 ED - 20060414 RD - 20051110 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16279864 <842. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16393188 TI - Association for medical education and research in substance abuse. SO - Addiction. 101(1):10-5, 2006 Jan. AS - Addiction. 101(1):10-5, 2006 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Samet JH AU - Galanter M AU - Bridden C AU - Lewis DC FA - Samet, Jeffrey H FA - Galanter, Marc FA - Bridden, Carly FA - Lewis, David C IN - Samet, Jeffrey H. Clinical Addiction Research and Education Unit (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine, Boston Medical Center, MA 02118, USA. jsamet@bu.edu NJ - Addiction (Abingdon, England) VO - 101 IP - 1 PG - 10-5 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Awards and Prizes MH - Curriculum MH - *Education, Medical/mt [Methods] MH - Financing, Organized/mt [Methods] MH - Health Education/mt [Methods] MH - Health Personnel/ed [Education] MH - Humans MH - Leadership MH - Mental Health Associations/ec [Economics] MH - *Mental Health Associations MH - Periodicals as Topic MH - *Research MH - *Staff Development/mt [Methods] MH - *Substance-Related Disorders MH - *Teaching/og [Organization & Administration] MH - United States AB - 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. IS - 0965-2140 IL - 0965-2140 PT - Journal Article ID - ADD1228 [pii] ID - 10.1111/j.1360-0443.2005.01228.x [doi] PP - ppublish LG - English DP - 2006 Jan EZ - 2006/01/06 09:00 DA - 2006/04/14 09:00 DT - 2006/01/06 09:00 YR - 2006 ED - 20060413 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16393188 <843. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16378256 TI - Training and evaluating tobacco-specific standardized patient instructors. SO - Family Medicine. 38(1):28-37, 2006 Jan. AS - Fam Med. 38(1):28-37, 2006 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Foley KL AU - George G AU - Crandall SJ AU - Walker KH AU - Marion GS AU - Spangler JG FA - Foley, Kristie Long FA - George, Geeta FA - Crandall, Sonia J FA - Walker, Kathy H FA - Marion, Gail S FA - Spangler, John G IN - Foley, Kristie Long. Department of Public Health Sciences, Wake Forest University, USA. kfoley@wfubmc.edu NJ - Family medicine VO - 38 IP - 1 PG - 28-37 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4465383 OI - Source: NLM. NIHMS696172 SB - Index Medicus CP - United States MH - *Clinical Competence MH - *Curriculum MH - Education, Medical, Undergraduate MH - *Faculty, Medical/og [Organization & Administration] MH - Feedback MH - Female MH - Humans MH - Interprofessional Relations MH - Male MH - Patient Education as Topic/og [Organization & Administration] MH - Program Development MH - Program Evaluation MH - *Smoking Cessation MH - *Smoking Prevention MH - Students, Medical AB - BACKGROUND AND OBJECTIVES: A comprehensive training program to develop tobacco-specific standardized patient instructors (SPIs) was implemented and evaluated at Wake Forest University. AB - 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. AB - 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. AB - 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. IS - 0742-3225 IL - 0742-3225 PT - Comparative Study PT - Journal Article PT - Research Support, N.I.H., Extramural ID - PMC4465383 [pmc] ID - NIHMS696172 [mid] PP - ppublish GI - No: R25 CA096562 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R25CA09652-01 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2006 Jan EZ - 2005/12/27 09:00 DA - 2006/04/14 09:00 DT - 2005/12/27 09:00 YR - 2006 ED - 20060413 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16378256 <844. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16009506 TI - Anabolic ergogenic substance users in fitness-sports: a distinct group supported by the health care system. SO - Drug & Alcohol Dependence. 81(1):11-9, 2006 Jan 04. AS - Drug Alcohol Depend. 81(1):11-9, 2006 Jan 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Striegel H AU - Simon P AU - Frisch S AU - Roecker K AU - Dietz K AU - Dickhuth HH AU - Ulrich R FA - Striegel, Heiko FA - Simon, Perikles FA - Frisch, Steffen FA - Roecker, Kai FA - Dietz, Klaus FA - Dickhuth, Hans-Hermann FA - Ulrich, Rolf IN - Striegel, Heiko. Department Sports Medicine, University of Tuebingen, Silchertrasse 5, 72076 Tuebingen, Germany. heiko.striegel@uni-tuebingen.de NJ - Drug and alcohol dependence VO - 81 IP - 1 PG - 11-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - ebs, 7513587 IO - Drug Alcohol Depend SB - Index Medicus CP - Ireland MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - Anabolic Agents/ae [Adverse Effects] MH - Anabolic Agents/sd [Supply & Distribution] MH - *Anabolic Agents MH - Body Mass Index MH - Central Nervous System Stimulants/ae [Adverse Effects] MH - *Central Nervous System Stimulants MH - Cocaine-Related Disorders/ep [Epidemiology] MH - Cocaine-Related Disorders/pc [Prevention & Control] MH - Comorbidity MH - Cross-Sectional Studies MH - Doping in Sports/pc [Prevention & Control] MH - *Doping in Sports/sn [Statistics & Numerical Data] MH - Female MH - Fitness Centers/sn [Statistics & Numerical Data] MH - Germany MH - Humans MH - Male MH - *National Health Programs/ut [Utilization] MH - Patient Education as Topic/sn [Statistics & Numerical Data] MH - Physical Fitness MH - Referral and Consultation/ut [Utilization] MH - Smoking/ep [Epidemiology] MH - Smoking Prevention MH - Socioeconomic Factors MH - Statistics as Topic MH - Street Drugs/ae [Adverse Effects] MH - *Street Drugs MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Utilization Review/sn [Statistics & Numerical Data] AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Anabolic Agents) RN - 0 (Central Nervous System Stimulants) RN - 0 (Street Drugs) IS - 0376-8716 IL - 0376-8716 PT - Journal Article ID - S0376-8716(05)00186-9 [pii] ID - 10.1016/j.drugalcdep.2005.05.013 [doi] PP - ppublish PH - 2004/11/19 [received] PH - 2005/05/05 [revised] PH - 2005/05/06 [accepted] LG - English EP - 20050711 DP - 2006 Jan 04 EZ - 2005/07/13 09:00 DA - 2006/04/14 09:00 DT - 2005/07/13 09:00 YR - 2006 ED - 20060413 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16009506 <845. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16224605 TI - Comparative study of drug use among undergraduate students at the University of Sao Paulo--Sao Paulo campus in 1996 and 2001. SO - Revista Brasileira de Psiquiatria. 27(3):185-93, 2005 Sep. AS - Rev Bras Psiquiatr. 27(3):185-93, 2005 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stempliuk Vde A AU - Barroso LP AU - Andrade AG AU - Nicastri S AU - Malbergier A FA - Stempliuk, Vladimir de Andrade FA - Barroso, Lucia Pereira FA - Andrade, Arthur Guerra de FA - Nicastri, Sergio FA - Malbergier, Andre IN - Stempliuk, Vladimir de Andrade. Department of Psychiatry, Universidade de Sao Paulo, Sao Paulo, SP, Brazil. vladimir.stempliuk@planalto.gov.br CM - Comment in: Rev Bras Psiquiatr. 2006 Mar;28(1):83; author reply 83-4; PMID: 16612500 NJ - Revista brasileira de psiquiatria (Sao Paulo, Brazil : 1999) VO - 27 IP - 3 PG - 185-93 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 100895975 IO - Rev Bras Psiquiatr SB - Index Medicus CP - Brazil MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - Brazil/ep [Epidemiology] MH - Confidence Intervals MH - Cross-Sectional Studies MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - Marijuana Abuse/ep [Epidemiology] MH - Prevalence MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - OBJECTIVE: To compare the rate of drug use prevalence and to investigate opinions regarding such use among undergraduate students at the University of Sao Paulo--Sao Paulo campus in 1996 and again in 2001. AB - METHODS: Both studies followed the same procedures of sampling and data collection. A random sample of undergraduate students, divided into the areas Humanities, Exact Sciences and Biologic Sciences, responded to an anonymous and self-report survey regarding the use of licit and illicit drugs within the last 30 days, within the last 12 months and over the lifetime of the subject. The two surveys were compared through the construction of (95%) confidence intervals for the prevalence differences for each substance by area and by total number of students. The Wald test for homogeneity was applied in order to compare the prevalences. AB - RESULTS: High approval of regularly trying and using cocaine, crack, amphetamines and inhalants was observed. The drugs that showed statistic significant increasing were:lifetime use: alcohol, tobacco, marijuana, inhalants, hallucinogens, amphetamines, anti cholines, barbiturics and any illicit drug;last-12-month use: marijuana, inhalants, amphetamines, hallucinogens and any illicit drug;last-30-day use: marijuana, inhalants, amphetamines and any illicit drug. AB - DISCUSSION: The observed difference in the use of some drugs between the two surveys appears to be a consequence of the higher rates of favorable opinions regarding trying and regularly using some psychoactive substances, a finding that mirrors global trends in drug use. IS - 1516-4446 IL - 1516-4446 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S1516-44462005000300006 [pii] ID - /S1516-44462005000400006 [doi] PP - ppublish LG - English EP - 20051004 DP - 2005 Sep EZ - 2005/10/15 09:00 DA - 2006/04/07 09:00 DT - 2005/10/15 09:00 YR - 2005 ED - 20060406 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16224605 <846. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16457737 TI - Effectiveness of skills-based training using the Drink-less package to increase family practitioner confidence in intervening for alcohol use disorders. SO - BMC Medical Education. 6:8, 2006 Feb 06. AS - BMC Med Educ. 6:8, 2006 Feb 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Proude EM AU - Conigrave KM AU - Haber PS FA - Proude, Elizabeth M FA - Conigrave, Katherine M FA - Haber, Paul S IN - Proude, Elizabeth M. Drug Health Services, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia. elizabeth.proude@email.cs.nsw.gov.au NJ - BMC medical education VO - 6 PG - 8 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101088679 IO - BMC Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1403778 SB - Index Medicus CP - England MH - Accidents, Traffic/pc [Prevention & Control] MH - Adult MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Automobile Driving MH - *Clinical Competence MH - Computer-Assisted Instruction/is [Instrumentation] MH - *Computer-Assisted Instruction/mt [Methods] MH - Counseling/ed [Education] MH - *Education, Medical, Continuing/mt [Methods] MH - Educational Technology MH - *Family Practice/ed [Education] MH - Humans MH - Middle Aged MH - New South Wales MH - Program Evaluation AB - 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. AB - 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. AB - 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. AB - 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. ES - 1472-6920 IL - 1472-6920 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 1472-6920-6-8 [pii] ID - 10.1186/1472-6920-6-8 [doi] ID - PMC1403778 [pmc] PP - epublish PH - 2005/09/20 [received] PH - 2006/02/06 [accepted] LG - English EP - 20060206 DP - 2006 Feb 06 EZ - 2006/02/07 09:00 DA - 2006/04/04 09:00 DT - 2006/02/07 09:00 YR - 2006 ED - 20060403 RD - 20140909 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16457737 <847. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15915295 TI - Training pediatric residents to provide smoking cessation counseling to parents. SO - Thescientificworldjournal. 5:410-9, 2005 May 13. AS - ScientificWorldJournal. 5:410-9, 2005 May 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Collins RL AU - D'Angelo S AU - Stearns SD AU - Campbell LR FA - Collins, Rebecca L FA - D'Angelo, Sandy FA - Stearns, Sarah D FA - Campbell, Lynn R IN - Collins, Rebecca L. Department of Pediatrics, University of Kentucky Chandler Medical Center, Lexington, KY, USA. rlcoll2@uky.edu NJ - TheScientificWorldJournal VO - 5 PG - 410-9 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101131163 IO - ScientificWorldJournal SB - Index Medicus CP - United States MH - Adult MH - *Counseling MH - Demography MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - Male MH - *Parents MH - Patient Education as Topic MH - *Pediatrics/ed [Education] MH - *Smoking Cessation AB - 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. ES - 1537-744X IL - 1537-744X PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 10.1100/tsw.2005.54 [pii] ID - 10.1100/tsw.2005.54 [doi] PP - ppublish LG - English DP - 2005 May 13 EZ - 2005/05/26 09:00 DA - 2006/04/01 09:00 DT - 2005/05/26 09:00 YR - 2005 ED - 20060331 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15915295 <848. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16483093 TI - Physicians' attitude and practices in sickle cell disease pain management.[Erratum appears in J Palliat Care. 2006 Spring;22(1):64] SO - Journal of Palliative Care. 21(4):246-51, 2005. AS - J Palliat Care. 21(4):246-51, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Labbe E AU - Herbert D AU - Haynes J FA - Labbe, Elise FA - Herbert, Donald FA - Haynes, Johnson IN - Labbe, Elise. Department of Psychology, University of South Alabama, Comprehensive Sickle Cell Center, Mobile, USA. NJ - Journal of palliative care VO - 21 IP - 4 PG - 246-51 PI - Journal available in: Print PI - Citation processed from: Print JC - 8610345, jlc IO - J Palliat Care SB - Index Medicus CP - United States MH - Acute Disease MH - Adult MH - Analgesia/ae [Adverse Effects] MH - Analgesia/ut [Utilization] MH - *Anemia, Sickle Cell/co [Complications] MH - *Attitude of Health Personnel MH - Education, Medical, Continuing MH - Faculty, Medical/og [Organization & Administration] MH - Family Practice/ed [Education] MH - Family Practice/og [Organization & Administration] MH - Fear MH - Female MH - Health Knowledge, Attitudes, Practice MH - Hematology/ed [Education] MH - Hematology/og [Organization & Administration] MH - Humans MH - Male MH - Medical Staff/ed [Education] MH - Medical Staff/px [Psychology] MH - Middle Aged MH - Needs Assessment MH - Pain/di [Diagnosis] MH - Pain/et [Etiology] MH - *Pain/pc [Prevention & Control] MH - Pain Measurement MH - *Physicians/px [Psychology] MH - *Practice Patterns, Physicians'/og [Organization & Administration] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - United States AB - 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. IS - 0825-8597 IL - 0825-8597 PT - Journal Article PP - ppublish LG - English DP - 2005 EZ - 2006/02/18 09:00 DA - 2006/03/17 09:00 DT - 2006/02/18 09:00 YR - 2005 ED - 20060316 RD - 20170104 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16483093 <849. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15741590 TI - Development and implementation of an emergency practitioner-performed brief intervention for hazardous and harmful drinkers in the emergency department. SO - Academic Emergency Medicine. 12(3):249-56, 2005 Mar. AS - Acad Emerg Med. 12(3):249-56, 2005 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - D'Onofrio G AU - Pantalon MV AU - Degutis LC AU - Fiellin DA AU - O'connor PG FA - D'Onofrio, Gail FA - Pantalon, Michael V FA - Degutis, Linda C FA - Fiellin, David A FA - O'connor, Patrick G IN - D'Onofrio, Gail. Section of Emergency Medicine, Yale University School of Medicine, 464 Congress Avenue, Suite 260, New Haven, CT 06519, USA. gail.donofrio@yale.edu NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 12 IP - 3 PG - 249-56 PI - Journal available in: Print PI - Citation processed from: Internet JC - ce1, 9418450 IO - Acad Emerg Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1414059 OI - Source: NLM. NIHMS3345 SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Behavior Therapy/ed [Education] MH - Behavior Therapy/mt [Methods] MH - Connecticut MH - *Counseling/ed [Education] MH - *Counseling/mt [Methods] MH - Education, Medical, Continuing/mt [Methods] MH - Educational Measurement/mt [Methods] MH - *Emergency Medicine/ed [Education] MH - *Emergency Medicine/mt [Methods] MH - *Emergency Service, Hospital/og [Organization & Administration] MH - Humans MH - Motivation MH - Outcome and Process Assessment (Health Care) MH - Pilot Projects MH - Prospective Studies AB - OBJECTIVES: 1) To develop and teach a brief intervention (BI) for "hazardous and harmful" (HH) drinkers in the emergency department (ED); 2) to determine whether emergency practitioners (EPs) (faculty, residents, and physician associates) can demonstrate proficiency in the intervention; and 3) to determine whether it is feasible for EPs to perform the BI during routine clinical care. AB - METHODS: The Brief Negotiation Interview (BNI) was developed for a population of HH drinkers. EPs working in an urban, teaching hospital were trained during two-hour skills-based sessions. They were then tested for adherence to and competence with the BNI protocol using standardized patient scenarios and a checklist of critical components of the BNI. Finally, the EPs performed the BNI as part of routine ED clinical care in the context of a randomized controlled trial to test the efficacy of BI on patient outcomes. AB - RESULTS: The BNI was developed, modified, and finalized in a manual, based on pilot testing. Eleven training sessions with 58 EPs were conducted from March 2002 to August 2003. Ninety-one percent (53/58) of the trained EPs passed the proficiency examination; 96% passed after remediation. Two EPs left prior to remediation. Subsequently, 247 BNIs were performed by 47 EPs. The mean (+/- standard deviation) number of BNIs per EP was 5.28 (+/- 4.91; range 0-28). The mean duration of the BNI was 7.75 minutes (+/- 3.18; range 4-24). AB - CONCLUSIONS: A BNI for HH drinkers can be successfully developed for EPs. EPs can demonstrate proficiency in performing the BNI in routine ED clinical practice. ES - 1553-2712 IL - 1069-6563 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 12/3/249 [pii] ID - 10.1197/j.aem.2004.10.021 [doi] ID - PMC1414059 [pmc] ID - NIHMS3345 [mid] PP - ppublish GI - No: K23 DA015144 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 AA012417 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: K23 DA 15144 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 AA 12417-01A1 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2005 Mar EZ - 2005/03/03 09:00 DA - 2006/03/11 09:00 DT - 2005/03/03 09:00 YR - 2005 ED - 20060310 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15741590 <850. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16466119 TI - Physicians-in-training attitudes toward caring for and working with patients with alcohol and drug abuse diagnoses. SO - Southern Medical Journal. 99(1):28-35, 2006 Jan. AS - South Med J. 99(1):28-35, 2006 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lindberg M AU - Vergara C AU - Wild-Wesley R AU - Gruman C FA - Lindberg, Michael FA - Vergara, Cunegundo FA - Wild-Wesley, Rebecca FA - Gruman, Cynthia IN - Lindberg, Michael. Department of Medicine, Hartford Hospital, Braceland Center for Mental Health and Aging, Institute of Living, 80 Seymour Street, Hartford, CT 06102, USA. mlindbe@harthosp.org CM - Comment in: South Med J. 2006 Jan;99(1):11; PMID: 16466111 NJ - Southern medical journal VO - 99 IP - 1 PG - 28-35 PI - Journal available in: Print PI - Citation processed from: Print JC - uvh, 0404522 IO - South. Med. J. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - *Physician-Patient Relations/es [Ethics] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - 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. IS - 0038-4348 IL - 0038-4348 PT - Comparative Study PT - Journal Article ID - 10.1097/01.smj.0000197514.83606.95 [doi] PP - ppublish LG - English DP - 2006 Jan EZ - 2006/02/10 09:00 DA - 2006/02/24 09:00 DT - 2006/02/10 09:00 YR - 2006 ED - 20060221 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16466119 <851. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16122619 TI - Clinicians' information sources for new substance abuse treatment. SO - Addictive Behaviors. 30(8):1592-6, 2005 Sep. AS - Addict Behav. 30(8):1592-6, 2005 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arfken CL AU - Agius E AU - Dickson MW FA - Arfken, Cynthia L FA - Agius, Elizabeth FA - Dickson, Marcus W IN - Arfken, Cynthia L. Department of Psychiatry and Behavioral Neurosciences, 2761 E. Jefferson, Substance Abuse Research Division, Wayne State University, Detroit MI 48207, United States. carfken@med.wayne.edu NJ - Addictive behaviors VO - 30 IP - 8 PG - 1592-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 2gw, 7603486 IO - Addict Behav SB - Index Medicus CP - England MH - Books MH - Community Health Services MH - Education, Medical, Continuing/mt [Methods] MH - Electronic Mail MH - Female MH - Health Care Surveys/mt [Methods] MH - Humans MH - *Information Dissemination/mt [Methods] MH - Internet MH - Interprofessional Relations MH - Longitudinal Studies MH - Male MH - Middle Aged MH - Periodicals as Topic MH - *Substance-Related Disorders/th [Therapy] AB - Little is known about clinicians' information sources for new treatments or ways to improve dissemination of that information. We analyzed 163 clinicians' responses to a checklist of where and how frequently they obtain information on new treatment approaches. They reported at least yearly use of a median of four cosmopolite categories (e.g., journals or books, Internet) and a median of three local categories (e.g., co-workers, personal experience) with interpersonal contact with co-workers (89%) and seminars/conferences (86%) being the most frequently endorsed responses for at least yearly use. In response to the hypothetical scenario of receiving monthly e-mail summaries of journal articles, 59% of the clinicians rated the strategy as "very helpful". If continuing education credits were offered, more clinicians (from 50-80%) would read the relevant articles. Information dissemination may improve with expanded Internet access at programs and short e-mailed summaries carrying links to full articles coupled with the incentive of earning continuing education credits. IS - 0306-4603 IL - 0306-4603 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - S0306-4603(05)00043-2 [pii] ID - 10.1016/j.addbeh.2005.02.010 [doi] PP - ppublish PH - 2004/11/23 [received] PH - 2005/02/04 [revised] PH - 2005/02/11 [accepted] GI - No: R01 DA330246 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2005 Sep EZ - 2005/08/27 09:00 DA - 2006/02/24 09:00 DT - 2005/08/27 09:00 YR - 2005 ED - 20060221 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16122619 <852. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16332563 TI - Teaching smoking cessation knowledge to second-year undergraduates. SO - Medical Teacher. 27(7):655-7, 2005 Nov. AS - Med Teach. 27(7):655-7, 2005 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cleland J AU - Lee G AU - Friend J AU - Osman L FA - Cleland, Jennifer FA - Lee, Gillian FA - Friend, James FA - Osman, Leisl IN - Cleland, Jennifer. Department of General Practice and Primary Care, University of Aberdeen, UK. jen.cleland@abdn.ac.uk NJ - Medical teacher VO - 27 IP - 7 PG - 655-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 7909593, mf9 IO - Med Teach SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - *Education, Medical, Undergraduate/mt [Methods] MH - Female MH - Humans MH - Male MH - *Smoking Cessation AB - 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. IS - 0142-159X IL - 0142-159X PT - Journal Article ID - M681TG413264656T [pii] ID - 10.1080/01421590500069991 [doi] PP - ppublish LG - English DP - 2005 Nov EZ - 2005/12/08 09:00 DA - 2006/02/16 09:00 DT - 2005/12/08 09:00 YR - 2005 ED - 20060214 RD - 20051207 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16332563 <853. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16186090 TI - Public policy statement on Office-Based Opioid Agonist Treatment (OBOT). SO - Journal of Addictive Diseases. 24(3):153-61, 2005. AS - J Addict Dis. 24(3):153-61, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Journal of addictive diseases VO - 24 IP - 3 PG - 153-61 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - *Ambulatory Care/lj [Legislation & Jurisprudence] MH - *Buprenorphine/tu [Therapeutic Use] MH - Combined Modality Therapy MH - *Comprehensive Health Care/lj [Legislation & Jurisprudence] MH - Continuity of Patient Care/lj [Legislation & Jurisprudence] MH - Drug Approval/lj [Legislation & Jurisprudence] MH - Education, Medical, Continuing/lj [Legislation & Jurisprudence] MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - *Methadone/tu [Therapeutic Use] MH - *Narcotics/ag [Agonists] MH - Narcotics/tu [Therapeutic Use] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Patient Care Team/lj [Legislation & Jurisprudence] MH - Primary Health Care/lj [Legislation & Jurisprudence] MH - Psychotherapy/lj [Legislation & Jurisprudence] MH - *Public Policy MH - Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - *Substance Abuse Treatment Centers/lj [Legislation & Jurisprudence] MH - United States RN - 0 (Narcotics) RN - 40D3SCR4GZ (Buprenorphine) RN - UC6VBE7V1Z (Methadone) IS - 1055-0887 IL - 1055-0887 PT - Journal Article ID - 10.1300/J069v24n03_12 [doi] PP - ppublish LG - English DP - 2005 EZ - 2005/09/28 09:00 DA - 2006/02/04 09:00 DT - 2005/09/28 09:00 YR - 2005 ED - 20060203 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16186090 <854. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16186084 TI - Enhancing physicians' use of Alcoholics Anonymous: Internet-based training. SO - Journal of Addictive Diseases. 24(3):77-86, 2005. AS - J Addict Dis. 24(3):77-86, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sellers B AU - Galanter M AU - Dermatis H AU - Nachbar M FA - Sellers, Brealyn FA - Galanter, Marc FA - Dermatis, Helen FA - Nachbar, Martin IN - Sellers, Brealyn. Division of Alcoholism and Drug Abuse, New York University Medical School, New York, NY 10016, USA. NJ - Journal of addictive diseases VO - 24 IP - 3 PG - 77-86 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - *Alcoholics Anonymous MH - *Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - *Computer-Assisted Instruction MH - Curriculum MH - Education, Medical MH - *Education, Medical, Continuing MH - Humans MH - *Internet MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - *Psychiatry/ed [Education] MH - Specialization MH - United States AB - 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. AB - METHODS: Demographic information was collected from 414 visitors to the course. AB - RESULTS: 64% 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. 294 (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. AB - 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. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J069v24n03_06 [doi] PP - ppublish LG - English DP - 2005 EZ - 2005/09/28 09:00 DA - 2006/02/04 09:00 DT - 2005/09/28 09:00 YR - 2005 ED - 20060203 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16186084 <855. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16327103 TI - Beny J. Primm, MD: pioneer physician, educator, and advocate for people with addictions and HIV/AIDS. SO - Journal of Health Care for the Poor & Underserved. 16(4 Suppl B):6-8, 2005 Nov. AS - J Health Care Poor Underserved. 16(4 Suppl B):6-8, 2005 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Primm AB AU - Brown LS FA - Primm, Annelle B FA - Brown, Lawrence S IN - Primm, Annelle B. American Psychiatric Association, Arlington, VA, USA. NJ - Journal of health care for the poor and underserved VO - 16 IP - 4 Suppl B PG - 6-8 PI - Journal available in: Print PI - Citation processed from: Print JC - a4d, 9103800 IO - J Health Care Poor Underserved SB - Index Medicus CP - United States MH - *HIV Infections MH - History, 20th Century MH - History, 21st Century MH - Humans MH - *Patient Advocacy MH - *Substance-Related Disorders PN - Primm BJ IS - 1049-2089 IL - 1049-2089 PT - Biography PT - Historical Article PT - Journal Article ID - S1548686905B00069 [pii] ID - 10.1353/hpu.2005.0115 [doi] PP - ppublish LG - English DP - 2005 Nov EZ - 2005/12/06 09:00 DA - 2006/01/28 09:00 DT - 2005/12/06 09:00 YR - 2005 ED - 20060127 RD - 20061013 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16327103 <856. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16381164 TI - Sowing the seeds of hope: providing regional behavioral health supports to the agricultural population. SO - Journal of Agricultural Safety & Health. 11(4):431-9, 2005 Nov. AS - J Agric Saf Health. 11(4):431-9, 2005 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosmann MR FA - Rosmann, M R IN - Rosmann, M R. AgriWellness Inc, Harlan, Iowa 51537, USA. info@agriwellness.org NJ - Journal of agricultural safety and health VO - 11 IP - 4 PG - 431-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 9613956, dsa IO - J Agric Saf Health SB - Index Medicus CP - United States MH - *Community Mental Health Services/og [Organization & Administration] MH - Community Mental Health Services/sn [Statistics & Numerical Data] MH - Counseling MH - Humans MH - Insurance, Health MH - Mental Health MH - Program Evaluation MH - *Rural Health MH - *Rural Health Services/og [Organization & Administration] MH - Rural Health Services/sn [Statistics & Numerical Data] MH - United States AB - 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. IS - 1074-7583 IL - 1074-7583 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 2005 Nov EZ - 2005/12/31 09:00 DA - 2006/01/20 09:00 DT - 2005/12/31 09:00 YR - 2005 ED - 20060119 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16381164 <857. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16223068 TI - A structured approach to medical management: a psychosocial intervention to support pharmacotherapy in the treatment of alcohol dependence. SO - Journal of Studies on Alcohol - Supplement. (15):170-8; discussion 168-9, 2005 Jul AS - J Stud Alcohol Suppl. (15):170-8; discussion 168-9, 2005 Jul VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pettinati HM AU - Weiss RD AU - Dundon W AU - Miller WR AU - Donovan D AU - Ernst DB AU - Rounsaville BJ FA - Pettinati, Helen M FA - Weiss, Roger D FA - Dundon, William FA - Miller, William R FA - Donovan, Dennis FA - Ernst, Denise B FA - Rounsaville, Bruce J IN - Pettinati, Helen M. Addiction Treatment Research Center, University of Pennsylvania, 3900 Chestnut Street, Philadelphia, Pennsylvania 19104, USA. Pettinati_h@mail.trc.upenn.edu NJ - Journal of studies on alcohol. Supplement IP - 15 PG - 170-8; discussion 168-9 PI - Journal available in: Print PI - Citation processed from: Print JC - jzn, 7609332 IO - J Stud Alcohol Suppl SB - Index Medicus CP - United States MH - Alcoholism/dt [Drug Therapy] MH - *Alcoholism/th [Therapy] MH - *Behavior Therapy/mt [Methods] MH - *Clinical Competence MH - Combined Modality Therapy MH - *Drug Therapy/mt [Methods] MH - Goals MH - Health Personnel/st [Standards] MH - Health Status MH - Humans MH - Research Design MH - Treatment Outcome AB - OBJECTIVE: Given the national trend toward integrating substance abuse treatment into medical practice, experts in the field of alcoholism designed a psychosocial, medically based intervention to be used with pharmacotherapy in the COMBINE multisite national study, supported by the National Institute on Alcohol Abuse and Alcoholism. A main purpose of the COMBINE Study is to investigate optimal treatment for patients with alcohol dependence by combining pharmacotherapy and psychosocial interventions. AB - METHOD: The medically based intervention, called Medical Management (MM), was specifically constructed to be implemented by medically trained practitioners in nonspecialty settings. Each visit includes evaluations of medication safety and adherence, monitoring of alcohol use and direct advice to the patient for achieving full recovery. AB - RESULTS: There are several themes implicit in MM. Patient education about the disorder and about the treatment being provided are both essential. The clinician also educates the patient about how he or she has been affected by alcohol dependence. Information is given on how to take the medication(s) as prescribed, what the patient should expect from the medication(s) and what kinds of events the clinician will need to know about during treatment. Finally, the clinician and patient discuss strategies for ensuring medication safety and adherence to the prescribed regimen. AB - CONCLUSIONS: MM was easily implemented in the COMBINE Study with the aid of the MM Treatment Manual. IS - 0363-468X IL - 0363-468X PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: K02DA00326 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K05-AA00133 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: K05DA00089 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50DA09241 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P50DA12756 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: U10AA11716 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: U10AA11756 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: U10AA11768 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: U10AA11787 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: U10AA11799 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2005 Jul EZ - 2005/10/15 09:00 DA - 2006/01/18 09:00 DT - 2005/10/15 09:00 YR - 2005 ED - 20060117 RD - 20121115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16223068 <858. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16141123 TI - A survey of addiction training in child and adolescent psychiatry residency programs. SO - Academic Psychiatry. 29(3):274-8, 2005 Jul-Aug. AS - Acad Psychiatry. 29(3):274-8, 2005 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waldbaum M AU - Galanter M AU - Dermatis H AU - Greenberg WM FA - Waldbaum, Marjorie FA - Galanter, Marc FA - Dermatis, Helen FA - Greenberg, William M IN - Waldbaum, Marjorie. Division of Alcoholism and Department of Psychiatry, New York University Medical Center, New York, NY 10016, USA. mew123452003@yahoo.com NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 29 IP - 3 PG - 274-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Adolescent Psychiatry/ed [Education] MH - *Behavior, Addictive MH - *Child Psychiatry/ed [Education] MH - *Education/st [Standards] MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders MH - *Surveys and Questionnaires MH - *Teaching/mt [Methods] AB - OBJECTIVE: Childhood and adolescence represent a critical period for the potential initiation of substance use, and thus it is important that child and adolescent psychiatry (CAP) residents learn to screen, assess, refer, and/or treat children and adolescents who have substance abuse diagnoses. AB - METHOD: The authors conducted a survey by mail of directors from all accredited U.S. CAP residency programs in order to describe addiction training in their respective programs. AB - RESULTS: Seventy percent of program directors responded and indicated diverse addiction training experiences for their residents. Findings indicate that the majority of CAP residents are treating patients with substance use disorders in both years of training and in multiple treatment settings. AB - CONCLUSION: The survey provides preliminary data for system-level constraints that merit additional consideration in order to potentially advance addiction training in CAP residencies. IS - 1042-9670 IL - 1042-9670 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 29/3/274 [pii] ID - 10.1176/appi.ap.29.3.274 [doi] PP - ppublish LG - English DP - 2005 Jul-Aug EZ - 2005/09/06 09:00 DA - 2006/01/18 09:00 DT - 2005/09/06 09:00 YR - 2005 ED - 20060113 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16141123 <859. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16141120 TI - How prepared are psychiatry residents for treating nicotine dependence?. SO - Academic Psychiatry. 29(3):256-61, 2005 Jul-Aug. AS - Acad Psychiatry. 29(3):256-61, 2005 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prochaska JJ AU - Fromont SC AU - Hall SM FA - Prochaska, Judith J FA - Fromont, Sebastien C FA - Hall, Sharon M IN - Prochaska, Judith J. Department of Psychiatry, University of California San Francisco School of Medicine, San Francisco, CA 94143-0984, USA. JProchaska@lppi.ucsf.edu NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 29 IP - 3 PG - 256-61 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Clinical Competence MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - Surveys and Questionnaires MH - *Teaching/mt [Methods] MH - *Tobacco Use Disorder/th [Therapy] AB - OBJECTIVE: Nicotine dependence is the most prevalent substance abuse disorder among adult psychiatric patients and a leading cause of death and disability. The authors examined the extent to which psychiatry residents are prepared to treat nicotine dependence in clinical practice. AB - METHODS: Residents from five psychiatry residency programs in northern California completed an anonymous survey of their knowledge, attitudes, and behaviors regarding treating nicotine dependence among their patients. AB - RESULTS: Respondents (N = 105, 60% female) represented all 4 years of residency training. Residents' smoking status was 11% current, 17% former, and 72% never. Knowledge scores averaged 54% correct. Confidence ratings averaged 3 (SD = 0.6) on a 5-point scale. Seventy six percent rated their overall ability to help patients quit using tobacco as fair or poor. The percent reporting often or always engaging in the National Cancer Institute's 5-A intervention for smoking cessation was: 58% ask; 29% advise; 17% assess; 18% assist; and 13% arrange follow up. Most residents reported none or inadequate tobacco cessation training during medical school (74%) or residency (79%), and nearly all (94%) reported moderate to high interest in learning more about helping patients quit smoking. AB - CONCLUSION: Psychiatry residents appear unprepared to treat nicotine dependence, but report considerable interest in this area. The findings demonstrate the need for and interest in tobacco cessation curricula in psychiatry residency training. IS - 1042-9670 IL - 1042-9670 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 29/3/256 [pii] ID - 10.1176/appi.ap.29.3.256 [doi] PP - ppublish GI - No: T32 DA-07250 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA15732 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA-02538 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P-50 DA-09253 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 MH-060482 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R25 MH060482 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2005 Jul-Aug EZ - 2005/09/06 09:00 DA - 2006/01/18 09:00 DT - 2005/09/06 09:00 YR - 2005 ED - 20060113 RD - 20170414 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16141120 <860. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16043435 TI - Attitudes of Swedish general practitioners and nurses to working with lifestyle change, with special reference to alcohol consumption. SO - Alcohol & Alcoholism. 40(5):388-93, 2005 Sep-Oct. AS - Alcohol Alcohol. 40(5):388-93, 2005 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Geirsson M AU - Bendtsen P AU - Spak F FA - Geirsson, Magnus FA - Bendtsen, Preben FA - Spak, Fredrik IN - Geirsson, Magnus. Ekangsvagen 15, 541 40 Skovde, Sweden. magnus.geirsson@vgregion.se NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 40 IP - 5 PG - 388-93 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Education, Medical, Graduate MH - Female MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Life Style MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - Patient Compliance/px [Psychology] MH - *Physicians, Family/px [Psychology] MH - Secondary Prevention MH - Sweden AB - AIMS: To explore the attitudes of Swedish general practitioners (GPs) and nurses to secondary alcohol prevention (early identification of, and intervention for, alcohol-related problems) and compare it to their attitudes to other important lifestyle behaviours such as smoking, stress, exercise, and overweight. AB - METHODS: An adjusted version of The WHO Collaborative Study Questionnaire for General Practitioners was posted to all GPs and nurses in the County of Skaraborg, Sweden; 68 GPs and 193 nurses responded. AB - RESULTS: The importance of drinking alcohol moderately, counselling skills on reducing alcohol consumption and perceived current effectiveness in helping patients change lifestyle behaviours ranked lower than working with all the other lifestyle behaviours. The nurses rated their potential effectiveness in helping patients change lifestyle higher than that of GPs for all the lifestyle behaviours. Nurses receiving more alcohol-related education had more positive attitudes than nurses with less education. For alcohol, the GPs assessed their role adequacy, role legitimacy and motivation higher than that of the nurses. The main obstacles for the GPs to carry out alcohol intervention were lack of training in counselling for reducing alcohol consumption, time constraints, and the fact that the doctors did not know how to identify problem drinkers who have no obvious symptoms of excess consumption. AB - CONCLUSION: GPs and the nurses estimated their alcohol-related competence as lower than working with many other health-related lifestyles. These results can be explained by lack of practical skills, lack of training in suitable intervention techniques, and unsupportive working environments. All these elements must be considered when planning secondary alcohol prevention programs in primary health care. IS - 0735-0414 IL - 0735-0414 PT - Journal Article ID - agh185 [pii] ID - 10.1093/alcalc/agh185 [doi] PP - ppublish LG - English EP - 20050725 DP - 2005 Sep-Oct EZ - 2005/07/27 09:00 DA - 2006/01/13 09:00 DT - 2005/07/27 09:00 YR - 2005 ED - 20060111 RD - 20141120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16043435 <861. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16271146 TI - Effects of screening and brief intervention training on resident and faculty alcohol intervention behaviours: a pre- post-intervention assessment. SO - BMC Family Practice. 6:46, 2005 Nov 04. AS - BMC Fam Pract. 6:46, 2005 Nov 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seale JP AU - Shellenberger S AU - Boltri JM AU - Okosun IS AU - Barton B FA - Seale, J Paul FA - Shellenberger, Sylvia FA - Boltri, John M FA - Okosun, I S FA - Barton, Barbara IN - Seale, J Paul. Department of Family Medicine, Mercer University School of Medicine, Medical Center of Central Georgia, Macon, GA 31210, USA. seale.paul@mccg.org NJ - BMC family practice VO - 6 PG - 46 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 100967792 IO - BMC Fam Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1310533 SB - Index Medicus CP - England MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - Clinical Competence MH - Counseling/ut [Utilization] MH - *Counseling MH - Education, Medical, Continuing MH - *Faculty, Medical/st [Standards] MH - *Family Practice/ed [Education] MH - Family Practice/st [Standards] MH - Female MH - Georgia MH - Humans MH - *Internship and Residency/st [Standards] MH - Male MH - Mass Screening/ut [Utilization] MH - *Mass Screening MH - Middle Aged MH - Pilot Projects MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Program Evaluation MH - Surveys and Questionnaires AB - BACKGROUND: Many hazardous and harmful drinkers do not receive clinician advice to reduce their drinking. Previous studies suggest under-detection and clinician reluctance to intervene despite awareness of problem drinking (PD). The Healthy Habits Project previously reported chart review data documenting increased screening and intervention with hazardous and harmful drinkers after training clinicians and implementing routine screening. This report describes the impact of the Healthy Habits training program on clinicians' rates of identification of PD, level of certainty in identifying PD and the proportion of patients given advice to reduce alcohol use, based on self-report data using clinician exit questionnaires. AB - METHODS: 28 residents and 10 faculty in a family medicine residency clinic completed four cycles of clinician exit interview questionnaires before and after screening and intervention training. Rates of identifying PD, level of diagnostic certainty, and frequency of advice to reduce drinking were compared across intervention status (pre vs. post). Findings were compared with rates of PD and advice to reduce drinking documented on chart review. AB - RESULTS: 1,052 clinician exit questionnaires were collected. There were no significant differences in rates of PD identified before and after intervention (9.8% vs. 7.4%, p = .308). Faculty demonstrated greater certainty in PD diagnoses than residents (p = .028) and gave more advice to reduce drinking (p = .042) throughout the program. Faculty and residents reported higher levels of diagnostic certainty after training (p = .039 and .030, respectively). After training, residents showed greater increases than faculty in the percentage of patients given advice to reduce drinking (p = .038), and patients felt to be problem drinkers were significantly more likely to receive advice to reduce drinking by all clinicians (50% vs. 75%, p = .047). The number of patients receiving advice to reduce drinking after program implementation exceeded the number of patients felt to be problem drinkers. Recognition rates of PD were four to eight times higher than rates documented on chart review (p = .028). AB - CONCLUSION: This program resulted in greater clinician certainty in diagnosing PD and increases in the number of patients with PD who received advice to reduce drinking. Future programs should include booster training sessions and emphasize documentation of PD and brief intervention. ES - 1471-2296 IL - 1471-2296 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 1471-2296-6-46 [pii] ID - 10.1186/1471-2296-6-46 [doi] ID - PMC1310533 [pmc] PP - epublish PH - 2005/06/10 [received] PH - 2005/11/04 [accepted] GI - No: 1 D12 HP 00159 Organization: *PHS HHS* Country: United States LG - English EP - 20051104 DP - 2005 Nov 04 EZ - 2005/11/08 09:00 DA - 2006/01/13 09:00 DT - 2005/11/08 09:00 YR - 2005 ED - 20060110 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16271146 <862. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16216153 TI - Training psychiatrists to diagnose and treat substance abuse disorders. SO - Current Psychiatry Reports. 7(5):352-9, 2005 Oct. AS - Curr Psychiatry Rep. 7(5):352-9, 2005 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Renner JA Jr AU - Quinones J AU - Wilson A FA - Renner, John A Jr FA - Quinones, Janice FA - Wilson, Amanda IN - Renner, John A Jr. VA Outpatient Clinic, 251 Causeway Street, Boston, MA 02114, USA. john.renner@med.va.gov NJ - Current psychiatry reports VO - 7 IP - 5 PG - 352-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 100888960, dym IO - Curr Psychiatry Rep SB - Index Medicus CP - United States MH - Curriculum MH - Diagnosis, Differential MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - Outpatients MH - Professional Competence MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] AB - 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. IS - 1523-3812 IL - 1523-3812 PT - Journal Article PP - ppublish LG - English DP - 2005 Oct EZ - 2005/10/12 09:00 DA - 2006/01/13 09:00 DT - 2005/10/12 09:00 YR - 2005 ED - 20060110 RD - 20171107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16216153 <863. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16295704 TI - Is stress management training a useful addition to physician advice and nicotine replacement therapy during smoking cessation in women? Results of a randomized trial. SO - American Journal of Health Promotion. 20(2):127-34, 2005 Nov-Dec. AS - Am J Health Promot. 20(2):127-34, 2005 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Slovinec D'Angelo ME AU - Reid RD AU - Hotz S AU - Irvine J AU - Segal RJ AU - Blanchard CM AU - Pipe A FA - Slovinec D'Angelo, Monika E FA - Reid, Robert D FA - Hotz, Stephen FA - Irvine, Jane FA - Segal, Roanne J FA - Blanchard, Chris M FA - Pipe, Andrew IN - Slovinec D'Angelo, Monika E. Prevention and Rehabilitation Centre, University of Ottawa Heart Institute, Ontario, Canada. mslovinec@ottawaheart.ca NJ - American journal of health promotion : AJHP VO - 20 IP - 2 PG - 127-34 PI - Journal available in: Print PI - Citation processed from: Print JC - amj, 8701680 IO - Am J Health Promot SB - Health Technology Assessment Journals CP - United States MH - Adult MH - Aged MH - Female MH - Humans MH - Middle Aged MH - Ontario MH - *Referral and Consultation MH - *Smoking Cessation/mt [Methods] MH - *Stress, Psychological/th [Therapy] MH - *Tobacco Use Disorder/th [Therapy] AB - 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. AB - DESIGN: Randomized controlled trial conducted during a 12-month period. AB - SETTING: Smoking cessation clinics located within two tertiary care centers in Ottawa, Ontario. AB - 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). AB - 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. AB - 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. AB - 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. IS - 0890-1171 IL - 0890-1171 PT - Evaluation Studies PT - Journal Article PT - Randomized Controlled Trial ID - 10.4278/0890-1171-20.2.127 [doi] PP - ppublish LG - English DP - 2005 Nov-Dec EZ - 2005/11/22 09:00 DA - 2005/12/13 09:00 DT - 2005/11/22 09:00 YR - 2005 ED - 20051209 RD - 20180214 UP - 20180214 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=16295704 <864. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16239488 TI - Evidence base presented--and expanding--for investment in tobacco dependence curricula for osteopathic medical education. SO - Journal of the American Osteopathic Association. 105(9):402-3, 2005 Sep. AS - J Am Osteopath Assoc. 105(9):402-3, 2005 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Montalto NJ AU - Priester TS FA - Montalto, Norman J FA - Priester, Tiffany Stanhiser CM - Comment on: J Am Osteopath Assoc. 2005 Feb;105(2):52-3; author reply 53; PMID: 15784926 NJ - The Journal of the American Osteopathic Association VO - 105 IP - 9 PG - 402-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - *Curriculum MH - Education, Medical, Undergraduate MH - Evidence-Based Medicine MH - Female MH - Humans MH - Male MH - *Osteopathic Medicine/ed [Education] MH - Sensitivity and Specificity MH - Smoking Cessation MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 0098-6151 IL - 0098-6151 PT - Comment PT - Comparative Study PT - Letter ID - 105/9/402 [pii] PP - ppublish LG - English DP - 2005 Sep EZ - 2005/10/22 09:00 DA - 2005/12/13 09:00 DT - 2005/10/22 09:00 YR - 2005 ED - 20051201 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16239488 <865. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16244010 TI - Chemical dependency treatment outcomes of residents in anesthesiology: results of a survey. SO - Anesthesia & Analgesia. 101(5):1457-62, 2005 Nov. AS - Anesth Analg. 101(5):1457-62, 2005 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Collins GB AU - McAllister MS AU - Jensen M AU - Gooden TA FA - Collins, Gregory B FA - McAllister, Mark S FA - Jensen, Mark FA - Gooden, Timothy A IN - Collins, Gregory B. Alcohol and Drug Recovery Center, Department of Psychiatry and Psychology, Cleveland Clinic Foundation/P48, 9500 Euclid Avenue, Cleveland, OH 44195, USA. colling@ccf.org CM - Comment in: Anesth Analg. 2006 Dec;103(6):1588; author reply 1588-9; PMID: 17122254 CM - Comment in: Anesth Analg. 2006 Aug;103(2):513-5; author reply 515; PMID: 16861473 NJ - Anesthesia and analgesia VO - 101 IP - 5 PG - 1457-62 PI - Journal available in: Print PI - Citation processed from: Print JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Anesthesiology MH - Humans MH - *Internship and Residency MH - Physician Impairment MH - Retrospective Studies MH - *Substance-Related Disorders/th [Therapy] MH - Treatment Outcome AB - Substance abuse is a potentially lethal occupational hazard confronting anesthesiology residents. We present the results of a survey sent to all United States anesthesiology training programs regarding experience with and outcomes of chemically dependent residents from 1991 to 2001. The response rate was 66%. Eighty percent reported experience with impaired residents and 19% reported at least one pretreatment fatality. Despite this familiarity, few programs required pre-employment drug testing or used substance abuse screening tools during interviews. The majority of impaired residents attempted reentry into anesthesiology after treatment. Only 46% of these were successful in completion of anesthesiology residency. Eventually, 40% of residents who underwent treatment and returned to medical training entered another specialty. The mortality rate for the remaining anesthesiology residents was 9%. Long-term outcome was reported for 93% of all treated residents. Of these, 56% were successful in some specialty of medicine at the end of the survey period. We hypothesize that specialty change afforded substantial improvement in the overall success rate and avoided significant mortality. Redirection of rehabilitated residents into lower-risk specialties may allow a larger number to achieve successful medical careers. IS - 0003-2999 IL - 0003-2999 PT - Journal Article ID - 101/5/1457 [pii] ID - 10.1213/01.ANE.0000180837.78169.04 [doi] PP - ppublish LG - English DP - 2005 Nov EZ - 2005/10/26 09:00 DA - 2005/12/13 09:00 DT - 2005/10/26 09:00 YR - 2005 ED - 20051122 RD - 20061207 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16244010 <866. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16230961 TI - [Collaboration between general practitioners and pharmacists in the management of patients on high-dosage buprenorphine treatment. Prescribers' practices]. [French] OT - Collaboration entre medecins et pharmaciens pour le suivi des patients sous buprenorphine haut dosage. Pratiques des medecins prescripteurs. SO - Presse Medicale. 34(17):1213-9, 2005 Oct 08. AS - Presse Med. 34(17):1213-9, 2005 Oct 08. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Feroni I AU - Aubisson S AU - Bouhnik AD AU - Paraponaris A AU - Masut A AU - Coudert C AU - Obadia Y FA - Feroni, I FA - Aubisson, S FA - Bouhnik, A-D FA - Paraponaris, A FA - Masut, A FA - Coudert, C FA - Obadia, Y IN - Feroni, I. Inserm U 379, Marseille. feroni@marseille.inserm.fr NJ - Presse medicale (Paris, France : 1983) VO - 34 IP - 17 PG - 1213-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8302490, pmt IO - Presse Med SB - Index Medicus CP - France MH - Adult MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Buprenorphine/ad [Administration & Dosage] MH - Buprenorphine/ae [Adverse Effects] MH - *Buprenorphine/tu [Therapeutic Use] MH - Female MH - France MH - Health Care Surveys MH - Humans MH - Male MH - Middle Aged MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Pharmacists MH - *Physicians, Family MH - *Referral and Consultation/sn [Statistics & Numerical Data] MH - Regression Analysis AB - OBJECTIVES: This paper examines the collaboration between general practitioners (GPs) and pharmacists in the outpatient management of patients on high-dosage buprenorphine (HDB) treatment. AB - 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 statistics 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. AB - 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. AB - 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. RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) IS - 0755-4982 IL - 0755-4982 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0755-4982(05)84159-4 [pii] PP - ppublish LG - French DP - 2005 Oct 08 EZ - 2005/10/19 09:00 DA - 2005/11/15 09:00 DT - 2005/10/19 09:00 YR - 2005 ED - 20051114 RD - 20161209 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16230961 <867. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15917030 TI - The pediatric resident training on tobacco project: baseline findings from the Parent/Guardian Tobacco Survey. SO - Preventive Medicine. 41(1):334-41, 2005 Jul. AS - Prev Med. 41(1):334-41, 2005 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Schwab J AU - Haddock Ck AU - Pyle S AU - Moore G AU - Meshberg S FA - Hymowitz, Norman FA - Schwab, Joseph FA - Haddock, Christopher keith FA - Pyle, Sara FA - Moore, Glenisha FA - Meshberg, Sarah IN - Hymowitz, Norman. Department of Psychiatry, UMDNJ-New Jersey Medical School, Newark, NJ 07103, USA. hymowitz@umdnj.edu NJ - Preventive medicine VO - 41 IP - 1 PG - 334-41 PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - Adult MH - Attitude of Health Personnel MH - Child, Preschool MH - *Clinical Competence MH - *Education, Medical, Graduate/mt [Methods] MH - Female MH - Humans MH - Infant MH - Infant, Newborn MH - Internship and Residency MH - Male MH - Needs Assessment MH - Pediatrics/ed [Education] MH - Practice Patterns, Physicians' MH - Sensitivity and Specificity MH - Smoking/ep [Epidemiology] MH - *Smoking/px [Psychology] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - *Smoking Prevention MH - United States AB - 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. AB - 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. AB - 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. AB - 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. IS - 0091-7435 IL - 0091-7435 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - S0091-7435(04)00589-4 [pii] ID - 10.1016/j.ypmed.2004.11.019 [doi] PP - ppublish PH - 2003/07/28 [received] PH - 2004/06/30 [revised] PH - 2004/11/18 [accepted] GI - No: R01 HD40683 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English DP - 2005 Jul EZ - 2005/05/27 09:00 DA - 2005/10/29 09:00 DT - 2005/05/27 09:00 YR - 2005 ED - 20051028 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15917030 <868. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15917007 TI - The pediatric residency training on tobacco project: baseline findings from the patient tobacco survey. SO - Preventive Medicine. 41(1):159-66, 2005 Jul. AS - Prev Med. 41(1):159-66, 2005 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Schwab J AU - Keith Haddock C AU - Pyle S AU - Meshberg S FA - Hymowitz, Norman FA - Schwab, Joseph FA - Keith Haddock, Christopher FA - Pyle, Sara FA - Meshberg, Sarah IN - Hymowitz, Norman. Department of Psychiatry, UMDNJ-New Jersey Medical School, Behavioral Health Sciences Building, Room F 1510, 183 South Orange Avenue, Newark, NJ 07103, USA. hymowitz@umdnj.edu NJ - Preventive medicine VO - 41 IP - 1 PG - 159-66 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Attitude of Health Personnel MH - Child MH - Clinical Competence MH - Female MH - Follow-Up Studies MH - Health Behavior MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency/mt [Methods] MH - Male MH - Patient Participation MH - *Pediatrics/ed [Education] MH - *Physician-Patient Relations MH - Probability MH - Prospective Studies MH - Risk-Taking MH - Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - *Total Quality Management MH - United States AB - 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. AB - 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. AB - 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. AB - 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. IS - 0091-7435 IL - 0091-7435 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - S0091-7435(04)00559-6 [pii] ID - 10.1016/j.ypmed.2004.09.037 [doi] PP - ppublish PH - 2003/12/29 [received] PH - 2004/06/16 [revised] PH - 2004/09/07 [accepted] GI - No: R01 HD40683 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English EP - 20041210 DP - 2005 Jul EZ - 2005/05/27 09:00 DA - 2005/10/29 09:00 DT - 2005/05/27 09:00 YR - 2005 ED - 20051028 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15917007 <869. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16036242 TI - Barriers to accessing HIV/AIDS care in North Carolina: rural and urban differences. SO - AIDS Care. 17(5):558-65, 2005 Jul. AS - AIDS Care. 17(5):558-65, 2005 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reif S AU - Golin CE AU - Smith SR FA - Reif, S FA - Golin, C E FA - Smith, S R IN - Reif, S. Duke University Center for Health Policy, Law and Management, Charlotte, NC 28207, USA. sreif@hpolicy.duke.edu NJ - AIDS care VO - 17 IP - 5 PG - 558-65 PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o IO - AIDS Care SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - *Acquired Immunodeficiency Syndrome/th [Therapy] MH - Adult MH - Attitude of Health Personnel MH - *Delivery of Health Care/og [Organization & Administration] MH - Female MH - *Health Services Accessibility/st [Standards] MH - Health Services Needs and Demand MH - Humans MH - Male MH - North Carolina MH - Rural Health Services/og [Organization & Administration] MH - *Rural Health Services MH - Surveys and Questionnaires MH - Urban Health Services/og [Organization & Administration] MH - *Urban Health Services AB - 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. IS - 0954-0121 IL - 0954-0121 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - LR452188WX770Q24 [pii] ID - 10.1080/09540120412331319750 [doi] PP - ppublish GI - No: 9P30 AI50410 Organization: (AI) *NIAID NIH HHS* Country: United States LG - English DP - 2005 Jul EZ - 2005/07/23 09:00 DA - 2005/10/12 09:00 DT - 2005/07/23 09:00 YR - 2005 ED - 20051011 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16036242 <870. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15941758 TI - Lack of training as a central barrier to the promotion of smoking cessation: a survey among general practitioners in Germany. SO - European Journal of Public Health. 15(2):140-5, 2005 Apr. AS - Eur J Public Health. 15(2):140-5, 2005 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Twardella D AU - Brenner H FA - Twardella, Dorothee FA - Brenner, Hermann IN - Twardella, Dorothee. Department of Epidemiology, German Centre for Research on Ageing, Heidelberg, Germany. NJ - European journal of public health VO - 15 IP - 2 PG - 140-5 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - d0w, 9204966 IO - Eur J Public Health SB - Index Medicus CP - England MH - Adult MH - Aged MH - Counseling MH - Data Collection MH - Female MH - Germany/ep [Epidemiology] MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Male MH - Middle Aged MH - Physician-Patient Relations MH - *Physicians, Family/ed [Education] MH - *Smoking Cessation/sn [Statistics & Numerical Data] AB - 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. AB - 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%). AB - 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. AB - CONCLUSION: Adequate training may be a key factor to enhance engagement of general practitioners in the promotion of smoking cessation. IS - 1101-1262 IL - 1101-1262 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - cki123 [pii] ID - 10.1093/eurpub/cki123 [doi] PP - ppublish LG - English EP - 20050308 DP - 2005 Apr EZ - 2005/06/09 09:00 DA - 2005/10/04 09:00 DT - 2005/06/09 09:00 YR - 2005 ED - 20051003 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15941758 <871. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16130910 TI - [The trial of simple gas analysis of tobacco smoke that can be used for medical education]. [Japanese] SO - Nippon Eiseigaku Zasshi - Japanese Journal of Hygiene. 60(3):355-61, 2005 Jul. AS - Nippon Eiseigaku Zasshi. 60(3):355-61, 2005 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Katsumata M AU - Hirata K AU - Nakadai A AU - Inagaki H AU - Kawada T FA - Katsumata, Masao FA - Hirata, Kimiko FA - Nakadai, Ari FA - Inagaki, Hirofumi FA - Kawada, Tomoyuki IN - Katsumata, Masao. Department of Hygiene and Public Health, Nippon Medical School, Tokyo, Japan. masao-k@nms.ac.jp NJ - Nihon eiseigaku zasshi. Japanese journal of hygiene VO - 60 IP - 3 PG - 355-61 PI - Journal available in: Print PI - Citation processed from: Print JC - kkn, 0417457 IO - Nihon Eiseigaku Zasshi SB - Index Medicus CP - Japan MH - Acetaldehyde/an [Analysis] MH - Ammonia/an [Analysis] MH - Education, Medical, Undergraduate MH - Formaldehyde/an [Analysis] MH - Hydrogen Cyanide/an [Analysis] MH - Nitrogen Oxides/an [Analysis] MH - *Tobacco Smoke Pollution/an [Analysis] AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Nitrogen Oxides) RN - 0 (Tobacco Smoke Pollution) RN - 1HG84L3525 (Formaldehyde) RN - 2WTB3V159F (Hydrogen Cyanide) RN - 7664-41-7 (Ammonia) RN - GO1N1ZPR3B (Acetaldehyde) IS - 0021-5082 IL - 0021-5082 PT - Comparative Study PT - English Abstract PT - Journal Article PP - ppublish LG - Japanese DP - 2005 Jul EZ - 2005/09/01 09:00 DA - 2005/09/24 09:00 DT - 2005/09/01 09:00 YR - 2005 ED - 20050922 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16130910 <872. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16146063 TI - The influence of environmental factors and education on tobacco smoking among students of the Faculty of Nursing, Medical University of Lublin. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 59(2):124-8, 2004. AS - Ann Univ Mariae Curie Sklodowska [Med]. 59(2):124-8, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kalinowski P AU - Karwat ID FA - Kalinowski, Pawel FA - Karwat, Irena Dorota IN - Kalinowski, Pawel. Chair and Department of Epidemiology, Skubiszewski Medical University of Lublin. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina VO - 59 IP - 2 PG - 124-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 IO - Ann Univ Mariae Curie Sklodowska Med SB - Index Medicus CP - Poland MH - Adult MH - *Education, Nursing MH - Environment MH - Female MH - Health Behavior MH - Humans MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Smoking Prevention MH - *Students, Nursing AB - 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. IS - 0066-2240 IL - 0066-2240 PT - Journal Article PP - ppublish LG - English DP - 2004 EZ - 2005/09/09 09:00 DA - 2005/09/24 09:00 DT - 2005/09/09 09:00 YR - 2004 ED - 20050922 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16146063 <873. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16118358 TI - Medical education in substance abuse: from student to practicing osteopathic physician. [Review] [31 refs] SO - Journal of the American Osteopathic Association. 105(6 Suppl 3):S18-25, 2005 Jun. AS - J Am Osteopath Assoc. 105(6 Suppl 3):S18-25, 2005 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wyatt SA AU - Vilensky W AU - Manlandro JJ Jr AU - Dekker MA 2nd FA - Wyatt, Stephen A FA - Vilensky, William FA - Manlandro, James J Jr FA - Dekker, Michael A 2nd IN - Wyatt, Stephen A. American Osteopathic Academey of Addiction Medicine (AOAAM), USA. sawyatt@adelphia.net CM - Comment in: J Am Osteopath Assoc. 2006 Jul;106(7):425-6; author reply 426; PMID: 16912344 NJ - The Journal of the American Osteopathic Association VO - 105 IP - 6 Suppl 3 PG - S18-25 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - *Education, Medical/mt [Methods] MH - Education, Medical, Continuing MH - Education, Medical, Undergraduate MH - Humans MH - *Osteopathic Medicine/ed [Education] MH - *Substance-Related Disorders/th [Therapy] AB - 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. [References: 31] IS - 0098-6151 IL - 0098-6151 PT - Journal Article PT - Review ID - 105/6_suppl_3/S18 [pii] PP - ppublish LG - English DP - 2005 Jun EZ - 2005/08/25 09:00 DA - 2005/09/21 09:00 DT - 2005/08/25 09:00 YR - 2005 ED - 20050920 RD - 20061020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16118358 <874. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16087826 TI - Barriers and facilitators to primary care or human immunodeficiency virus clinics providing methadone or buprenorphine for the management of opioid dependence. SO - Archives of Internal Medicine. 165(15):1769-76, 2005 Aug 8-22. AS - Arch Intern Med. 165(15):1769-76, 2005 Aug 8-22. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Turner BJ AU - Laine C AU - Lin YT AU - Lynch K FA - Turner, Barbara J FA - Laine, Christine FA - Lin, Yi-Ting FA - Lynch, Kevin IN - Turner, Barbara J. Division of General Internal Medicine, Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA 19104-6021, USA. bturner@mail.med.upenn.edu NJ - Archives of internal medicine VO - 165 IP - 15 PG - 1769-76 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs IO - Arch. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Buprenorphine/tu [Therapeutic Use] MH - HIV Infections/th [Therapy] MH - *Health Services Accessibility/sn [Statistics & Numerical Data] MH - Humans MH - *Methadone/tu [Therapeutic Use] MH - Multivariate Analysis MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - New York MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Primary Health Care/sn [Statistics & Numerical Data] MH - *Primary Health Care AB - 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. AB - 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. AB - 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). AB - 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. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) RN - UC6VBE7V1Z (Methadone) IS - 0003-9926 IL - 0003-9926 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 165/15/1769 [pii] ID - 10.1001/archinte.165.15.1769 [doi] PP - ppublish LG - English DP - 2005 Aug 8-22 EZ - 2005/08/10 09:00 DA - 2005/09/08 09:00 DT - 2005/08/10 09:00 YR - 2005 ED - 20050907 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16087826 <875. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15862813 TI - Language-learning disorders and youth incarceration. SO - Journal of Communication Disorders. 38(4):311-9, 2005 Jul-Aug. AS - J Commun Disord. 38(4):311-9, 2005 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Linares-Orama N FA - Linares-Orama, Nicolas IN - Linares-Orama, Nicolas. FILIUS Institute of Disability and Rehabilitation Research, University of Puerto Rico, Speech-Language-Pathology and Audiology, GPO Box 364984, San Juan, PR 00936-5067, USA. nlin@tld.net NJ - Journal of communication disorders VO - 38 IP - 4 PG - 311-9 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 0260316, hur IO - J Commun Disord SB - Index Medicus CP - United States MH - Humans MH - *Juvenile Delinquency/sn [Statistics & Numerical Data] MH - *Language Disorders/ep [Epidemiology] MH - *Learning Disorders/ep [Epidemiology] MH - Male MH - *Prisoners/sn [Statistics & Numerical Data] MH - *Verbal Learning AB - UNLABELLED: 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. AB - 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. IS - 0021-9924 IL - 0021-9924 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. ID - S0021-9924(05)00017-1 [pii] ID - 10.1016/j.jcomdis.2005.02.006 [doi] PP - ppublish PH - 2004/12/01 [received] PH - 2005/02/11 [revised] PH - 2005/02/11 [accepted] LG - English EP - 20050407 DP - 2005 Jul-Aug EZ - 2005/05/03 09:00 DA - 2005/09/07 09:00 DT - 2005/05/03 09:00 YR - 2005 ED - 20050906 RD - 20130520 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15862813 <876. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16060477 TI - The prevalence of alcohol, cigarette and illicit drug use and problems among dentists.[Erratum appears in J Am Dent Assoc. 2005 Sep;136(9):1224] SO - Journal of the American Dental Association. 136(7):1023-32, 2005 Jul. AS - J Am Dent Assoc. 136(7):1023-32, 2005 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kenna GA AU - Wood MD FA - Kenna, George A FA - Wood, Mark D IN - Kenna, George A. Community Health, Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02908, USA. George_Kenna@Brown.edu NJ - Journal of the American Dental Association (1939) VO - 136 IP - 7 PG - 1023-32 PI - Journal available in: Print PI - Citation processed from: Print JC - h5j, 7503060 IO - J Am Dent Assoc SB - Dental Journals SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - Anti-Anxiety Agents MH - *Dentists MH - Humans MH - Interprofessional Relations MH - Middle Aged MH - Opioid-Related Disorders/ep [Epidemiology] MH - Physicians MH - Prevalence MH - Professional Impairment/sn [Statistics & Numerical Data] MH - Rhode Island/ep [Epidemiology] MH - *Smoking/ep [Epidemiology] MH - Social Environment MH - *Street Drugs/ae [Adverse Effects] MH - *Substance-Related Disorders/ep [Epidemiology] AB - 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). AB - 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. AB - 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. AB - 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. AB - 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. RN - 0 (Anti-Anxiety Agents) RN - 0 (Street Drugs) IS - 0002-8177 IL - 0002-8177 PT - Comparative Study PT - Journal Article ID - S0002-8177(14)63064-6 [pii] PP - ppublish LG - English DP - 2005 Jul EZ - 2005/08/03 09:00 DA - 2005/09/02 09:00 DT - 2005/08/03 09:00 YR - 2005 ED - 20050901 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16060477 <877. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 16046944 TI - Drug and alcohol use in emergency medicine residency: an impaired resident's perspective. SO - Annals of Emergency Medicine. 46(2):148-51, 2005 Aug. AS - Ann Emerg Med. 46(2):148-51, 2005 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Milling TJ FA - Milling, Truman John IN - Milling, Truman John. Emergency Medicine, New York Methodist Hospital, Brooklyn, NY 11215, USA. tjmilling@yahoo.com NJ - Annals of emergency medicine VO - 46 IP - 2 PG - 148-51 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8002646 IO - Ann Emerg Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Alcoholism MH - Emergency Medicine/ed [Education] MH - *Emergency Medicine MH - Humans MH - *Internship and Residency MH - Male MH - Physician Impairment/px [Psychology] MH - *Physician Impairment MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders MH - United States AB - 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. ES - 1097-6760 IL - 0196-0644 PT - Case Reports PT - Journal Article ID - S0196064405003410 [pii] ID - 10.1016/j.annemergmed.2005.03.012 [doi] PP - ppublish LG - English DP - 2005 Aug EZ - 2005/07/28 09:00 DA - 2005/08/09 09:00 DT - 2005/07/28 09:00 YR - 2005 ED - 20050808 RD - 20050727 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=16046944 <878. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15784519 TI - Screening and intervention for alcohol and illicit drug abuse:a survey of internal medicine housestaff. SO - Journal of Addictive Diseases. 24(2):1-18, 2005. AS - J Addict Dis. 24(2):1-18, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunderson EW AU - Levin FR AU - Smith L FA - Gunderson, Erik W FA - Levin, Frances R FA - Smith, Lawrence IN - Gunderson, Erik W. Department of Psychiatry, Division on Substance Abuse, Columbia University College of Physicians and Surgeons, New York, NY, USA. eg2009@columbia.edu NJ - Journal of addictive diseases VO - 24 IP - 2 PG - 1-18 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Cross-Sectional Studies MH - Female MH - *Health Personnel MH - Humans MH - *Internal Medicine MH - Male MH - *Mass Screening/mt [Methods] MH - *Street Drugs MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Surveys and Questionnaires AB - 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. RN - 0 (Street Drugs) IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1300/J069v24n02_01 [doi] PP - ppublish GI - No: L30 DA018521-01 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: K02-00465 Organization: *PHS HHS* Country: United States GI - No: T32-DA07294 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2005 EZ - 2005/03/24 09:00 DA - 2005/08/03 09:00 DT - 2005/03/24 09:00 YR - 2005 ED - 20050802 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15784519 <879. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15884232 TI - [The need for health promotion of medical students and proposal for prevention of addiction]. [Review] [15 refs] [Polish] OT - Potrzeba ochrony zdrowia studentow kierunkow medycznych i propozycja programu profilaktyki uzaleznien. SO - Wiadomosci Lekarskie. 57 Suppl 1:170-3, 2004. AS - Wiad Lek. 57 Suppl 1:170-3, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krupa A AU - Szczyrba B AU - Bargiel-Matusiewicz K FA - Krupa, Agata FA - Szczyrba, Barbara FA - Bargiel-Matusiewicz, Kamilla IN - Krupa, Agata. Z Zakladu Psychologii Slaskiej Akademii Medycznej w Katowicach. NJ - Wiadomosci lekarskie (Warsaw, Poland : 1960) VO - 57 Suppl 1 PG - 170-3 PI - Journal available in: Print PI - Citation processed from: Print JC - xoa, 9705467 IO - Wiad. Lek. SB - Index Medicus CP - Poland MH - Attitude of Health Personnel MH - Behavior, Addictive/px [Psychology] MH - *Behavior, Addictive MH - *Health Education/st [Standards] MH - *Health Promotion/st [Standards] MH - Humans MH - Poland MH - Program Evaluation MH - Stress, Psychological/et [Etiology] MH - *Stress, Psychological/pc [Prevention & Control] MH - Students, Medical/px [Psychology] MH - *Students, Medical MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. [References: 15] IS - 0043-5147 IL - 0043-5147 PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - Polish DP - 2004 EZ - 2005/05/12 09:00 DA - 2005/07/30 09:00 DT - 2005/05/12 09:00 YR - 2004 ED - 20050729 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15884232 <880. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15914815 TI - Tobacco control competencies for US medical students. SO - American Journal of Public Health. 95(6):950-5, 2005 Jun. AS - Am J Public Health. 95(6):950-5, 2005 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Geller AC AU - Zapka J AU - Brooks KR AU - Dube C AU - Powers CA AU - Rigotti N AU - O'Donnell J AU - Ockene J AU - Prevention and Cessation Education Consortium FA - Geller, Alan C FA - Zapka, Jane FA - Brooks, Katie R FA - Dube, Catherine FA - Powers, Catherine A FA - Rigotti, Nancy FA - O'Donnell, Joseph FA - Ockene, Judith FA - Prevention and Cessation Education Consortium IN - Geller, Alan C. Cancer Prevention and Control Center, Department of Dermatology, Boston University School of Medicine, MA 02118, USA. ageller@bu.edu NJ - American journal of public health VO - 95 IP - 6 PG - 950-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 1254074, 3xw IO - Am J Public Health PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1449290 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Clinical Competence MH - Competency-Based Education MH - *Curriculum MH - *Education, Medical, Undergraduate/st [Standards] MH - Humans MH - *Schools, Medical/og [Organization & Administration] MH - Smoking/ae [Adverse Effects] MH - Smoking/pp [Physiopathology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/pp [Physiopathology] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States MH - United States Dept. of Health and Human Services AB - The 2004 National Action Plan for Tobacco Cessation recommended that the US Department of Health and Human Services convene a diverse group of experts to ensure that competency in tobacco dependence interventions be a core graduation requirement for all new physicians and other key health care professionals. Core competencies would guide the design of new modules and explicitly outline the learning objectives for all graduating medical students. In 2002, the National Cancer Institute funded a consortium to develop, test, and integrate tobacco curricula at 12 US medical schools. Because there was neither an explicit set of tobacco competencies for medical schools nor a process to develop them, one of the consortium's tasks was to articulate competencies and learning objectives. IS - 0090-0036 IL - 0090-0036 PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - 95/6/950 [pii] ID - 10.2105/AJPH.2004.057331 [doi] ID - PMC1449290 [pmc] PP - ppublish GI - No: R25 CA091958 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: 1R25-CA91958-03 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2005 Jun EZ - 2005/05/26 09:00 DA - 2005/07/26 09:00 DT - 2005/05/26 09:00 YR - 2005 ED - 20050725 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15914815 <881. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15794290 TI - [Preparing pharmacists for participating in health promotion programs as exemplified by the smoking prevention program]. [Review] [10 refs] [Polish] OT - Przygotowanie farmaceutow do udzialu w programach promocji zdrowia na przykladzie prewencji palenia tytoniu. SO - Przeglad Lekarski. 61(10):1203-5, 2004. AS - Przegl Lek. 61(10):1203-5, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Panas M AU - Brandys J FA - Panas, Malgorzata FA - Brandys, Jerzy IN - Panas, Malgorzata. Katedra Toksykologii Collegium Medicum Uniwersytetu Jagiellonskiego w Krakowie. mfpanas@cyf-kr.edu.pl NJ - Przeglad lekarski VO - 61 IP - 10 PG - 1203-5 PI - Journal available in: Print PI - Citation processed from: Print JC - q96, 19840720r IO - Prz. Lek. SB - Index Medicus CP - Poland MH - *Education, Pharmacy MH - *Health Promotion/ma [Manpower] MH - Humans MH - *Pharmaceutical Services/ma [Manpower] MH - *Pharmacists MH - Professional-Patient Relations MH - *Smoking Prevention AB - 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. [References: 10] IS - 0033-2240 IL - 0033-2240 PT - Journal Article PT - Review PP - ppublish LG - Polish DP - 2004 EZ - 2005/03/30 09:00 DA - 2005/07/19 09:00 DT - 2005/03/30 09:00 YR - 2004 ED - 20050718 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15794290 <882. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15842715 TI - The OSCE as a formative evaluation tool for substance abuse teaching. SO - Medical Education. 39(5):529-30, 2005 May. AS - Med Educ. 39(5):529-30, 2005 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stein MR AU - Parish SJ AU - Arnsten JH FA - Stein, Melissa R FA - Parish, Sharon J FA - Arnsten, Julia H IN - Stein, Melissa R. Hub 2 Clinic, Bronx, New York, New York 10455, USA. mstein@montefriore.org NJ - Medical education VO - 39 IP - 5 PG - 529-30 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2692590 OI - Source: NLM. NIHMS112879 SB - Index Medicus CP - England MH - *Educational Measurement/mt [Methods] MH - *Internship and Residency/mt [Methods] MH - New York City MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] IS - 0308-0110 IL - 0308-0110 PT - Journal Article ID - MED2147 [pii] ID - 10.1111/j.1365-2929.2005.02147.x [doi] ID - PMC2692590 [pmc] ID - NIHMS112879 [mid] PP - ppublish GI - No: R25 DA014551-04 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551-02 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551-01 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA014551-03 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2005 May EZ - 2005/04/22 09:00 DA - 2005/07/01 09:00 DT - 2005/04/22 09:00 YR - 2005 ED - 20050630 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15842715 <883. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15842688 TI - Using Fetal Alcohol Syndrome as an integrating curricular theme. SO - Medical Education. 39(5):508, 2005 May. AS - Med Educ. 39(5):508, 2005 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baillie S AU - Paley B AU - Guiton G AU - O'Connor M AU - Stuber M FA - Baillie, Susan FA - Paley, Blair FA - Guiton, Grethchen FA - O'Connor, Mary FA - Stuber, Margaret IN - Baillie, Susan. David Geffen School of Medicine at UCLA, Los Angeles, CA 90095-1722, USA. sbaillie@mednet.ucla.edu NJ - Medical education VO - 39 IP - 5 PG - 508 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Curriculum MH - *Education, Medical, Undergraduate/og [Organization & Administration] MH - Female MH - *Fetal Alcohol Spectrum Disorders MH - Humans MH - *Neurosciences/ed [Education] MH - Pregnancy MH - Problem-Based Learning/og [Organization & Administration] IS - 0308-0110 IL - 0308-0110 PT - Journal Article ID - MED2149 [pii] ID - 10.1111/j.1365-2929.2005.02149.x [doi] PP - ppublish LG - English DP - 2005 May EZ - 2005/04/22 09:00 DA - 2005/07/01 09:00 DT - 2005/04/22 09:00 YR - 2005 ED - 20050630 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15842688 <884. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15931446 TI - Educating medical students about tobacco. SO - South African Medical Journal. Suid-Afrikaanse Tydskrif Vir Geneeskunde. 95(5):330-1, 2005 May. AS - SAMJ, S. Afr. med. j.. 95(5):330-1, 2005 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saloojee Y AU - Steyn K FA - Saloojee, Y FA - Steyn, K NJ - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde VO - 95 IP - 5 PG - 330-1 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404520 IO - S. Afr. Med. J. SB - Index Medicus CP - South Africa MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - *Physician's Role MH - *Public Health MH - *Smoking/ae [Adverse Effects] MH - Smoking Prevention IS - 0256-9574 PT - Editorial PP - ppublish LG - English DP - 2005 May EZ - 2005/06/03 09:00 DA - 2005/06/29 09:00 DT - 2005/06/03 09:00 YR - 2005 ED - 20050628 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15931446 <885. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15731995 TI - Management and treatment of injection drug users with hepatitis C virus (HCV) infection and HCV/human immunodeficiency virus coinfection. [Review] [108 refs] SO - Seminars in Liver Disease. 25(1):18-32, 2005 Feb. AS - Semin Liver Dis. 25(1):18-32, 2005 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dore GJ AU - Thomas DL FA - Dore, Gregory J FA - Thomas, David L IN - Dore, Gregory J. National Centre in HIV Epidemiology and Clinical Research, The University of New South Wales, Sydney, Australia. gdore@nchecr.unsw.edu.au NJ - Seminars in liver disease VO - 25 IP - 1 PG - 18-32 PI - Journal available in: Print PI - Citation processed from: Print JC - uob, 8110297 IO - Semin. Liver Dis. SB - Index Medicus CP - United States MH - Antiviral Agents/tu [Therapeutic Use] MH - Comorbidity MH - *HIV Infections/th [Therapy] MH - HIV Infections/tm [Transmission] MH - *Hepatitis C/th [Therapy] MH - Hepatitis C/tm [Transmission] MH - Humans MH - Patient Compliance MH - Patient Education as Topic MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/th [Therapy] MH - Treatment Outcome AB - 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. [References: 108] RN - 0 (Antiviral Agents) IS - 0272-8087 IL - 0272-8087 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - 10.1055/s-2005-864779 [doi] PP - ppublish LG - English DP - 2005 Feb EZ - 2005/02/26 09:00 DA - 2005/06/24 09:00 DT - 2005/02/26 09:00 YR - 2005 ED - 20050623 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15731995 <886. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15725638 TI - Evaluation of current tobacco curriculum at 12 US medical schools. SO - Journal of Cancer Education. 19(4):212-9, 2004. AS - J Cancer Educ. 19(4):212-9, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Powers CA AU - Zapka JG AU - Bognar B AU - Dube C AU - Hyder Ferry L AU - Ferguson KJ AU - O'donnell JF AU - Rigotti N AU - Conley Thomson C AU - White M AU - Wilkerson L AU - Geller AC AU - McIntosh S FA - Powers, Catherine A FA - Zapka, Jane G FA - Bognar, Bryan FA - Dube, Catherine FA - Hyder Ferry, Linda FA - Ferguson, Kristi J FA - O'donnell, Joseph F FA - Rigotti, Nancy FA - Conley Thomson, Carey FA - White, Maryjo FA - Wilkerson, Luann FA - Geller, Alan C FA - McIntosh, Scott IN - Powers, Catherine A. Boston University School of Medicine, Boston, MA 02118, USA. powersoz@bu.edu NJ - Journal of cancer education : the official journal of the American Association for Cancer Education VO - 19 IP - 4 PG - 212-9 PI - Journal available in: Print PI - Citation processed from: Print JC - avy, 8610343 IO - J Cancer Educ SB - Index Medicus CP - England MH - *Curriculum MH - *Education, Medical MH - Health Promotion MH - Humans MH - *Schools, Medical MH - Smoking Cessation MH - Teaching/mt [Methods] MH - Time Factors MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder MH - United States AB - 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. AB - 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. AB - 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). AB - 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. IS - 0885-8195 IL - 0885-8195 PT - Comparative Study PT - Evaluation Studies PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1207/s15430154jce1904_7 [doi] PP - ppublish GI - No: 5R25CA091958-03 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2004 EZ - 2005/02/24 09:00 DA - 2005/06/18 09:00 DT - 2005/02/24 09:00 YR - 2004 ED - 20050617 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15725638 <887. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15864176 TI - [Several good reasons for hepatogastroenterologists to practice addictology: a motivating challenge!]. [French] OT - Quelques bonnes raisons pour les hepatogastroenterologues de pratiquer l'addictologie. SO - Gastroenterologie Clinique et Biologique. 29(3):267-8, 2005 Mar. AS - Gastroenterol Clin Biol. 29(3):267-8, 2005 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Plat A AU - Lejeune O FA - Plat, Arnaud FA - Lejeune, Olivier NJ - Gastroenterologie clinique et biologique VO - 29 IP - 3 PG - 267-8 PI - Journal available in: Print PI - Citation processed from: Print JC - fgx, 7704825 IO - Gastroenterol. Clin. Biol. SB - Index Medicus CP - France MH - Education, Medical, Continuing MH - *Gastroenterology MH - Humans MH - *Substance Abuse Detection MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] IS - 0399-8320 IL - 0399-8320 PT - Editorial ID - MDOI-GCB-03-2005-29-3-0399-8320-101019-200513161 [pii] PP - ppublish LG - French DP - 2005 Mar EZ - 2005/05/03 09:00 DA - 2005/06/10 09:00 DT - 2005/05/03 09:00 YR - 2005 ED - 20050609 RD - 20050502 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15864176 <888. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15792076 TI - We must turn our disease treatment centers into true health centers. SO - Pharos of Alpha Omega Alpha Honor Medical Society. 68(1):30-1, 2005. AS - Pharos. 68(1):30-1, 2005. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Small PA Jr FA - Small, Parker A Jr IN - Small, Parker A Jr. Department of Pathology, Immunology and Laboratory Medicine, University of Florida, College of Medicine, Gainesville 32610, USA. small@pathology.ufl.edu NJ - The Pharos of Alpha Omega Alpha-Honor Medical Society. Alpha Omega Alpha VO - 68 IP - 1 PG - 30-1 PI - Journal available in: Print PI - Citation processed from: Print JC - p48, 19610620r IO - Pharos Alpha Omega Alpha Honor Med Soc SB - Index Medicus CP - United States MH - Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/pc [Prevention & Control] MH - *Clinical Competence/st [Standards] MH - *Comprehensive Health Care/st [Standards] MH - Education, Medical/st [Standards] MH - *Health Education/st [Standards] MH - Humans MH - Obesity/co [Complications] MH - Obesity/pc [Prevention & Control] MH - *Primary Prevention/st [Standards] MH - Smoking/ae [Adverse Effects] MH - Smoking Prevention MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States IS - 0031-7179 IL - 0031-7179 PT - Journal Article PP - ppublish LG - English DP - 2005 EZ - 2005/03/29 09:00 DA - 2005/05/13 09:00 DT - 2005/03/29 09:00 YR - 2005 ED - 20050512 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15792076 <889. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15201111 TI - Family medicine residents' beliefs, attitudes and performance with problem drinkers: a survey and simulated patient study. SO - Substance Abuse. 25(1):43-51, 2004 Mar. AS - Subst Abus. 25(1):43-51, 2004 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahan M AU - Wilson L AU - Liu E AU - Borsoi D AU - Brewster JM AU - Sobell LC AU - Sobell MB FA - Kahan, Meldon FA - Wilson, Lynn FA - Liu, Eleanor FA - Borsoi, Diane FA - Brewster, Joan M FA - Sobell, Linda C FA - Sobell, Mark B IN - Kahan, Meldon. St. Joseph's Health Centre, Department of Family Medicine, 30 The Queensway, Toronto, ON, Canada. kahanm@stjoe.on.ca NJ - Substance abuse VO - 25 IP - 1 PG - 43-51 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism MH - *Attitude of Health Personnel MH - *Attitude to Health MH - *Culture MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Mass Screening MH - *Primary Health Care MH - Surveys and Questionnaires AB - Fifty-six second-year family medicine residents completed a survey on their knowledge and beliefs about problem drinkers. Most residents felt responsible for screening and counseling, were confident in their clinical skills in these areas, and scored well on related knowledge questions. However, only 18% felt that problem drinkers would often respond to brief counseling sessions with physicians while 36% felt that moderate drinking was a reasonable goal for patients with severe alcohol dependence. Residents were then visited by unannounced simulated patients (SPs) presenting with alcohol-induced hypertension or insomnia. Residents detected the SP in 45 out of 104 visits. In the 59 undetected SP visits, residents asked about alcohol consumption in 47 visits (80%), discussed the relationship between alcohol use and the presenting complaint in 37 visits (63%), and recommended a specific weekly consumption in 35 visits (59%). Only 31% offered reduced drinking strategies, and most did not ask about features of alcohol dependence. These results suggest that residents have the fundamental clinical skills required to manage the problem drinker who gives a clear history and is receptive to advice. Educational efforts with residents should focus on the importance of systematic screening, taking an alcohol history under more challenging conditions, identifying the subtler presentations of alcohol problems, counselling the less receptive patient at an earlier stage of change, distinguishing the problem drinker from the alcohol-dependent patient, and offering specific behavioral strategies for the problem drinker. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J465v25n01_07 [doi] PP - ppublish LG - English DP - 2004 Mar EZ - 2004/06/18 05:00 DA - 2005/05/13 09:00 DT - 2004/06/18 05:00 YR - 2004 ED - 20050512 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15201111 <890. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15201108 TI - Training medical providers to conduct alcohol screening and brief interventions. SO - Substance Abuse. 25(1):17-26, 2004 Mar. AS - Subst Abus. 25(1):17-26, 2004 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Babor TF AU - Higgins-Biddle JC AU - Higgins PS AU - Gassman RA AU - Gould BE FA - Babor, Thomas F FA - Higgins-Biddle, John C FA - Higgins, Pamela S FA - Gassman, Ruth A FA - Gould, Bruce E IN - Babor, Thomas F. Department of Community Medicine and Health Care, University of Connecticut Health Center, 263 Farmington Avenue, Farmington, CT, 06030-6325, USA. talamini@up.uchc.edu NJ - Substance abuse VO - 25 IP - 1 PG - 17-26 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3552328 OI - Source: NLM. NIHMS433514 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/th [Therapy] MH - Female MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - *Mass Screening/mt [Methods] MH - *Psychotherapy, Brief/mt [Methods] MH - Surveys and Questionnaires MH - *Teaching/mt [Methods] AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J465v25n01_04 [doi] ID - PMC3552328 [pmc] ID - NIHMS433514 [mid] PP - ppublish GI - No: R01 AA011713 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2004 Mar EZ - 2004/06/18 05:00 DA - 2005/05/13 09:00 DT - 2004/06/18 05:00 YR - 2004 ED - 20050512 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15201108 <891. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15763750 TI - General practitioners' detection and management of patients with a dual diagnosis: implications for education and training. SO - Drug & Alcohol Review. 23(4):455-62, 2004 Dec. AS - Drug Alcohol Rev. 23(4):455-62, 2004 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Marshall KL AU - Deane FP FA - Marshall, Kellie L FA - Deane, Frank P IN - Marshall, Kellie L. Illawarra Division of General Practice Wollongong, Australia. NJ - Drug and alcohol review VO - 23 IP - 4 PG - 455-62 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Adult MH - Australia MH - Comorbidity MH - Curriculum MH - Data Collection MH - Diagnosis, Dual (Psychiatry) MH - Education, Medical, Graduate MH - *Family Practice/ed [Education] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Medical Audit MH - *Mental Disorders/di [Diagnosis] MH - Mental Disorders/ep [Epidemiology] MH - Mental Disorders/rh [Rehabilitation] MH - Middle Aged MH - Patient Care Team/sn [Statistics & Numerical Data] MH - Psychiatry/ed [Education] MH - Referral and Consultation/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Treatment Outcome AB - General practitioners (GPs) are in a unique position to detect and manage patients with co-morbid mental health and substance use disorders (dual diagnosis). It has been estimated that over 30% of patients presenting to general practice have a diagnosable mental disorder and 12% have dual diagnosis. Unfortunately, between 30 and 50% of these problems go undetected in general practice. Limited GP education and training in mental health may account for this deficit, with a little over 8% of GPs receiving any formal postgraduate training in mental health. Prior to developing an educational resource for GPs, the present study aimed to establish baseline estimates of GP treatment practices with patients who have dual diagnosis. Two GP division-wide surveys of screening, assessment and treatment for dual diagnosis were conducted one year apart. In addition, five GPs conducted a clinical audit of 508 patient consultations. Results indicate that without ongoing targeted interventions, patient management activities such as GP counselling, use of screening devices, referral to specialist services, coordination and use of EPC items are not likely to improve and are at risk of declining. IS - 0959-5236 IL - 0959-5236 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - XG603HH6YDUATALV [pii] ID - 10.1080/09595230412331324572 [doi] PP - ppublish LG - English DP - 2004 Dec EZ - 2005/03/15 09:00 DA - 2005/04/23 09:00 DT - 2005/03/15 09:00 YR - 2004 ED - 20050422 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15763750 <892. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15768767 TI - [From a certain viewpoint]. [French] OT - D'un certain point de vue. SO - Sante Publique (Vandoeuvre-Les-Nancey). 16(4):719-20, 2004 Dec. AS - Sante Publique. 16(4):719-20, 2004 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Binder P FA - Binder, Philippe IN - Binder, Philippe. Association Nationale GT. NJ - Sante publique (Vandoeuvre-les-Nancy, France) VO - 16 IP - 4 PG - 719-20 PI - Journal available in: Print PI - Citation processed from: Print JC - czl, 9216153 IO - Sante Publique SB - Index Medicus CP - France MH - Adolescent MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Education, Medical, Continuing/lj [Legislation & Jurisprudence] MH - Ethanol/ae [Adverse Effects] MH - Female MH - Fetus/de [Drug Effects] MH - France MH - Humans MH - Male MH - Pregnancy MH - *Public Health/lj [Legislation & Jurisprudence] MH - *Regional Medical Programs/lj [Legislation & Jurisprudence] MH - Risk Factors MH - *Substance-Related Disorders/pc [Prevention & Control] RN - 3K9958V90M (Ethanol) IS - 0995-3914 IL - 0995-3914 PT - Journal Article PP - ppublish LG - French DP - 2004 Dec EZ - 2005/03/17 09:00 DA - 2005/04/12 09:00 DT - 2005/03/17 09:00 YR - 2004 ED - 20050411 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15768767 <893. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15313090 TI - The Pediatric Residency Training on Tobacco Project: baseline findings from the resident tobacco survey and observed structured clinical examinations. SO - Preventive Medicine. 39(3):507-16, 2004 Sep. AS - Prev Med. 39(3):507-16, 2004 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Schwab J AU - Haddock CK AU - Burd KM AU - Pyle S FA - Hymowitz, Norman FA - Schwab, Joseph FA - Haddock, Christopher Keith FA - Burd, Karen M FA - Pyle, Sara IN - Hymowitz, Norman. Department of Psychiatry, UMDNJ-New Jersey Medical School, Newark, NJ 07103, USA. hymowitz@umdnj.edu NJ - Preventive medicine VO - 39 IP - 3 PG - 507-16 PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Attitude of Health Personnel MH - Child MH - *Clinical Competence MH - *Computer-Assisted Instruction MH - Curriculum MH - Education, Medical, Graduate MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Pediatrics/ed [Education] MH - Prospective Studies MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention MH - Tobacco/ae [Adverse Effects] MH - United States AB - 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. AB - 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. AB - 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. AB - 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. IS - 0091-7435 IL - 0091-7435 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1016/j.ypmed.2004.02.008 [doi] ID - S0091743504000775 [pii] PP - ppublish GI - No: R01 HD40683 Organization: (HD) *NICHD NIH HHS* Country: United States LG - English DP - 2004 Sep EZ - 2004/08/18 05:00 DA - 2005/04/07 09:00 DT - 2004/08/18 05:00 YR - 2004 ED - 20050406 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15313090 <894. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15561460 TI - French general practitioners' prescribing high-dosage buprenorphine maintenance treatment: is the existing training (good) enough?. SO - Addictive Behaviors. 30(1):187-91, 2005 Jan. AS - Addict Behav. 30(1):187-91, 2005 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Feroni I AU - Peretti-Watel P AU - Masut A AU - Coudert C AU - Paraponaris A AU - Obadia Y FA - Feroni, Isabelle FA - Peretti-Watel, Patrick FA - Masut, Alain FA - Coudert, Christine FA - Paraponaris, Alain FA - Obadia, Yolande IN - Feroni, Isabelle. Institut National de la Recherche Medicale, U 379, 23 Rue Stanislas Torrents, 13006 Marseilles, France. NJ - Addictive behaviors VO - 30 IP - 1 PG - 187-91 PI - Journal available in: Print PI - Citation processed from: Print JC - 2gw, 7603486 IO - Addict Behav SB - Index Medicus CP - England MH - Adult MH - Attitude of Health Personnel MH - *Buprenorphine/ad [Administration & Dosage] MH - Drug Prescriptions/st [Standards] MH - *Education, Medical, Continuing/st [Standards] MH - *Family Practice/ed [Education] MH - Female MH - France MH - Health Care Surveys MH - Humans MH - Male MH - Middle Aged MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Physicians, Family/px [Psychology] MH - Practice Guidelines as Topic MH - Receptors, Opioid, mu/ag [Agonists] MH - Substance Withdrawal Syndrome/dt [Drug Therapy] MH - Surveys and Questionnaires AB - 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. RN - 0 (Receptors, Opioid, mu) RN - 40D3SCR4GZ (Buprenorphine) IS - 0306-4603 IL - 0306-4603 PT - Journal Article PT - Multicenter Study ID - S0306460304001650 [pii] ID - 10.1016/j.addbeh.2004.04.019 [doi] PP - ppublish LG - English DP - 2005 Jan EZ - 2004/11/25 09:00 DA - 2005/03/30 09:00 DT - 2004/11/25 09:00 YR - 2005 ED - 20050329 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15561460 <895. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15701489 TI - Impact of education on smoking cessation counseling by surgical residents. SO - American Journal of Surgery. 189(1):44-6, 2005 Jan. AS - Am J Surg. 189(1):44-6, 2005 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steinemann S AU - Roytman T AU - Chang J AU - Holzman J AU - Hishinuma E AU - Nagoshi M AU - Tam E AU - Murakami S AU - Wong J FA - Steinemann, Susan FA - Roytman, Timur FA - Chang, Janice FA - Holzman, Jennifer FA - Hishinuma, Earl FA - Nagoshi, Michael FA - Tam, Elizabeth FA - Murakami, Sara FA - Wong, Jan IN - Steinemann, Susan. Department of Surgery, University of Hawaii, John A. Burns School of Medicine, 1356 Lusitana St., 6th Floor, Honolulu, HI 96813, USA. steine@hawaii.edu NJ - American journal of surgery VO - 189 IP - 1 PG - 44-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 3z4, 0370473 IO - Am. J. Surg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Counseling MH - *Education, Medical, Continuing MH - *General Surgery/ed [Education] MH - Humans MH - *Internship and Residency MH - *Physician's Role MH - Role Playing MH - *Smoking Cessation AB - 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. AB - 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. AB - 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. AB - CONCLUSIONS: A brief educational intervention can significantly improve residents' knowledge, attitude, and counseling skills for smoking cessation. IS - 0002-9610 IL - 0002-9610 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - S0002-9610(04)00489-1 [pii] ID - 10.1016/j.amjsurg.2004.03.016 [doi] PP - ppublish PH - 2003/10/17 [received] PH - 2004/03/20 [revised] PH - 2004/03/20 [accepted] LG - English DP - 2005 Jan EZ - 2005/02/11 09:00 DA - 2005/03/19 09:00 DT - 2005/02/11 09:00 YR - 2005 ED - 20050318 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15701489 <896. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15507555 TI - Addiction training scale: pilot study of a self-report evaluation tool for psychiatry residents. SO - Academic Psychiatry. 28(3):204-8, 2004. AS - Acad Psychiatry. 28(3):204-8, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sattar SP AU - Madison J AU - Markert RJ AU - Bhatia SC AU - Petty F FA - Sattar, S Pirzada FA - Madison, James FA - Markert, Ronald J FA - Bhatia, Subhash C FA - Petty, Frederick IN - Sattar, S Pirzada. Creighton University School of Medicine, Omaha, Nebraska 68131, USA. syed.sattar@med.va.gov NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 28 IP - 3 PG - 204-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Education MH - Humans MH - *Internship and Residency/st [Standards] MH - Pilot Projects MH - *Professional Competence MH - *Psychiatry/ed [Education] MH - *Psychiatry/st [Standards] MH - *Self-Assessment MH - Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - 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. AB - 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. AB - 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. AB - CONCLUSION: The ATS may be beneficial in assessing psychiatry residents' substance abuse training and identifying deficits, which may be addressed during training. IS - 1042-9670 IL - 1042-9670 PT - Evaluation Studies PT - Journal Article ID - 28/3/204 [pii] ID - 10.1176/appi.ap.28.3.204 [doi] PP - ppublish LG - English DP - 2004 EZ - 2004/10/28 09:00 DA - 2005/03/19 09:00 DT - 2004/10/28 09:00 YR - 2004 ED - 20050318 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15507555 <897. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15609753 TI - Primary care. Score draw. SO - Health Service Journal. 114(5934):26-8, 2004 Dec 02. AS - Health Serv J. 114(5934):26-8, 2004 Dec 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coombes R FA - Coombes, Rebecca NJ - The Health service journal VO - 114 IP - 5934 PG - 26-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8605800, g4f IO - Health Serv J SB - Health Administration Journals CP - England MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice/st [Standards] MH - Health Priorities MH - Humans MH - Organizational Objectives MH - *Primary Health Care/st [Standards] MH - *Quality Indicators, Health Care MH - State Medicine/st [Standards] MH - *Substance Abuse Treatment Centers/ut [Utilization] MH - *Substance-Related Disorders/th [Therapy] MH - United Kingdom AB - Many primary care trusts missed targets for increasing the number of problem drug users in treatment. Data collection problems were a major contributing factor to missed targets. Training more GPs to provide drug treatment is the best way to increase treatment and meet future goals. IS - 0952-2271 IL - 0952-2271 PT - Journal Article PP - ppublish LG - English DP - 2004 Dec 02 EZ - 2004/12/22 09:00 DA - 2005/02/24 09:00 DT - 2004/12/22 09:00 YR - 2004 ED - 20050223 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15609753 <898. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15550283 TI - Forensic and medical legal issues in addiction psychiatry. [Review] [29 refs] SO - Psychiatric Clinics of North America. 27(4):611-26, 2004 Dec. AS - Psychiatr Clin North Am. 27(4):611-26, 2004 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gendel MH FA - Gendel, Michael H IN - Gendel, Michael H. University of Colorado Health Sciences Center, Colorado Physician Health Program, 3300 East First Avenue, Suite 590, Denver, CO 80206, USA. mhgendel@aol.com NJ - The Psychiatric clinics of North America VO - 27 IP - 4 PG - 611-26 PI - Journal available in: Print PI - Citation processed from: Print JC - pbn, 7708110 IO - Psychiatr. Clin. North Am. SB - Index Medicus CP - United States MH - Behavior, Addictive/di [Diagnosis] MH - *Behavior, Addictive/th [Therapy] MH - Child MH - Child Abuse MH - Child Custody MH - Commitment of Mentally Ill/lj [Legislation & Jurisprudence] MH - Confidentiality MH - Diagnostic and Statistical Manual of Mental Disorders MH - Disability Evaluation MH - Duty to Warn/lj [Legislation & Jurisprudence] MH - *Forensic Psychiatry/lj [Legislation & Jurisprudence] MH - *Forensic Psychiatry/mt [Methods] MH - Humans MH - Mental Competency MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - United States AB - 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. [References: 29] IS - 0193-953X IL - 0193-953X PT - Journal Article PT - Review ID - S0193-953X(04)00056-5 [pii] ID - 10.1016/j.psc.2004.06.001 [doi] PP - ppublish LG - English DP - 2004 Dec EZ - 2004/11/20 09:00 DA - 2005/02/04 09:00 DT - 2004/11/20 09:00 YR - 2004 ED - 20050203 RD - 20041119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15550283 <899. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15586850 TI - The need for substance abuse training among mental health professionals. SO - Administration & Policy in Mental Health. 32(2):189-205, 2004 Nov. AS - Adm Policy Ment Health. 32(2):189-205, 2004 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harwood HJ AU - Kowalski J AU - Ameen A FA - Harwood, Henrick J FA - Kowalski, Jennifer FA - Ameen, Ansari IN - Harwood, Henrick J. Practice Services Network Coordinating Center, The Lewin Group, 3130 Fairview Park Drive, Falls Church, VA 22042, USA. rick.harwood@lewin.com NJ - Administration and policy in mental health VO - 32 IP - 2 PG - 189-205 PI - Journal available in: Print PI - Citation processed from: Print JC - 8914574 IO - Adm Policy Ment Health SB - Index Medicus CP - United States MH - *Education, Professional MH - Health Care Surveys MH - Humans MH - *Mental Health Services/ma [Manpower] MH - *Psychiatry/ed [Education] MH - *Psychology/ed [Education] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - 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. IS - 0894-587X IL - 0894-587X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 2004 Nov EZ - 2004/12/14 09:00 DA - 2005/01/28 09:00 DT - 2004/12/14 09:00 YR - 2004 ED - 20050127 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15586850 <900. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15643467 TI - [Intoxication and dependence--a neglected topic in the education of health professionals]. [Norwegian] OT - Rus og avhengighet--et forsomt tema i undervisningen i helsefagene. SO - Tidsskrift for Den Norske Laegeforening. 125(1):54-5, 2005 Jan 06. AS - Tidsskr Nor Laegeforen. 125(1):54-5, 2005 Jan 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rossow I FA - Rossow, Ingeborg IN - Rossow, Ingeborg. Statens institutt for rusmiddelforskning, Postboks 565 Sentrum, 0105 Oslo. ir@sirus.no NJ - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke VO - 125 IP - 1 PG - 54-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0413423, 101086543, vrv IO - Tidsskr. Nor. Laegeforen. SB - Index Medicus CP - Norway MH - Curriculum MH - *Education, Dental MH - *Education, Medical MH - Humans MH - Norway MH - *Psychology/ed [Education] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders ES - 0807-7096 IL - 0029-2001 PT - Journal Article ID - 1129152 [pii] PP - ppublish LG - Norwegian DP - 2005 Jan 06 EZ - 2005/01/12 09:00 DA - 2005/01/19 09:00 DT - 2005/01/12 09:00 YR - 2005 ED - 20050118 RD - 20080716 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15643467 <901. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15556127 TI - How to train residents to identify and treat dual diagnosis patients. [Review] [44 refs] SO - Biological Psychiatry. 56(10):810-6, 2004 Nov 15. AS - Biol Psychiatry. 56(10):810-6, 2004 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Renner JA Jr FA - Renner, John A Jr IN - Renner, John A Jr. Division of Psychiatry, Boston University School of Medicine, Boston, Massachusetts 02114, USA. NJ - Biological psychiatry VO - 56 IP - 10 PG - 810-6 PI - Journal available in: Print PI - Citation processed from: Print JC - a3s, 0213264 IO - Biol. Psychiatry SB - Index Medicus CP - United States MH - Curriculum MH - Diagnosis, Dual (Psychiatry) MH - Guidelines as Topic MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency/mt [Methods] MH - *Mental Disorders/th [Therapy] MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders/th [Therapy] AB - 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. [References: 44] IS - 0006-3223 IL - 0006-3223 PT - Journal Article PT - Review ID - S0006322304004755 [pii] ID - 10.1016/j.biopsych.2004.04.003 [doi] PP - ppublish PH - 2004/01/08 [received] PH - 2004/04/12 [revised] PH - 2004/04/16 [accepted] LG - English DP - 2004 Nov 15 EZ - 2004/11/24 09:00 DA - 2005/01/12 09:00 DT - 2004/11/24 09:00 YR - 2004 ED - 20050111 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15556127 <902. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14985601 TI - A study of smoking and smoking cessation on the curricula of UK medical schools. SO - Tobacco Control. 13(1):74-7, 2004 Mar. AS - Tob Control. 13(1):74-7, 2004 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roddy E AU - Rubin P AU - Britton J AU - Tobacco Advisory Group of the Royal College of Physicians FA - Roddy, E FA - Rubin, P FA - Britton, J FA - Tobacco Advisory Group of the Royal College of Physicians IN - Roddy, E. Division of Respiratory Medicine, School of Medical and Surgical Sciences, University of Nottingham, Nottingham, UK. elin.roddy@nottingham.ac.uk NJ - Tobacco control VO - 13 IP - 1 PG - 74-7 PI - Journal available in: Print PI - Citation processed from: Internet JC - clu, 9209612 IO - Tob Control PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1747835 SB - Index Medicus CP - England MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - Schools, Medical MH - *Smoking/ae [Adverse Effects] MH - *Smoking Cessation MH - United Kingdom AB - 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. AB - 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). AB - PARTICIPANTS: Deans or nominated representatives from all 24 UK medical schools with current undergraduates, and all UK qualified PRHOs. AB - 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). AB - 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. AB - CONCLUSIONS: Teaching on smoking cessation in UK medical schools is inadequate. ES - 1468-3318 IL - 0964-4563 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC1747835 [pmc] PP - ppublish LG - English DP - 2004 Mar EZ - 2004/02/27 05:00 DA - 2004/12/16 09:00 DT - 2004/02/27 05:00 YR - 2004 ED - 20041207 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14985601 <903. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15462656 TI - Critical decision points in the management of impaired doctors: the New South Wales Medical Board program. [Review] [14 refs] SO - Medical Journal of Australia. 181(7):372-5, 2004 Oct 04. AS - Med J Aust. 181(7):372-5, 2004 Oct 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilhelm KA AU - Reid AM FA - Wilhelm, Kay A FA - Reid, Alison M IN - Wilhelm, Kay A. Liaison Psychiatry, St Vincent's Hospital, Sydney, NSW 2010, Australia. kwilhelm@stvincents.com.au NJ - The Medical journal of Australia VO - 181 IP - 7 PG - 372-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 0400714, m26 IO - Med. J. Aust. SB - Index Medicus CP - Australia MH - Adolescent MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Career Choice MH - Decision Making MH - Female MH - Humans MH - Internship and Residency MH - Liability, Legal MH - Licensure, Medical MH - Male MH - Mental Disorders/di [Diagnosis] MH - *Mental Disorders/th [Therapy] MH - Middle Aged MH - New South Wales MH - *Occupational Health Services MH - *Physician Impairment MH - Program Development MH - Program Evaluation MH - Risk Assessment MH - Risk Management MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] AB - The New South Wales Medical Board has developed the Impaired Registrants Program to deal with impaired registrants (doctors and medical students) in a constructive and non-disciplinary manner; the program is now well established. The Program enables the Board to protect the public, while maintaining doctors in practice whenever possible. Disorders that commonly lead to referral of impaired doctors include alcohol and drug misuse, major depression, bipolar disorder, cognitive impairment and, less commonly, psychotic and personality disorders and anorexia nervosa. Pathways in the program are individualised according to the impact of the specific disorder, the registrant's career stage, stage of involvement in the program, insight and motivation. Critical points in the program include entry, easing of conditions, breach of conditions, return to work after suspension, and exit from the program. Decision-making at these points takes into account the nature of the impairment, compliance, professional and personal support available and the registrant's insight and motivation. [References: 14] IS - 0025-729X IL - 0025-729X PT - Comparative Study PT - Journal Article PT - Review ID - wil10342_fm [pii] PP - ppublish PH - 2004/05/13 [received] PH - 2004/08/12 [accepted] LG - English DP - 2004 Oct 04 EZ - 2004/10/07 09:00 DA - 2004/12/16 09:00 DT - 2004/10/07 09:00 YR - 2004 ED - 20041201 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15462656 <904. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15461020 TI - Educating treatment professionals about addiction science research: demographics of knowledge and belief changes. SO - Substance Use & Misuse. 39(8):1235-58, 2004 Jun. AS - Subst Use Misuse. 39(8):1235-58, 2004 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lawson KA AU - Wilcox RE AU - Littlefield JH AU - Pituch KA AU - Erickson CK FA - Lawson, Kenneth A FA - Wilcox, Richard E FA - Littlefield, John H FA - Pituch, Keenan A FA - Erickson, Carlton K IN - Lawson, Kenneth A. College of Pharmacy, The University of Texas at Austin, Austin, Texas 78712-0127, USA. kenlawson@mail.utexas.edu NJ - Substance use & misuse VO - 39 IP - 8 PG - 1235-58 PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 IO - Subst Use Misuse SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Aged MH - Biomedical Research/td [Trends] MH - *Education, Medical, Continuing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - *Health Personnel MH - Health Policy MH - Humans MH - Male MH - Middle Aged MH - *Substance-Related Disorders/th [Therapy] AB - Communication of accurate, objective, and timely scientific information to treatment professionals is important--especially in the "drug abuse" and addiction field where misinformation and a lack of exposure to new information are common. The purpose of this study was to assess knowledge and belief changes that accompanied educational workshops (3 or 6 hr-long) on addiction science targeted to treatment professionals (N=1403) given in the United States and Puerto Rico between July 2000 and August 2001. Each workshop covered three main concepts: (1) terms and definitions; (2) basic neurochemistry of addiction; and (3) how new neurobiological knowledge will affect the treatment of addictions in the future. Analysis of variance was used to compare mean pretest to posttest change scores among levels of four independent variables: gender, age, occupation/position, and race/ethnicity. Workshop participants achieved a significant improvement in knowledge about addiction with younger groups achieving greater gains. Participants' beliefs shifted in the desired direction. Significant differences in belief shifts occurred among occupational and gender groups, but not among race/ethnicity or age groups. There was also a consistent change in the policy belief subscale that related to how strongly the audience members believed research on addiction was important. We conclude that addiction science education provided to treatment professionals can increase their knowledge and change their beliefs about the causes of addictions. In addition, the workshop participants form a base of constituents who are likely to support greater addiction research funding. IS - 1082-6084 IL - 1082-6084 PT - Evaluation Studies PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: DA 13430 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2004 Jun EZ - 2004/10/06 09:00 DA - 2004/12/16 09:00 DT - 2004/10/06 09:00 YR - 2004 ED - 20041126 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15461020 <905. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15345701 TI - Tobacco dependence curricula in undergraduate osteopathic medical education.[Erratum appears in J Am Osteopath Assoc. 2004 Sep;104(9):368] SO - Journal of the American Osteopathic Association. 104(8):317-23, 2004 Aug. AS - J Am Osteopath Assoc. 104(8):317-23, 2004 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Montalto NJ AU - Ferry LH AU - Stanhiser T FA - Montalto, Norman J FA - Ferry, Linda H FA - Stanhiser, Tiffany IN - Montalto, Norman J. Western Virginia University, USA. nmontalto@hsc.wvu.edu CM - Comment in: J Am Osteopath Assoc. 2005 Feb;105(2):52-3; author reply 53; PMID: 15784926 CM - Comment in: J Am Osteopath Assoc. 2004 Aug;104(8):313; PMID: 15345698 NJ - The Journal of the American Osteopathic Association VO - 104 IP - 8 PG - 317-23 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503065, g90 IO - J Am Osteopath Assoc SB - Index Medicus CP - United States MH - Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Humans MH - *Osteopathic Medicine/ed [Education] MH - *Smoking Cessation/mt [Methods] MH - *Tobacco Use Disorder AB - 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. AB - OBJECTIVE: To assess the content and extent of tobacco education and intervention skills in osteopathic medical schools' curricula. AB - DESIGN: A mailed survey with 19 questions similar to one used for allopathic medical schools. AB - SETTING: Nineteen osteopathic medical schools. AB - PARTICIPANTS: Responses were obtained from each associate dean for medical education or representative. AB - 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. AB - 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). AB - 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. IS - 0098-6151 IL - 0098-6151 PT - Journal Article ID - 104/8/317 [pii] PP - ppublish LG - English DP - 2004 Aug EZ - 2004/09/04 05:00 DA - 2004/10/27 09:00 DT - 2004/09/04 05:00 YR - 2004 ED - 20041026 RD - 20071112 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15345701 <906. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15323195 TI - Primary health care physicians' knowledge of prophylactics of drug abuse. SO - Annales Universitatis Mariae Curie-Sklodowska - Sectio d - Medicina. 58(2):220-6, 2003. AS - Ann Univ Mariae Curie Sklodowska [Med]. 58(2):220-6, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kulik TB AU - Kobylecka E AU - Modzelewska T AU - Kachaniuk H AU - Stefanowicz A FA - Kulik, Teresa Bernadetta FA - Kobylecka, Elzbieta FA - Modzelewska, Teresa FA - Kachaniuk, Hanna FA - Stefanowicz, Agata IN - Kulik, Teresa Bernadetta. Interfaculty Chair and Department of Public Health, Medical University of Lublin. NJ - Annales Universitatis Mariae Curie-Sklodowska. Sectio D: Medicina VO - 58 IP - 2 PG - 220-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 69m, 0414101 IO - Ann Univ Mariae Curie Sklodowska Med SB - Index Medicus CP - Poland MH - Education, Medical, Continuing MH - Humans MH - *Physicians, Family/ed [Education] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - 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. IS - 0066-2240 IL - 0066-2240 PT - Evaluation Studies PT - Journal Article PP - ppublish LG - English DP - 2003 EZ - 2004/08/25 05:00 DA - 2004/10/22 09:00 DT - 2004/08/25 05:00 YR - 2003 ED - 20041020 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15323195 <907. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15274862 TI - [Evaluation of the influence of medical education on the smoking attitudes of future doctors]. [Spanish] OT - Evaluacion de la influencia que ejerce la facultad de medicina en los futuros medicos respecto al tabaquismo. SO - Archivos de Bronconeumologia. 40(8):341-7, 2004 Aug. AS - Arch Bronconeumol. 40(8):341-7, 2004 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nerin I AU - Guillen D AU - Mas A AU - Crucelaegui A FA - Nerin, I FA - Guillen, D FA - Mas, A FA - Crucelaegui, A IN - Nerin, I. Unidad de Tabaquismo, Departamento de Medicina y Psiquiatria, Facultad de Medicina, Universidad de Zaragoza, Zaragoza, Spain. isabelne@posta.unizar.es NJ - Archivos de bronconeumologia VO - 40 IP - 8 PG - 341-7 PI - Journal available in: Print PI - Citation processed from: Print JC - b0y, 0354720 IO - Arch. Bronconeumol. SB - Index Medicus CP - Spain MH - Adult MH - *Education, Medical MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Spain/ep [Epidemiology] MH - *Students, Medical/px [Psychology] AB - 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. AB - 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. AB - 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. AB - 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. IS - 0300-2896 IL - 0300-2896 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 13064617 [pii] PP - ppublish LG - Spanish DP - 2004 Aug EZ - 2004/07/28 05:00 DA - 2004/10/13 09:00 DT - 2004/07/28 05:00 YR - 2004 ED - 20041012 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15274862 <908. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15182265 TI - The process of introducing a tobacco curriculum in medical school. SO - Respirology. 9(2):165-72, 2004 Jun. AS - Respirology. 9(2):165-72, 2004 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richmond R FA - Richmond, Robyn IN - Richmond, Robyn. School of Public Health and Community Medicine, University of New South Wales, Kensington, New South Wales, Australia. R.Richmond@unsw.edu.au NJ - Respirology (Carlton, Vic.) VO - 9 IP - 2 PG - 165-72 PI - Journal available in: Print PI - Citation processed from: Print JC - czg, 9616368 IO - Respirology SB - Index Medicus CP - Australia MH - China MH - *Curriculum MH - *Education, Medical MH - Humans MH - Models, Educational MH - New South Wales MH - Patient Education as Topic MH - Smoking Cessation MH - *Smoking Prevention MH - Students, Medical/sn [Statistics & Numerical Data] AB - 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. IS - 1323-7799 IL - 1323-7799 PT - Journal Article ID - 10.1111/j.1440-1843.2004.00578.x [doi] ID - RES578 [pii] PP - ppublish LG - English DP - 2004 Jun EZ - 2004/06/09 05:00 DA - 2004/10/13 09:00 DT - 2004/06/09 05:00 YR - 2004 ED - 20041012 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15182265 <909. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15272986 TI - [Prevalence of tobacco use among pediatric residents in Argentina]. [Spanish][Erratum appears in Rev Panam Salud Publica. 2004 Aug;16(2):109], [Erratum appears in Rev Panam Salud Publica. 2005 Sep;18(3):171] OT - Prevalencia del consumo de tabaco en medicos residentes de pediatria en Argentina. SO - Pan American Journal of Public Health. 15(6):395-9, 2004 Jun. AS - Rev Panam Salud Publica. 15(6):395-9, 2004 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferrero F AU - Castanos C AU - Duran P AU - Blengini MT AU - Grupo de Estudio del Tabaquismo en la Residencia de Pediatria FA - Ferrero, Fernando FA - Castanos, Claudio FA - Duran, Pablo FA - Blengini, Maria Teresa FA - Grupo de Estudio del Tabaquismo en la Residencia de Pediatria IN - Ferrero, Fernando. Comite de Neumologia, Sociedad Argentina de Pediatria, Buenos Aires, Argentina. fferrero@intramed.net NJ - Revista panamericana de salud publica = Pan American journal of public health VO - 15 IP - 6 PG - 395-9 PI - Journal available in: Print PI - Citation processed from: Print JC - csl, 9705400 IO - Rev. Panam. Salud Publica SB - Index Medicus CP - United States MH - Adult MH - Argentina/ep [Epidemiology] MH - Cross-Sectional Studies MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - Pediatrics/ed [Education] MH - Pediatrics/sn [Statistics & Numerical Data] MH - Prevalence MH - Risk Factors MH - *Tobacco Use Disorder/ep [Epidemiology] AB - OBJECTIVES: To determine the prevalence of smoking among pediatric residents in Argentina, to evaluate the risk factors associated with that habit, and to analyze the attitudes of these professionals with regard to tobacco use by their patients. AB - METHODS: A cross-sectional study was conducted using anonymous self-administered questionnaire surveys. The surveys were used in May 2002 with pediatric residents in eight hospitals in five provinces of Argentina: Buenos Aires, Cordoba, La Plata, Mendoza, and Neuquen. The study variables were: sex, age, the year of residence, the number of times per week on night duty, if the resident's mother or father smoked, the age at which began to smoke, the place and the hospital activities in which most often smoked, if the immediate supervisor was a smoker, if had increased tobacco use after becoming a resident, attitude toward tobacco use by patients and their parents, and knowledge concerning the risks of smoking. We calculated the frequencies of the studied variables and the odds ratios (ORs) and their 95% confidence intervals (CIs). Multiple logistic regression was used in a model with all the possible predictive variables. The level of significance was P < 0.05. AB - RESULTS: A total of 349 responses were obtained (98.8% of the residents present at the time of the survey). The prevalence of smokers among the surveyed pediatric residents was 22.2%. Among the smokers, 38.9% of them said they smoked more since becoming a resident, and 63.9% of them said that night duty was the hospital activity in which they most often smoked. After adjusting for the other variables, the remaining risk factors for smoking were having a mother who smoked (OR: 2.7; 95% CI: 1.57 to 4.84) and living alone (OR: 3.15; 95% CI: 1.58 to 6.26). Out of all the residents (both smokers and nonsmokers), only 26.5% of them said that they explained to their patients the risks of tobacco use, and only 23.2% of them suggested quitting smoking or not beginning; there were no statistically significant differences between the smoker residents and the nonsmoker residents. AB - CONCLUSIONS: The prevalence of smoking among the pediatric residents is high and is close to the level found in other Argentine physicians. The factors associated with smoking were having a mother who smoked and living alone. The residents should take a more active role with patients or relatives of patients who smoke. Activities need to be put into place that improve the level of training on this subject in medical school and during residency. IS - 1020-4989 IL - 1020-4989 PT - Comparative Study PT - English Abstract PT - Journal Article ID - S1020-49892004000600005 [pii] PP - ppublish LG - Spanish DP - 2004 Jun EZ - 2004/07/27 05:00 DA - 2004/10/02 05:00 DT - 2004/07/27 05:00 YR - 2004 ED - 20040930 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15272986 <910. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15248372 TI - Opioid prescribing for chronic nonmalignant pain in primary care: challenges and solutions. [Review] [54 refs] SO - Advances in Psychosomatic Medicine. 25:138-50, 2004. AS - Adv Psychosom Med. 25:138-50, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Olsen Y AU - Daumit GL FA - Olsen, Yngvild FA - Daumit, Gail L IN - Olsen, Yngvild. Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, Md. 21287, USA. yolsen@jhsph.edu NJ - Advances in psychosomatic medicine VO - 25 PG - 138-50 PI - Journal available in: Print PI - Citation processed from: Print JC - 2pg, 0101303 IO - Adv Psychosom Med SB - Index Medicus CP - Switzerland MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Chronic Disease MH - Criminal Law/lj [Legislation & Jurisprudence] MH - *Drug Prescriptions MH - Florida MH - Humans MH - *Pain/dt [Drug Therapy] MH - *Primary Health Care MH - United States AB - 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. [References: 54] RN - 0 (Analgesics, Opioid) IS - 0065-3268 IL - 0065-3268 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2004 EZ - 2004/07/14 05:00 DA - 2004/09/24 05:00 DT - 2004/07/14 05:00 YR - 2004 ED - 20040921 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15248372 <911. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15240093 TI - Community health service needs assessment in Korea using OMAHA Classification System. SO - International Journal of Nursing Studies. 41(6):697-702, 2004 Aug. AS - Int J Nurs Stud. 41(6):697-702, 2004 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yoo IY AU - Cho WJ AU - Chae SM AU - Kim MJ FA - Yoo, Il Young FA - Cho, Won Jung FA - Chae, Sun Mi FA - Kim, Mi Jung IN - Yoo, Il Young. Research Institute of Nursing Policy, College of Nursing Yonsei University, Seodaemoon-gu, Shinchon-dong 134, Seoul 120752, Republic of Korea. iyoo@yumc.yonsei.ac.kr NJ - International journal of nursing studies VO - 41 IP - 6 PG - 697-702 PI - Journal available in: Print PI - Citation processed from: Print JC - gs8, 0400675 IO - Int J Nurs Stud SB - Index Medicus SB - Nursing Journal CP - England MH - Adult MH - *Community Health Services/og [Organization & Administration] MH - Cross-Sectional Studies MH - Female MH - Humans MH - Korea MH - Male MH - Middle Aged MH - *Needs Assessment/cl [Classification] MH - *Nursing Assessment/cl [Classification] MH - *Nursing Evaluation Research/mt [Methods] MH - *Public Health Nursing/og [Organization & Administration] AB - 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. Copyright 2004 Elsevier Ltd. IS - 0020-7489 IL - 0020-7489 PT - Journal Article ID - 10.1016/j.ijnurstu.2004.02.007 [doi] ID - S0020748904000379 [pii] PP - ppublish PH - 2003/08/30 [received] PH - 2004/02/09 [revised] PH - 2004/02/26 [accepted] LG - English DP - 2004 Aug EZ - 2004/07/09 05:00 DA - 2004/09/21 05:00 DT - 2004/07/09 05:00 YR - 2004 ED - 20040917 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15240093 <912. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15109319 TI - Teaching patient-centered tobacco intervention to first-year medical students. SO - Journal of General Internal Medicine. 19(5 Pt 2):534-9, 2004 May. AS - J Gen Intern Med. 19(5 Pt 2):534-9, 2004 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown RL AU - Pfeifer JM AU - Gjerde CL AU - Seibert CS AU - Haq CL FA - Brown, Richard L FA - Pfeifer, Judie M FA - Gjerde, Craig L FA - Seibert, Christine S FA - Haq, Cynthia L IN - Brown, Richard L. Department of Family Medicine, University of Wisconsin-Madison Medical School, Madison, WI 53705, USA. rlbrown@wisc.edu NJ - Journal of general internal medicine VO - 19 IP - 5 Pt 2 PG - 534-9 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1492330 SB - Index Medicus CP - United States MH - Adult MH - Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Evaluation Studies as Topic MH - Female MH - Health Behavior MH - Humans MH - Male MH - *Patient-Centered Care/mt [Methods] MH - *Smoking Cessation/mt [Methods] MH - Wisconsin AB - 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 standardized 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. IS - 0884-8734 IL - 0884-8734 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1111/j.1525-1497.2004.30144.x [doi] ID - JGI30144 [pii] ID - PMC1492330 [pmc] PP - ppublish GI - No: 1D 16HP00067-01 Organization: *PHS HHS* Country: United States LG - English DP - 2004 May EZ - 2004/04/28 05:00 DA - 2004/09/15 05:00 DT - 2004/04/28 05:00 YR - 2004 ED - 20040914 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15109319 <913. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15139866 TI - The Society for the Study of Addiction (SSA). SO - Addiction. 99(6):677-85, 2004 Jun. AS - Addiction. 99(6):677-85, 2004 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tober G FA - Tober, Gillian IN - Tober, Gillian. Leeds Addiction Unit, Leeds, UK. gillian.tober@nhs.net NJ - Addiction (Abingdon, England) VO - 99 IP - 6 PG - 677-85 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Behavior, Addictive/hi [History] MH - *Behavior, Addictive/pc [Prevention & Control] MH - Biomedical Research MH - History, 19th Century MH - History, 20th Century MH - Humans MH - London MH - Societies, Medical/hi [History] MH - *Societies, Medical/og [Organization & Administration] MH - Substance-Related Disorders/hi [History] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - 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. IS - 0965-2140 IL - 0965-2140 PT - Historical Article PT - Journal Article ID - 10.1111/j.1360-0443.2004.00729.x [doi] ID - ADD729 [pii] PP - ppublish LG - English DP - 2004 Jun EZ - 2004/05/14 05:00 DA - 2004/09/14 05:00 DT - 2004/05/14 05:00 YR - 2004 ED - 20040913 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15139866 <914. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15205736 TI - Substance use among medical students and physicians in a medical school in Turkey. SO - Social Psychiatry & Psychiatric Epidemiology. 39(6):502-6, 2004 Jun. AS - Soc Psychiatry Psychiatr Epidemiol. 39(6):502-6, 2004 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Akvardar Y AU - Demiral Y AU - Ergor G AU - Ergor A FA - Akvardar, Yildiz FA - Demiral, Yucel FA - Ergor, Gul FA - Ergor, Alp IN - Akvardar, Yildiz. Dokuz Eylul University Medical School, Psychiatry Dept., Balcova 35340, Izmir, Turkey. yildiz.akvardar@deu.edu.tr NJ - Social psychiatry and psychiatric epidemiology VO - 39 IP - 6 PG - 502-6 PI - Journal available in: Print PI - Citation processed from: Print JC - uvp, 8804358 IO - Soc Psychiatry Psychiatr Epidemiol SB - Index Medicus CP - Germany MH - Adult MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - *Physicians/sn [Statistics & Numerical Data] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - Turkey/ep [Epidemiology] AB - BACKGROUND: This study examined substance use and abuse, including nicotine and alcohol, in subjects who were at various stages of a medical career in Dokuz Eylul University Medical School in Turkey. Anxiety and depression levels were also assessed in order to determine the relationship of the substance use and anxiety and depression. AB - METHOD: Using an anonymous, self-administered questionnaire, we surveyed 121 junior, and 52 senior medical students, 73 residents and 80 practicing physicians who completed the questionnaire. AB - RESULTS: Alcohol was the most frequently used substance in all groups. Two or more positive responses on the CAGE were obtained for 22.4% of the junior students, 20% of the senior students, 8.9% of the residents and 6.5% of the physicians. Lifetime smoking prevalence was as high as 50%. The age of onset for nicotine and alcohol use was earlier in first-year medical students than the other groups. Benzodiazepines (alprozolam, diazepam) were the most frequently used sedative-hypnotics. The use of illicit substances was rare in all four groups, with cannabis being the most commonly used illicit substance. The junior medical students (23.6%) had the highest level of anxiety, while the senior students (44%) had the highest level of depression, assessed by the Hospital Anxiety and Depression Scale. However, the levels of anxiety and depression did not correlate with the levels of cigarette and alcohol consumption. AB - CONCLUSIONS: Smoking and alcohol abuse amongst medical students and physicians should be taken more seriously because their own attitudes towards substances may influence their professional behavior. There is a need for better education about substances. IS - 0933-7954 IL - 0933-7954 PT - Journal Article ID - 10.1007/s00127-004-0765-1 [doi] PP - ppublish PH - 2003/12/12 [accepted] LG - English DP - 2004 Jun EZ - 2004/06/19 05:00 DA - 2004/09/11 05:00 DT - 2004/06/19 05:00 YR - 2004 ED - 20040910 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15205736 <915. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15140809 TI - Workforce information on addiction psychiatry graduates. SO - Academic Psychiatry. 28(1):56-9, 2004. AS - Acad Psychiatry. 28(1):56-9, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tinsley JA FA - Tinsley, Joyce A IN - Tinsley, Joyce A. University of Connecticut, Farmington, Connecticut, USA. tinsley@psychiatry.uchc.edu NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 28 IP - 1 PG - 56-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Accreditation MH - Data Collection MH - *Education, Medical/st [Standards] MH - Medicine MH - *Psychiatry/ed [Education] MH - *Psychiatry/ma [Manpower] MH - Specialization MH - *Substance-Related Disorders MH - United States AB - OBJECTIVE: The aim of this paper is to report workforce information about graduates from accredited training programs in addiction psychiatry. AB - 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. AB - 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. AB - CONCLUSION: Addiction psychiatry offers opportunities in a variety of settings that allow new graduates to utilize their subspecialty training. IS - 1042-9670 IL - 1042-9670 PT - Journal Article ID - 10.1176/appi.ap.28.1.56 [doi] ID - 28/1/56 [pii] PP - ppublish LG - English DP - 2004 EZ - 2004/05/14 05:00 DA - 2004/09/01 05:00 DT - 2004/05/14 05:00 YR - 2004 ED - 20040831 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15140809 <916. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15264961 TI - Smoking cessation counseling training for pediatric residents in the continuity clinic setting. SO - Ambulatory Pediatrics. 4(4):289-94, 2004 Jul-Aug. AS - Ambul Pediatr. 4(4):289-94, 2004 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee MT AU - Hishinuma ES AU - Derauf C AU - Guerrero AP AU - Iwaishi LK AU - Kasuya RT FA - Lee, Meta T FA - Hishinuma, Earl S FA - Derauf, Chris FA - Guerrero, Anthony P S FA - Iwaishi, Louise K FA - Kasuya, Richard T IN - Lee, Meta T. Department of Pediatrics, University of Hawaii John A. Burns School of Medicine, Honolulu, 96826, USA. meta@hawaii.edu NJ - Ambulatory pediatrics : the official journal of the Ambulatory Pediatric Association VO - 4 IP - 4 PG - 289-94 PI - Journal available in: Print PI - Citation processed from: Print JC - 101089367 IO - Ambul Pediatr SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Analysis of Variance MH - *Counseling/ed [Education] MH - Cross-Over Studies MH - Female MH - Hawaii MH - Humans MH - *Internship and Residency MH - Male MH - Middle Aged MH - *Pediatrics/ed [Education] MH - *Smoking Cessation AB - OBJECTIVE: To determine the effectiveness of a clinic-based smoking cessation counseling curriculum on pediatric resident confidence, knowledge, counseling skills, and provision of counseling. AB - 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. AB - 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). AB - 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. IS - 1530-1567 IL - 1530-1567 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1367/A03-180.1 [doi] ID - S1530-1567(05)60314-0 [pii] PP - ppublish LG - English DP - 2004 Jul-Aug EZ - 2004/07/22 05:00 DA - 2004/08/25 05:00 DT - 2004/07/22 05:00 YR - 2004 ED - 20040824 RD - 20171107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15264961 <917. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15072726 TI - Report from the CDC. Physician and allied health professionals' training and fetal alcohol syndrome. SO - Journal of Women's Health. 13(2):133-9, 2004 Mar. AS - J Womens Health (Larchmt). 13(2):133-9, 2004 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sharpe TT AU - Alexander M AU - Hutcherson J AU - Floyd RL AU - Brimacombe M AU - Levine R AU - Mengel M AU - Stuber M FA - Sharpe, Tanya T FA - Alexander, Martha FA - Hutcherson, Johnni FA - Floyd, R Louise FA - Brimacombe, Michael FA - Levine, Robert FA - Mengel, Mark FA - Stuber, Margaret IN - Sharpe, Tanya T. Centers for Disease Control and Prevention, National Center on Birth Defects and Developmental Disabilities, Fetal Alcohol Syndrome Prevention Team, Regional Training Centers, Atlanta, Georgia 30333, USA. tqs3@cdc.gov NJ - Journal of women's health (2002) VO - 13 IP - 2 PG - 133-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 101159262, 9208978 IO - J Womens Health (Larchmt) SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/pc [Prevention & Control] MH - *Allied Health Occupations/st [Standards] MH - Centers for Disease Control and Prevention (U.S.)/st [Standards] MH - Clinical Competence MH - *Education, Medical, Continuing MH - Ethanol/ae [Adverse Effects] MH - *Family Practice/st [Standards] MH - Female MH - *Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - *Inservice Training MH - Pregnancy MH - Pregnancy Complications/pc [Prevention & Control] MH - *Prenatal Exposure Delayed Effects MH - United States AB - Maternal prenatal alcohol use is one of the leading preventable causes of birth defects and developmental disabilities. On the severe end of the spectrum of conditions related to drinking during pregnancy is fetal alcohol syndrome (FAS). Physicians and other health practitioners play a critical role in diagnosing FAS and in screening women of childbearing age for alcohol use during pregnancy. The Fetal Alcohol Syndrome Prevention Team at CDC's National Center on Birth Defects and Developmental Disabilities awarded funds to four medical school partners (Meharry and Morehouse Medical Colleges, St. Louis University, the University of Medicine and Dentistry of New Jersey, and the University of California at Los Angeles) to develop FAS regional training centers (RTCs). The RTCs are developing, implementing, evaluating, and disseminating educational curricula for medical and allied health students and practitioners that incorporate evidence-based diagnostic guidelines for FAS and other prenatal alcohol-related disorders. RN - 3K9958V90M (Ethanol) IS - 1540-9996 IL - 1540-9996 PT - Journal Article ID - 10.1089/154099904322966100 [doi] PP - ppublish LG - English DP - 2004 Mar EZ - 2004/04/10 05:00 DA - 2004/06/30 05:00 DT - 2004/04/10 05:00 YR - 2004 ED - 20040629 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15072726 <918. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14596488 TI - Computer telephony: automated calls for medical care. SO - Clinical & Investigative Medicine - Medecine Clinique et Experimentale. 26(5):259-68, 2003 Oct. AS - Clin Invest Med. 26(5):259-68, 2003 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Biem HJ AU - Turnell RW AU - D'Arcy C FA - Biem, H Jay FA - Turnell, Roger W FA - D'Arcy, Carl IN - Biem, H Jay. Division of General Internal Medicine, Department of Medicine, University of Saskatchewan, Saskatoon, Sask. biem@skyway.usask.ca NJ - Clinical and investigative medicine. Medecine clinique et experimentale VO - 26 IP - 5 PG - 259-68 PI - Journal available in: Print PI - Citation processed from: Print JC - dfg, 7804071 IO - Clin Invest Med SB - Index Medicus CP - Canada MH - Automation MH - *Computers MH - *Delivery of Health Care/mt [Methods] MH - Humans MH - Preventive Health Services/mt [Methods] MH - Randomized Controlled Trials as Topic MH - Registries MH - *Telephone/is [Instrumentation] MH - User-Computer Interface MH - Voice AB - 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. AB - 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. AB - 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. AB - 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. IS - 0147-958X IL - 0147-958X PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2003 Oct EZ - 2003/11/05 05:00 DA - 2004/06/26 05:00 DT - 2003/11/05 05:00 YR - 2003 ED - 20040625 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14596488 <919. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15132339 TI - Are physicians and medical students prepared to educate patients about alcohol consumption?. SO - Journal of Addictive Diseases. 23(2):1-13, 2004. AS - J Addict Dis. 23(2):1-13, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frost-Pineda K AU - VanSusteren T AU - Gold MS FA - Frost-Pineda, Kimberly FA - VanSusteren, Timothy FA - Gold, Mark S IN - Frost-Pineda, Kimberly. Department of Psychiatry, University of Florida College of Medicine, USA. NJ - Journal of addictive diseases VO - 23 IP - 2 PG - 1-13 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - *Clinical Competence/st [Standards] MH - Curriculum MH - Education, Medical/st [Standards] MH - Education, Medical, Continuing/st [Standards] MH - Education, Medical, Undergraduate/st [Standards] MH - Florida MH - Health Care Surveys MH - Humans MH - Office Visits MH - *Patient Education as Topic/st [Standards] MH - Physicians, Family/ed [Education] MH - *Physicians, Family/st [Standards] MH - *Primary Health Care/st [Standards] MH - Students, Medical AB - 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. IS - 1055-0887 IL - 1055-0887 PT - Journal Article ID - 10.1300/J069v23n03_01 [doi] PP - ppublish LG - English DP - 2004 EZ - 2004/05/11 05:00 DA - 2004/06/24 05:00 DT - 2004/05/11 05:00 YR - 2004 ED - 20040618 RD - 20080512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15132339 <920. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15002918 TI - Prenatal patients' views of prenatal care services: a medical center-based assessment of knowledge and intent to use support services. SO - Ethnicity & Disease. 14(1):13-20, 2004. AS - Ethn Dis. 14(1):13-20, 2004. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nicholson WK AU - Brickhouse B AU - Powe NR AU - Bronner Y FA - Nicholson, Wanda K FA - Brickhouse, Bergina FA - Powe, Neil R FA - Bronner, Yvonne IN - Nicholson, Wanda K. Women's and Children's Health Policy Center, Department of Population and Family Health Sciences, Baltimore, Maryland, USA. wnichol@jhmi.edu NJ - Ethnicity & disease VO - 14 IP - 1 PG - 13-20 PI - Journal available in: Print PI - Citation processed from: Print JC - bnm, 9109034 IO - Ethn Dis SB - Index Medicus CP - United States MH - Academic Medical Centers MH - Adult MH - *African Americans/px [Psychology] MH - African Americans/sn [Statistics & Numerical Data] MH - Counseling/ut [Utilization] MH - Cross-Sectional Studies MH - Female MH - Health Education/ut [Utilization] MH - *Health Knowledge, Attitudes, Practice MH - Health Services Needs and Demand MH - Humans MH - Needs Assessment MH - Parity MH - *Patient Acceptance of Health Care/eh [Ethnology] MH - Patient Acceptance of Health Care/px [Psychology] MH - *Patient-Centered Care/ut [Utilization] MH - Poverty MH - Pregnancy MH - *Pregnancy, High-Risk/eh [Ethnology] MH - Pregnancy, High-Risk/px [Psychology] MH - *Prenatal Care/ut [Utilization] MH - Referral and Consultation/ut [Utilization] MH - *Social Support MH - Social Work MH - Socioeconomic Factors MH - Urban Health Services AB - 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. AB - 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. AB - 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. AB - 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. IS - 1049-510X IL - 1049-510X PT - Journal Article PP - ppublish LG - English DP - 2004 EZ - 2004/03/09 05:00 DA - 2004/06/21 10:00 DT - 2004/03/09 05:00 YR - 2004 ED - 20040607 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15002918 <921. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15147647 TI - An invisible barrier to integrating HIV primary care with harm reduction services: philosophical clashes between the harm reduction and medical models. SO - Public Health Reports. 119(1):32-9, 2004 Jan-Feb. AS - Public Health Rep. 119(1):32-9, 2004 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heller D AU - McCoy K AU - Cunningham C FA - Heller, Daliah FA - McCoy, Kate FA - Cunningham, Chinazo IN - Heller, Daliah. CitiWide Harm Reduction, Bronx, NY 10451, USA. dheller@citiwidehr.org NJ - Public health reports (Washington, D.C. : 1974) VO - 119 IP - 1 PG - 32-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 9716844, qja IO - Public Health Rep PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1502252 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Community-Institutional Relations MH - Cooperative Behavior MH - Decision Making, Organizational MH - *Delivery of Health Care, Integrated/og [Organization & Administration] MH - HIV Infections/co [Complications] MH - *HIV Infections/pc [Prevention & Control] MH - *Health Promotion/og [Organization & Administration] MH - Health Services Accessibility MH - Hospitals, Urban/og [Organization & Administration] MH - Humans MH - Interinstitutional Relations MH - *Models, Organizational MH - New York City MH - Organizational Case Studies MH - Patient-Centered Care MH - Philosophy, Medical MH - *Primary Health Care/og [Organization & Administration] MH - Social Medicine/ed [Education] MH - Social Medicine/og [Organization & Administration] MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/pc [Prevention & Control] MH - *Urban Health Services/og [Organization & Administration] AB - Overall AIDS mortality in the United States has declined in recent years, but declines have not been consistent across all populations. Due to an array of barriers to care, minorities and poor people who are active substance users have not benefited as others have from advances in the treatment of HIV disease. One way to address this problem is to integrate HIV primary care into harm reduction programs that already effectively serve this population. Such collaborations, however, are difficult to initiate and sustain. Philosophical differences between the medical model and the harm reduction model, which often remain invisible to the parties involved, underlie these difficulties. This article addresses the issue by describing a partnership in the Bronx, NY, between CitiWide Harm Reduction Inc. (CitiWideHR) and the Montefiore Medical Center. It focuses specifically on the sources of philosophical differences between models, and briefly assesses the potential for successful collaborations of this sort. IS - 0033-3549 IL - 0033-3549 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1177/003335490411900109 [doi] ID - S003335490400010X [pii] ID - PMC1502252 [pmc] PP - ppublish GI - No: 1H97HA00247-01 Organization: *PHS HHS* Country: United States LG - English DP - 2004 Jan-Feb EZ - 2004/05/19 05:00 DA - 2004/06/04 05:00 DT - 2004/05/19 05:00 YR - 2004 ED - 20040603 RD - 20170214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15147647 <922. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15002292 TI - [Addiction prevention programs in schools and welfare-educational institutions]. [Polish] OT - Promocja profilaktyki uzaleznien w szkolach i placowkach opiekunczo-wychowawczych. SO - Wiadomosci Lekarskie. 55 Suppl 1:501-5, 2002. AS - Wiad Lek. 55 Suppl 1:501-5, 2002. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Szpringer M AU - Blaszczyk B FA - Szpringer, Monika FA - Blaszczyk, Barbara IN - Szpringer, Monika. Instytutu Ksztalcenia, Medycznego Akademii Swietokrzyskiej w Kielcach. ikm@pu.kielce.pl NJ - Wiadomosci lekarskie (Warsaw, Poland : 1960) VO - 55 Suppl 1 PG - 501-5 PI - Journal available in: Print PI - Citation processed from: Print JC - xoa, 9705467 IO - Wiad. Lek. SB - Index Medicus CP - Poland MH - Adolescent MH - Adolescent Behavior/px [Psychology] MH - Attitude to Health MH - Child MH - Child Behavior/px [Psychology] MH - Child Welfare MH - Evaluation Studies as Topic MH - Health Education/mt [Methods] MH - Health Education/sn [Statistics & Numerical Data] MH - *Health Education MH - Health Promotion/mt [Methods] MH - Health Promotion/sn [Statistics & Numerical Data] MH - *Health Promotion MH - Humans MH - Poland/ep [Epidemiology] MH - Risk Factors MH - *School Health Services/st [Standards] MH - School Health Services/sn [Statistics & Numerical Data] MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - 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. IS - 0043-5147 IL - 0043-5147 PT - English Abstract PT - Journal Article PP - ppublish LG - Polish DP - 2002 EZ - 2004/03/09 05:00 DA - 2004/05/28 05:00 DT - 2004/03/09 05:00 YR - 2002 ED - 20040527 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=15002292 <923. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15054346 TI - Nutrition education is positively associated with substance abuse treatment program outcomes. SO - Journal of the American Dietetic Association. 104(4):604-10, 2004 Apr. AS - J Am Diet Assoc. 104(4):604-10, 2004 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grant LP AU - Haughton B AU - Sachan DS FA - Grant, Louise P FA - Haughton, Betsy FA - Sachan, Dileep S IN - Grant, Louise P. Nutrition and Food Service, James H Quillen VA Medical Center, Mountain Home, TN, USA. louise.grant2@med.va.gov NJ - Journal of the American Dietetic Association VO - 104 IP - 4 PG - 604-10 PI - Journal available in: Print PI - Citation processed from: Print JC - h6f, 7503061 IO - J Am Diet Assoc SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Cross-Sectional Studies MH - Data Collection MH - *Delivery of Health Care, Integrated MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Nutritional Sciences/ed [Education] MH - Patient Education as Topic MH - Severity of Illness Index MH - *Substance Abuse Treatment Centers MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - Treatment Outcome MH - United States AB - 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. IS - 0002-8223 IL - 0002-8223 PT - Journal Article ID - 10.1016/j.jada.2004.01.008 [doi] ID - S0002822304000094 [pii] PP - ppublish LG - English DP - 2004 Apr EZ - 2004/04/01 05:00 DA - 2004/05/27 05:00 DT - 2004/04/01 05:00 YR - 2004 ED - 20040525 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15054346 <924. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15100328 TI - Tobacco control in the physician's office: a matter of adequate training and resources. SO - Journal of the National Cancer Institute. 96(8):573-5, 2004 Apr 21. AS - J Natl Cancer Inst. 96(8):573-5, 2004 Apr 21. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schnoll RA AU - Engstrom PF FA - Schnoll, Robert A FA - Engstrom, Paul F CM - Comment on: J Natl Cancer Inst. 2004 Apr 21;96(8):594-603; PMID: 15100337 NJ - Journal of the National Cancer Institute VO - 96 IP - 8 PG - 573-5 PI - Journal available in: Print PI - Citation processed from: Internet JC - j9j, 7503089 IO - J. Natl. Cancer Inst. SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Direct Service Costs MH - Health Resources MH - Humans MH - Patient Education as Topic/ec [Economics] MH - *Patient Education as Topic MH - *Physicians' Offices/st [Standards] MH - Research Design MH - *Smoking/th [Therapy] MH - Smoking Cessation/ec [Economics] MH - *Smoking Cessation ES - 1460-2105 IL - 0027-8874 PT - Comment PT - Editorial PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: CA95678 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 2004 Apr 21 EZ - 2004/04/22 05:00 DA - 2004/05/07 05:00 DT - 2004/04/22 05:00 YR - 2004 ED - 20040505 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15100328 <925. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14687261 TI - A new curriculum using active learning methods and standardized patients to train residents in smoking cessation. SO - Journal of General Internal Medicine. 18(12):1023-7, 2003 Dec. AS - J Gen Intern Med. 18(12):1023-7, 2003 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Humair JP AU - Cornuz J FA - Humair, Jean-Paul FA - Cornuz, Jacques IN - Humair, Jean-Paul. Department of Community Medicine, Geneva University Hospital, Geneva, Switzerland. Jean-Paul.Humair@hcuge.ch NJ - Journal of general internal medicine VO - 18 IP - 12 PG - 1023-7 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1494954 SB - Index Medicus CP - United States MH - *Counseling/mt [Methods] MH - *Curriculum MH - *Education, Medical, Graduate/mt [Methods] MH - Educational Measurement MH - Female MH - Humans MH - Male MH - Patient Simulation MH - *Problem-Based Learning MH - *Smoking Cessation AB - 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. IS - 0884-8734 IL - 0884-8734 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 20732 [pii] ID - PMC1494954 [pmc] PP - ppublish LG - English DP - 2003 Dec EZ - 2003/12/23 05:00 DA - 2004/05/05 05:00 DT - 2003/12/23 05:00 YR - 2003 ED - 20040504 RD - 20140610 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14687261 <926. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15061141 TI - Addiction medicine. SO - Clinical Privilege White Paper. (123):1-8, 2004 Apr AS - Clin Privil White Pap. (123):1-8, 2004 Apr VI - 1 RO - HSR ST - MEDLINE AU - Anonymous NJ - Clinical privilege white paper IP - 123 PG - 1-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 100892390, 100892390 IO - Clin Privil White Pap SB - Health Technology Assessment Journals CP - United States MH - Anesthesiology/ed [Education] MH - Clinical Competence/st [Standards] MH - Credentialing/st [Standards] MH - *Credentialing MH - Education, Medical, Graduate MH - Humans MH - Joint Commission on Accreditation of Healthcare Organizations MH - Medical Staff Privileges/st [Standards] MH - Physicians, Family/ed [Education] MH - *Psychiatry/ed [Education] MH - Societies, Medical MH - *Substance-Related Disorders MH - United States PT - Journal Article PP - ppublish LG - English DP - 2004 Apr EZ - 2004/04/06 05:00 DA - 2004/04/28 05:00 DT - 2004/04/06 05:00 YR - 2004 ED - 20040427 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15061141 <927. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15038638 TI - A comparison of health professions student attitudes regarding tobacco curricula and interventionist roles. SO - Journal of Dental Education. 68(3):370-7, 2004 Mar. AS - J Dent Educ. 68(3):370-7, 2004 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fried JL AU - Reid BC AU - DeVore LE FA - Fried, Jacquelyn L FA - Reid, Britt C FA - DeVore, Linda E IN - Fried, Jacquelyn L. Dental Hygiene Program, Department of Health Promotion and Policy, School of Dentistry, University of Maryland, Baltimore 21201, USA. jlf001@dental.umaryland.edu NJ - Journal of dental education VO - 68 IP - 3 PG - 370-7 PI - Journal available in: Print PI - Citation processed from: Print JC - hy7, 8000150 IO - J Dent Educ SB - Dental Journals SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - *Curriculum MH - Dental Hygienists/ed [Education] MH - Dental Hygienists/sn [Statistics & Numerical Data] MH - *Education, Professional/sn [Statistics & Numerical Data] MH - Ethics, Professional MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Patient Education as Topic MH - Physical Therapy Specialty/ed [Education] MH - *Professional Role MH - Smoking/ep [Epidemiology] MH - Students, Dental/sn [Statistics & Numerical Data] MH - Students, Medical/sn [Statistics & Numerical Data] MH - Students, Nursing/sn [Statistics & Numerical Data] MH - Students, Pharmacy/sn [Statistics & Numerical Data] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - 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. IS - 0022-0337 IL - 0022-0337 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 2004 Mar EZ - 2004/03/25 05:00 DA - 2004/04/09 05:00 DT - 2004/03/25 05:00 YR - 2004 ED - 20040408 RD - 20111117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=15038638 <928. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14871392 TI - 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. SO - Medical Education. 38(2):218-22, 2004 Feb. AS - Med Educ. 38(2):218-22, 2004 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moulton EA AU - McMain SS FA - Moulton, E A FA - McMain, S S IN - Moulton, E A. St James University Hospital, Leeds LS9 7TF, UK. drlizmoulton@hotmail.com NJ - Medical education VO - 38 IP - 2 PG - 218-22 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Attitude of Health Personnel MH - Education, Medical/mt [Methods] MH - Faculty MH - Humanities/ed [Education] MH - Humans MH - *Medical Staff, Hospital/px [Psychology] MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/di [Diagnosis] AB - 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. AB - 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. AB - 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. AB - CONCLUSION: Diverse educational methods can be effective when teaching within difficult and complex areas that challenge attitudes. IS - 0308-0110 IL - 0308-0110 PT - Journal Article ID - 1757 [pii] PP - ppublish LG - English DP - 2004 Feb EZ - 2004/02/12 05:00 DA - 2004/04/06 05:00 DT - 2004/02/12 05:00 YR - 2004 ED - 20040405 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14871392 <929. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14679412 TI - Attitudes toward opioid use for chronic pain: a Canadian physician survey. SO - Pain Research & Management. 8(4):189-94, 2003. AS - Pain Res Manag. 8(4):189-94, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morley-Forster PK AU - Clark AJ AU - Speechley M AU - Moulin DE FA - Morley-Forster, Patricia K FA - Clark, Alexander J FA - Speechley, Mark FA - Moulin, Dwight E IN - Morley-Forster, Patricia K. University of Western Ontario Interdisciplinary Pain Program, St. Joseph's Health Care, London, Ontario, Canada. pat.morley-forster@sjhc.london.on.ca CM - Comment in: Pain Res Manag. 2003 Winter;8(4):187-8; PMID: 14679411 NJ - Pain research & management VO - 8 IP - 4 PG - 189-94 PI - Journal available in: Print PI - Citation processed from: Print JC - 9612504 IO - Pain Res Manag SB - Index Medicus CP - United States MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Attitude of Health Personnel MH - Canada MH - Chronic Disease MH - Data Collection MH - Drug Prescriptions MH - Humans MH - Interviews as Topic MH - Opioid-Related Disorders/et [Etiology] MH - *Pain/dt [Drug Therapy] MH - Pain/px [Psychology] MH - Pain Measurement/mt [Methods] MH - Palliative Care MH - *Physicians AB - 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. AB - 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). AB - 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. AB - 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 noncancer 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 non-steroidal 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. AB - 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. RN - 0 (Analgesics, Opioid) IS - 1203-6765 IL - 1203-6765 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2003 EZ - 2003/12/18 05:00 DA - 2004/04/06 05:00 DT - 2003/12/18 05:00 YR - 2003 ED - 20040405 RD - 20160520 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14679412 <930. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14621343 TI - Short-term buprenorphine maintenance: treatment outcome. SO - Journal of Addictive Diseases. 22(3):39-49, 2003. AS - J Addict Dis. 22(3):39-49, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Dermatis H AU - Resnick R AU - Maslansky R AU - Neumann E FA - Galanter, Marc FA - Dermatis, Helen FA - Resnick, Richard FA - Maslansky, Robert FA - Neumann, Erna IN - Galanter, Marc. Division of Alcoholism and Drug Abuse, Department of Psychiatry, NYU School of Medicine, 550 First Avenue, New York, NY 10016, USA. marcgalanter@nyu.edu NJ - Journal of addictive diseases VO - 22 IP - 3 PG - 39-49 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Adult MH - Alcoholics Anonymous MH - Appointments and Schedules MH - *Buprenorphine/ad [Administration & Dosage] MH - Buprenorphine/ae [Adverse Effects] MH - Combined Modality Therapy MH - Dose-Response Relationship, Drug MH - Drug Administration Schedule MH - Drug Therapy, Combination MH - Female MH - Heroin Dependence/ep [Epidemiology] MH - *Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Internship and Residency MH - Male MH - Naloxone/ad [Administration & Dosage] MH - Naloxone/ae [Adverse Effects] MH - Narcotic Antagonists/ad [Administration & Dosage] MH - Narcotic Antagonists/ae [Adverse Effects] MH - *Narcotics/ad [Administration & Dosage] MH - Narcotics/ae [Adverse Effects] MH - Outcome and Process Assessment (Health Care) MH - Patient Dropouts/sn [Statistics & Numerical Data] MH - Substance Abuse Detection/sn [Statistics & Numerical Data] MH - Substance Withdrawal Syndrome/et [Etiology] MH - Treatment Outcome AB - Fifty-two heroin addicts were inducted onto buprenorphine under the care of psychiatric residents in a setting modeled on office practice. Subjects were maintained on a protocol of six weeks of 16 mg daily dosing, then tapered to zero dose up to week 16, and maintained on placebo through week 18. Of 44 subjects who continued after the first induction dose, 11 terminated during maintenance, 17 during taper; and 16 while on zero dose. Twice weekly urine toxicologies showed significant successive declines in samples positive for heroin use across these three periods: 70%, 41%, and 20%, respectively. Among historical variables, only prior AA attendance distinguished subjects who achieved zero dose from those who did not. A comparison with recent studies suggests that relatively inexperienced office-based physicians can maintain patients on buprenorphine at a level comparable to that reported for research clinic settings, but with comparable rates of heroin abstinence. These findings are discussed in light of potential options for office-based opioid maintenance. RN - 0 (Narcotic Antagonists) RN - 0 (Narcotics) RN - 36B82AMQ7N (Naloxone) RN - 40D3SCR4GZ (Buprenorphine) IS - 1055-0887 IL - 1055-0887 PT - Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1300/J069v22n03_04 [doi] PP - ppublish GI - No: M01RR00096 Organization: (RR) *NCRR NIH HHS* Country: United States GI - No: R01DA10728 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2003 EZ - 2003/11/19 05:00 DA - 2004/04/02 05:00 DT - 2003/11/19 05:00 YR - 2003 ED - 20040401 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14621343 <931. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14512261 TI - Development and implementation of a tobacco cessation training program for students in the health professions. SO - Journal of Cancer Education. 18(3):142-9, 2003. AS - J Cancer Educ. 18(3):142-9, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hudmon KS AU - Corelli RL AU - Chung E AU - Gundersen B AU - Kroon LA AU - Sakamoto LM AU - Hemberger KK AU - Fenlon C AU - Prokhorov AV FA - Hudmon, Kareen Suchanek FA - Corelli, Robin L FA - Chung, Eunice FA - Gundersen, Berit FA - Kroon, Lisa A FA - Sakamoto, Leann M FA - Hemberger, Kymberli K FA - Fenlon, Christine FA - Prokhorov, Alexander V IN - Hudmon, Kareen Suchanek. School of Pharmacy, University of California San Francisco, 3333 California Street, Suite 420, San Francisco, CA 94118, USA. khudmon@itsa.ucsf.edu NJ - Journal of cancer education : the official journal of the American Association for Cancer Education VO - 18 IP - 3 PG - 142-9 PI - Journal available in: Print PI - Citation processed from: Print JC - avy, 8610343 IO - J Cancer Educ SB - Index Medicus CP - England MH - California MH - Clinical Competence MH - Curriculum MH - *Education, Dental MH - *Education, Medical MH - *Education, Pharmacy MH - Humans MH - Patient Education as Topic/mt [Methods] MH - Program Evaluation MH - Schools, Pharmacy MH - *Smoking Cessation/mt [Methods] AB - 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. AB - 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. AB - 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. IS - 0885-8195 IL - 0885-8195 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1207/S15430154JCE1803_07 [doi] PP - ppublish LG - English DP - 2003 EZ - 2003/09/27 05:00 DA - 2004/03/30 05:00 DT - 2003/09/27 05:00 YR - 2003 ED - 20040329 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14512261 <932. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14769623 TI - Treating opioid dependence. Growing implications for primary care. [Review] [174 refs] SO - Archives of Internal Medicine. 164(3):277-88, 2004 Feb 09. AS - Arch Intern Med. 164(3):277-88, 2004 Feb 09. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krantz MJ AU - Mehler PS FA - Krantz, Mori J FA - Mehler, Philip S IN - Krantz, Mori J. Department of Medicine, University of Colorado Health Sciences Center, and Denver Health, Denver, CO 80204, USA. mkrantz@dhha.org NJ - Archives of internal medicine VO - 164 IP - 3 PG - 277-88 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372440, 7fs IO - Arch. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/st [Standards] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Arrhythmias, Cardiac/ci [Chemically Induced] MH - Buprenorphine/ae [Adverse Effects] MH - Buprenorphine/st [Standards] MH - Buprenorphine/tu [Therapeutic Use] MH - Europe/ep [Epidemiology] MH - Humans MH - Methadone/ae [Adverse Effects] MH - Methadone/st [Standards] MH - Methadone/tu [Therapeutic Use] MH - Methadyl Acetate/ae [Adverse Effects] MH - Methadyl Acetate/st [Standards] MH - Methadyl Acetate/tu [Therapeutic Use] MH - Opioid-Related Disorders/ep [Epidemiology] MH - *Opioid-Related Disorders/et [Etiology] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Prevalence MH - Primary Health Care/st [Standards] MH - *Primary Health Care/td [Trends] MH - Substance Withdrawal Syndrome/ep [Epidemiology] MH - Substance Withdrawal Syndrome/pc [Prevention & Control] MH - Substance Withdrawal Syndrome/rh [Rehabilitation] MH - United States/ep [Epidemiology] AB - 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. [References: 174] RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) RN - L59OC40KWJ (Methadyl Acetate) RN - UC6VBE7V1Z (Methadone) IS - 0003-9926 IL - 0003-9926 PT - Journal Article PT - Review ID - 10.1001/archinte.164.3.277 [doi] ID - 164/3/277 [pii] PP - ppublish LG - English DP - 2004 Feb 09 EZ - 2004/02/11 05:00 DA - 2004/03/16 05:00 DT - 2004/02/11 05:00 YR - 2004 ED - 20040312 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med5&AN=14769623 <933. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14660131 TI - General practitioners' diagnostic skills and referral practices in managing patients with drug and alcohol-related health problems: implications for medical training and education programmes. SO - Drug & Alcohol Review. 22(4):417-24, 2003 Dec. AS - Drug Alcohol Rev. 22(4):417-24, 2003 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fucito L AU - Gomes B AU - Murnion B AU - Haber P FA - Fucito, Lisa FA - Gomes, Bruno FA - Murnion, Bridin FA - Haber, Paul IN - Fucito, Lisa. Drug Health Services, Royal Prince Alfred Hospital, Camperdown, NSW, Australia. NJ - Drug and alcohol review VO - 22 IP - 4 PG - 417-24 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Adult MH - Alcoholism/th [Therapy] MH - Automobile Driving MH - *Education, Medical/st [Standards] MH - Humans MH - Middle Aged MH - *Practice Patterns, Physicians' MH - *Primary Health Care MH - *Professional Competence MH - *Referral and Consultation MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires AB - 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. [Fucito LM, Gomes BS, Murnion B, Haber PS. General practitioners' diagnostic skills and referral practices in managing patients with drug and alcohol-related health problems: implications for medical training and education programmes. IS - 0959-5236 IL - 0959-5236 PT - Journal Article ID - 10.1080/09595230310001613930 [doi] ID - 3DL1ALRKPV2478Y5 [pii] PP - ppublish LG - English DP - 2003 Dec EZ - 2003/12/09 05:00 DA - 2004/03/16 05:00 DT - 2003/12/09 05:00 YR - 2003 ED - 20040312 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14660131 <934. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12969842 TI - OD's and DT's: using movies to teach intoxication and withdrawal syndromes to medical students. SO - Academic Psychiatry. 27(3):182-6, 2003. AS - Acad Psychiatry. 27(3):182-6, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Welsh CJ FA - Welsh, Christopher J IN - Welsh, Christopher J. University of Maryland School of Medicine, 22 South Greene Street, Room P-1-H10, Box 349, Baltimore, Maryland 21201, USA. cwelsh@psych.umaryland.edu NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 27 IP - 3 PG - 182-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry SB - Index Medicus CP - United States MH - *Alcoholic Intoxication/di [Diagnosis] MH - Alcoholism/co [Complications] MH - Curriculum MH - *Education, Medical MH - Humans MH - Severity of Illness Index MH - *Substance Withdrawal Syndrome/di [Diagnosis] MH - *Video Recording AB - OBJECTIVE: The purpose of this study was to determine whether second-year medical students believed that the use of movies helped them to learn about intoxication and withdrawal syndromes. AB - METHODS: A videotape was made by transferring clips of various commercially available films as well as clips from several television news shows and a training film displaying intoxication and withdrawal syndromes. Students attending the lecture were asked to complete a brief, anonymous questionnaire following the lecture. AB - RESULTS: More than 90% of the 89 respondents believed that the clips helped them to recognize these syndromes and appreciate their potential severity. All students believed that the movie clips would help them remember the syndromes, with greater than 90% reporting that it would help "very much." AB - CONCLUSIONS: The use of movie clips appears to be a useful tool in teaching medical students about intoxication and withdrawal syndromes seen with various substances of abuse. IS - 1042-9670 IL - 1042-9670 PT - Journal Article ID - 10.1176/appi.ap.27.3.182 [doi] ID - 27/3/182 [pii] PP - ppublish LG - English DP - 2003 EZ - 2003/09/13 05:00 DA - 2004/03/10 05:00 DT - 2003/09/13 05:00 YR - 2003 ED - 20040309 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12969842 <935. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14692185 TI - A framework for selecting performance measures for opioid treatment programs. SO - Journal for Healthcare Quality. 24(3):24-35, 2002 May-Jun. AS - J Healthc Qual. 24(3):24-35, 2002 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pelletier LR AU - Hoffman JA FA - Pelletier, Luc R FA - Hoffman, Jeffrey A IN - Pelletier, Luc R. lucpell@ix.netcom.com NJ - Journal for healthcare quality : official publication of the National Association for Healthcare Quality VO - 24 IP - 3 PG - 24-35 PI - Journal available in: Print PI - Citation processed from: Print JC - bbo, 9202994 IO - J Healthc Qual PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1473224 OI - Source: NLM. NIHMS3483 SB - Health Administration Journals CP - United States MH - Accreditation/st [Standards] MH - Cost of Illness MH - Documentation MH - Education, Medical, Continuing MH - Employment MH - Guideline Adherence MH - Health Status MH - Humans MH - Methadone/tu [Therapeutic Use] MH - National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division MH - Opioid-Related Disorders/cl [Classification] MH - Opioid-Related Disorders/rh [Rehabilitation] MH - *Opioid-Related Disorders/th [Therapy] MH - *Outcome and Process Assessment (Health Care) MH - *Quality Indicators, Health Care MH - Reproducibility of Results MH - Severity of Illness Index MH - Substance Abuse Treatment Centers/lj [Legislation & Jurisprudence] MH - *Substance Abuse Treatment Centers/st [Standards] MH - Total Quality Management/mt [Methods] MH - *Total Quality Management/og [Organization & Administration] MH - United States AB - As a result of new federal regulations released in early 2001 that move the monitoring and evaluation of opioid treatment programs from a government regulation to an accreditation model, program staff members are now being challenged to develop performance measurement systems that improve care and service. Using measurement selection criteria is the first step in developing a performance measurement system as a component of an overall quality management (QM) strategy. Opioid treatment programs can "leapfrog" the development of such systems by using lessons learned from the healthcare quality industry. This article reviews performance measurement definitions, proposes performance measurement selection criteria, and makes a business case for Internet automation and accessibility. Performance measurement sets that are appropriate for opioid treatment programs are proposed, followed by a discussion on how performance measurement can be used within a comprehensive QM program. It is hoped that through development, adoption, and implementation of such a performance measurement program, treatment for clients and their families will continuously improve. RN - UC6VBE7V1Z (Methadone) IS - 1062-2551 IL - 1062-2551 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - PMC1473224 [pmc] ID - NIHMS3483 [mid] PP - ppublish GI - No: R43 DA013067 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R43 DA013067-01 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: IR43 DA 13067-01 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2002 May-Jun EZ - 2003/12/25 05:00 DA - 2004/02/10 05:00 DT - 2003/12/25 05:00 YR - 2002 ED - 20040206 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14692185 <936. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14664328 TI - Obstetrics and gynecology resident education in tobacco, alcohol, and drug use disorders. SO - Obstetrics & Gynecology Clinics of North America. 30(3):583-99, viii, 2003 Sep. AS - Obstet Gynecol Clin North Am. 30(3):583-99, viii, 2003 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Potter B AU - Fleming MF FA - Potter, Beth FA - Fleming, Michael F IN - Potter, Beth. Department of Family Medicine, University of Wisconsin Medical School, 777 South Mills Street, Madison, WI 53715, USA. bpotter@fammed.wisc.edu NJ - Obstetrics and gynecology clinics of North America VO - 30 IP - 3 PG - 583-99, viii PI - Journal available in: Print PI - Citation processed from: Print JC - ogc, 8709551 IO - Obstet. Gynecol. Clin. North Am. SB - Index Medicus CP - United States MH - *Education, Medical, Graduate/mt [Methods] MH - Female MH - *Gynecology/ed [Education] MH - Humans MH - Internship and Residency/mt [Methods] MH - Male MH - *Obstetrics/ed [Education] MH - Physician's Role MH - Pregnancy MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] AB - 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. IS - 0889-8545 IL - 0889-8545 PT - Journal Article ID - S0889-8545(03)00081-0 [pii] PP - ppublish LG - English DP - 2003 Sep EZ - 2003/12/11 05:00 DA - 2004/01/22 05:00 DT - 2003/12/11 05:00 YR - 2003 ED - 20040121 RD - 20180410 UP - 20180410 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=14664328 <937. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14556359 TI - Appropriate medical care for persons in detention. [Review] [0 refs] SO - Medical Journal of Malaysia. 58 Suppl A:119-22, 2003 Mar. AS - Med J Malaysia. 58 Suppl A:119-22, 2003 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Idris I FA - Idris, I IN - Idris, I. Penang Prison, Malaysia. NJ - The Medical journal of Malaysia VO - 58 Suppl A PG - 119-22 PI - Journal available in: Print PI - Citation processed from: Print JC - m2m, 0361547 IO - Med. J. Malaysia SB - Index Medicus CP - Malaysia MH - *Delivery of Health Care/st [Standards] MH - Humans MH - Malaysia MH - *Prisoners AB - 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 accommodated 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 prisoners' 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 will be provided to the sick prisoners in the sickbays so that they will look neat and clean. More doctors, medical assistants and 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 privatizing 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. [References: 0] IS - 0300-5283 IL - 0300-5283 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2003 Mar EZ - 2003/10/15 05:00 DA - 2003/12/25 05:00 DT - 2003/10/15 05:00 YR - 2003 ED - 20031224 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14556359 <938. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14635824 TI - Pain clinicians' rankings of aberrant drug-taking behaviors. SO - Journal of Pain & Palliative Care Pharmacotherapy. 16(4):39-49, 2002. AS - J Pain Pall Care Pharmacother. 16(4):39-49, 2002. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Passik SD AU - Kirsh KL AU - Whitcomb L AU - Dickerson PK AU - Theobald DE FA - Passik, Steven D FA - Kirsh, Kenneth L FA - Whitcomb, Laurie FA - Dickerson, Pamela K FA - Theobald, Dale E IN - Passik, Steven D. Chandler Medical College, and Marky Cancer Center, University of Kentucky, Lexington, KY 40536-0093, USA. spassik@uky.edu NJ - Journal of pain & palliative care pharmacotherapy VO - 16 IP - 4 PG - 39-49 PI - Journal available in: Print PI - Citation processed from: Print JC - 101125608 IO - J Pain Palliat Care Pharmacother SB - Index Medicus CP - England MH - *Analgesics, Opioid MH - *Attitude of Health Personnel MH - *Behavior, Addictive/cl [Classification] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Medicine MH - *Pain/dt [Drug Therapy] MH - Pilot Projects MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Specialization MH - Surveys and Questionnaires AB - 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. RN - 0 (Analgesics, Opioid) IS - 1536-0288 IL - 1536-0288 PT - Journal Article PP - ppublish LG - English DP - 2002 EZ - 2003/11/26 05:00 DA - 2003/12/12 05:00 DT - 2003/11/26 05:00 YR - 2002 ED - 20031210 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14635824 <939. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14609771 TI - [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]. [French] OT - Standards, Options et Recommandations 2002 pour les traitements antalgiques medicamenteux des douleurs cancereuses par exces de nociception chez l'adulte, mise a jour : place des opioides forts (morphine orale exclue) et rotation des opioides. SO - Bulletin du Cancer. 90(8-9):795-806, 2003 Aug-Sep. AS - Bull Cancer. 90(8-9):795-806, 2003 Aug-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rostaing-Rigattieri S AU - Rousselot H AU - Krakowski I AU - Theobald S AU - Collin E AU - Vuillemin N AU - Balp L AU - Torloting G AU - Fergane B AU - Richard B AU - Duclos R AU - Eschalier A AU - Delorme T AU - Minello C AU - Toussaint S AU - Richard A AU - Magnet M AU - Chvetzoff G AU - Larue F AU - Navez ML AU - Collard O AU - Bonnefoi MP AU - Couturier M AU - Santolaria N AU - Wagner JP AU - Fabre N FA - Rostaing-Rigattieri, Sylvie FA - Rousselot, Hubert FA - Krakowski, Ivan FA - Theobald, Serge FA - Collin, Elisabeth FA - Vuillemin, Nicole FA - Balp, Laurent FA - Torloting, Gerard FA - Fergane, Bernard FA - Richard, Bruno FA - Duclos, Roseline FA - Eschalier, Alain FA - Delorme, Thierry FA - Minello, Christian FA - Toussaint, Sophie FA - Richard, Anne FA - Magnet, Marc FA - Chvetzoff, Giselle FA - Larue, Francois FA - Navez, Marie-Louise FA - Collard, Olivier FA - Bonnefoi, Marie-Pierre FA - Couturier, Monique FA - Santolaria, Nadia FA - Wagner, Jean-Philippe FA - Fabre, Nicolas IN - Rostaing-Rigattieri, Sylvie. Hopital St Antoine, Paris, France. NJ - Bulletin du cancer VO - 90 IP - 8-9 PG - 795-806 PI - Journal available in: Print PI - Citation processed from: Print JC - bdz, 0072416 IO - Bull Cancer SB - Index Medicus CP - France MH - Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - France MH - Humans MH - *Neoplasms/pp [Physiopathology] MH - *Pain/dt [Drug Therapy] AB - 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. AB - 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. AB - 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 "medical 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. AB - 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). RN - 0 (Analgesics, Opioid) IS - 0007-4551 IL - 0007-4551 PT - English Abstract PT - Guideline PT - Journal Article PT - Practice Guideline PP - ppublish LG - French DP - 2003 Aug-Sep EZ - 2003/11/12 05:00 DA - 2003/12/05 05:00 DT - 2003/11/12 05:00 YR - 2003 ED - 20031204 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14609771 <940. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12890402 TI - [Individually tailored medical counseling for pregnant smokers]. [Spanish] OT - Consejo medico personalizado en el tratamiento de tabaquismo en el embarazo. SO - Archivos de Bronconeumologia. 39(8):346-52, 2003 Aug. AS - Arch Bronconeumol. 39(8):346-52, 2003 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carrion Valero F AU - Maya Martinez M AU - Pont Martinez P AU - Tortajada Martinez M AU - Marin Pardo J FA - Carrion Valero, F FA - Maya Martinez, M FA - Pont Martinez, P FA - Tortajada Martinez, M FA - Marin Pardo, J IN - Carrion Valero, F. Servicio de Neumologia. Hospital Clinico Universitario. Facultad de Medicina. Valencia. Espana. NJ - Archivos de bronconeumologia VO - 39 IP - 8 PG - 346-52 PI - Journal available in: Print PI - Citation processed from: Print JC - b0y, 0354720 IO - Arch. Bronconeumol. SB - Index Medicus CP - Spain MH - Adolescent MH - Adult MH - *Counseling MH - Female MH - Follow-Up Studies MH - Humans MH - Patient Education as Topic/og [Organization & Administration] MH - *Patient Education as Topic MH - Pregnancy MH - *Pregnancy Complications/th [Therapy] MH - Program Evaluation MH - *Smoking Cessation MH - *Tobacco Use Disorder/th [Therapy] AB - OBJECTIVES: To identify the characteristics of smoking addiction in a group of pregnant women, to evaluate the efficacy of medical counseling tailored to the patient's stage in the cessation process and to examine factors that might affect the ability of a woman to quit smoking during pregnancy. AB - PATIENTS AND METHODS: One hundred sixteen women (mean age 29.71 5.44 years; range 15-41) were referred by obstetricians to a respiratory medicine specialist if they continued smoking after being advised to quit. The information each woman received was appropriate to her stage in the cessation process and covered the risks that smoking posed for her child and the benefits that would come from quitting. Each woman was provided with guidelines for quitting and helped to choose the first day to start the cessation process. The women received follow-up counseling sessions after the first and third months. AB - RESULTS: Twenty-seven women (23.3%) quit smoking, 18 (15.52%) advanced a stage in the cessation process and 30 (25.86%) smoked less. Overall, the program benefited 60 women (51.7%) who quit smoking, reduced the number of cigarettes they smoked or progressed to a new stage. AB - CONCLUSIONS: The results reveal that most pregnant smokers need the intervention of specialists with knowledge of smoking addiction to facilitate the cessation process. IS - 0300-2896 IL - 0300-2896 PT - English Abstract PT - Journal Article ID - 13049953 [pii] PP - ppublish LG - Spanish DP - 2003 Aug EZ - 2003/08/02 05:00 DA - 2003/12/05 05:00 DT - 2003/08/02 05:00 YR - 2003 ED - 20031204 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12890402 <941. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14601341 TI - Cannabis use and the GP: brief motivational intervention increases clinical enquiry by GPs in a pilot study. SO - British Journal of General Practice. 53(493):637-9, 2003 Aug. AS - Br J Gen Pract. 53(493):637-9, 2003 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McCambridge J AU - Strang J AU - Platts S AU - Witton J FA - McCambridge, Jim FA - Strang, John FA - Platts, Simon FA - Witton, John IN - McCambridge, Jim. National Addiction Centre, Maudsley/Institute of Psychiatry, Addiction Sciences Building, 4 Windsor Walk, Denmark Hill, London SE5 8AF. J.McCambridge@iop.kcl.ac.uk NJ - The British journal of general practice : the journal of the Royal College of General Practitioners VO - 53 IP - 493 PG - 637-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 9005323, ark IO - Br J Gen Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1314679 SB - Index Medicus CP - England MH - Adult MH - Aged MH - *Education, Medical, Continuing/mt [Methods] MH - Female MH - Humans MH - London MH - Male MH - *Marijuana Abuse/di [Diagnosis] MH - Middle Aged MH - Motivation MH - *Physicians, Family/ed [Education] MH - Physicians, Family/px [Psychology] MH - Pilot Projects MH - *Substance Abuse Detection AB - This preliminary test of a brief intervention designed to stimulate GP incorporation of cannabis enquiry was followed up after 2-3 months. Intervention comprised face-to-face discussion based on principles of motivational interviewing, with informational adjunct. Substantially more positive attitudes and greater clinical activity were observed following receipt of intervention. IS - 0960-1643 IL - 0960-1643 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC1314679 [pmc] PP - ppublish LG - English DP - 2003 Aug EZ - 2003/11/07 05:00 DA - 2003/12/03 05:00 DT - 2003/11/07 05:00 YR - 2003 ED - 20031126 RD - 20140610 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14601341 <942. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14557743 TI - Healthcare provider training in tobacco treatment: building competency. [Review] [25 refs] SO - American Journal of the Medical Sciences. 326(4):242-7, 2003 Oct. AS - Am J Med Sci. 326(4):242-7, 2003 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pbert L FA - Pbert, Lori IN - Pbert, Lori. Division of Preventive and Behavioral Medicine, University of Massachusetts Medical School, Worcester, Massachusetts 01655, USA. lori.pbert@umassmed.edu NJ - The American journal of the medical sciences VO - 326 IP - 4 PG - 242-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 3l2, 0370506 IO - Am. J. Med. Sci. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Certification MH - *Clinical Competence MH - Education, Medical MH - Education, Medical, Continuing MH - *Health Personnel/ed [Education] MH - Humans MH - Massachusetts MH - Practice Guidelines as Topic MH - Smoking Cessation MH - *Tobacco Use Disorder/th [Therapy] AB - One of the most effective disease prevention and health promotion strategies available is the treatment of tobacco dependence. The Agency for Healthcare Research and Quality (AHRQ) clinical practice guideline for treating tobacco use and dependence provides a number of recommendations for interventions by health care systems and providers, including that treatment be reimbursed, identification of tobacco users be institutionalized, and all patients be offered brief treatment and have more intensive treatment available to them. Unfortunately, these recommended interventions have not been routinely implemented. As part of a comprehensive approach to improving implementation, provider training is needed. Three models for training healthcare providers in brief tobacco treatment intervention (medical education, professional education, and community-based education) are described, a model for training providers in intensive tobacco treatment interventions is presented, and a rationale for a national training and certification program is made. [References: 25] IS - 0002-9629 IL - 0002-9629 PT - Journal Article PT - Review ID - S0002-9629(15)34207-5 [pii] PP - ppublish LG - English DP - 2003 Oct EZ - 2003/10/15 05:00 DA - 2003/12/03 05:00 DT - 2003/10/15 05:00 YR - 2003 ED - 20031118 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=14557743 <943. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12824152 TI - A survey of addiction training programming in psychiatry residencies. SO - Academic Psychiatry. 26(2):105-9, 2002. AS - Acad Psychiatry. 26(2):105-9, 2002. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Greenberg WM AU - Ritvo JI AU - Fazzio L AU - Bridgeford D AU - Fong T FA - Greenberg, William M FA - Ritvo, Jonathan I FA - Fazzio, Lydia FA - Bridgeford, Denise FA - Fong, Tim IN - Greenberg, William M. Medical College of Pennsylvania and Hahnemann School of Medicine, Philadelphia, PA, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 26 IP - 2 PG - 105-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8917200 IO - Acad Psychiatry CP - United States AB - 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. IS - 1042-9670 IL - 1042-9670 PT - Journal Article ID - 10.1176/appi.ap.26.2.105 [doi] ID - 26/2/105 [pii] PP - ppublish LG - English DP - 2002 EZ - 2003/06/26 05:00 DA - 2003/06/26 05:01 DT - 2003/06/26 05:00 YR - 2002 ED - 20031112 RD - 20030626 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=12824152 <944. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12913366 TI - Evaluation of medical student attitudes toward alcoholics anonymous. SO - Substance Abuse. 24(3):175-85, 2003 Sep. AS - Subst Abus. 24(3):175-85, 2003 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fazzio L AU - Galanter M AU - Dermatis H AU - Levounis P FA - Fazzio, Lydia FA - Galanter, Marc FA - Dermatis, Helen FA - Levounis, Petros IN - Fazzio, Lydia. Division of Alcohol and Drug Abuse, New York University School of Medicine, New York, New York 10016, USA. NJ - Substance abuse VO - 24 IP - 3 PG - 175-85 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcoholics Anonymous MH - *Alcoholism/th [Therapy] MH - Attitude MH - Education, Medical MH - Humans MH - Spirituality MH - *Students, Medical/px [Psychology] MH - Surveys and Questionnaires AB - This is a two-phase study on attitudes of medical students toward Alcoholics Anonymous. The first phase compares views of addiction faculty to third-year medical students on the importance of spirituality in addiction treatment. We administered a questionnaire to assess attitudes toward spiritual, biological, and psychosocial approaches to addiction treatment. The faculty viewed spirituality as relatively more important in addiction treatment than did the students. The second phase was designed to assess whether medical student attitudes toward spiritually based treatments changed over the course of a psychiatry clerkship. At the beginning of the clerkship, students rated a spiritually oriented approach as important in addiction treatment as a biological approach, whereas, at the end of the clerkship, they rated the biological approach as more important. It may be important to educate medical students about the spiritual dimensions of recovery so they can integrate this into their treatment of addiction. IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 468566 [pii] ID - 10.1080/08897070309511546 [doi] PP - ppublish LG - English DP - 2003 Sep EZ - 2003/08/13 05:00 DA - 2003/11/08 05:00 DT - 2003/08/13 05:00 YR - 2003 ED - 20031107 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12913366 <945. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13680565 TI - Rehabilitation unit staff attitudes toward substance abuse: changes and similarities between 1985 and 2001. SO - Archives of Physical Medicine & Rehabilitation. 84(9):1301-7, 2003 Sep. AS - Arch Phys Med Rehabil. 84(9):1301-7, 2003 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Basford JR AU - Rohe DE AU - Depompolo RW FA - Basford, Jeffrey R FA - Rohe, Daniel E FA - Depompolo, Robert W IN - Basford, Jeffrey R. Department of Physical Medicine and Rehabilitation, Mayo Clinic and Foundation, rochester, MN 55905, USA. basford.jeffrey@mayo.edu NJ - Archives of physical medicine and rehabilitation VO - 84 IP - 9 PG - 1301-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 2985158r, 8bk IO - Arch Phys Med Rehabil SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Chi-Square Distribution MH - Female MH - Humans MH - Male MH - Organizational Policy MH - *Rehabilitation Centers/og [Organization & Administration] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires AB - 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. AB - DESIGN: An anonymous repeated assessment of staff attitudes and behaviors. AB - SETTING: A 47-bed inpatient rehabilitation unit. AB - PARTICIPANTS: Rehabilitation unit nurses, occupational and physical therapists, psychologists, physicians, social workers, and speech pathologists. AB - INTERVENTIONS: Not applicable. AB - MAIN OUTCOME MEASURE: Change in response with time. AB - 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. AB - 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. IS - 0003-9993 IL - 0003-9993 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0003-9993(03)00264-8 [pii] PP - ppublish LG - English DP - 2003 Sep EZ - 2003/09/19 05:00 DA - 2003/10/24 05:00 DT - 2003/09/19 05:00 YR - 2003 ED - 20031023 RD - 20161118 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=13680565 <946. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12966626 TI - [Strengthening the medical aspect of addiction care]. [Dutch] OT - De versterking van het medische aspect van de verslavingszorg. SO - Nederlands Tijdschrift voor Geneeskunde. 147(34):1628-30, 2003 Aug 23. AS - Ned Tijdschr Geneeskd. 147(34):1628-30, 2003 Aug 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - van Brussel GH FA - van Brussel, G H IN - van Brussel, G H. GG&GD, Maatschappelijke en Geestelijke Gezondheidszorg, Postbus 2200, 1000 CE Amsterdam. CM - Comment in: Ned Tijdschr Geneeskd. 2003 Aug 23;147(34):1625-7; PMID: 12966625 NJ - Nederlands tijdschrift voor geneeskunde VO - 147 IP - 34 PG - 1628-30 PI - Journal available in: Print PI - Citation processed from: Print JC - nuk, 0400770 IO - Ned Tijdschr Geneeskd SB - Index Medicus CP - Netherlands MH - Certification MH - *Delivery of Health Care/ec [Economics] MH - *Delivery of Health Care/st [Standards] MH - Humans MH - Medicine MH - Netherlands MH - Patient Care Team MH - *Quality of Health Care MH - Specialization MH - *Substance-Related Disorders/th [Therapy] AB - 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. IS - 0028-2162 IL - 0028-2162 PT - English Abstract PT - Journal Article PP - ppublish LG - Dutch DP - 2003 Aug 23 EZ - 2003/09/12 05:00 DA - 2003/10/24 05:00 DT - 2003/09/12 05:00 YR - 2003 ED - 20031023 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12966626 <947. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12956044 TI - Connecticut statewide addiction medicine/psychiatry grand rounds. SO - Connecticut Medicine. 67(6):357-9, 2003 Jun-Jul. AS - Conn Med. 67(6):357-9, 2003 Jun-Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kraus ML AU - O'Connor P AU - Babor TF AU - Brunell RJ AU - Fiellin DA AU - Holmboe E AU - Kirk TA AU - Leone P FA - Kraus, Mark L FA - O'Connor, Patrick FA - Babor, Thomas F FA - Brunell, Robert J FA - Fiellin, David A FA - Holmboe, Eric FA - Kirk, Thomas A FA - Leone, Patrick IN - Kraus, Mark L. Yale University School of Medicine, New Haven, Conneticut, USA. NJ - Connecticut medicine VO - 67 IP - 6 PG - 357-9 PI - Journal available in: Print PI - Citation processed from: Print JC - dqf, 0372745 IO - Conn Med SB - Index Medicus CP - United States MH - Connecticut MH - *Education, Medical, Continuing MH - Humans MH - *Internet MH - *Substance-Related Disorders IS - 0010-6178 IL - 0010-6178 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2003 Jun-Jul EZ - 2003/09/06 05:00 DA - 2003/10/10 05:00 DT - 2003/09/06 05:00 YR - 2003 ED - 20031009 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12956044 <948. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12873269 TI - Medico-legal rounds: medico-legal issues and alleged breaches of "standards of medical care" in opioid rotation to methadone: a case report. SO - Pain Medicine. 4(2):195-201, 2003 Jun. AS - PAIN MED. 4(2):195-201, 2003 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fishbain DA AU - Cutler RB AU - Cole B AU - Lewis J AU - Rosomoff RS AU - Rosomoff HL FA - Fishbain, David A FA - Cutler, R B FA - Cole, Brandly FA - Lewis, John FA - Rosomoff, R Steele FA - Rosomoff, H L IN - Fishbain, David A. Department of Psychiatry, University of Miami School of Medicine, Florida, USA. d.fishbain@miami.edu CM - Comment in: Pain Med. 2004 Mar;5(1):109-10; PMID: 14996244 CM - Comment in: Pain Med. 2003 Jun;4(2):202-5; PMID: 12873270 NJ - Pain medicine (Malden, Mass.) VO - 4 IP - 2 PG - 195-201 PI - Journal available in: Print PI - Citation processed from: Print JC - 100894201 IO - Pain Med SB - Index Medicus CP - England MH - Adult MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Analgesics, Opioid/tu [Therapeutic Use] MH - Autopsy MH - Chronic Disease MH - Decision Making MH - Expert Testimony MH - Florida MH - Humans MH - Male MH - Malpractice/lj [Legislation & Jurisprudence] MH - *Medication Errors/lj [Legislation & Jurisprudence] MH - *Methadone/ae [Adverse Effects] MH - Methadone/tu [Therapeutic Use] MH - *Opioid-Related Disorders MH - Oxycodone/ae [Adverse Effects] MH - Oxycodone/tu [Therapeutic Use] MH - *Pain/dt [Drug Therapy] MH - *Pain Clinics/st [Standards] MH - Psychiatry MH - *Quality of Health Care/lj [Legislation & Jurisprudence] MH - *Quality of Health Care/st [Standards] AB - 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. AB - 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. AB - RESULTS: During the rotation process, the CPP expired. This had medico-legal consequences. Expert witnesses differed as to whether methadone caused the death. AB - CONCLUSION: Pain physicians should proceed with caution in using methadone for opioid rotation. RN - 0 (Analgesics, Opioid) RN - CD35PMG570 (Oxycodone) RN - UC6VBE7V1Z (Methadone) IS - 1526-2375 IL - 1526-2375 PT - Case Reports PT - Journal Article PT - Legal Cases ID - 3021 [pii] PP - ppublish LG - English DP - 2003 Jun EZ - 2003/07/23 05:00 DA - 2003/10/03 05:00 DT - 2003/07/23 05:00 YR - 2003 ED - 20031002 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12873269 <949. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12929710 TI - Effectiveness of addiction science presentations to treatment professionals, using a modified Solomon study design. SO - Journal of Drug Education. 33(2):197-216, 2003. AS - J Drug Educ. 33(2):197-216, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Erickson CK AU - Wilcox RE AU - Miller GW AU - Littlefield JH AU - Lawson KA FA - Erickson, Carlton K FA - Wilcox, Richard E FA - Miller, Gary W FA - Littlefield, John H FA - Lawson, Kenneth A IN - Erickson, Carlton K. College of Pharmacy, The University of Texas, Austin 78712-0125, USA. erickson.carl@mail.utexas.edu NJ - Journal of drug education VO - 33 IP - 2 PG - 197-216 PI - Journal available in: Print PI - Citation processed from: Print JC - jl7, 1300031 IO - J Drug Educ SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Clinical Competence MH - Education MH - Education, Medical, Continuing/mt [Methods] MH - Female MH - *Health Personnel/ed [Education] MH - Health Personnel/st [Standards] MH - Humans MH - Knowledge MH - Male MH - Middle Aged MH - New Mexico MH - *Program Evaluation MH - Research MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Texas AB - 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. AB - 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. AB - 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. AB - 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. IS - 0047-2379 IL - 0047-2379 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.2190/4WWF-3TGV-VXR5-PU45 [doi] PP - ppublish GI - No: R25-DA13430 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2003 EZ - 2003/08/22 05:00 DA - 2003/09/25 05:00 DT - 2003/08/22 05:00 YR - 2003 ED - 20030924 RD - 20170922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12929710 <950. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12801152 TI - Gender of physicians with substance use disorders: clinical characteristics, treatment utilization, and post-treatment functioning. SO - Substance Use & Misuse. 38(7):993-1001, 2003 Jun. AS - Subst Use Misuse. 38(7):993-1001, 2003 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McGovern MP AU - Angres DH AU - Shaw M AU - Rawal P FA - McGovern, Mark P FA - Angres, Daniel H FA - Shaw, Matthew FA - Rawal, Purva IN - McGovern, Mark P. Department of Psychiatry, Dartmouth Medical School, Hanover, New Hampshire 03755, USA. mark.p.mcgovern@martmouth.edu NJ - Substance use & misuse VO - 38 IP - 7 PG - 993-1001 PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 IO - Subst Use Misuse SB - Index Medicus CP - England MH - Adult MH - Female MH - Humans MH - Male MH - Mental Health Services/ut [Utilization] MH - Middle Aged MH - *Physician Impairment MH - *Physicians/px [Psychology] MH - Professional Competence MH - Sex Factors MH - *Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] AB - 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. IS - 1082-6084 IL - 1082-6084 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 2003 Jun EZ - 2003/06/13 05:00 DA - 2003/09/05 05:00 DT - 2003/06/13 05:00 YR - 2003 ED - 20030904 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12801152 <951. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12703671 TI - Barriers to identification and treatment of hazardous drinkers as assessed by urban/rural primary care doctors. SO - Journal of Addictive Diseases. 22(2):79-90, 2003. AS - J Addict Dis. 22(2):79-90, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferguson L AU - Ries R AU - Russo J FA - Ferguson, Laura FA - Ries, Richard FA - Russo, Joan IN - Ferguson, Laura. Department of Psychiatry and Behavioral Sciences, University of Washington School of Medicine, Seattle, WA, USA. NJ - Journal of addictive diseases VO - 22 IP - 2 PG - 79-90 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Alcoholism/ec [Economics] MH - *Alcoholism/ep [Epidemiology] MH - *Alcoholism/rh [Rehabilitation] MH - *Denial (Psychology) MH - Diabetes Mellitus/ec [Economics] MH - Diabetes Mellitus/ep [Epidemiology] MH - Health Care Costs MH - Health Status MH - Humans MH - Mass Screening MH - *Motivation MH - Pilot Projects MH - Primary Health Care/ec [Economics] MH - *Primary Health Care MH - *Rural Health MH - Surveys and Questionnaires MH - *Urban Health AB - 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. IS - 1055-0887 IL - 1055-0887 PT - Journal Article ID - 10.1300/J069v22n02_07 [doi] PP - ppublish LG - English DP - 2003 EZ - 2003/04/22 05:00 DA - 2003/08/20 05:00 DT - 2003/04/22 05:00 YR - 2003 ED - 20030819 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12703671 <952. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12708066 TI - Requiring a one-week addiction treatment experience in a six-week psychiatry clerkship: effects on attitudes toward substance-abusing patients. SO - Teaching & Learning in Medicine. 15(2):93-7, 2003. AS - Teach Learn Med. 15(2):93-7, 2003. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Christison GW AU - Haviland MG FA - Christison, George W FA - Haviland, Mark G IN - Christison, George W. Department of Psychiatry, Loma Linda University School of Medicine, 11374 Mountain View Avenue, Loma Linda, CA 92354-3842, USA. gchristison@som.llu.edu NJ - Teaching and learning in medicine VO - 15 IP - 2 PG - 93-7 PI - Journal available in: Print PI - Citation processed from: Print JC - dx5, 8910884 IO - Teach Learn Med SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - *Clinical Clerkship MH - Depressive Disorder/th [Therapy] MH - *Education, Medical, Undergraduate/mt [Methods] MH - Educational Measurement MH - Humans MH - *Psychiatry/ed [Education] MH - Pulmonary Emphysema/th [Therapy] AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. IS - 1040-1334 IL - 1040-1334 PT - Journal Article ID - 10.1207/S15328015TLM1502_04 [doi] PP - ppublish LG - English DP - 2003 EZ - 2003/04/24 05:00 DA - 2003/08/06 05:00 DT - 2003/04/24 05:00 YR - 2003 ED - 20030805 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12708066 <953. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12806791 TI - Tobacco reduction advocacy and education for Hawaii's physicians-in-training. SO - Hawaii Medical Journal. 62(5):107-8, 2003 May. AS - Hawaii Med J. 62(5):107-8, 2003 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lee MT FA - Lee, Meta T IN - Lee, Meta T. Office of Medical Education, John A. Burns School of Medicine (JABSOM), USA. NJ - Hawaii medical journal VO - 62 IP - 5 PG - 107-8 PI - Journal available in: Print PI - Citation processed from: Print JC - g1d, 2984209r IO - Hawaii Med J SB - Index Medicus CP - United States MH - *Curriculum MH - *Education, Medical MH - Hawaii MH - Humans MH - *Physician's Role MH - *Tobacco Use Cessation IS - 0017-8594 IL - 0017-8594 PT - Journal Article PP - ppublish LG - English DP - 2003 May EZ - 2003/06/17 05:00 DA - 2003/07/29 05:00 DT - 2003/06/17 05:00 YR - 2003 ED - 20030728 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12806791 <954. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12696391 TI - [Probability of success in tobacco quitting during the course of two simple medical interventions]. [Spanish] OT - Probabilidad de exito en el abandono del tabaco en el curso de dos intervenciones sencillas para dejar de fumar. SO - Revista Espanola de Salud Publica. 77(1):117-24, 2003 Jan-Feb. AS - Rev Esp Salud Publica. 77(1):117-24, 2003 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Guallar-Castillon P AU - Lafuente Urdinguio P AU - Garteizaurrekoa Dublang P AU - Sainz Martinez O AU - Diez Azcarate JI AU - Foj Aleman M AU - Banegas Banegas JR AU - Prado Mendez V AU - de Andres Manzano B AU - Rodriguez-Artalejo F FA - Guallar-Castillon, Pilar FA - Lafuente Urdinguio, Pedro FA - Garteizaurrekoa Dublang, Peru FA - Sainz Martinez, Olga FA - Diez Azcarate, Jose I FA - Foj Aleman, Manuel FA - Banegas Banegas, Jose R FA - Prado Mendez, Victoria FA - de Andres Manzano, Belen FA - Rodriguez-Artalejo, Fernando IN - Guallar-Castillon, Pilar. Departamento de Medicina Preventiva y Salud Publica, Universidad Autonoma de Madrid, Madrid. NJ - Revista espanola de salud publica VO - 77 IP - 1 PG - 117-24 PI - Journal available in: Print PI - Citation processed from: Print JC - cia, 9600212 IO - Rev. Esp. Salud Publica SB - Index Medicus CP - Spain MH - Adolescent MH - Adult MH - Female MH - Health Promotion MH - Humans MH - Incidence MH - Male MH - Middle Aged MH - Probability MH - Prospective Studies MH - *Smoking/ep [Epidemiology] MH - *Smoking Cessation/mt [Methods] MH - *Smoking Prevention AB - 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. AB - 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 counselling for tobacco quitting in a first 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 "relative 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. AB - RESULTS: For the 103 smokers subjected to intervention 1, RP was 1.7 (CI 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. AB - CONCLUSIONS: Remaining abstinent from tobacco smoking at 3 months after the start of a quitting intervention increases the likelihood of success in quitting at 12 months. IS - 1135-5727 IL - 1135-5727 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - Spanish DP - 2003 Jan-Feb EZ - 2003/04/17 05:00 DA - 2003/05/15 05:00 DT - 2003/04/17 05:00 YR - 2003 ED - 20030514 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12696391 <955. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12652091 TI - Randomized controlled trial on the effects of a skills-based workshop on medical students' management of problem drinking and alcohol dependence. SO - Substance Abuse. 24(1):5-16, 2003 Mar. AS - Subst Abus. 24(1):5-16, 2003 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kahan M AU - Wilson L AU - Midmer D AU - Borsoi D AU - Martin D FA - Kahan, Meldon FA - Wilson, Lynn FA - Midmer, Deana FA - Borsoi, Diane FA - Martin, Dawn IN - Kahan, Meldon. Department of Family and Community Medicine, University of Toronto, Ontario, Canada. kahanm@stjuoe.on.ca NJ - Substance abuse VO - 24 IP - 1 PG - 5-16 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Alcohol Drinking/th [Therapy] MH - *Alcoholism/th [Therapy] MH - Clinical Competence/st [Standards] MH - *Education, Medical/st [Standards] MH - Humans MH - Ontario MH - *Patient Simulation MH - Students, Medical MH - Teaching AB - The purpose of this study was to determine whether a skills-based workshop will improve medical students' management of problem drinking and alcohol dependence in simulated patients. Seventy-six 3rd and 4th year Ontario medical students were randomized to receive a 3-h workshop on either problem drinking and alcohol dependence or depression (control condition). Students then completed eight simulated office visits (OSCE stations) with simulated patients presenting with depression, problem drinking or alcohol dependence. Examiners completed a checklist of the questions asked and advice given by the student, and simulated patients and examiners completed a global rating scale. Four months later, students were sent a survey on their knowledge, attitudes, and behavior towards patients with alcohol problems. The alcohol group received significantly higher assessment and management checklist scores and global rating scores than did the depression group (p < 0.01) and performed better on almost all aspects of clinical management of both problem drinking and alcohol dependence. On the follow-up survey (n = 55) the alcohol group showed a significant increase in beliefs about self-efficacy in managing alcohol problems (p < 0.05) and had greater knowledge of reduced drinking strategies, but the two groups did not differ on other measures. A skills-based workshop causes marked short-term improvements in medical students' management of problem drinking and alcohol dependence, an increase from baseline to postworkshop in self-efficacy beliefs that was sustained through to follow-up, and greater knowledge of reduced drinking strategies. Repeated reinforcement of clinical skills may be required for a long-term impact on clinical behavior. IS - 0889-7077 IL - 0889-7077 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial ID - 458910 [pii] ID - 10.1080/08897070309511529 [doi] PP - ppublish LG - English DP - 2003 Mar EZ - 2003/03/26 04:00 DA - 2003/05/02 05:00 DT - 2003/03/26 04:00 YR - 2003 ED - 20030501 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12652091 <956. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13243064 TI - A physician's report on the Yale summer school of alcohol studies. SO - Journal - Michigan State Medical Society. 54(7):822-4, 1955 Jul. AS - J Mich State Med Soc. 54(7):822-4, 1955 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - HAARER JG FA - HAARER, J G NJ - Journal - Michigan State Medical Society VO - 54 IP - 7 PG - 822-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503038 IO - J Mich State Med Soc OI - Source: CLML. 5528:54707:23:191 SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism MH - *Education, Medical MH - *Ethanol MH - Humans MH - *Physicians MH - *Schools KW - *ALCOHOLISM; *EDUCATION, MEDICAL RN - 3K9958V90M (Ethanol) IS - 0098-7522 IL - 0098-7522 PT - Journal Article PP - ppublish LG - English DP - 1955 Jul EZ - 1955/07/01 DA - 1955/07/01 00:01 DT - 1955/07/01 00:00 YR - 1955 ED - 20030501 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13243064 <957. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13204688 TI - [Professor Wernicke]. [Spanish] OT - El maestro Wernicke. SO - Revista de la Asociacion Medica Argentina. 68(773-774):157-61, 1954 May 15-30. AS - Rev Asoc Med Argent. 68(773-774):157-61, 1954 May 15-30. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - BACHMAN A FA - BACHMAN, A NJ - Revista de la Asociacion Medica Argentina VO - 68 IP - 773-774 PG - 157-61 PI - Journal available in: Print PI - Citation processed from: Print JC - rch, 7505961 IO - Rev Asoc Med Argent OI - Source: CLML. 5527:16358:63:150 SB - OLDMEDLINE Citations CP - Argentina MH - *Education, Medical MH - *History, 19th Century MH - *History, 20th Century MH - *Wernicke Encephalopathy KW - *BIOGRAPHIES; *EDUCATION, MEDICAL PN - Wernicke R IS - 0004-4830 IL - 0004-4830 PT - Biography PT - Historical Article PT - Journal Article PP - ppublish LG - Spanish DP - 1954 May 15-30 EZ - 1954/05/15 DA - 1954/05/15 00:01 DT - 1954/05/15 00:00 YR - 1954 ED - 20030501 RD - 20160815 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13204688 <958. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13092408 TI - The physician and alcoholism. SO - American Practitioner & Digest of Treatment. 4(10):694-9, 1953 Oct. AS - Am Pract Dig Treat. 4(10):694-9, 1953 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - BLOCK MA FA - BLOCK, M A NJ - American practitioner and digest of treatment VO - 4 IP - 10 PG - 694-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 14840350r IO - Am Pract Dig Treat OI - Source: CLML. 5425:13323:16:151 SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - *Education, Medical MH - Humans MH - *Physicians KW - *ALCOHOLISM/prevention and control; *EDUCATION, MEDICAL PT - Journal Article PP - ppublish LG - English DP - 1953 Oct EZ - 1953/10/01 DA - 1953/10/01 00:01 DT - 1953/10/01 00:00 YR - 1953 ED - 20030501 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13092408 <959. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12554029 TI - Education of preventive medicine residents: alcohol, tobacco, and other drug abuse. SO - American Journal of Preventive Medicine. 24(1):101-5, 2003 Jan. AS - Am J Prev Med. 24(1):101-5, 2003 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Abrams Weintraub T AU - Saitz R AU - Samet JH FA - Abrams Weintraub, Toni FA - Saitz, Richard FA - Samet, Jeffrey H IN - Abrams Weintraub, Toni. Clinical Addiction Research and Education (Care) Unit, Section of General Internal Medicine, Development of Medicine, Boston University School of Medicine, Boston, Massachusetts 02118, USA. NJ - American journal of preventive medicine VO - 24 IP - 1 PG - 101-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - *Alcohol Drinking/ae [Adverse Effects] MH - *Attitude of Health Personnel MH - *Health Priorities MH - Humans MH - *Internship and Residency MH - *Preventive Medicine/ed [Education] MH - *Smoking Prevention MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - 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. AB - METHODS: Interviewer-administered telephone survey of program directors (PDs) of accredited PMR programs in the United States. AB - 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%). AB - 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. IS - 0749-3797 IL - 0749-3797 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - S0749379702005676 [pii] PP - ppublish GI - No: T26 SP08355 Organization: (SP) *CSAP SAMHSA HHS* Country: United States LG - English DP - 2003 Jan EZ - 2003/01/30 04:00 DA - 2003/04/09 05:00 DT - 2003/01/30 04:00 YR - 2003 ED - 20030408 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12554029 <960. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12661394 TI - Specialist alcohol liaison services in general hospitals improve engagement in alcohol rehabilitation and treatment outcome. SO - Health Bulletin. 59(6):420-3, 2001 Nov. AS - Health Bull (Edinb). 59(6):420-3, 2001 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hillman A AU - McCann B AU - Walker NP FA - Hillman, A FA - McCann, B FA - Walker, N P IN - Hillman, A. Renfrewshire and Inverclyde Primary Care NHS Trust, Ravenscraig Hospital, Inverkip Road, Greenock. NJ - Health bulletin VO - 59 IP - 6 PG - 420-3 PI - Journal available in: Print PI - Citation processed from: Print JC - g1y, 0012330, 19030070r IO - Health Bull (Edinb) SB - Index Medicus CP - Scotland MH - *Alcoholism/rh [Rehabilitation] MH - Hospitals, General MH - Humans MH - *Patient Care Team MH - Referral and Consultation MH - Retrospective Studies MH - Scotland MH - Treatment Outcome AB - 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. AB - 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. AB - 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). AB - 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. IS - 0374-8014 IL - 0374-8014 PT - Journal Article PP - ppublish LG - English DP - 2001 Nov EZ - 2003/03/29 05:00 DA - 2003/04/12 05:00 DT - 2003/03/29 05:00 YR - 2001 ED - 20030408 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12661394 <961. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12618639 TI - Utilization and cost impact of integrating substance abuse treatment and primary care. SO - Medical Care. 41(3):357-67, 2003 Mar. AS - Med Care. 41(3):357-67, 2003 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Parthasarathy S AU - Mertens J AU - Moore C AU - Weisner C FA - Parthasarathy, Sujaya FA - Mertens, Jennifer FA - Moore, Charles FA - Weisner, Constance IN - Parthasarathy, Sujaya. Division of Research, Kaiser Permanente Medical Care Program, Oakland, California 94612, USA. NJ - Medical care VO - 41 IP - 3 PG - 357-67 PI - Journal available in: Print PI - Citation processed from: Print JC - 0230027, lsm IO - Med Care SB - Index Medicus CP - United States MH - Adult MH - California MH - Cohort Studies MH - Comorbidity MH - *Delivery of Health Care, Integrated/ec [Economics] MH - Female MH - Health Care Costs/sn [Statistics & Numerical Data] MH - Health Care Costs/td [Trends] MH - Health Maintenance Organizations/ec [Economics] MH - *Health Maintenance Organizations/og [Organization & Administration] MH - Health Maintenance Organizations/ut [Utilization] MH - Health Services Research MH - Humans MH - Male MH - Primary Health Care/ec [Economics] MH - *Primary Health Care/og [Organization & Administration] MH - Primary Health Care/ut [Utilization] MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Utilization Review AB - OBJECTIVE: To examine the impact of integrating medical and substance abuse treatment on health care utilization and cost. AB - 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. AB - SUBJECTS: Adult patients entering treatment at the outpatient Chemical Dependency Recovery Program in Kaiser Sacramento. AB - MEASURES: Medical utilization and cost for 12 months pretreatment and 12 months after treatment entry. AB - 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. AB - 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. IS - 0025-7079 IL - 0025-7079 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1097/01.MLR.0000053018.20700.56 [doi] PP - ppublish GI - No: R01-DA10572 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2003 Mar EZ - 2003/03/06 04:00 DA - 2003/03/28 05:00 DT - 2003/03/06 04:00 YR - 2003 ED - 20030327 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12618639 <962. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12534421 TI - Psychometric properties of the Blood-borne Virus Transmission Risk Assessment Questionnaire (BBV-TRAQ). SO - Addiction. 98(2):171-8, 2003 Feb. AS - Addiction. 98(2):171-8, 2003 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fry CL AU - Lintzeris N FA - Fry, Craig L FA - Lintzeris, Nick IN - Fry, Craig L. Turning Point Alcohol and Drug Centre Inc., 54-62 Gertrude Street, Melbourne, Victoria 3065, Australia. craigf@turningpoint.org.au NJ - Addiction (Abingdon, England) VO - 98 IP - 2 PG - 171-8 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - *Blood-Borne Pathogens MH - Female MH - Humans MH - Male MH - Middle Aged MH - Psychometrics MH - Reproducibility of Results MH - Risk Assessment/mt [Methods] MH - Risk-Taking MH - Substance Abuse, Intravenous/px [Psychology] MH - *Surveys and Questionnaires/st [Standards] MH - *Virus Diseases/tm [Transmission] AB - AIMS: To develop a standard measure of blood-borne virus transmission risk behaviour, and examine the underlying psychometric properties. AB - 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. AB - SETTING: Needle and syringe programmes (NSPs), medical clinics, alcohol/drug agencies, peer-based and outreach organizations across inner and outer metropolitan Melbourne. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0965-2140 IL - 0965-2140 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 207 [pii] PP - ppublish LG - English DP - 2003 Feb EZ - 2003/01/22 04:00 DA - 2003/03/13 04:00 DT - 2003/01/22 04:00 YR - 2003 ED - 20030312 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12534421 <963. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12555770 TI - Creating meaning and value in substance abuse education. SO - Substance Abuse. 23(4):203-9, 2002 Dec. AS - Subst Abus. 23(4):203-9, 2002 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barnes HN FA - Barnes, Henrietta N IN - Barnes, Henrietta N. Harvard Medical School, Cambridge (MA) Health Alliance, Massachusetts, USA. hbarnes@challiance.org NJ - Substance abuse VO - 23 IP - 4 PG - 203-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - Clinical Competence MH - *Education, Medical, Continuing/st [Standards] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Physician-Patient Relations MH - *Substance-Related Disorders AB - 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. IS - 0889-7077 IL - 0889-7077 PT - Journal Article ID - 10.1080/08897070209511492 [doi] PP - ppublish LG - English DP - 2002 Dec EZ - 2003/01/31 04:00 DA - 2003/02/20 04:00 DT - 2003/01/31 04:00 YR - 2002 ED - 20030219 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12555770 <964. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12438837 TI - Training primary health care professionals to provide buprenorphine and LAAM treatment. SO - Substance Abuse. 23(4):245-54, 2002 Dec. AS - Subst Abus. 23(4):245-54, 2002 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lintzeris N AU - Ritter A AU - Dunlop A AU - Muhleisen P FA - Lintzeris, Nicholas FA - Ritter, Alison FA - Dunlop, Adrian FA - Muhleisen, Peter IN - Lintzeris, Nicholas. Turning Point Alcohol and Drug Centre, Melbourne, Australia. NJ - Substance abuse VO - 23 IP - 4 PG - 245-54 PI - Journal available in: Print PI - Citation processed from: Print JC - 8808537, 101514834 IO - Subst Abus SB - Index Medicus CP - United States MH - *Buprenorphine/tu [Therapeutic Use] MH - *Education, Medical, Continuing/mt [Methods] MH - Education, Medical, Continuing/st [Standards] MH - *Education, Pharmacy, Continuing/mt [Methods] MH - Education, Pharmacy, Continuing/st [Standards] MH - Humans MH - *Methadyl Acetate/tu [Therapeutic Use] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Pharmacists MH - Physicians, Family/ed [Education] MH - Professional Competence MH - Quality of Health Care MH - *Receptors, Opioid/ag [Agonists] AB - This paper describes the development and implementation of training programs for primary care medical practitioners and pharmacists in the delivery of buprenorphine and LAAM treatment in the management of opiate dependence. Separate training programs were developed for each medication. Each training package included learning objectives, training materials, and assessment instruments. Findings of the evaluation of these initiatives and the subsequent Australian postregistration training program for buprenorphine are described. RN - 0 (Receptors, Opioid) RN - 40D3SCR4GZ (Buprenorphine) RN - L59OC40KWJ (Methadyl Acetate) IS - 0889-7077 IL - 0889-7077 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 453649 [pii] ID - 10.1080/08897070209511497 [doi] PP - ppublish LG - English DP - 2002 Dec EZ - 2002/11/20 04:00 DA - 2003/02/20 04:00 DT - 2002/11/20 04:00 YR - 2002 ED - 20030219 RD - 20150330 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12438837 <965. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12443701 TI - An education programme for professionals who specialize in substance misuse in St. Petersburg, Russia: part 2. SO - Nurse Education Today. 22(8):648-53, 2002 Nov. AS - Nurse Educ Today. 22(8):648-53, 2002 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Green AJ AU - Holloway DG FA - Green, Anita J FA - Holloway, David G IN - Green, Anita J. Lecturer (Clinical) in Mental Health, Duke of Kent Building European Institute of Health and Medical Sciences, University of Surrey, Guildford, UK. a.green@surrey.ac.uk NJ - Nurse education today VO - 22 IP - 8 PG - 648-53 PI - Journal available in: Print PI - Citation processed from: Print JC - ned, 8511379 IO - Nurse Educ Today SB - Nursing Journal CP - Scotland MH - Cross-Cultural Comparison MH - *Education, Medical MH - *Education, Nursing MH - Humans MH - *International Cooperation MH - Program Evaluation/mt [Methods] MH - Russia MH - *Substance-Related Disorders/nu [Nursing] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United Kingdom AB - 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) (). 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. IS - 0260-6917 IL - 0260-6917 PT - Comparative Study PT - Evaluation Studies PT - Journal Article ID - S026069170200103X [pii] PP - ppublish LG - English DP - 2002 Nov EZ - 2002/11/22 04:00 DA - 2003/02/05 04:00 DT - 2002/11/22 04:00 YR - 2002 ED - 20030204 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12443701 <966. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12489613 TI - Pharmacy student knowledge, attitudes, and beliefs about selling syringes to injection drug users. SO - Journal of the American Pharmaceutical Association. 42(6 Suppl 2):S34-9, 2002 Nov-Dec. AS - J Am Pharm Assoc (Wash). 42(6 Suppl 2):S34-9, 2002 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Blumenthal WJ AU - Springer KW AU - Jones TS AU - Sterk CE FA - Blumenthal, Wendy J FA - Springer, Kristen W FA - Jones, T Stephen FA - Sterk, Claire E IN - Blumenthal, Wendy J. Division of Emergency and Environmental Health Services, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA 30333, USA. Wblumenthal@cdc.gov NJ - Journal of the American Pharmaceutical Association (Washington,D.C. : 1996) VO - 42 IP - 6 Suppl 2 PG - S34-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 9601004, cil IO - J Am Pharm Assoc (Wash) SB - Index Medicus CP - United States MH - HIV Infections/pc [Prevention & Control] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Patient Education as Topic MH - *Students, Pharmacy MH - *Substance Abuse, Intravenous MH - *Syringes/sd [Supply & Distribution] AB - 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). AB - DESIGN: Qualitative study of a convenience sample of pharmacy school students. AB - SETTING: A pharmacy school in the southeastern United States. AB - 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. AB - PARTICIPANTS: 19 Doctor of Pharmacy students, including 88 students in their third professional year and 11 in their fourth professional year. AB - 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. AB - 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. IS - 1086-5802 IL - 1086-5802 PT - Journal Article PP - ppublish LG - English DP - 2002 Nov-Dec EZ - 2002/12/20 04:00 DA - 2003/01/28 04:00 DT - 2002/12/20 04:00 YR - 2002 ED - 20030127 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12489613 <967. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12448310 TI - [Primary health care has a great interest to learn more about substance abuse. Use it! The county of Vasterbotten has done so]. [Swedish] OT - I primarvarden finns ett stort intresse for beroendelara. Utnyttja det! det har man gjort i vasterbotten. SO - Lakartidningen. 99(43):4256-8, 2002 Oct 24. AS - Lakartidningen. 99(43):4256-8, 2002 Oct 24. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Winberg J AU - Nordstrom A FA - Winberg, Jack FA - Nordstrom, Annika IN - Winberg, Jack. jack.winberg@vll.se NJ - Lakartidningen VO - 99 IP - 43 PG - 4256-8 PI - Journal available in: Print PI - Citation processed from: Print JC - l0n, 0027707 IO - Lakartidningen SB - Index Medicus CP - Sweden MH - Alcohol-Related Disorders/di [Diagnosis] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Clinical Competence MH - *Community Health Centers/ma [Manpower] MH - *Education, Medical, Continuing MH - *Education, Nursing, Continuing MH - Humans MH - Nurse-Patient Relations MH - Physician-Patient Relations MH - *Primary Health Care/ma [Manpower] MH - Surveys and Questionnaires MH - Sweden IS - 0023-7205 IL - 0023-7205 PT - Journal Article PP - ppublish LG - Swedish DP - 2002 Oct 24 EZ - 2002/11/27 04:00 DA - 2003/01/11 04:00 DT - 2002/11/27 04:00 YR - 2002 ED - 20030110 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12448310 <968. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12448308 TI - [More about substance abuse in medical education. A joint European curriculum under development]. [Swedish] OT - Beroendelara kommer att fa storre plats i lakarutbildningen. Gemensamt europeiskt curriculum under arbete. SO - Lakartidningen. 99(43):4250-1, 2002 Oct 24. AS - Lakartidningen. 99(43):4250-1, 2002 Oct 24. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berglund M FA - Berglund, Mats IN - Berglund, Mats. Klinisk alkoholforskning, Lunds universitet. mats.berglund@alk.mas.lu.se NJ - Lakartidningen VO - 99 IP - 43 PG - 4250-1 PI - Journal available in: Print PI - Citation processed from: Print JC - l0n, 0027707 IO - Lakartidningen SB - Index Medicus CP - Sweden MH - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/ep [Epidemiology] MH - Alcohol-Related Disorders/th [Therapy] MH - *Alcohol-Related Disorders MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - Curriculum/st [Standards] MH - *Curriculum MH - Education, Medical/st [Standards] MH - *Education, Medical MH - Europe MH - Humans MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders IS - 0023-7205 IL - 0023-7205 PT - Journal Article PP - ppublish LG - Swedish DP - 2002 Oct 24 EZ - 2002/11/27 04:00 DA - 2003/01/11 04:00 DT - 2002/11/27 04:00 YR - 2002 ED - 20030110 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12448308 <969. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12164618 TI - Using the cinema to understand the family of the alcoholic. SO - Family Medicine. 34(6):426-7, 2002 Jun. AS - Fam Med. 34(6):426-7, 2002 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Elder NC AU - Schwarzer A FA - Elder, Nancy C FA - Schwarzer, Andrew IN - Elder, Nancy C. Department of Family Medicine, University of Cincinnati, OH 45267-0582, USA. eldernc@uc.edu NJ - Family medicine VO - 34 IP - 6 PG - 426-7 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - *Alcoholism MH - *Education, Medical/mt [Methods] MH - *Family/px [Psychology] MH - *Family Practice/ed [Education] MH - Humans MH - Medicine in Literature MH - *Motion Pictures MH - United States IS - 0742-3225 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 2002 Jun EZ - 2002/08/08 10:00 DA - 2003/01/09 04:00 DT - 2002/08/08 10:00 YR - 2002 ED - 20030108 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12164618 <970. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12095002 TI - Physician behavior towards male and female problem drinkers: a controlled study using simulated patients. SO - Journal of Addictive Diseases. 21(3):87-99, 2002. AS - J Addict Dis. 21(3):87-99, 2002. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson L AU - Kahan M AU - Liu E AU - Brewster JM AU - Sobell MB AU - Sobell LC FA - Wilson, Lynn FA - Kahan, Meldon FA - Liu, Eleanor FA - Brewster, Joan M FA - Sobell, Mark B FA - Sobell, Linda C IN - Wilson, Lynn. Department of Family & Community Medicine, University of Toronto, Ontario, Canada. wilsol@stjoe.on.ca NJ - Journal of addictive diseases VO - 21 IP - 3 PG - 87-99 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Family Practice/ed [Education] MH - Female MH - *Gender Identity MH - Humans MH - Internship and Residency MH - Male MH - *Patient Simulation MH - Personality Assessment MH - *Physician-Patient Relations AB - BACKGROUND: Evidence suggests that physicians are less likely to identify alcohol problems in females than in males. AB - PURPOSE: To compare the performance of family medicine residents with male and female simulated patients (SPs) posing as problem drinkers. AB - METHODS: Fifty-six family medicine residents completed a baseline survey on knowledge and attitudes towards problem drinkers. Each resident was then visited by one male and female unannounced SP. The male and female roles were similar with respect to presenting complaint (in somnia or hypertension), age, social class, and drinking history. AB - RESULTS: Residents expressed slightly more positive attitudes towards female than male patients (3.32 vs. 3.09, p < .001). Residents scored higher with undetected male than with undetected female SPs on the assessment checklist (5.1 vs. 3.2, p < .045), the management checklist (4.4 vs. 3.2, p = .032), and an interpersonal rating scale (the Alcohol Skills Rating Form; 5.5 vs. 4.7, p = .023). AB - CONCLUSION: Educational programs should focus on improving physicians' clinical skills in the identification and treatment of alcohol problems in women. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J069v21n03_07 [doi] PP - ppublish LG - English DP - 2002 EZ - 2002/07/04 10:00 DA - 2003/01/08 04:00 DT - 2002/07/04 10:00 YR - 2002 ED - 20030107 RD - 20080512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12095002 <971. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12371405 TI - [Primary care and alcohol use disorders: evaluation of a faculty-development program in Venezuela]. [Spanish] OT - Atencion primaria y trastornos por consumo de alcohol: evaluacion de un programa de formacion del profesorado en Venezuela. SO - Pan American Journal of Public Health. 12(2):79-85, 2002 Aug. AS - Rev Panam Salud Publica. 12(2):79-85, 2002 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gaskin de Urdaneta A AU - Seale JP AU - Fleming M AU - Murray M FA - Gaskin de Urdaneta, Alvia FA - Seale, J Paul FA - Fleming, Michael FA - Murray, Margaret IN - Gaskin de Urdaneta, Alvia. Facultad de Medicina, La Universidad del Zulia, Maracaibo, Venezuela. NJ - Revista panamericana de salud publica = Pan American journal of public health VO - 12 IP - 2 PG - 79-85 PI - Journal available in: Print PI - Citation processed from: Print JC - csl, 9705400 IO - Rev. Panam. Salud Publica SB - Index Medicus CP - United States MH - Adult MH - Alcohol Drinking/pc [Prevention & Control] MH - *Alcohol-Related Disorders/pc [Prevention & Control] MH - Alcohol-Related Disorders/th [Therapy] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/th [Therapy] MH - Education/sn [Statistics & Numerical Data] MH - *Education, Medical, Continuing/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Models, Educational MH - National Institutes of Health (U.S.) MH - *Primary Health Care/mt [Methods] MH - Program Evaluation/sn [Statistics & Numerical Data] MH - Schools, Medical/sn [Statistics & Numerical Data] MH - United States MH - Venezuela AB - OBJECTIVE: Primary care offers an opportunity to identify and treat persons who drink alcohol above permissible levels. In order to prepare primary care practitioners around the world to prevent and treat alcohol-related problems, the National Institute on Alcohol Abuse and Alcoholism of the United States of America has developed and tested a model international program for educating physicians about such problems. The model was designed to increase the clinical, teaching, and research skills of medical school faculty who work with medical students, residents, and primary care physicians. Venezuela was one of the countries selected for the initiative. AB - METHODS: During September 1999 a five-day faculty-development course consisting of 19 workshops was conducted at the University of Zulia, which is located in the city of Maracaibo, Zulia, Venezuela. Teaching strategies included class presentations, role plays, case presentations, skills-building workshops, and having each participant develop a teaching plan that he or she would use. AB - RESULTS: Thirty-three faculty members from 9 of Venezuela's 10 medical schools participated in the project. The 18 female and 15 male participants had an average age of 44 years. The areas of specialization of the 33 participants were: family medicine (9 participants), psychiatry (7), pediatrics (6), obstetrics (4), internal medicine (3), and unspecified (4). Of the 33 participants, 25 of them (76%) completed a six-month follow-up interview. This group said they had significantly increased their competence in 14 clinical areas and that they had successfully implemented new teaching activities within their respective medical schools and residency programs. AB - CONCLUSIONS: This model proved to be an effective strategy for increasing training for physicians in the prevention and treatment of alcohol-related problems in Venezuela. The evaluation confirms similar findings in other countries where the program has been implemented. IS - 1020-4989 IL - 1020-4989 PT - English Abstract PT - Journal Article ID - S1020-49892002000800002 [pii] PP - ppublish LG - Spanish DP - 2002 Aug EZ - 2002/10/10 04:00 DA - 2002/12/27 04:00 DT - 2002/10/10 04:00 YR - 2002 ED - 20021224 RD - 20100323 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12371405 <972. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12086200 TI - Smoking cessation counseling: training and practice among women pediatricians. SO - Clinical Pediatrics. 41(5):341-9, 2002 Jun. AS - Clin Pediatr (Phila). 41(5):341-9, 2002 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malarcher A AU - Easton A AU - Husten C AU - Frank E FA - Malarcher, Ann FA - Easton, Alyssa FA - Husten, Corinne FA - Frank, Erica IN - Malarcher, Ann. Division of Adult and Community Health, National Center for Chronic Disease Prevention and Health Promotion, Centers for Disease Control and Prevention, Atlanta, GA 30341, USA. NJ - Clinical pediatrics VO - 41 IP - 5 PG - 341-9 PI - Journal available in: Print PI - Citation processed from: Print JC - dhe, 0372606, 8407647 IO - Clin Pediatr (Phila) SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Age Factors MH - Aged MH - *Counseling/ed [Education] MH - *Counseling/sn [Statistics & Numerical Data] MH - *Education, Medical/sn [Statistics & Numerical Data] MH - Female MH - Health Care Surveys/sn [Statistics & Numerical Data] MH - Humans MH - Life Change Events MH - Middle Aged MH - *Pediatrics/ed [Education] MH - *Pediatrics/sn [Statistics & Numerical Data] MH - Physician's Role MH - *Physicians, Women/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Sex Factors MH - *Smoking Cessation/sn [Statistics & Numerical Data] AB - 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. IS - 0009-9228 IL - 0009-9228 PT - Journal Article ID - 10.1177/000992280204100507 [doi] PP - ppublish LG - English DP - 2002 Jun EZ - 2002/06/28 10:00 DA - 2002/12/19 04:00 DT - 2002/06/28 10:00 YR - 2002 ED - 20021218 RD - 20170214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12086200 <973. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12392139 TI - From no interest to special interest--a personal reflection on the RCGP certificate in substance misuse. SO - British Journal of General Practice. 52(483):866, 2002 Oct. AS - Br J Gen Pract. 52(483):866, 2002 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kacker R FA - Kacker, Rahul NJ - The British journal of general practice : the journal of the Royal College of General Practitioners VO - 52 IP - 483 PG - 866 PI - Journal available in: Print PI - Citation processed from: Print JC - 9005323, ark IO - Br J Gen Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1316102 SB - Index Medicus CP - England MH - Attitude of Health Personnel MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - Societies, Medical MH - *Substance-Related Disorders/th [Therapy] MH - United Kingdom IS - 0960-1643 IL - 0960-1643 PT - News ID - PMC1316102 [pmc] PP - ppublish LG - English DP - 2002 Oct EZ - 2002/10/24 04:00 DA - 2002/12/05 04:00 DT - 2002/10/24 04:00 YR - 2002 ED - 20021204 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12392139 <974. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12415969 TI - [Knowledge, attitudes and training of family physicians with regard to addiction to illicit drugs]. [Hebrew] SO - Harefuah. 137(7-8):278-81, 351, 1999 Oct. AS - Harefuah. 137(7-8):278-81, 351, 1999 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peleg A AU - Peleg R AU - Shvartzman P FA - Peleg, A FA - Peleg, R FA - Shvartzman, P IN - Peleg, A. Health Promotion and Disease Prevention Unit, Dept. of Family Medicine, Faculty of Health Sciences, Ben-Gurion University of the Negev, Beer Sheba. NJ - Harefuah VO - 137 IP - 7-8 PG - 278-81, 351 PI - Journal available in: Print PI - Citation processed from: Print JC - 0034351, fzf IO - Harefuah SB - Index Medicus CP - Israel MH - Education, Medical MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Physicians, Family MH - *Street Drugs MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - 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. RN - 0 (Street Drugs) IS - 0017-7768 IL - 0017-7768 PT - English Abstract PT - Journal Article PP - ppublish LG - Hebrew DP - 1999 Oct EZ - 2002/11/06 04:00 DA - 2002/12/05 04:00 DT - 2002/11/06 04:00 YR - 1999 ED - 20021204 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12415969 <975. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12270071 TI - Whither the drug specialist? The work-force development needs of drug specialist staff and agencies. [Review] [26 refs] SO - Drug & Alcohol Review. 21(3):215-22, 2002 Sep. AS - Drug Alcohol Rev. 21(3):215-22, 2002 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allsop SJ AU - Helfgott S FA - Allsop, Steve J FA - Helfgott, Sue IN - Allsop, Steve J. Drug and Alcohol Office, Mt Lawley Western Australia and Centre for International Health, Division of Health Sciences, Curtin University of Technology, Perth, Western Australia. NJ - Drug and alcohol review VO - 21 IP - 3 PG - 215-22 PI - Journal available in: Print PI - Citation processed from: Print JC - 9015440 IO - Drug Alcohol Rev SB - Index Medicus CP - Australia MH - Australia MH - Education, Medical MH - Health Personnel/ed [Education] MH - *Health Personnel/og [Organization & Administration] MH - Health Personnel/px [Psychology] MH - Health Personnel/td [Trends] MH - Health Planning Guidelines MH - Humans MH - *Medical Staff/og [Organization & Administration] MH - Medical Staff/px [Psychology] MH - Medical Staff/td [Trends] MH - *Medicine/og [Organization & Administration] MH - Medicine/td [Trends] MH - *Specialization MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - *Workplace/og [Organization & Administration] MH - Workplace/px [Psychology] AB - Drug specialist staff and agencies have been identified as having a critical role in responding to alcohol and other drug-related harm. This role must be seen in the context of the broad needs of people affected by drug use and the services that they utilize. Unfortunately, as in generic mainstream services, skill development, expertise, organizational structures and resources do not always support the demands of the drug specialist role. In order to develop the drug specialist work-force we must first review the evidence about the factors that influence effective practice. The available research indicates that a range of strategies is required and that these should not only focus on building the capacity of individuals, but also on organizations and systems. Substantial effort in capacity building is required in order to fulfil the expectations created by the title "drug specialist". [References: 26] IS - 0959-5236 IL - 0959-5236 PT - Journal Article PT - Review ID - 10.1080/0959523021000002660 [doi] PP - ppublish LG - English DP - 2002 Sep EZ - 2002/09/25 06:00 DA - 2002/11/28 04:00 DT - 2002/09/25 06:00 YR - 2002 ED - 20021126 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12270071 <976. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12404937 TI - Linking mental health and addiction services: a continuity-of-care team model. SO - Journal of Behavioral Health Services & Research. 29(4):433-44, 2002 Nov. AS - J Behav Health Serv Res. 29(4):433-44, 2002 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lambert MT FA - Lambert, Michael T IN - Lambert, Michael T. Mental Health Service 116A, VANTHCS, Department of Psychiatry, University of Texas Southwestern Medical School at Dallas, USA. Michael.Lambert2@med.va.gov NJ - The journal of behavioral health services & research VO - 29 IP - 4 PG - 433-44 PI - Journal available in: Print PI - Citation processed from: Print JC - 9803531, cwv IO - J Behav Health Serv Res SB - Index Medicus CP - United States MH - *Continuity of Patient Care/og [Organization & Administration] MH - Diagnosis, Dual (Psychiatry) MH - Hospital Restructuring MH - *Hospitals, Veterans/og [Organization & Administration] MH - Humans MH - *Models, Organizational MH - *Patient Care Team MH - Patient Discharge/sn [Statistics & Numerical Data] MH - Patient Readmission/sn [Statistics & Numerical Data] MH - Program Evaluation MH - *Psychiatric Department, Hospital/og [Organization & Administration] MH - Psychiatric Department, Hospital/ut [Utilization] MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - Substance Abuse Treatment Centers/ut [Utilization] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Texas MH - United States MH - United States Department of Veterans Affairs AB - Reorganization of mental health care delivery services at a Department of Veterans Affairs medical center addressed problems with the coordination of addiction treatment and mental health programming for patients with significant psychiatric and addiction comorbidity. Clinical services were organized into interdisciplinary continuity-of-care teams that follow patients across different levels of care. The teams provide addiction treatment through "universally available" resources such as a partial hospital addiction rehabilitation module. Continuity of care remains within the team structure as clinicians follow patients throughout their rehabilitation course. Patient and staff satisfaction focus on improved accessibility of addiction services and continuity of care providers across time and levels of care. Overall inpatient utilization and recidivism decreased after model implementation. IS - 1094-3412 IL - 1094-3412 PT - Journal Article PP - ppublish LG - English DP - 2002 Nov EZ - 2002/10/31 04:00 DA - 2002/11/26 04:00 DT - 2002/10/31 04:00 YR - 2002 ED - 20021125 RD - 20171104 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12404937 <977. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12351288 TI - Substance abuse among physicians: a survey of academic anesthesiology programs. SO - Anesthesia & Analgesia. 95(4):1024-30, table of contents, 2002 Oct. AS - Anesth Analg. 95(4):1024-30, table of contents, 2002 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Booth JV AU - Grossman D AU - Moore J AU - Lineberger C AU - Reynolds JD AU - Reves JG AU - Sheffield D FA - Booth, John V FA - Grossman, Davida FA - Moore, Jill FA - Lineberger, Catherine FA - Reynolds, James D FA - Reves, J G FA - Sheffield, David IN - Booth, John V. Department of Anesthesiology, Duke University Medical Center, Durham, North Carolina 27710, USA. booth006@mc.duke.edu NJ - Anesthesia and analgesia VO - 95 IP - 4 PG - 1024-30, table of contents PI - Journal available in: Print PI - Citation processed from: Print JC - 4r8, 1310650 IO - Anesth. Analg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Academic Medical Centers/sn [Statistics & Numerical Data] MH - *Anesthesiology MH - Data Collection MH - Documentation MH - Faculty MH - Humans MH - Internship and Residency MH - Medication Systems, Hospital MH - Pharmacy Service, Hospital/og [Organization & Administration] MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Physicians MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - UNLABELLED: 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. AB - IMPLICATIONS: This survey indicates that the frequency of controlled substance abuse among anesthesiologists has changed little in the past few years, despite an increase in the control and accounting procedures for controlled substances as well as increased mandatory education. IS - 0003-2999 IL - 0003-2999 PT - Journal Article PP - ppublish LG - English DP - 2002 Oct EZ - 2002/09/28 04:00 DA - 2002/10/29 04:00 DT - 2002/09/28 04:00 YR - 2002 ED - 20021028 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12351288 <978. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12379070 TI - New federal initiatives to enhance the medical treatment of opioid dependence. SO - Annals of Internal Medicine. 137(8):688-92, 2002 Oct 15. AS - Ann Intern Med. 137(8):688-92, 2002 Oct 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fiellin DA AU - O'Connor PG FA - Fiellin, David A FA - O'Connor, Patrick G IN - Fiellin, David A. Yale University School of Medicine, 333 Cedar Street, PO Box 208025, New Haven, CT 06520-8025, USA. david.fiellin@yale.edu NJ - Annals of internal medicine VO - 137 IP - 8 PG - 688-92 PI - Journal available in: Print PI - Citation processed from: Internet JC - 0372351 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Ambulatory Care MH - Drug Prescriptions MH - Education, Medical, Continuing MH - *Government Programs MH - Humans MH - *Legislation, Drug MH - Narcotics/ag [Agonists] MH - *Opioid-Related Disorders/th [Therapy] MH - Research MH - United States MH - United States Food and Drug Administration AB - Opioid dependence is a chronic relapsing medical condition with substantial health and societal complications. Recent federal initiatives are designed to enhance the medical treatment of patients with opioid dependence and will expand the role of internists in the care of these patients. These initiatives include a process for federal exemptions to allow for pharmacologic treatment in office settings, waivers for the use of new medications, and new rules governing the oversight and distribution of opioid agonist medications for maintenance treatment. This perspective describes these initiatives and their implications for internists. RN - 0 (Narcotics) ES - 1539-3704 IL - 0003-4819 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 200210150-00014 [pii] PP - ppublish GI - No: K12 DA00167 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2002 Oct 15 EZ - 2002/10/16 04:00 DA - 2002/10/22 04:00 DT - 2002/10/16 04:00 YR - 2002 ED - 20021021 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12379070 <979. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12213144 TI - Can a pain management and palliative care curriculum improve the opioid prescribing practices of medical residents?. SO - Journal of General Internal Medicine. 17(8):625-31, 2002 Aug. AS - J Gen Intern Med. 17(8):625-31, 2002 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ury WA AU - Rahn M AU - Tolentino V AU - Pignotti MG AU - Yoon J AU - McKegney P AU - Sulmasy DP FA - Ury, Wayne A FA - Rahn, Maike FA - Tolentino, Victorio FA - Pignotti, Monica G FA - Yoon, Janet FA - McKegney, Patrick FA - Sulmasy, Daniel P IN - Ury, Wayne A. Saint Vincent's Catholic Medical Centers of New York, Manhattan Campus, New York, NY 10011, USA. WURY@AOL.COM NJ - Journal of general internal medicine VO - 17 IP - 8 PG - 625-31 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495092 SB - Index Medicus CP - United States MH - Aged MH - Analgesics, Non-Narcotic/tu [Therapeutic Use] MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - Anti-Inflammatory Agents, Non-Steroidal/tu [Therapeutic Use] MH - Chronic Disease MH - *Curriculum/st [Standards] MH - Drug Prescriptions MH - *Drug Utilization Review MH - Female MH - Hospitals, Teaching MH - Humans MH - *Internship and Residency/st [Standards] MH - Logistic Models MH - Male MH - Meperidine/ae [Adverse Effects] MH - Middle Aged MH - *Pain/dt [Drug Therapy] MH - Palliative Care MH - Polypharmacy AB - 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. AB - 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. AB - 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). AB - 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 post-period 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. AB - 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. RN - 0 (Analgesics, Non-Narcotic) RN - 0 (Analgesics, Opioid) RN - 0 (Anti-Inflammatory Agents, Non-Steroidal) RN - 9E338QE28F (Meperidine) IS - 0884-8734 IL - 0884-8734 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - jgi10837 [pii] ID - PMC1495092 [pmc] PP - ppublish LG - English DP - 2002 Aug EZ - 2002/09/06 10:00 DA - 2002/10/22 04:00 DT - 2002/09/06 10:00 YR - 2002 ED - 20021021 RD - 20140611 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12213144 <980. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12202011 TI - Residencies in addiction psychiatry: 1990 to 2000, a decade of progress. SO - American Journal on Addictions. 11(3):192-9, 2002. AS - Am J Addict. 11(3):192-9, 2002. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Dermatis H AU - Calabrese D FA - Galanter, Marc FA - Dermatis, Helen FA - Calabrese, DeeAnna IN - Galanter, Marc. Division of Alcoholism and Drug Abuse of New York University School of Medicine, New York, NY 10016, USA. marcgalanter@nyu.edu NJ - The American journal on addictions VO - 11 IP - 3 PG - 192-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Education/sn [Statistics & Numerical Data] MH - Humans MH - Income MH - Internship and Residency/sn [Statistics & Numerical Data] MH - *Internship and Residency/td [Trends] MH - Licensure MH - Psychiatry/ec [Economics] MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - United States AB - 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. IS - 1055-0496 IL - 1055-0496 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/10550490290087956 [doi] PP - ppublish LG - English DP - 2002 EZ - 2002/08/31 10:00 DA - 2002/10/10 04:00 DT - 2002/08/31 10:00 YR - 2002 ED - 20021009 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12202011 <981. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12204143 TI - Recipients in need of ancillary services and their receipt of HIV medical care in California. SO - AIDS Care. 14 Suppl 1:S73-83, 2002 Aug. AS - AIDS Care. 14 Suppl 1:S73-83, 2002 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chan D AU - Absher D AU - Sabatier S FA - Chan, D FA - Absher, D FA - Sabatier, S IN - Chan, D. California Department of Health Services, Office of AIDS, HIV/AIDS Epidemiology Branch, Sacramento, California 94234, USA. NJ - AIDS care VO - 14 Suppl 1 PG - S73-83 PI - Journal available in: Print PI - Citation processed from: Print JC - 8915313, a1o IO - AIDS Care SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adult MH - Aged MH - California MH - Case Management/og [Organization & Administration] MH - Community Health Services/og [Organization & Administration] MH - Delivery of Health Care/og [Organization & Administration] MH - Female MH - *HIV Infections/th [Therapy] MH - Health Resources/sd [Supply & Distribution] MH - Health Services Needs and Demand/og [Organization & Administration] MH - Humans MH - Male MH - Middle Aged MH - National Health Programs/og [Organization & Administration] MH - Patient Compliance MH - *Primary Health Care/og [Organization & Administration] MH - Primary Health Care/ut [Utilization] MH - *Social Support MH - Social Welfare AB - 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 overall 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 VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12204079 TI - Tobacco intervention training: current efforts and gaps in US medical schools. SO - JAMA. 288(9):1102-9, 2002 Sep 04. AS - JAMA. 288(9):1102-9, 2002 Sep 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spangler JG AU - George G AU - Foley KL AU - Crandall SJ FA - Spangler, John G FA - George, Geeta FA - Foley, Kristie Long FA - Crandall, Sonia J IN - Spangler, John G. Department of Family and Community Medicine, Wake Forest University School of Medicine, Medical Center Boulevard, Winston-Salem, NC 27157-1084, USA. jspangle@wfubmc.edu NJ - JAMA VO - 288 IP - 9 PG - 1102-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Counseling MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Health Promotion MH - Humans MH - *Schools, Medical MH - Smoking MH - *Smoking Cessation MH - *Teaching/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - Tobacco, Smokeless MH - United States AB - CONTEXT: Research has documented that US medical schools inadequately teach tobacco intervention skills. AB - OBJECTIVE: To examine effective training methods for tobacco intervention in undergraduate medical education. AB - 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. AB - 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. AB - 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. AB - 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. AB - 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. IS - 0098-7484 IL - 0098-7484 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - jrv20035 [pii] PP - ppublish GI - No: 1 D12 HP 00007-01 Organization: *PHS HHS* Country: United States LG - English DP - 2002 Sep 04 EZ - 2002/09/11 10:00 DA - 2002/09/14 10:01 DT - 2002/09/11 10:00 YR - 2002 ED - 20020913 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12204079 <983. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12088813 TI - Attitudes of anesthesiologists about addiction and its treatment: a survey of Illinois and Wisconsin members of the American Society of Anesthesiologists. SO - Journal of Clinical Anesthesia. 14(4):284-9, 2002 Jun. AS - J Clin Anesth. 14(4):284-9, 2002 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - May JA AU - Warltier DC AU - Pagel PS FA - May, Judith A FA - Warltier, David C FA - Pagel, Paul S IN - May, Judith A. Department of Anesthesiology, Medical College of Wisconsin, 8701 Watertown Plank Road, Milwaukee, WI 53226, USA. NJ - Journal of clinical anesthesia VO - 14 IP - 4 PG - 284-9 PI - Journal available in: Print PI - Citation processed from: Print JC - an9, 8812166 IO - J Clin Anesth SB - Index Medicus CP - United States MH - *Anesthesiology MH - *Attitude of Health Personnel MH - Data Collection MH - Female MH - Humans MH - Illinois MH - Male MH - Middle Aged MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - Wisconsin AB - STUDY OBJECTIVE: To survey practicing anesthesiologists about their attitudes about addiction and its treatment by means of a previously validated instrument. AB - DESIGN: Anonymous mail survey. AB - SETTING: Metropolitan medical college. AB - PARTICIPANTS: Active members of the American Society of Anesthesiologists in Illinois and Wisconsin. AB - 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. AB - 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. IS - 0952-8180 IL - 0952-8180 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - S0952818002003598 [pii] PP - ppublish GI - No: AA 12331 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: GM 08377 Organization: (GM) *NIGMS NIH HHS* Country: United States GI - No: HL 54820 Organization: (HL) *NHLBI NIH HHS* Country: United States LG - English DP - 2002 Jun EZ - 2002/06/29 10:00 DA - 2002/09/14 10:01 DT - 2002/06/29 10:00 YR - 2002 ED - 20020913 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12088813 <984. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12168548 TI - [Short intervention in patients with alcohol problems--counseling materials developed by the German Federal Medical Council and the German Federal Center for Health Education]. [German] OT - Kurzintervention bei Patienten mit Alkoholproblemen--Beratungsmaterialien der Bundesarztekammer und der BZgA fur die arztliche Praxis. SO - Zeitschrift fur Arztliche Fortbildung und Qualitatssicherung. 96(5):287-94, 2002 Jun. AS - Z Arztl Fortbild Qualitatssich. 96(5):287-94, 2002 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lang P AU - Marsen-Storz G AU - Rakete G AU - Engelbrecht J AU - German Federal Medical Council AU - German Federal Center for Health Education FA - Lang, Peter FA - Marsen-Storz, Gisela FA - Rakete, Gerd FA - Engelbrecht, Justina FA - German Federal Medical Council FA - German Federal Center for Health Education IN - Lang, Peter. Bundeszentrale fur gesundheitliche Aufklarung (BZgA), Koln. Lang@bzga.de NJ - Zeitschrift fur arztliche Fortbildung und Qualitatssicherung VO - 96 IP - 5 PG - 287-94 PI - Journal available in: Print PI - Citation processed from: Print JC - ct5, 9707934 IO - Z Arztl Fortbild Qualitatssich SB - Index Medicus CP - Germany MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/rh [Rehabilitation] MH - *Counseling/mt [Methods] MH - Counseling/st [Standards] MH - Germany/ep [Epidemiology] MH - Humans MH - Pamphlets MH - Patient Education as Topic/st [Standards] MH - Primary Health Care/st [Standards] MH - Quality Assurance, Health Care AB - The German Medical Association and the Federal Centre for Health Education have developed counselling material to support physicians in their efforts at counselling and treating persons with alcohol problems. The material consists of a counselling manual for diagnosis and therapy in the framework of ambulatory primary health care and of a brochure for patients on the basis of evidence-based medicine. The counselling manual for general practitioners and the brochure for the patients are both designed around the same core ideas and make a distinction between low risk alcohol consumption and risky alcohol consumption, between alcohol abuse and alcohol addiction and contain supplementary information on the specific offers of the addiction-aid-system. IS - 1431-7621 IL - 1431-7621 PT - English Abstract PT - Guideline PT - Journal Article PT - Practice Guideline PP - ppublish LG - German DP - 2002 Jun EZ - 2002/08/10 10:00 DA - 2002/09/12 10:01 DT - 2002/08/10 10:00 YR - 2002 ED - 20020911 RD - 20081103 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12168548 <985. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12170206 TI - Smoking cessation counseling: a missed opportunity for general surgery trainees. SO - Journal of Vascular Surgery. 36(2):257-62; discussion 262, 2002 Aug. AS - J Vasc Surg. 36(2):257-62; discussion 262, 2002 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krupski WC AU - Nguyen HT AU - Jones DN AU - Wallace H AU - Whitehill TA AU - Nehler MR FA - Krupski, William C FA - Nguyen, Hai T FA - Jones, Darrell N FA - Wallace, Hillary FA - Whitehill, Thomas A FA - Nehler, Mark R IN - Krupski, William C. Division of Vascular Surgery, Department of Surgery, University of Colorado Health Sciences Center, Denver, CO 80262, USA. William.Krupski@uchsc.edu NJ - Journal of vascular surgery VO - 36 IP - 2 PG - 257-62; discussion 262 PI - Journal available in: Print PI - Citation processed from: Print JC - kd2, 8407742 IO - J. Vasc. Surg. SB - Index Medicus CP - United States MH - Adult MH - *Counseling MH - Family Practice/ed [Education] MH - Female MH - *General Surgery/ed [Education] MH - Humans MH - Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Physician's Role MH - *Smoking Cessation AB - 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. AB - METHODS: One hundred house staff officers (45 GC and 55 PC residents, consisting of internal medicine and family medicine disciplines) were randomly surveyed. chi(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. AB - 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. AB - 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. IS - 0741-5214 IL - 0741-5214 PT - Journal Article ID - S0741521402000411 [pii] PP - ppublish LG - English DP - 2002 Aug EZ - 2002/08/10 10:00 DA - 2002/09/11 10:01 DT - 2002/08/10 10:00 YR - 2002 ED - 20020909 RD - 20121003 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12170206 <986. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12122780 TI - Evaluation of the effectiveness of an addiction treatment training program for physicians. SO - American Clinical Laboratory. 21(5):22-4, 2002 Jun. AS - Am Clin Lab. 21(5):22-4, 2002 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gordon SM AU - Troncale J FA - Gordon, Susan Merle FA - Troncale, Joseph IN - Gordon, Susan Merle. Caron Foundation, Galen Hall Rd., Box 150, Wernersville, PA 19565, USA. sgordon@caronfoundation.org NJ - American clinical laboratory VO - 21 IP - 5 PG - 22-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 8903666, bcc, 8903666 IO - Am Clin Lab SB - Health Technology Assessment Journals CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Physicians MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] IS - 1041-3235 IL - 1041-3235 PT - Evaluation Studies PT - Journal Article PP - ppublish LG - English DP - 2002 Jun EZ - 2002/07/19 10:00 DA - 2002/08/20 10:01 DT - 2002/07/19 10:00 YR - 2002 ED - 20020819 RD - 20020718 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12122780 <987. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12114160 TI - Mixing it up: integrating evidence-based medicine and patient care. SO - Academic Medicine. 77(7):741-2, 2002 Jul. AS - Acad Med. 77(7):741-2, 2002 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Korenstein D AU - Dunn A AU - McGinn T FA - Korenstein, Deborah FA - Dunn, Andrew FA - McGinn, Thomas IN - Korenstein, Deborah. Mount Sinai School of Medicine, New York University, New York, NY 10029, USA. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 77 IP - 7 PG - 741-2 PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Delivery of Health Care, Integrated MH - Evidence-Based Medicine/ed [Education] MH - Female MH - Humans MH - Internal Medicine/ed [Education] MH - Internship and Residency MH - Male MH - *Patient Care MH - Problem-Based Learning MH - United States AB - 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. AB - 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. AB - 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. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 2002 Jul EZ - 2002/07/13 10:00 DA - 2002/08/16 10:01 DT - 2002/07/13 10:00 YR - 2002 ED - 20020815 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12114160 <988. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12047735 TI - Professional satisfaction experienced when caring for substance-abusing patients: faculty and resident physician perspectives. SO - Journal of General Internal Medicine. 17(5):373-6, 2002 May. AS - J Gen Intern Med. 17(5):373-6, 2002 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saitz R AU - Friedmann PD AU - Sullivan LM AU - Winter MR AU - Lloyd-Travaglini C AU - Moskowitz MA AU - Samet JH FA - Saitz, Richard FA - Friedmann, Peter D FA - Sullivan, Lisa M FA - Winter, Michael R FA - Lloyd-Travaglini, Christine FA - Moskowitz, Mark A FA - Samet, Jeffrey H IN - Saitz, Richard. Clinical Addiction Research and Education Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, MA 02118-2393, USA. rsaitz@bu.edu NJ - Journal of general internal medicine VO - 17 IP - 5 PG - 373-6 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495049 SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Boston MH - Clinical Competence MH - Data Collection MH - *Faculty, Medical MH - Female MH - Hospitals, Teaching MH - Humans MH - *Internship and Residency MH - *Job Satisfaction MH - Male MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] AB - This survey aimed to describe and compare resident and faculty physician satisfaction, attitudes, and practices regarding patients with addictions. Of 144 primary care physicians, 40% used formal screening tools; 24% asked patients' family history. Physicians were less likely (P <.05) to experience at least a moderate amount of professional satisfaction caring for patients with alcohol (32% of residents, 49% of faculty) or drug (residents 30%, faculty 31%) problems than when managing hypertension (residents 76%, faculty 79%). Interpersonal experience with addictions was common (85% of faculty, 72% of residents) but not associated with attitudes, practices, or satisfaction. Positive attitudes toward addiction treatment (adjusted odds ratio [AOR], 4.60; 95% confidence interval [95% CI], 1.59 to 13.29), confidence in assessment and intervention (AOR, 2.49; 95% CI, 1.09 to 5.69), and perceived responsibility for addressing substance problems (AOR, 5.59; CI, 2.07 to 15.12) were associated with greater satisfaction. Professional satisfaction caring for patients with substance problems is lower than that for other illnesses. Addressing physician satisfaction may improve care for patients with addictions. IS - 0884-8734 IL - 0884-8734 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - jgi10520 [pii] ID - PMC1495049 [pmc] PP - ppublish GI - No: R01 AA010870 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: K08-DA 00320 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01-AA10870 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: T26-SP08355 Organization: (SP) *CSAP SAMHSA HHS* Country: United States LG - English DP - 2002 May EZ - 2002/06/06 10:00 DA - 2002/08/03 10:01 DT - 2002/06/06 10:00 YR - 2002 ED - 20020802 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12047735 <989. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12047732 TI - Investigation of a brief teaching encounter using standardized patients: teaching residents alcohol screening and intervention. SO - Journal of General Internal Medicine. 17(5):356-60, 2002 May. AS - J Gen Intern Med. 17(5):356-60, 2002 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilk AI AU - Jensen NM FA - Wilk, Alev Inez FA - Jensen, Norman M IN - Wilk, Alev Inez. Department of Medicine, Section of General Internal Medicine, University of Wisconsin Medical School, Madison, USA. aiw@medicine.wisc.edu NJ - Journal of general internal medicine VO - 17 IP - 5 PG - 356-60 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495038 SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Female MH - Humans MH - *Internship and Residency MH - Interviews as Topic MH - Male MH - *Substance Abuse Detection MH - *Teaching/mt [Methods] AB - OBJECTIVE: To investigate a brief teaching intervention using standardized patients (SPs) trained to improve residents' detection and advising of problem drinkers. AB - DESIGN: Pretest-posttest design assessing resident behavior and skills. AB - SUBJECTS: Nineteen internal medicine residents in a University Hospital General Internal Medicine Clinic. AB - INTERVENTION: Announced SPs were interviewed by residents and presented to faculty who provided brief instruction on the National Institute on Alcohol Abuse and Alcoholism guidelines for screening and brief counseling of problem drinkers. AB - MEASURE: Unannounced SPs assessed resident behavior and skills. AB - RESULTS: Following the teaching intervention, 2 times more residents screened for alcohol use and nearly 3 times more residents did brief counseling. Residents reported that the intervention was informative and valuable. AB - CONCLUSION: A single, 1-hour teaching intervention lead to a 2- to 3-fold increase in resident detection and advising of problem drinkers. SPs provide effective teaching encounters and a useful measure of resident behavior. IS - 0884-8734 IL - 0884-8734 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - jgi10629 [pii] ID - PMC1495038 [pmc] PP - ppublish GI - No: D28PE55024 Organization: (PE) *BHP HRSA HHS* Country: United States LG - English DP - 2002 May EZ - 2002/06/06 10:00 DA - 2002/08/03 10:01 DT - 2002/06/06 10:00 YR - 2002 ED - 20020802 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12047732 <990. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12047728 TI - Mutual mistrust in the medical care of drug users: the keys to the "narc" cabinet. SO - Journal of General Internal Medicine. 17(5):327-33, 2002 May. AS - J Gen Intern Med. 17(5):327-33, 2002 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Merrill JO AU - Rhodes LA AU - Deyo RA AU - Marlatt GA AU - Bradley KA FA - Merrill, Joseph O FA - Rhodes, Lorna A FA - Deyo, Richard A FA - Marlatt, G Alan FA - Bradley, Katharine A IN - Merrill, Joseph O. Division of General Internal Medicine, Harborview Medical Center, Department of Medicine, University of Washington, Seattle 98104, USA. joem@u.washington.edu NJ - Journal of general internal medicine VO - 17 IP - 5 PG - 327-33 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495051 SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Anthropology, Cultural MH - Female MH - Hospitals, Teaching MH - Humans MH - Male MH - Middle Aged MH - Opioid-Related Disorders/px [Psychology] MH - Opioid-Related Disorders/th [Therapy] MH - *Physician-Patient Relations MH - Substance Abuse Treatment Centers MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - 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. AB - DESIGN: Exploratory qualitative analysis of data from direct observation of patient care interactions and interviews with drug-using patients and their physicians. AB - SETTING: The inpatient internal medicine service of an urban public teaching hospital. AB - PARTICIPANTS: Nineteen patients with recent active drug use, primarily opiate use, and their 8 physician teams. AB - 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. AB - 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. IS - 0884-8734 IL - 0884-8734 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - jgi10625 [pii] ID - PMC1495051 [pmc] PP - ppublish LG - English DP - 2002 May EZ - 2002/06/06 10:00 DA - 2002/08/03 10:01 DT - 2002/06/06 10:00 YR - 2002 ED - 20020802 RD - 20140612 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12047728 <991. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12085073 TI - Improving emergency medicine residents' approach to patients with alcohol problems: a controlled educational trial. SO - Annals of Emergency Medicine. 40(1):50-62, 2002 Jul. AS - Ann Emerg Med. 40(1):50-62, 2002 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - D'Onofrio G AU - Nadel ES AU - Degutis LC AU - Sullivan LM AU - Casper K AU - Bernstein E AU - Samet JH FA - D'Onofrio, Gail FA - Nadel, Eric S FA - Degutis, Linda C FA - Sullivan, Lisa M FA - Casper, Karen FA - Bernstein, Edward FA - Samet, Jeffrey H IN - D'Onofrio, Gail. Section of Emergency Medicine, Yale University School of Medicine, New Haven, CT 06519, USA. gail.donofrio@yale.edu NJ - Annals of emergency medicine VO - 40 IP - 1 PG - 50-62 PI - Journal available in: Print PI - Citation processed from: Print JC - 4z7, 8002646 IO - Ann Emerg Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Connecticut MH - *Emergency Medicine/ed [Education] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency/mt [Methods] MH - Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - Massachusetts MH - Physician's Role MH - Population Surveillance MH - Self Efficacy MH - Teaching/mt [Methods] AB - 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. AB - 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. AB - 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 [CI] 31 to 50; P <.001); no change was observed in the control group (n=19). These increases were significantly different between groups (95% CI 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. AB - CONCLUSION: A brief, structured, educational intervention for residents contributed to significant improvement in knowledge and practice with regard to patients with alcohol problems. IS - 0196-0644 IL - 0196-0644 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - S0196064402000082 [pii] PP - ppublish GI - No: R01 AA016059 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: T15SP07773 Organization: (SP) *CSAP SAMHSA HHS* Country: United States GI - No: T26 SP08355 Organization: (SP) *CSAP SAMHSA HHS* Country: United States LG - English DP - 2002 Jul EZ - 2002/06/27 10:00 DA - 2002/08/01 10:01 DT - 2002/06/27 10:00 YR - 2002 ED - 20020731 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12085073 <992. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12099124 TI - Can distance learning improve smoking cessation advice in family practice? A randomized trial. SO - Journal of Continuing Education in the Health Professions. 22(2):84-93, 2002. AS - J Contin Educ Health Prof. 22(2):84-93, 2002. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young JM AU - Ward J FA - Young, Jane M FA - Ward, Jeanette IN - Young, Jane M. Centre for Health Services Research, University of Western Australia. NJ - The Journal of continuing education in the health professions VO - 22 IP - 2 PG - 84-93 PI - Journal available in: Print PI - Citation processed from: Print JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Index Medicus CP - United States MH - Australia MH - *Education, Distance MH - *Education, Medical, Continuing/mt [Methods] MH - *Family Practice/ed [Education] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Smoking Cessation MH - Statistics, Nonparametric AB - INTRODUCTION: Family physicians (FPs) underuse opportunities to provide smoking cessation advice during routine consultations with patients who smoke. Distance learning is a promising approach to continuing medical education, particularly for FPs practicing in rural and remote areas. We developed a distance learning module, conducting a randomized trial to assess its educational impact on knowledge, attitudes and skills ("competence"), self-rated competence, confidence, and readiness to change. AB - METHODS: Volunteer FPs were randomly allocated to receive either a distance learning module or a preventive care guideline. Self-administered questionnaires were completed at baseline and post-test. AB - RESULTS: Fifty-three FPs enrolled in the study. There were no changes in knowledge or attitudes. Change in skills was limited to a reduction in use of one ineffective technique, namely "nicotine fading." Change in self-rated competence between baseline and post-test was significantly greater for the intervention than for the control group, however (p = .03). Although self-ratings of confidence increased significantly between baseline and post-test in both groups, the magnitude of change was no greater in the intervention than the control group (p = .3). Both groups demonstrated only nonsignificant shifts in readiness to change. AB - DISCUSSION: These modest changes are of uncertain educational value, inviting caution before recommending distance learning approaches to promote smoking cessation advice in family practice. IS - 0894-1912 IL - 0894-1912 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 10.1002/chp.1340220204 [doi] PP - ppublish LG - English DP - 2002 EZ - 2002/07/09 10:00 DA - 2002/07/31 10:01 DT - 2002/07/09 10:00 YR - 2002 ED - 20020730 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12099124 <993. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12052024 TI - Unsafe sex, substance abuse, and domestic violence: how do recently trained obstetricians-gynecologists fare at lifestyle risk assessment and counseling on STD prevention?. SO - Preventive Medicine. 34(6):632-7, 2002 Jun. AS - Prev Med. 34(6):632-7, 2002 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haley N AU - Maheux B AU - Rivard M AU - Gervais A FA - Haley, Nancy FA - Maheux, Brigitte FA - Rivard, Michele FA - Gervais, Andre IN - Haley, Nancy. Department of Pediatrics, Universite de Montreal, Quebec, Canada. nhaley@santepub-mtl.qc.ca NJ - Preventive medicine VO - 34 IP - 6 PG - 632-7 PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - Adult MH - *Counseling MH - *Domestic Violence/pc [Prevention & Control] MH - Female MH - *Gynecology/ed [Education] MH - Humans MH - Life Style MH - Male MH - Middle Aged MH - *Obstetrics/ed [Education] MH - *Physician's Role MH - Quebec MH - Risk Assessment MH - *Sexual Behavior MH - *Sexually Transmitted Diseases/pc [Prevention & Control] MH - *Smoking Prevention MH - Surveys and Questionnaires AB - 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. AB - METHODS: A pretested anonymous mail survey was conducted in 1995 with all 241 obstetrician-gynecologists practicing in Quebec, Canada; 66% responded (N = 158). AB - 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. AB - 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. Copyright 2002 Elsevier Science (USA). IS - 0091-7435 IL - 0091-7435 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1006/pmed.2002.1030 [doi] ID - S0091743502910303 [pii] PP - ppublish LG - English DP - 2002 Jun EZ - 2002/06/08 10:00 DA - 2002/07/26 10:01 DT - 2002/06/08 10:00 YR - 2002 ED - 20020724 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12052024 <994. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12047985 TI - A slice of bread. SO - Lancet. 359(9317):1604, 2002 May 04. AS - Lancet. 359(9317):1604, 2002 May 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Springer J FA - Springer, Jackie IN - Springer, Jackie. American Academy of Clinical Endocrinologists, Overland Park, KS 66210, USA. NJ - Lancet (London, England) VO - 359 IP - 9317 PG - 1604 PI - Journal available in: Print PI - Citation processed from: Print JC - 2985213r, l0s, 0053266 IO - Lancet SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Acidosis, Lactic/et [Etiology] MH - *Acidosis, Lactic/pc [Prevention & Control] MH - *Alcoholism/co [Complications] MH - Bicarbonates/ad [Administration & Dosage] MH - Fatal Outcome MH - Fluid Therapy MH - *Food MH - Humans MH - Internship and Residency MH - Male MH - *Medical Errors MH - Middle Aged MH - Oxygen Inhalation Therapy RN - 0 (Bicarbonates) IS - 0140-6736 IL - 0140-6736 PT - Case Reports PT - Journal Article ID - S0140-6736(02)08519-7 [pii] ID - 10.1016/S0140-6736(02)08519-7 [doi] PP - ppublish LG - English DP - 2002 May 04 EZ - 2002/06/06 10:00 DA - 2002/07/13 10:01 DT - 2002/06/06 10:00 YR - 2002 ED - 20020712 RD - 20150616 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12047985 <995. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12073594 TI - [Questionnaire on the attitude of the physicians in educating the elderly patients with chronic obstructive pulmonary disease about smoking cessation]. [Japanese] SO - Nippon Ronen Igakkai Zasshi - Japanese Journal of Geriatrics. 39(3):308-13, 2002 May. AS - Nippon Ronen Igakkai Zasshi. 39(3):308-13, 2002 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ishii T AU - Teramoto S AU - Miyashita A AU - Ishigatsubo Y AU - Kimura H AU - Kuwahira I AU - Ueki J AU - Fukuchi Y AU - Ouchi Y AU - Matsuse T FA - Ishii, Takeo FA - Teramoto, Shinji FA - Miyashita, Akira FA - Ishigatsubo, Yoshiaki FA - Kimura, Hiroshi FA - Kuwahira, Ichiro FA - Ueki, Jun FA - Fukuchi, Yoshinosuke FA - Ouchi, Yasuyoshi FA - Matsuse, Tkeshi IN - Ishii, Takeo. Department of Geriatric Medicine, University of Tokyo. NJ - Nihon Ronen Igakkai zasshi. Japanese journal of geriatrics VO - 39 IP - 3 PG - 308-13 PI - Journal available in: Print PI - Citation processed from: Print JC - kk2, 7507332 IO - Nihon Ronen Igakkai Zasshi SB - Index Medicus CP - Japan MH - Aged MH - *Attitude of Health Personnel MH - Female MH - Humans MH - Male MH - *Patient Education as Topic MH - *Physicians/px [Psychology] MH - *Pulmonary Disease, Chronic Obstructive MH - *Smoking Cessation MH - Surveys and Questionnaires AB - 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. IS - 0300-9173 IL - 0300-9173 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - Japanese DP - 2002 May EZ - 2002/06/21 10:00 DA - 2002/06/29 10:01 DT - 2002/06/21 10:00 YR - 2002 ED - 20020628 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12073594 <996. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11945214 TI - The feasibility of paper-based Tracking Codes and electronic medical record systems to monitor tobacco-use assessment and intervention in an Individual Practice Association (IPA) Model health maintenance organization (HMO). SO - Nicotine & Tobacco Research. 4 Suppl 1:S9-17, 2002. AS - Nicotine Tob Res. 4 Suppl 1:S9-17, 2002. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bentz CJ AU - Davis N AU - Bayley B FA - Bentz, Charles J FA - Davis, Nancy FA - Bayley, Bruce IN - Bentz, Charles J. Providence Health System, Portland, Oregon, USA. NJ - Nicotine & tobacco research : official journal of the Society for Research on Nicotine and Tobacco VO - 4 Suppl 1 PG - S9-17 PI - Journal available in: Print PI - Citation processed from: Print JC - drz, 9815751 IO - Nicotine Tob. Res. SB - Index Medicus CP - England MH - Costs and Cost Analysis MH - Diagnosis-Related Groups MH - Documentation MH - Feasibility Studies MH - *Health Maintenance Organizations/og [Organization & Administration] MH - Health Promotion/ec [Economics] MH - *Health Promotion/ut [Utilization] MH - Humans MH - *Independent Practice Associations/og [Organization & Administration] MH - *Medical Records Systems, Computerized MH - Oregon/ep [Epidemiology] MH - *Patient Identification Systems MH - Pilot Projects MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - Despite evidence of its effectiveness, tobacco cessation is not systematically addressed in routine healthcare settings. Its measurement is part of the problem. A pilot study was designed to develop and implement two different tobacco tracking systems in two independent primary care offices that participated in an IPA Model health maintenance organization in Portland, Oregon. The first clinic, which utilized a paper-based charting system, implemented CPT-like tracking codes to measure and report tobacco-cessation activities, which were eventually included in the managed-care organization's (MCO) claims database. The second clinic implemented an electronic tracking system based on its computerized electronic medical record (EMR) charting system. This paper describes the pilot study, including the processes involved in building provider acceptance for the new tracking systems in these two clinics, the barriers and successes encountered during implementation, and the resources expended by the clinics and by the MCO during the pilot. The findings from the 3-month implementation period were that documentation of tobacco-use status remained stable at 42-45% in the paper-based clinic and increased from 79% to 88% in the EMR clinic. This pilot study demonstrated that Tracking Codes are a feasible preventive-care tracking system in paper-based medical offices. However, high levels of effort and support are needed, and a critical mass of insurers and health plans would need to adopt Tracking Codes before widespread use could be expected. Results of the EMR-based tracking system are also reviewed and discussed. IS - 1462-2203 IL - 1462-2203 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/14622200210128036 [doi] PP - ppublish LG - English DP - 2002 EZ - 2002/04/12 10:00 DA - 2002/06/29 10:01 DT - 2002/04/12 10:00 YR - 2002 ED - 20020628 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11945214 <997. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11889673 TI - OxyContin Use and Abuse. SO - Clinical Journal of Oncology Nursing. 6(2):109-10, 2002 Mar-Apr. AS - Clin J Oncol Nurs. 6(2):109-10, 2002 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hancock CM AU - Burrow MA FA - Hancock, Christie M FA - Burrow, Melissa A NJ - Clinical journal of oncology nursing VO - 6 IP - 2 PG - 109-10 PI - Journal available in: Print PI - Citation processed from: Print JC - czm, 9705336 IO - Clin J Oncol Nurs SB - Nursing Journal CP - United States MH - *Analgesics, Opioid MH - Education, Medical, Continuing MH - Humans MH - Opioid-Related Disorders/pc [Prevention & Control] MH - *Opioid-Related Disorders MH - *Oxycodone MH - Patient Education as Topic RN - 0 (Analgesics, Opioid) RN - CD35PMG570 (Oxycodone) IS - 1092-1095 IL - 1092-1095 PT - Journal Article ID - 10.1188/02.CJON.109-110 [doi] PP - ppublish LG - English DP - 2002 Mar-Apr EZ - 2002/03/14 10:00 DA - 2002/06/12 10:01 DT - 2002/03/14 10:00 YR - 2002 ED - 20020611 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11889673 <998. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12010703 TI - The impact of a brief interclerkship about substance abuse on medical students' skills. SO - Academic Medicine. 77(5):419-26, 2002 May. AS - Acad Med. 77(5):419-26, 2002 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Matthews J AU - Kadish W AU - Barrett SV AU - Mazor K AU - Field D AU - Jonassen J FA - Matthews, Julia FA - Kadish, William FA - Barrett, Susan V FA - Mazor, Kathleen FA - Field, Deborah FA - Jonassen, Julie IN - Matthews, Julia. Office of Psychiatric Education and Training, Department of Psychiatry, University of Massachusetts Medical School, Worcester, 01655, USA. julia.matthews@umassmed.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 77 IP - 5 PG - 419-26 PI - Journal available in: Print PI - Citation processed from: Print JC - acm, 8904605 IO - Acad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Clinical Clerkship MH - *Clinical Competence MH - *Curriculum MH - Humans MH - Students, Medical MH - *Substance-Related Disorders AB - 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. AB - 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. AB - 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. AB - 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. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 2002 May EZ - 2002/05/16 10:00 DA - 2002/06/12 10:01 DT - 2002/05/16 10:00 YR - 2002 ED - 20020607 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12010703 <999. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11993291 TI - MDMA ('ecstasy') and other 'club drugs'. The new epidemic. [Review] [116 refs] SO - Pediatric Clinics of North America. 49(2):415-33, 2002 Apr. AS - Pediatr Clin North Am. 49(2):415-33, 2002 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Koesters SC AU - Rogers PD AU - Rajasingham CR FA - Koesters, Stephen C FA - Rogers, Peter D FA - Rajasingham, Christiana R IN - Koesters, Stephen C. Department of Internal Medicine, Department of Pediatrics, Ohio State University College of Medicine and Public Health, Columbus Children's Hospital, Columbus, OH, USA. NJ - Pediatric clinics of North America VO - 49 IP - 2 PG - 415-33 PI - Journal available in: Print PI - Citation processed from: Print JC - oum, 0401126 IO - Pediatr. Clin. North Am. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Behavior/px [Psychology] MH - Adult MH - *Disease Outbreaks MH - Hallucinogens/ae [Adverse Effects] MH - *Hallucinogens/pd [Pharmacology] MH - Humans MH - N-Methyl-3,4-methylenedioxyamphetamine/ae [Adverse Effects] MH - *N-Methyl-3,4-methylenedioxyamphetamine/pd [Pharmacology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] AB - 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." [References: 116] RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) IS - 0031-3955 IL - 0031-3955 PT - Journal Article PT - Review ID - S0031-3955(01)00012-8 [pii] PP - ppublish LG - English DP - 2002 Apr EZ - 2002/05/08 10:00 DA - 2002/05/25 10:01 DT - 2002/05/08 10:00 YR - 2002 ED - 20020523 RD - 20171216 UP - 20171218 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=11993291 <1000. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11932854 TI - Substance abuse attitudes and policies in US rehabilitation training programs: a comparison of 1985 and 2000. SO - Archives of Physical Medicine & Rehabilitation. 83(4):517-22, 2002 Apr. AS - Arch Phys Med Rehabil. 83(4):517-22, 2002 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Basford JR AU - Rohe DE AU - Barnes CP AU - DePompolo RW FA - Basford, Jeffrey R FA - Rohe, Daniel E FA - Barnes, Christopher P FA - DePompolo, Robert W IN - Basford, Jeffrey R. Department of Physical Medicine and Rehabilitation, Mayo Clinic and Foundation, Rochester, MN 55905, USA. NJ - Archives of physical medicine and rehabilitation VO - 83 IP - 4 PG - 517-22 PI - Journal available in: Print PI - Citation processed from: Print JC - 2985158r, 8bk IO - Arch Phys Med Rehabil SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Combined Modality Therapy MH - Cross-Sectional Studies MH - *Disabled Persons/rh [Rehabilitation] MH - Disabled Persons/sn [Statistics & Numerical Data] MH - Guidelines as Topic MH - Humans MH - Incidence MH - *Organizational Policy MH - Patient Care Team MH - *Rehabilitation Centers/td [Trends] MH - *Smoking Cessation MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States/ep [Epidemiology] AB - 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. AB - DESIGN: A blinded questionnaire was sent to all US rehabilitation medicine training program directors. Results were compared with a survey conducted in 1985. AB - SETTING: US PM&R residency training programs with inpatient rehabilitation training. AB - PARTICIPANTS: Training directors or their designated agents. AB - 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. AB - MAIN OUTCOME MEASURES: Chi-square analysis to assess changes in responses with time. AB - 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. AB - 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. Copyright 2002 by the American Congress of Rehabilitation Medicine and the American Academy of Physical Medicine and Rehabilitation IS - 0003-9993 IL - 0003-9993 PT - Comparative Study PT - Journal Article ID - S0003-9993(02)39043-9 [pii] PP - ppublish LG - English DP - 2002 Apr EZ - 2002/04/05 10:00 DA - 2002/05/01 10:01 DT - 2002/04/05 10:00 YR - 2002 ED - 20020429 RD - 20161118 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11932854