<1001. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11900514 TI - Summary for patients. Effect of a training program for resident physicians in improving success rate in helping patients quit smoking.[Original report in Ann Intern Med. 2002 Mar 19;136(6):429-37; PMID: 11900495] SO - Annals of Internal Medicine. 136(6):I31, 2002 Mar 19. AS - Ann Intern Med. 136(6):I31, 2002 Mar 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Annals of internal medicine VO - 136 IP - 6 PG - I31 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 - Adolescent MH - Adult MH - Aged MH - *Behavior Therapy MH - *Clinical Competence MH - *Counseling/mt [Methods] MH - Double-Blind Method MH - Family Practice/ed [Education] MH - Female MH - Follow-Up Studies MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] ES - 1539-3704 IL - 0003-4819 PT - Clinical Trial PT - Journal Article PT - Patient Education Handout PT - Randomized Controlled Trial ID - 200203190-00002 [pii] PP - ppublish LG - English DP - 2002 Mar 19 EZ - 2002/03/20 10:00 DA - 2002/04/27 10:01 DT - 2002/03/20 10:00 YR - 2002 ED - 20020426 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11900514 <1002. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11900495 TI - Efficacy of resident training in smoking cessation: a randomized, controlled trial of a program based on application of behavioral theory and practice with standardized patients.[Summary for patients in Ann Intern Med. 2002 Mar 19;136(6):I31; PMID: 11900514] SO - Annals of Internal Medicine. 136(6):429-37, 2002 Mar 19. AS - Ann Intern Med. 136(6):429-37, 2002 Mar 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cornuz J AU - Humair JP AU - Seematter L AU - Stoianov R AU - van Melle G AU - Stalder H AU - Pecoud A FA - Cornuz, Jacques FA - Humair, Jean-Paul FA - Seematter, Laurence FA - Stoianov, Rebecca FA - van Melle, Guy FA - Stalder, Hans FA - Pecoud, Alain IN - Cornuz, Jacques. Lausanne University Outpatient Clinic and Institute of Social and Preventive Medicine, Lausanne, Switzerland. Jacques.Cornuz@chuv.hospvd.ch NJ - Annals of internal medicine VO - 136 IP - 6 PG - 429-37 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 - Adolescent MH - Adult MH - Aged MH - *Behavior Therapy MH - *Clinical Competence MH - *Counseling/mt [Methods] MH - Double-Blind Method MH - Family Practice/ed [Education] MH - Female MH - Follow-Up Studies MH - Humans MH - Hyperlipidemias/pc [Prevention & Control] MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Motivation MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] AB - BACKGROUND: New educational programs must be developed to improve physicians' skills and effectiveness in counseling patients about smoking cessation. AB - OBJECTIVE: To assess the efficacy of an educational program based on behavioral theory, active learning methods, and practice with standardized patients in helping patients abstain from smoking and changing physicians' counseling practices. AB - DESIGN: Cluster randomized, controlled trial. AB - SETTING: Two general internal medicine clinics in Switzerland. AB - PARTICIPANTS: 35 residents and 251 consecutive smoking patients. AB - INTERVENTION: A training program administered over two half-days, during which physicians learned to provide counseling that matched smokers' motivation to quit and practiced these skills with standardized patients acting as smokers at different stages of change. The control intervention was a didactic session on management of dyslipidemia. AB - MEASUREMENTS: Self-reported abstinence from smoking at 1 year of follow-up, which was validated by exhaled carbon monoxide testing at one clinic; score of overall quality of counseling based on use of 14 counseling strategies; patient willingness to quit; and daily cigarette consumption. AB - RESULTS: At 1 year of follow-up, abstinence from smoking was significantly higher in the intervention group than in the control group (13% vs. 5%; P = 0.005); this corresponded to a cluster-adjusted odds ratio of 2.8 (95% CI, 1.4 to 5.5). Residents who received the study training provided better counseling than did those who received the control training (mean score, 4.0 vs. 2.7; P = 0.002). Smokers' willingness to quit was also higher in the intervention group (94% vs. 80%; P = 0.007). A nonsignificant trend toward lower daily cigarette consumption in the intervention group was observed. AB - CONCLUSION: A training program in smoking cessation administered to physicians that was based on behavioral theory and practice with standardized patients significantly increased the quality of physicians' counseling, smokers' motivation to quit, and rates of abstinence from smoking at 1 year. ES - 1539-3704 IL - 0003-4819 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - 200203190-00006 [pii] PP - ppublish LG - English DP - 2002 Mar 19 EZ - 2002/03/20 10:00 DA - 2002/04/27 10:01 DT - 2002/03/20 10:00 YR - 2002 ED - 20020426 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11900495 <1003. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11760866 TI - Complicated dual diagnosis: a case for physician involvement in addictions treatment. SO - International Journal of Psychiatry in Medicine. 31(2):233-5, 2001. AS - Int J Psychiatry Med. 31(2):233-5, 2001. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bobo WV AU - Miller SC FA - Bobo, W V FA - Miller, S C IN - Bobo, W V. National Capital Area Military Psychiatry Residency, Washington, DC, USA. NJ - International journal of psychiatry in medicine VO - 31 IP - 2 PG - 233-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 0365646, gsj IO - Int J Psychiatry Med SB - Index Medicus CP - United States MH - Adult MH - Brain Injuries/px [Psychology] MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Humans MH - *Physician's Role MH - *Psychotic Disorders/co [Complications] MH - Psychotic Disorders/et [Etiology] MH - *Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/th [Therapy] AB - Despite the high prevalence of substance use disorders, the prevention and treatment of such illnesses seem to receive little attention during physician training. This provides cause for concern, as physician involvement in addiction treatment has been relatively sparse. We present the case of a patient whose successful treatment likely relied upon her physicians' intensive training in each of the biological, psychological, and social aspects of her clinical presentation. The case illustrates the need for added emphasis on the assessment and treatment of addictive disorders during medical training, and for more active physician involvement in addictions treatment. IS - 0091-2174 IL - 0091-2174 PT - Case Reports PT - Journal Article ID - 10.2190/8YRG-3WCB-RYDX-GD5H [doi] PP - ppublish LG - English DP - 2001 EZ - 2002/01/05 10:00 DA - 2002/04/18 10:01 DT - 2002/01/05 10:00 YR - 2001 ED - 20020417 RD - 20170214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11760866 <1004. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11825855 TI - Early intervention for problem drinkers: readiness to participate among general practitioners and nurses in Swedish primary health care. SO - Alcohol & Alcoholism. 37(1):38-42, 2002 Jan-Feb. AS - Alcohol Alcohol. 37(1):38-42, 2002 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johansson K AU - Bendtsen P AU - Akerlind I FA - Johansson, Kjell FA - Bendtsen, Preben FA - Akerlind, Ingemar IN - Johansson, Kjell. Faculty of Health Sciences, Department of Health and Environment, Division of Preventive and Social Medicine, Linkoping University, S-581 85 Linkoping, Sweden. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 37 IP - 1 PG - 38-42 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Attitude of Health Personnel MH - Clinical Competence MH - Education, Medical, Continuing MH - Humans MH - *Nurses/px [Psychology] MH - Physicians, Family/ed [Education] MH - *Physicians, Family/px [Psychology] MH - *Primary Health Care MH - Surveys and Questionnaires MH - Sweden AB - An exploration was made of attitudes and practices of general practitioners (GPs) and nurses concerning early identification of, and intervention for, alcohol-related problems. Sixty-five GPs and 141 nurses in 19 primary health centres in a county in southern Sweden answered a 28-item questionnaire before implementation of an intervention programme. The questionnaire covered experiences with patients with alcohol-related health problems, knowledge and perceived capacity concerning early identification and intervention, attitudes towards the role of primary care staff in early identification and intervention and current intervention methods in use at the health centre. Self-reported frequency of asking about alcohol use was higher among GPs than nurses. Both groups reported more frequently asking about alcohol consumption in cases where they believed that the health status was influenced by alcohol. For both professions, knowledge and skills concerning identification were rated as better understood than that concerning intervention methods. Nurses rated their knowledge and skills less confidently than GPs. The overall attitude was fairly positive towards early identification and intervention, but nurses were more worried than GPs that patients would react negatively to questions about alcohol. Attitudes, self-rated capacity, and practice were related. The low level of early identification and intervention in primary care appears to be related more to insufficient practical skills than to attitudes. Nurses appear to be an unexploited resource, in need of training and support. Nurses may need to be convinced that an active role does not interfere with the nurse-patient relationship. Building teams of GPs and nurses in primary care might enhance the dissemination of alcohol prevention into regular practice. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PP - ppublish LG - English DP - 2002 Jan-Feb EZ - 2002/02/05 10:00 DA - 2002/03/29 10:01 DT - 2002/02/05 10:00 YR - 2002 ED - 20020328 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11825855 <1005. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11852601 TI - Residents' page. Requiem for Mr Bojangles. SO - Canadian Family Physician. 48:120-2, 130-1, 2002 Jan. AS - Can Fam Physician. 48:120-2, 130-1, 2002 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chang J FA - Chang, Jason IN - Chang, Jason. University of Alberta, Edmonton. NJ - Canadian family physician Medecin de famille canadien VO - 48 PG - 120-2, 130-1 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/PMC2213921 SB - Index Medicus CP - Canada MH - Adult MH - *Alcoholism/co [Complications] MH - Humanism MH - Humans MH - *Internship and Residency MH - Male MH - Medical History Taking MH - Middle Aged MH - Myocardial Infarction/di [Diagnosis] MH - *Myocardial Infarction/th [Therapy] IS - 0008-350X IL - 0008-350X PT - Case Reports PT - Journal Article ID - PMC2213921 [pmc] PP - ppublish LG - English LG - French DP - 2002 Jan EZ - 2002/02/21 10:00 DA - 2002/03/13 10:01 DT - 2002/02/21 10:00 YR - 2002 ED - 20020312 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11852601 <1006. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11579623 TI - Self-help strategies among patients with substance use disorders. SO - American Journal on Addictions. 10(3):249-57, 2001. AS - Am J Addict. 10(3):249-57, 2001. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J AU - Myott S AU - Aarts R AU - Thuras P FA - Westermeyer, J FA - Myott, S FA - Aarts, R FA - Thuras, P IN - Westermeyer, J. Department of Psychiatry, Department of Veterans Affairs Medical Center, University of Minnesota, 1 Veterans Dr., Minneapolis, MN 55417, USA. weste010@umn.edu NJ - The American journal on addictions VO - 10 IP - 3 PG - 249-57 PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - Female MH - Health Promotion MH - Humans MH - Male MH - Retrospective Studies MH - *Self-Help Groups MH - *Substance-Related Disorders/rh [Rehabilitation] AB - The objective of this study was to determine (1) the type and extent of self-help efforts among patients presenting for treatment of substance use disorders, and (2) the association of self-help with demographic and clinical characteristics. A retrospective report of life self-help methods, current demographic characteristics, and current and lifetime clinical characteristics was used. Six hundred and forty-two patients in treatment for substance use disorder were interviewed at one of two university medical centers with Alcohol-Drug Programs located within departments of psychiatry. A research associate (RA) interviewed patients regarding seven types of self-help involving specific, mutually exclusive behaviors and rated the patient's lifetime self-help methods. The patient, RA, and addiction psychiatrists provided demographic, familial, and clinical information. Most patients (78%) had tried one or more types of self-help, with a mean of 2.7 methods per patient. They more frequently chose methods related to the substance (decreasing amounts or frequency, or changing substance type) or joining a self-help group than methods that involved changing friends, residence, or occupation/job/school. Certain patterns of self-help tended to occur together (e.g., changing substance frequency and dose), whereas others appeared more independent (e.g., joining a self-help group). Some self-help approaches occurred mostly in association with other methods rather than alone (e.g., changing occupation/job/school). More self-help was associated with higher socioeconomic class, more relatives with substance use disorder, greater severity of substance use disorder, and more treatment for substance use disorder. Self-help tends to occur more often after exposure to addicted relatives or addiction treatment. Clinicians and public adult education should promulgate self-help methods in the general population. IS - 1055-0496 IL - 1055-0496 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2001 EZ - 2001/10/03 10:00 DA - 2002/02/28 10:01 DT - 2001/10/03 10:00 YR - 2001 ED - 20020226 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11579623 <1007. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11716668 TI - Pediatric residency training on tobacco: training director tobacco survey. SO - Preventive Medicine. 33(6):688-98, 2001 Dec. AS - Prev Med. 33(6):688-98, 2001 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hymowitz N AU - Schwab J AU - Eckholdt H FA - Hymowitz, N FA - Schwab, J FA - Eckholdt, H IN - Hymowitz, N. Department of Psychiatry, New Jersey Medical School, Newark, NJ 07103, USA. Hymowitz@umdnj.edu NJ - Preventive medicine VO - 33 IP - 6 PG - 688-98 PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Middle Aged MH - *Pediatrics/ed [Education] MH - Physician Executives MH - *Smoking Prevention MH - Surveys and Questionnaires AB - BACKGROUND: Statements from the American Academy of Pediatrics encourage pediatricians to address tobacco. However, most fail to do so and little is known about the preparation to intervene on tobacco they receive during residency training. AB - METHODS: The Pediatric Residency Training Director Tobacco Survey was mailed to all pediatric residency training directors in the United States. The survey assessed the nature of training and supervision on tobacco, barriers to training, and factors that influence the inclusion of tobacco in the residency training curriculum. AB - RESULTS: Seventy percent of the training directors returned the surveys. Relatively few offered training/supervision on tobacco on a formal basis. Training directors were reluctant to treat parents who smoke, were skeptical about third party payer reimbursement, and did not believe that office-based interventions for treating tobacco use among patients were effective. Key barriers to training were competing priorities, lack of training resources, and lack of faculty with expertise on tobacco. AB - CONCLUSION: Residency training is an excellent time to train future pediatricians to intervene on tobacco, but too few pediatric training programs have taken up this charge. Much needs to be done to correct this situation and to prepare future pediatricians to meet the tobacco challenge. Copyright 2001 American Health Foundation and Elsevier Science. IS - 0091-7435 IL - 0091-7435 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1006/pmed.2001.0946 [doi] ID - S0091-7435(01)90946-6 [pii] PP - ppublish LG - English DP - 2001 Dec EZ - 2001/11/22 10:00 DA - 2002/01/31 10:01 DT - 2001/11/22 10:00 YR - 2001 ED - 20020130 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11716668 <1008. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11728787 TI - Practice-based buprenorphine maintenance treatment (BMT): how do French healthcare providers manage the opiate-addicted patients?. SO - Journal of Substance Abuse Treatment. 21(3):135-44, 2001 Oct. AS - J Subst Abuse Treat. 21(3):135-44, 2001 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vignau J AU - Duhamel A AU - Catteau J AU - Legal G AU - Pho AH AU - Grailles I AU - Beauvillain J AU - Petit P AU - Beauvillain P AU - Parquet PJ FA - Vignau, J FA - Duhamel, A FA - Catteau, J FA - Legal, G FA - Pho, A H FA - Grailles, I FA - Beauvillain, J FA - Petit, P FA - Beauvillain, P FA - Parquet, P J IN - Vignau, J. University Hospital, Lille, France. jvignau@nordnet.fr NJ - Journal of substance abuse treatment VO - 21 IP - 3 PG - 135-44 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 - Adult MH - *Buprenorphine/tu [Therapeutic Use] MH - Drug Utilization Review MH - Family Practice/lj [Legislation & Jurisprudence] MH - *Family Practice/sn [Statistics & Numerical Data] MH - Female MH - France MH - *Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Male MH - *Narcotic Antagonists/tu [Therapeutic Use] MH - National Health Programs/lj [Legislation & Jurisprudence] MH - Outcome Assessment (Health Care) MH - Pharmacies/lj [Legislation & Jurisprudence] MH - *Pharmacies/sn [Statistics & Numerical Data] MH - Retrospective Studies MH - Surveys and Questionnaires AB - UNLABELLED: France was the first country to promote the extensive use of buprenorphine for the treatment of drug-addicted subjects through the primary care system. To assess both professional commitment and patients' characteristics, all the physicians and pharmacists of a French area having prescribed/dispensed buprenorphine from 2/12/96 (the official release date) to 1/31/98 were identified from data files of the Health Insurance and then interviewed. During the first 61 weeks of buprenorphine maintenance treatment (BMT), 27.5% of physicians and 51.2% of pharmacists of that area were involved; 142 patient records were documented. Features of the clinical routines spontaneously implemented for practice-based BMT were: a high level of on-site supervised dispensation by the pharmacist (71% at treatment induction and 23% thereafter); the absence of objective measurement of illicit drug use; and a low buprenorphine dosage. These features are consistent with the lack of physicians' experience and training, and also the relatively good status of the population treated (no HIV-positives, heroin use duration averaging 4.2 +/- 3.1 years, and 81.7% with stable accommodations). Despite liberal regulations guiding BMT, a negligible proportion of cases had a "nomadic" attitude (multiple buprenorphine prescribers/deliverers). The treatment outcomes (no deaths, three drug overdoses, improvement in occupational status) are encouraging. AB - CONCLUSION: Practice-based BMT appears to be a safe and acceptable response to moderate heroin addiction, but further training of the professionals involved and longitudinal investigations of individual outcomes are needed. RN - 0 (Narcotic Antagonists) RN - 40D3SCR4GZ (Buprenorphine) IS - 0740-5472 IL - 0740-5472 PT - Journal Article ID - S0740547201001891 [pii] PP - ppublish LG - English DP - 2001 Oct EZ - 2001/12/01 10:00 DA - 2002/01/17 10:01 DT - 2001/12/01 10:00 YR - 2001 ED - 20020116 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11728787 <1009. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11444153 TI - Effects of childhood physical abuse on course and severity of substance abuse. SO - American Journal on Addictions. 10(2):101-10, 2001. AS - Am J Addict. 10(2):101-10, 2001. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J AU - Wahmanholm K AU - Thuras P FA - Westermeyer, J FA - Wahmanholm, K FA - Thuras, P IN - Westermeyer, J. Minneapolis Veterans Affairs Medical Center, 1 Veterans Dr., Minneapolis, MN 55417, USA. weste010@umn.edu NJ - The American journal on addictions VO - 10 IP - 2 PG - 101-10 PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - Child MH - *Child Abuse/px [Psychology] MH - Demography MH - Female MH - Humans MH - Male MH - Prevalence MH - Retrospective Studies MH - Severity of Illness Index MH - Socioeconomic Factors MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - The present study sought to assess the course and severity of Substance Related Disorder (SRD) in relation to childhood physical abuse (CPA) using retrospective data on CPA and current indices of substance use, abuse, and related morbidity. A total of 642 patients were assessed, of whom 195 (30.4%) experienced CPA, were assessed in two university medical centers with Alcohol-Drug Programs located within departments of psychiatry. A research assistant obtained demographic data, family history of substance abuse, problems related to substance abuse, and treatment of substance abuse. Data on severity included two measures of SRD-associated problems (one patient-rated and one psychiatrist-rated), substance abuse vs. dependence, self-help activities, and previous treatment. The study found that patients with CPA were more likely to be women, have lower socioeconomic status, and have more extended family members with substance abuse. Their substance abuse was more severe on five out of six severity measures. Patients with CPA showed more lifetime treatment on three out of four measures. Physical abuse during childhood resulted in a more morbid course of substance abuse later in adulthood. Although female gender and lower SES were both associated with CPA, the relationships were separate (i.e., women did not have lower SES). IS - 1055-0496 IL - 1055-0496 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2001 EZ - 2001/07/11 10:00 DA - 2002/01/05 10:01 DT - 2001/07/11 10:00 YR - 2001 ED - 20020102 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11444153 <1010. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11686750 TI - Mental disturbances and perceived complexity of nursing care in medical inpatients: results from a European study. SO - Journal of Advanced Nursing. 36(3):355-63, 2001 Nov. AS - J Adv Nurs. 36(3):355-63, 2001 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jonge PD AU - Zomerdijk MM AU - Huyse FJ AU - Fink P AU - Herzog T AU - Lobo A AU - Slaets JP AU - Arolt V AU - Balogh N AU - Cardoso G AU - Rigatelli M FA - Jonge, P D FA - Zomerdijk, M M FA - Huyse, F J FA - Fink, P FA - Herzog, T FA - Lobo, A FA - Slaets, J P FA - Arolt, V FA - Balogh, N FA - Cardoso, G FA - Rigatelli, M IN - Jonge, P D. Psychiatry Service, Vrije Universiteit Medical Centre, Amsterdam, The Netherlands. p.dejonge@azvu.nl NJ - Journal of advanced nursing VO - 36 IP - 3 PG - 355-63 PI - Journal available in: Print PI - Citation processed from: Print JC - 7609811, h3l IO - J Adv Nurs SB - Index Medicus SB - Nursing Journal CP - England MH - Activities of Daily Living MH - Aged MH - Alcoholism/cl [Classification] MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/nu [Nursing] MH - Anxiety/cl [Classification] MH - *Anxiety/di [Diagnosis] MH - *Anxiety/nu [Nursing] MH - Case Management MH - Cohort Studies MH - Depression/cl [Classification] MH - *Depression/di [Diagnosis] MH - *Depression/nu [Nursing] MH - Female MH - Humans MH - *Interview, Psychological/st [Standards] MH - Male MH - *Mass Screening/mt [Methods] MH - Mass Screening/st [Standards] MH - Middle Aged MH - *Needs Assessment/og [Organization & Administration] MH - *Nursing Assessment/mt [Methods] MH - Nursing Assessment/st [Standards] MH - Nursing Evaluation Research MH - Predictive Value of Tests MH - *Psychiatric Status Rating Scales/st [Standards] MH - *Severity of Illness Index MH - Somatoform Disorders/cl [Classification] MH - *Somatoform Disorders/di [Diagnosis] MH - *Somatoform Disorders/nu [Nursing] MH - Surveys and Questionnaires AB - AIMS AND OBJECTIVES: The relationship between mental disturbances - anxiety and depression, somatization and alcohol abuse - on admission to internal medicine units and perceived complexity of care as indicated by the nurse at discharge was studied. The goal was to study the utility of short screeners for mental disturbances to select patients for case-management on admission. AB - DESIGN: The study had a cohort design: patients were included on admission and followed through their hospital stay until discharge. The study was conducted within the framework of the European Biomed 1 Risk Factor study. RESEARCH METHODS AND INSTRUMENTS: In the first 3 days of admission the patients were interviewed by a trained health care professional, who scored the SCL-8D, a somatization questionnaire based on the Whiteley-7 and the CAGE. At discharge, nurses rated the complexity of the patient's care. AB - RESULTS: Patients with high scores on anxiety and depression (SCL-8D) and on somatization received higher ratings on perceived nursing complexity than those with low scores, with and without control for age, severity of illness and chronicity. The actual nursing intensity and medical care utilization, as measured daily by means of a checklist, could not explain these relations. No differences were found between patients with high or low scores on alcohol abuse. AB - CONCLUSIONS: The study shows a potential use of screeners for mental disturbances to detect patients for whom nurses might need additional help. However, mental disturbance is not the sole criterion: functional status and other variables that predict medical and nursing care utilization should be included in a screening strategy for case-management programmes. IS - 0309-2402 IL - 0309-2402 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Validation Studies ID - 1983 [pii] PP - ppublish LG - English DP - 2001 Nov EZ - 2001/11/01 10:00 DA - 2002/01/05 10:01 DT - 2001/11/01 10:00 YR - 2001 ED - 20011210 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11686750 <1011. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11506263 TI - Influence of an educational program on medical students' attitudes to substance use disorders in pregnancy. SO - American Journal of Drug & Alcohol Abuse. 27(3):483-90, 2001 Aug. AS - Am J Drug Alcohol Abuse. 27(3):483-90, 2001 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bland E AU - Oppenheimer L AU - Brisson-Carroll G AU - Morel C AU - Holmes P AU - Gruslin A FA - Bland, E FA - Oppenheimer, L FA - Brisson-Carroll, G FA - Morel, C FA - Holmes, P FA - Gruslin, A IN - Bland, E. Department of Obstetrics, Ottawa Hospital, Ontario, Canada. NJ - The American journal of drug and alcohol abuse VO - 27 IP - 3 PG - 483-90 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 - *Attitude of Health Personnel MH - Canada MH - Curriculum MH - Education, Medical MH - Female MH - Humans MH - Pregnancy MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires AB - Substance use disorders (SUDs) in pregnancy are becoming increasingly prevalent. Our study aimed to measure the effect of a teaching module on alcohol, tobacco, and drug use on the attitude of second year medical students toward pregnant women with SUDs. A questionnaire was administered to 84 medical students before a 5-week systems block on human reproduction, which included specific learning events related to SUDs. The questionnaire was readministered at the completion of the block. Pre- and postintervention scores were compared. Students showed significant improvement (p < .05, reliability coefficient 0.90) in their level of comfort in dealing with womenwith SUD in pregnancy. Other positive trends relating to attitudes toward drug- and alcohol-dependent women during pregnancy were also identified. SUD teaching interventions among medical students can improve their comfort level and attitude toward pregnant women with SUDs. This supports the current initiative of Project CREATE (Curriculum Renewal and Evaluation of Addiction Training and Education) to implement a comprehensive undergraduate SUD teaching program in Canadian medical schools. IS - 0095-2990 IL - 0095-2990 PT - Journal Article PP - ppublish LG - English DP - 2001 Aug EZ - 2001/08/17 10:00 DA - 2002/01/05 10:01 DT - 2001/08/17 10:00 YR - 2001 ED - 20011207 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11506263 <1012. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11444717 TI - Surgical patients' fear of addiction to pain medication: the effect of an educational program for clinicians. SO - Clinical Journal of Pain. 17(2):157-64, 2001 Jun. AS - Clin J Pain. 17(2):157-64, 2001 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Greer SM AU - Dalton JA AU - Carlson J AU - Youngblood R FA - Greer, S M FA - Dalton, J A FA - Carlson, J FA - Youngblood, R IN - Greer, S M. School of Nursing, University of North Carolina at Chapel Hill, USA. susan_greer@unc.edu NJ - The Clinical journal of pain VO - 17 IP - 2 PG - 157-64 PI - Journal available in: Print PI - Citation processed from: Print JC - beg, 8507389 IO - Clin J Pain SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Aged, 80 and over MH - *Analgesics, Opioid/ae [Adverse Effects] MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - *Education, Medical MH - *Fear/px [Psychology] MH - Female MH - Humans MH - *Laparotomy/ae [Adverse Effects] MH - *Laparotomy/px [Psychology] MH - Male MH - Middle Aged MH - *Opioid-Related Disorders/et [Etiology] MH - *Opioid-Related Disorders/px [Psychology] MH - *Orthopedic Procedures/ae [Adverse Effects] MH - *Orthopedic Procedures/px [Psychology] MH - Pain Measurement MH - *Pain, Postoperative/dt [Drug Therapy] MH - *Pain, Postoperative/et [Etiology] MH - Patient Satisfaction MH - Physician-Patient Relations MH - Treatment Outcome AB - OBJECTIVE: The appropriate and optimal use of analgesics is essential for the adequate management of postoperative pain. Concern that use of opioid analgesics contributes to the development of addiction is a barrier to effective pain relief. The purpose of this study was to determine the prevalence of fear of addiction in postoperative patients in relation to surgical outcomes and staff participation in an educational program. AB - DESIGN: Two treatment levels (program vs. control) and three data collection periods (before program, immediately after the program, and 6 months after the program). AB - SETTING: Six community hospitals with 100-500-bed capacities in a southeastern state. AB - PATIENTS: Seven hundred eighty-seven patients who had undergone orthopedic or laparotomy procedures. AB - INTERVENTIONS: Staff at three of the six hospitals received an educational program to promote implementation of Agency for Health Care Policy and Research acute pain management guidelines. AB - OUTCOME MEASURES: Patient report of preoperative and postoperative fear of addiction, satisfaction with pain treatment, communication with clinicians, and pain intensity. AB - RESULTS: Only 10.8% of the sample reported preoperative or postoperative fear of addiction. Staff participation in the educational program was found to decrease fear of addiction in this sample. Fear of addiction was also related to surgery type, with disc surgery patients more likely to report fear of addiction as compared with patients undergoing other types of surgery. Fear of addiction was not related to other outcomes in this sample. AB - CONCLUSIONS: Fear of addiction is not prevalent among postoperative patients, yet clinician education can further decrease the proportion of surgical patients who fear of addiction to pain medication. RN - 0 (Analgesics, Opioid) IS - 0749-8047 IL - 0749-8047 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: NR03909 Organization: (NR) *NINR NIH HHS* Country: United States LG - English DP - 2001 Jun EZ - 2001/07/11 10:00 DA - 2002/01/05 10:01 DT - 2001/07/11 10:00 YR - 2001 ED - 20011207 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11444717 <1013. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11433087 TI - Pediatric residency training on tobacco. SO - Pediatrics. 108(1):E8, 2001 Jul. AS - Pediatrics. 108(1):E8, 2001 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 - Eckholdt H FA - Hymowitz, N FA - Schwab, J FA - Eckholdt, H IN - Hymowitz, N. Department of Psychiatry, University of Medicine and Dentistry of New Jersey, New Jersey Medical School, USA. NJ - Pediatrics VO - 108 IP - 1 PG - E8 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 - Child MH - Female MH - Health Behavior MH - *Health Education MH - Humans MH - *Internship and Residency/st [Standards] MH - Logistic Models MH - Male MH - New Jersey MH - Parents/ed [Education] MH - *Patient Education as Topic MH - *Pediatrics/ed [Education] MH - *Physician's Role MH - Prevalence MH - *Smoking Cessation MH - *Smoking Prevention MH - Surveys and Questionnaires MH - Tobacco Smoke Pollution/pc [Prevention & Control] AB - OBJECTIVE: Pediatricians have a unique role to play in the antismoking arena. However, few pediatric residency training programs prepare residents to meet the tobacco challenge. This study evaluates the effects of a comprehensive pediatric residency training program on tobacco on resident tobacco intervention behaviors, as well as on changes in the behavior of patients and their parents/guardians. AB - METHODS: Pediatric residents were exposed to a comprehensive training program on tobacco. Baseline and follow-up surveys of residents, parents/guardians, and patients were used to assess the effects of the training program. A quasi-experimental design permitted unambiguous evaluation of the program's effects on resident intervention behaviors. AB - RESULTS: The comprehensive training program on tobacco led to marked and significant changes in resident intervention on tobacco. Many of these changes were supported by parents' and patients' reports. In turn, resident intervention on tobacco led to a significant increase in the likelihood that parents would maintain a "smoke-free household." Significant changes in the prevalence of parental smoking were not found, although the trend during 3 years of follow-up was in the desired direction. A high proportion of residents reported that they intervened on tobacco in patients at baseline and follow-up, but too few patients were sampled to permit analysis of the impact on changes in smoking. AB - CONCLUSIONS: Comprehensive training on tobacco had a positive and powerful effect on the tobacco intervention behavior of pediatric residents. In turn, intervention on tobacco by pediatric residents may have a significant impact on patients and their parents. These findings underscore the efficacy of pediatric residency training on tobacco, and it is hoped that they will serve as an impetus for other pediatric residency programs to introduce training on tobacco. RN - 0 (Tobacco Smoke Pollution) ES - 1098-4275 IL - 0031-4005 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2001 Jul EZ - 2001/07/04 10:00 DA - 2001/11/03 10:01 DT - 2001/07/04 10:00 YR - 2001 ED - 20011101 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11433087 <1014. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11522157 TI - Smoking in Colombian medical schools: the hidden curriculum. SO - Preventive Medicine. 33(3):170-4, 2001 Sep. AS - Prev Med. 33(3):170-4, 2001 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosselli D AU - Rey O AU - Calderon C AU - Rodriguez MN FA - Rosselli, D FA - Rey, O FA - Calderon, C FA - Rodriguez, M N IN - Rosselli, D. Clinical Epidemiology and Biostatistics Unit, Universidad Javeriana Medical School, Carrera 7 No. 40-62, Bogota, Colombia. diego_rosselli@post.harvard.edu NJ - Preventive medicine VO - 33 IP - 3 PG - 170-4 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 - Colombia/ep [Epidemiology] MH - Education, Medical MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Smoking Prevention MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/pc [Prevention & Control] AB - BACKGROUND: Tobacco companies are focusing their interest in less developed countries. In the absence of governmental opposition, physicians are expected to lead tobacco control efforts. We studied Colombian medical students' smoking prevalence and tobacco attitudes. AB - METHODS: First- and fifth-year students from 11 medical schools in seven Colombian cities answered anonymous, self-administered, 38-item questionnaires. Additionally, smokers answered the Fagerstrom Test for Nicotine Dependence (FTND). AB - RESULTS: Two thousand twenty-one students (males 50.6%; age 15-44, median 19) completed the survey; average response rate was 89.9%. Globally 25.9% of students were current smokers (males 27.9%, females 24.0%). Living at higher altitude and attending private universities were associated with higher prevalence (P < 0.001). Males had a higher chance of having given up smoking (P < 0.05); 91.3% of current smokers would like to quit; 67.3% of all smokers and 44.8% of daily smokers scored 0 in the FTND. Prevalence was similar among first- and fifth-years, but fifth-year students were more complacent with smoking in health centers and showed a lesser desire to quit. AB - CONCLUSIONS: Medical students' smoking prevalence is similar to that of the general population. Tobacco control strategies need to be included in the curriculum. Nicotine addiction does not seem to be the main perpetuating factor. Copyright 2001 American Health Foundation and Academic Press. IS - 0091-7435 IL - 0091-7435 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1006/pmed.2001.0864 [doi] ID - S0091-7435(01)90864-3 [pii] PP - ppublish LG - English DP - 2001 Sep EZ - 2001/08/28 10:00 DA - 2001/10/19 10:01 DT - 2001/08/28 10:00 YR - 2001 ED - 20011018 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11522157 <1015. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11332444 TI - Validation of the screening strategy in the NIAAA "Physicians' Guide to Helping Patients with Alcohol Problems". SO - Journal of Studies on Alcohol. 62(2):234-8, 2001 Mar. AS - J. stud. alcohol. 62(2):234-8, 2001 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Friedmann PD AU - Saitz R AU - Gogineni A AU - Zhang JX AU - Stein MD FA - Friedmann, P D FA - Saitz, R FA - Gogineni, A FA - Zhang, J X FA - Stein, M D IN - Friedmann, P D. Division of General Internal Medicine, Rhode Island Hospital, Brown University School of Medicine, Providence 02903, USA. pfriedmann@lifespan.org NJ - Journal of studies on alcohol VO - 62 IP - 2 PG - 234-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Confidence Intervals MH - Female MH - Humans MH - Male MH - Middle Aged MH - National Institutes of Health (U.S.) MH - *Practice Guidelines as Topic MH - Reproducibility of Results MH - *Substance Abuse Detection/mt [Methods] MH - Substance Abuse Detection/st [Standards] MH - Substance Abuse Detection/sn [Statistics & Numerical Data] MH - *Surveys and Questionnaires MH - United States AB - OBJECTIVE: This study was undertaken to determine the diagnostic test characteristics of the alcohol screening strategy recommended in the National Institute on Alcoholism and Alcohol Abuse (NIAAA) "Physicians' Guide to Helping Patients with Alcohol Problems." AB - METHOD: A research interview was performed on patients who presented to one urban emergency department (N = 395; 61% women). It asked three alcohol consumption questions, the CAGE questionnaire, and about past alcohol problems. The NIAAA-recommended screen was considered positive for alcohol consumption in excess of 14 drinks per week or 4 drinks per occasion for men, or 7 drinks per week or 3 drinks per occasion for women, or a CAGE score of 1 or greater. A sample of patients (n = 250) received the Composite International Diagnostic Interview substance abuse module, a gold standard interview, to determine lifetime or prior 12-month alcohol abuse or dependence; results were adjusted for verification bias. AB - RESULTS: The prevalence of lifetime:alcohol abuse or dependence was 13%, for which the NIAAA strategy was 81% sensitive and 80% specific. The prevalence of alcohol abuse or dependence in the prior 12 months was 10%, for which the strategy was 83% sensitive and 84% specific. Its positive likelihood ratio exceeded that of the CAGE, augmented CAGE or consumption questions alone, and its negative likelihood ratio was the lowest. AB - CONCLUSIONS: The screening strategy combining alcohol consumption and CAGE questions recommended in the NIAAA "Physicians' Guide" is valid, and has superior test characteristics compared to the CAGE alone, in this predominantly black (86%) emergency department population. Its brevity and simple interpretation recommend wider dissemination of the NIAAA "Physicians' Guide," although future research should examine its test characteristics in other clinical settings and with other populations. IS - 0096-882X IL - 0096-882X PT - Clinical Trial PT - Controlled Clinical Trial 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: K08-DA00320 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01-12617 Organization: *PHS HHS* Country: United States GI - No: R01-AA/DA11796 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01-AA10870 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01-DA10019 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01-MH61141 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R21-AA12293 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: T26-SP08355 Organization: (SP) *CSAP SAMHSA HHS* Country: United States etc. LG - English DP - 2001 Mar EZ - 2001/05/03 10:00 DA - 2001/09/14 10:01 DT - 2001/05/03 10:00 YR - 2001 ED - 20010913 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11332444 <1016. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11154710 TI - Perceptions of academic vulnerability associated with personal illness: a study of 1,027 students at nine medical schools. Collaborative Research Group on Medical Student Health. SO - Comprehensive Psychiatry. 42(1):1-15, 2001 Jan-Feb. AS - Compr Psychiatry. 42(1):1-15, 2001 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roberts LW AU - Warner TD AU - Lyketsos C AU - Frank E AU - Ganzini L AU - Carter D FA - Roberts, L W FA - Warner, T D FA - Lyketsos, C FA - Frank, E FA - Ganzini, L FA - Carter, D IN - Roberts, L W. Department of Psychiatry, University of New Mexico School of Medicine, Albuquerque 87131, USA. NJ - Comprehensive psychiatry VO - 42 IP - 1 PG - 1-15 PI - Journal available in: Print PI - Citation processed from: Print JC - do9, 0372612 IO - Compr Psychiatry SB - Index Medicus CP - United States MH - Adult MH - *Attitude of Health Personnel MH - Confidentiality MH - Cross-Sectional Studies MH - *Educational Status MH - Female MH - Health Surveys MH - Humans MH - Incidence MH - Male MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/px [Psychology] MH - *Needs Assessment/sn [Statistics & Numerical Data] MH - Patient Acceptance of Health Care/px [Psychology] MH - Patient Acceptance of Health Care/sn [Statistics & Numerical Data] MH - *Sick Role 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 - United States/ep [Epidemiology] AB - About one quarter of the more than 69,000 medical students in this country suffer symptoms of mental illness, including 7% to 18% with substance use disorders. Subjective distress and physical health needs of medical students are also common and have been linked to training stresses. This first large-scale study of medical student health care examined students' physical and mental health concerns and their perceptions of academic vulnerability associated with personal illness. A 7-page, confidential written survey was given to 1,964 students at nine US medical schools in 1996 and 1997. A total of 1,027 students participated (52% response rate). Nearly all (90%) reported needing care for various health concerns, including 47% having at least one mental health or substance-related health issue. A majority of students expressed a preference for health care outside their training institution, largely due to confidentiality concerns, and 90% preferred health insurance allowing off-site care. Students expressed varying levels of concern about academic jeopardy in association with personal illness, with physical health problems such as arthritis causing the least concern and alcohol and drug abuse triggering the most concern. Consistent differences were detected in these views based on respondent's gender, training level, and institution. Most medical students perceive the need for personal health care. Nevertheless, fear of academic reprisal may prevent medical students from seeking necessary care for their health problems during training. This phenomenon may be linked in important but poorly recognized ways to emerging illness and to impairment among medical students and physicians. Women, minority, and clinical students appear more sensitive to the connection between health and academic vulnerability. Constructive implications for medical school curricula, policies, and health care services are discussed. IS - 0010-440X IL - 0010-440X PT - Journal Article ID - S0010440X01032540 [pii] PP - ppublish LG - English DP - 2001 Jan-Feb EZ - 2001/01/13 DA - 2001/09/08 10:01 DT - 2001/01/13 00:00 YR - 2001 ED - 20010906 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11154710 <1017. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11435233 TI - Treating nicotine addiction: not a medical problem?. [Review] [35 refs] SO - American Journal of Respiratory & Critical Care Medicine. 164(1):13-5, 2001 Jul 01. AS - Am J Respir Crit Care Med. 164(1):13-5, 2001 Jul 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Britton J AU - Jarvis M AU - McNeill A AU - Bates C AU - Cuthbertson L AU - Godfrey C FA - Britton, J FA - Jarvis, M FA - McNeill, A FA - Bates, C FA - Cuthbertson, L FA - Godfrey, C IN - Britton, J. Division of Respiratory Medicine, University of Nottingham, Nottingham, United Kingdom. j.britton@virgin.net NJ - American journal of respiratory and critical care medicine VO - 164 IP - 1 PG - 13-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 9421642, bzs IO - Am. J. Respir. Crit. Care Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Education, Medical, Undergraduate MH - Humans MH - *Lung Diseases/et [Etiology] MH - Lung Diseases/mo [Mortality] MH - Physician's Role MH - *Smoking Cessation MH - Tobacco Use Disorder/co [Complications] MH - Tobacco Use Disorder/ep [Epidemiology] MH - Tobacco Use Disorder/th [Therapy] MH - *Tobacco Use Disorder MH - United Kingdom MH - United States IS - 1073-449X IL - 1073-449X PT - Journal Article PT - Review ID - 10.1164/ajrccm.164.1.2010034 [doi] PP - ppublish LG - English DP - 2001 Jul 01 EZ - 2001/07/04 10:00 DA - 2001/08/10 10:01 DT - 2001/07/04 10:00 YR - 2001 ED - 20010809 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11435233 <1018. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11383146 TI - [Care of patients with substance-induced mental disorders]. [Japanese] SO - Seishin Shinkeigaku Zasshi - Psychiatria et Neurologia Japonica. 103(3):286-7, 2001. AS - Seishin Shinkeigaku Zasshi. 103(3):286-7, 2001. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Saito T FA - Saito, T NJ - Seishin shinkeigaku zasshi = Psychiatria et neurologia Japonica VO - 103 IP - 3 PG - 286-7 PI - Journal available in: Print PI - Citation processed from: Print JC - qam, 9801787 IO - Seishin Shinkeigaku Zasshi SB - Index Medicus CP - Japan MH - Community Mental Health Services MH - Education, Medical MH - Health Education MH - Humans MH - *Psychoses, Substance-Induced/rh [Rehabilitation] MH - Self-Help Groups MH - Substance Abuse Treatment Centers MH - Substance-Related Disorders IS - 0033-2658 IL - 0033-2658 PT - Journal Article PP - ppublish LG - Japanese DP - 2001 EZ - 2001/06/01 10:00 DA - 2001/07/28 10:01 DT - 2001/06/01 10:00 YR - 2001 ED - 20010726 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11383146 <1019. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11097190 TI - Course, severity, and treatment of substance abuse among women versus men. SO - American Journal of Drug & Alcohol Abuse. 26(4):523-35, 2000 Nov. AS - Am J Drug Alcohol Abuse. 26(4):523-35, 2000 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J AU - Boedicker AE FA - Westermeyer, J FA - Boedicker, A E IN - Westermeyer, J. Minneapolis VA Medical Center, and University of Minnesota, 55417, USA. NJ - The American journal of drug and alcohol abuse VO - 26 IP - 4 PG - 523-35 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 - Disease Progression MH - Female MH - Humans MH - Male MH - Retrospective Studies MH - Severity of Illness Index MH - Sex Distribution MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - OBJECTIVE: To assess the course and severity of substance-related disorder (SRD) in relation to gender. AB - DESIGN: Retrospective data on course were obtained for several indices of substance use, abuse, and related morbidity. AB - SETTING: Two university medical centers with alcohol-drug programs located in departments of psychiatry. AB - SUBJECTS: A total of 642 patients were assessed, of whom 365 (57%) were men and 277 (43%) were women. AB - METHODS: Data on course included demographic characteristics, family history of substance abuse, lifetime use, age at first use, years of use, use in the last year, periods of abstinence, and current diagnosis. Data on severity included two measures of SRD-associated problems (one patient rated and one interviewer rated), substance abuse versus dependence, self-help activities, and previous treatment. AB - RESULTS: Women were more apt to be homemakers; to have a sibling or, if married, a spouse who abused substances; to be less apt to have ever used hallucinogens or inhalants; to have used substances for fewer years; to have used cannabis and inhalants for fewer days in the last year; to have a lower rate of current cannabis abuse/dependence; to have fewer legal problems related to substances (especially driving while intoxicated [DWI] charges); to have fewer outpatient admissions to treatment; to have fewer admissions to substance abuse treatment (all categories together), fewer lifetime days in treatment, and lower overall treatment cost (for all categories of treatment together). AB - CONCLUSIONS: These data confirm earlier reports of a shorter course, less deviant drug usage, and--if married--a substance-abusing spouse. In addition, we found higher rates of familial substance abuse and lower rates of lifetime admissions, treatment days, and total cost of substance abuse treatment. Homemaking responsibilities, a substance-abusing spouse, a male-oriented treatment system, and/or a more rapid course may reduce substance abuse treatment for women. IS - 0095-2990 IL - 0095-2990 PT - Comparative Study PT - Evaluation Studies PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2000 Nov EZ - 2000/11/30 11:00 DA - 2001/07/13 10:01 DT - 2000/11/30 11:00 YR - 2000 ED - 20010712 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11097190 <1020. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11386286 TI - Testing poor pregnant women for cocaine--physicians as police investigators. SO - New England Journal of Medicine. 344(22):1729-32, 2001 05 31. AS - N Engl J Med. 344(22):1729-32, 2001 05 31. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Annas GJ FA - Annas, G J IN - Annas, G J. Health Law Department, Boston University School of Public Health, USA. NJ - The New England journal of medicine VO - 344 IP - 22 PG - 1729-32 PI - Journal available in: Print PI - Citation processed from: Print JC - 0255562, now IO - N. Engl. J. Med. OI - Source: KIE. 102991 SB - Core Clinical Journals (AIM) SB - Bioethics Journals SB - Index Medicus CP - United States MH - Child Abuse/lj [Legislation & Jurisprudence] MH - *Cocaine-Related Disorders/di [Diagnosis] MH - Female MH - Humans MH - Infant, Newborn MH - Informed Consent/lj [Legislation & Jurisprudence] MH - *Law Enforcement MH - Organizational Policy MH - *Physician-Patient Relations MH - Poverty MH - Pregnancy MH - *Pregnancy Complications/di [Diagnosis] MH - *Pregnant Women MH - Schools, Medical/og [Organization & Administration] MH - South Carolina MH - *Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - *Supreme Court Decisions MH - United States KW - Fourth Amendment; Genetics and Reproduction; Legal Approach NT - Annas, George J NT - 19 refs. NT - KIE Bib: prenatal injuries IS - 0028-4793 IL - 0028-4793 PT - Journal Article ID - 10.1056/NEJM200105313442219 [doi] PP - ppublish LG - English DP - 2001 05 31 EZ - 2001/06/02 10:00 DA - 2001/06/08 10:01 DT - 2001/06/02 10:00 YR - 2001 ED - 20010607 RD - 20170213 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11386286 <1021. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11268827 TI - Modifying residents' professional attitudes about substance abuse treatment and training. SO - American Journal on Addictions. 10(1):40-7, 2001. AS - Am J Addict. 10(1):40-7, 2001. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Karam-Hage M AU - Nerenberg L AU - Brower KJ FA - Karam-Hage, M FA - Nerenberg, L FA - Brower, K J IN - Karam-Hage, M. Department of Psychiatry and Alcohol Research Center, University of Michigan, 400 E. Eisenhower Pkwy. Suite 2A, Ann Arbor, MI 48108, USA. maherakh@umich.edu NJ - The American journal on addictions VO - 10 IP - 1 PG - 40-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - *Attitude of Health Personnel MH - Education, Medical MH - Female MH - Health Care Surveys MH - Humans MH - *Internship and Residency MH - Male MH - Physician's Role MH - *Substance-Related Disorders/th [Therapy] AB - Some physicians have negative attitudes and beliefs towards patients with addiction. Moreover, few residents are inclined towards a subspecialty fellowship in addiction psychiatry. We aimed to determine if a one-day educational conference could facilitate attitudinal change among 52 general psychiatry residents. Significant changes (p < 0.05) in attitudes were reported following the conference, including enhanced beliefs that physicians can motivate their addicted patients to seek treatment and increased physician interest in pursuing advanced addiction training. A one-day educational intervention may be effective in improving professional attitudes toward addiction treatment by reinforcing previously acquired medical education. The duration of these changes remains to be determined. IS - 1055-0496 IL - 1055-0496 PT - Journal Article PP - ppublish LG - English DP - 2001 EZ - 2001/03/28 10:00 DA - 2001/06/08 10:01 DT - 2001/03/28 10:00 YR - 2001 ED - 20010607 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11268827 <1022. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11346561 TI - An integrated approach to a tobacco-dependence curriculum. SO - Academic Medicine. 76(5):521-2, 2001 May. AS - Acad Med. 76(5):521-2, 2001 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spangler JG AU - Enarson C AU - Eldridge C FA - Spangler, J G FA - Enarson, C FA - Eldridge, C IN - Spangler, J G. Wake Forest University School of Medicine, Medical Center Blvd, Winston-Salem, NC 27157, USA. jspangle@wfubmc.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 76 IP - 5 PG - 521-2 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 - *Clinical Clerkship/og [Organization & Administration] MH - Clinical Competence/st [Standards] MH - *Curriculum MH - *Family Practice/ed [Education] MH - Humans MH - Medical History Taking MH - Models, Educational MH - North Carolina MH - Patient Simulation MH - Physical Examination MH - Program Evaluation MH - *Smoking Cessation/mt [Methods] MH - *Students, Medical/px [Psychology] MH - Tobacco Use Disorder/di [Diagnosis] MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 1040-2446 IL - 1040-2446 PT - Evaluation Studies PT - Journal Article PP - ppublish LG - English DP - 2001 May EZ - 2001/05/11 10:00 DA - 2001/06/02 10:01 DT - 2001/05/11 10:00 YR - 2001 ED - 20010531 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11346561 <1023. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11346559 TI - A comprehensive approach to teaching smoking-cessation strategies. SO - Academic Medicine. 76(5):520-1, 2001 May. AS - Acad Med. 76(5):520-1, 2001 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keefe CW AU - Thompson ME AU - Wadland WC FA - Keefe, C W FA - Thompson, M E FA - Wadland, W C IN - Keefe, C W. Office of Medical Education Research and Development, Michigan State University, Lansing, MI 48824, USA. ckeefe@msu.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 76 IP - 5 PG - 520-1 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 - Attitude of Health Personnel MH - *Clinical Clerkship/og [Organization & Administration] MH - Clinical Competence/st [Standards] MH - Comprehensive Health Care/og [Organization & Administration] MH - *Family Practice/ed [Education] MH - Humans MH - Patient Simulation MH - Physician-Patient Relations MH - Practice Guidelines as Topic MH - Program Evaluation MH - Role Playing MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Students, Medical/px [Psychology] MH - *Teaching/og [Organization & Administration] MH - Videotape Recording IS - 1040-2446 IL - 1040-2446 PT - Evaluation Studies PT - Journal Article PP - ppublish LG - English DP - 2001 May EZ - 2001/05/11 10:00 DA - 2001/06/02 10:01 DT - 2001/05/11 10:00 YR - 2001 ED - 20010531 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11346559 <1024. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11346513 TI - Why physicians are unprepared to treat patients who have alcohol- and drug-related disorders. [Review] [57 refs] SO - Academic Medicine. 76(5):410-8, 2001 May. AS - Acad Med. 76(5):410-8, 2001 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller NS AU - Sheppard LM AU - Colenda CC AU - Magen J FA - Miller, N S FA - Sheppard, L M FA - Colenda, C C FA - Magen, J IN - Miller, N S. Department of Psychiatry, A-227 East Fee Hall, College of Human Medicine, Michigan State University, East Lansing, MI 48824, USA. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 76 IP - 5 PG - 410-8 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 - *Attitude of Health Personnel MH - *Clinical Competence/st [Standards] MH - *Curriculum/st [Standards] MH - *Education, Medical/st [Standards] MH - Faculty, Medical MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Needs Assessment/og [Organization & Administration] MH - Organizational Innovation MH - Physician Executives/px [Psychology] MH - *Physicians, Family/ed [Education] MH - Physicians, Family/px [Psychology] MH - Schools, Medical/og [Organization & Administration] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - Most primary care physicians do not feel competent to treat alcohol- and drug-related disorders. Physicians generally do not like to work with patients with these disorders and do not find treating them rewarding. Despite large numbers of such patients, the diagnosis and treatment of alcohol- and drug-related disorders are generally considered peripheral to or outside medical matters and ultimately outside medical education. There is substantial evidence that physicians fail even to identify a large percentage of patients with these disorders. Essential role models are lacking for future physicians to develop the attitudes and training they need to adequately approach addiction as a treatable medical illness. Faculty development programs in addictive disorders are needed to overcome the stigma, poor attitudes, and deficient skills among physicians who provide education and leadership for medical students and residents. The lack of parity with other medical disorders gives reimbursement and education for addiction disorders low priority. Medical students and physicians can also be consumers and patients with addiction problems. Their attitudes and abilities to learn about alcohol- and drug-related disorders are impaired without interventions. Curricula lack sufficient instruction and experiences in addiction medicine throughout all years of medical education. Programs that have successfully changed students' attitudes and skills for treatment of addicted patients continue to be exceptional and limited in focus rather than the general practice in U.S. medical schools. The authors review the findings of the literature on these problems, discuss the barriers to educational reform, and propose recommendations for developing an effective medical school curriculum about alcohol- and drug-related disorders. [References: 57] IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2001 May EZ - 2001/05/11 10:00 DA - 2001/06/02 10:01 DT - 2001/05/11 10:00 YR - 2001 ED - 20010531 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11346513 <1025. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11076116 TI - Medical student attitudes toward drug addiction policy. SO - Journal of Addictive Diseases. 19(3):1-12, 2000. AS - J Addict Dis. 19(3):1-12, 2000. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoffmann NG AU - Chang AJ AU - Lewis DC FA - Hoffmann, N G FA - Chang, A J FA - Lewis, D C IN - Hoffmann, N G. Department of Community Health, Brown University, Providence, RI, USA. NJ - Journal of addictive diseases VO - 19 IP - 3 PG - 1-12 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 MH - *Education, Medical MH - Female MH - *Health Policy MH - Humans MH - Male MH - *Students MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires AB - This study explores the attitudes and perceptions of medical students concerning patients with addictions and policy issues related to drugs. Over 1,250 students from 15 medical schools responded to an anonymous survey concerning their experience and training regarding addictions, and their level of support or opposition for various drug policy approaches. Medical students expressed general support for treatment funding and related demand reduction strategies, but the strength of their support was influenced more by their political orientation than their perception of the effectiveness of the strategy. Students who identified themselves as liberals more strongly favored demand reduction and alternatives strategies such as needle exchange programs and drug courts. Conservatives more strongly favored supply reduction strategies including harsher sanctions for users. Need for additional training in medical school was indicated by the fact that 20% reported no training in addictions. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J069v19n03_01 [doi] PP - ppublish LG - English DP - 2000 EZ - 2000/11/15 11:00 DA - 2001/06/02 10:01 DT - 2000/11/15 11:00 YR - 2000 ED - 20010531 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11076116 <1026. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11289729 TI - Perceived health needs of inner-city street prostitutes: a preliminary study. SO - American Journal of Health Behavior. 25(1):50-9, 2001 Jan-Feb. AS - Am J Health Behav. 25(1):50-9, 2001 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Valera RJ AU - Sawyer RG AU - Schiraldi GR FA - Valera, R J FA - Sawyer, R G FA - Schiraldi, G R IN - Valera, R J. Department of Health Education, University of Maryland, College Park 20742, USA. NJ - American journal of health behavior VO - 25 IP - 1 PG - 50-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 9602338, dz5 IO - Am J Health Behav SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - District of Columbia/ep [Epidemiology] MH - Female MH - *Health Services Needs and Demand MH - Health Status MH - Homeless Persons/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - Middle Aged MH - Motivation MH - *Poverty Areas MH - *Preventive Health Services MH - Sex Work/px [Psychology] MH - *Sex Work MH - *Social Work MH - Stress Disorders, Post-Traumatic/ep [Epidemiology] MH - Substance-Related Disorders/ep [Epidemiology] MH - Violence/sn [Statistics & Numerical Data] AB - OBJECTIVE: To survey inner-city prostitutes' perceived health needs. AB - METHODS: One hundred forty street prostitutes in Washington DC, were surveyed to determine their perceived health needs, in addition to levels of post traumatic stress disorder (PTSD). AB - RESULTS: The final sample comprised 100 individuals, representing 3 subgroups of prostitutes, female, male, and transgender male. Major health needs included protection from physical and sexual assault, social support, counseling, addictions treatment, job training, and medical care. Over 42% of the population was identified as meeting established criteria for PTSD. AB - CONCLUSION: Effective program development for inner-city prostitutes needs to acknowledge the presence of distinct subpopulations and the pervasive influence of PTSD on health status. IS - 1087-3244 IL - 1087-3244 PT - Journal Article PP - ppublish LG - English DP - 2001 Jan-Feb EZ - 2001/04/06 10:00 DA - 2001/05/22 10:01 DT - 2001/04/06 10:00 YR - 2001 ED - 20010510 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11289729 <1027. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11228680 TI - Can a brief clinical practicum influence physicians' communications with patients about alcohol and drug problems? Results of a long-term follow-up. SO - Teaching & Learning in Medicine. 12(2):72-7, 2000. AS - Teach Learn Med. 12(2):72-7, 2000. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Siegal HA AU - Cole PA AU - Li L AU - Eddy MF FA - Siegal, H A FA - Cole, P A FA - Li, L FA - Eddy, M F IN - Siegal, H A. Substance Abuse Intervention Programs, Wright State University School of Medicine, 216 Medical Sciences Building, Dayton, OH 45435, USA. harvey.siegal@wright.edu NJ - Teaching and learning in medicine VO - 12 IP - 2 PG - 72-7 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 MH - *Communication MH - Curriculum MH - Data Interpretation, Statistical MH - *Education, Medical MH - European Continental Ancestry Group MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Multivariate Analysis MH - Odds Ratio MH - *Physician-Patient Relations MH - Primary Health Care MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Time Factors AB - BACKGROUND: A survey was conducted in 1996 to assess the perceptions of medical school graduates concerning alcohol and drug problems among their patients, and their attitudes and comfort toward addressing these issues. Survey questionnaires were sent to all individuals who graduated from Wright State University School of Medicine, Dayton, Ohio, between 1982 and 1990. AB - PURPOSE: The study aimed to assess the long-term impact that participation in a brief clinical experience in tandem with a standard didactic substance abuse curriculum material had on former medical students now in practice. The study examined how these physicians perceived their skills in communicating with their patients about alcohol and drug use, and attendant problems. AB - METHODS: An Alcohol and Drug Use Communication (ADUC) scale was developed by combining several survey items. Data analyses included correlation assessments of the ADUC scale and other variables, and multiple-regression analyses for identifying factors independently associated with the ADUC scale although other factors were controlled. AB - RESULTS: Former students who participated in the brief clinical program, known as the Weekend Intervention Program, as part of their medical school curriculum were more likely to report having better communication concerning alcohol and drug use with their patients than students who only had didactic education. Also, additional training in addictions after graduation was significantly associated with better alcohol and drug use communication between physician and patient. Former students who participated in the Weekend Intervention Program were more than twice as likely as those without the experience to report confronting at least 10% of their patients about their concerns about the patients' alcohol or drug use. AB - CONCLUSIONS: The results of this study suggest that undergraduate medical students' participation in a modest clinical program can enhance substance abuse education. Through increased training in substance abuse, physicians reported greater confidence in their ability to relate to patients with substance abuse problems. IS - 1040-1334 IL - 1040-1334 PT - Comparative Study PT - Journal Article ID - 10.1207/S15328015TLM1202_2 [doi] PP - ppublish LG - English DP - 2000 EZ - 2001/03/07 10:00 DA - 2001/04/06 10:01 DT - 2001/03/07 10:00 YR - 2000 ED - 20010405 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11228680 <1028. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11199238 TI - The effects of a postgraduate course on opioid-prescribing patterns of general practitioners. SO - Journal of Cancer Education. 15(4):214-7, 2000. AS - J Cancer Educ. 15(4):214-7, 2000. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schuit KW AU - Otter R AU - Stewart R AU - Sleijfer DT AU - Meijler WJ AU - Meyboom-De Jong B FA - Schuit, K W FA - Otter, R FA - Stewart, R FA - Sleijfer, D T FA - Meijler, W J FA - Meyboom-De Jong, B IN - Schuit, K W. Comprehensive Cancer Center North Netherlands, Groningen. NJ - Journal of cancer education : the official journal of the American Association for Cancer Education VO - 15 IP - 4 PG - 214-7 PI - Journal available in: Print PI - Citation processed from: Print JC - avy, 8610343 IO - J Cancer Educ SB - Index Medicus CP - England MH - *Drug Utilization MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Fentanyl/tu [Therapeutic Use] MH - Humans MH - Morphine/tu [Therapeutic Use] MH - *Narcotics/tu [Therapeutic Use] MH - Netherlands MH - Odds Ratio MH - *Palliative Care/ut [Utilization] MH - Practice Guidelines as Topic MH - *Practice Patterns, Physicians' AB - BACKGROUND: The objective of this study is to evaluate whether a single palliative cancer care workshop, which included information about drug prescribing, had an effect on the opioid-prescription patterns of general practitioners in daily practice. AB - METHOD: The opioid-prescription figures of 68 general practitioners who had participated in the workshop were aggregated from the computer system of the Regional Sick Fund. The prescription figures of a year before and a year after the workshop were compared and a control group of non-participants was included. AB - RESULTS: This study showed a limited efficacy of a palliative cancer care workshop on the morphine-prescription figures of the general practitioners in daily practice. This limited effect did not accord with the results of a pre- and post-workshop questionnaire evaluating the attitudes of the same practitioners. AB - CONCLUSION: A single workshop can not effectuate substantial changes in prescription behaviors. Possibilities for more reinforcements are discussed. RN - 0 (Narcotics) RN - 76I7G6D29C (Morphine) RN - UF599785JZ (Fentanyl) IS - 0885-8195 IL - 0885-8195 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08858190009528700 [doi] PP - ppublish LG - English DP - 2000 EZ - 2001/02/24 12:00 DA - 2001/04/06 10:01 DT - 2001/02/24 12:00 YR - 2000 ED - 20010405 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11199238 <1029. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11146019 TI - Drug screening versus history in detection of substance use in ED psychiatric patients. SO - American Journal of Emergency Medicine. 19(1):49-51, 2001 Jan. AS - Am J Emerg Med. 19(1):49-51, 2001 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Perrone J AU - De Roos F AU - Jayaraman S AU - Hollander JE FA - Perrone, J FA - De Roos, F FA - Jayaraman, S FA - Hollander, J E IN - Perrone, J. Department of Emergency Medicine, University of Pennsylvania, Philadelphia, PA 19104, USA. Jeanmari@mail.med.upenn.edu NJ - The American journal of emergency medicine VO - 19 IP - 1 PG - 49-51 PI - Journal available in: Print PI - Citation processed from: Print JC - aa2, 8309942 IO - Am J Emerg Med SB - Index Medicus CP - United States MH - Adult MH - Cross-Sectional Studies MH - Emergency Service, Hospital MH - Humans MH - *Mental Disorders/dt [Drug Therapy] MH - Prospective Studies MH - *Substance Abuse Detection/mt [Methods] MH - *Substance-Related Disorders/ep [Epidemiology] AB - Because self-reporting of substance use may not be reliable, physicians rely on drug screening. We tested the hypothesis that drug screening alone is sufficient to detect substance use in ED psychiatric patients. We prospectively evaluated patients receiving psychiatric consultation over 6 months ending in April 1998 in an urban medical/psychiatric ED with 42,000 annual visits. After informed consent, patients underwent a structured interview by trained research associates who queried regarding substance use in the past 3 days. This self-report was compared with urine drug screen results for 11 substances of abuse. Standard descriptive statistical techniques were used. Kappa statistics were used to assess concordance between history and drug screens. Two hundred eighteen patients participated, 124 had a urine drug screen obtained. Patients with and without urine drug screens were similar with respect to age (34.9 versus 34.9 years, P =.3) and psychiatric diagnosis (P =.24). Overall, there was only fair concordance between history and drug screens (kappa = 0.46). History alone detected substance use in 70 patients (57%); drug screening alone detected substance use in 77 patients (62%). The combination of history and drug screening more often detected substance use than either alone (90 pts (73%); P <.05 for both comparisons). Depending on the particular drug, there was wide variation in concordance between history and drug screen (kappa's varied from 0.07 for ethanol to 0. 79 for cocaine). History was better than drug screening for ethanol use (40 versus 10 patients), and THC (28 versus 15 pts). Drug testing alone was never significantly better than history. Although self-reporting of substance use is not reliable, reliance on drug screening alone is also flawed. Optimal identification of drug use in emergency department psychiatric patients requires both history and drug screening. IS - 0735-6757 IL - 0735-6757 PT - Comparative Study PT - Journal Article ID - S0735-6757(01)89996-4 [pii] ID - 10.1053/ajem.2001.20003 [doi] PP - ppublish LG - English DP - 2001 Jan EZ - 2001/01/09 11:00 DA - 2001/04/03 10:01 DT - 2001/01/09 11:00 YR - 2001 ED - 20010329 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11146019 <1030. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11188498 TI - A national survey of training in substance use disorders in residency programs. SO - Journal of Studies on Alcohol. 61(6):912-5, 2000 Nov. AS - J. stud. alcohol. 61(6):912-5, 2000 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Isaacson JH AU - Fleming M AU - Kraus M AU - Kahn R AU - Mundt M FA - Isaacson, J H FA - Fleming, M FA - Kraus, M FA - Kahn, R FA - Mundt, M IN - Isaacson, J H. Department of General Internal Medicine, Cleveland Clinic Foundation, & Ohio State University 44195, USA. isaacs@ccf.org NJ - Journal of studies on alcohol VO - 61 IP - 6 PG - 912-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Medical MH - Humans MH - *Internship and Residency MH - *Specialization MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - OBJECTIVE: To determine the amount of formal training in substance use disorders that occurs in selected residency programs and to identify the perceived barriers to such training. AB - METHOD: A national survey was conducted of program directors in emergency medicine, family medicine, internal medicine, obstetrics/gynecology, osteopathic medicine, pediatrics and psychiatry. In 1997, program directors were mailed a brief survey to determine the extent to which required training in substance use disorders occurred and the median number of hours devoted to substance use disorders training. Follow-up telephone surveys were conducted with faculty designated in the survey as responsible for substance-related disorders training to determine type of training and barriers to training. AB - RESULTS: Of 1,831 program directors, 1,183 (64.6%) responded to the brief survey. The percentage of programs with required substance use disorders training ranged from 31.8% in pediatrics to 95.0% in psychiatry, with 56.3% for all programs combined. The median number of curricular hours ranged from 3 (emergency medicine and OB/GYN) to 12 (family medicine). Time was perceived to be the most common barrier to additional training. AB - CONCLUSIONS: Consistent training for all residents in the initial diagnosis and management of substance use disorders has not been achieved. New strategies that integrate into existing residency structures are needed to improve substance use disorders training. Faculty development in substance use disorders and review of current substance use disorders training as part of the residency review process should facilitate this endeavor. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 103HR960593P000-000 Organization: (HR) *NHLBI NIH HHS* Country: United States LG - English DP - 2000 Nov EZ - 2001/02/24 12:00 DA - 2001/03/17 10:01 DT - 2001/02/24 12:00 YR - 2000 ED - 20010315 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11188498 <1031. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11106706 TI - Development of a state wide tobacco treatment specialist training and certification programme for Massachusetts. SO - Tobacco Control. 9(4):372-81, 2000 Dec. AS - Tob Control. 9(4):372-81, 2000 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pbert L AU - Ockene JK AU - Ewy BM AU - Leicher ES AU - Warner D FA - Pbert, L FA - Ockene, J K FA - Ewy, B M FA - Leicher, E S FA - Warner, D IN - Pbert, L. University of Massachusetts Medical School, Division of Preventive and Behavioral Medicine, Worcester, Massachusetts 01655, USA. lori.pbert@umassmed.edu CM - Comment in: Tob Control. 2000 Dec;9(4):355-8; PMID: 11106697 NJ - Tobacco control VO - 9 IP - 4 PG - 372-81 PI - Journal available in: Print PI - Citation processed from: Print JC - clu, 9209612 IO - Tob Control PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1748396 SB - Index Medicus CP - England MH - Adult MH - *Certification MH - *Education MH - *Education, Medical MH - Female MH - *Health Personnel/ed [Education] MH - *Health Promotion MH - Humans MH - Male MH - Massachusetts MH - *Mental Health Services/sd [Supply & Distribution] MH - Middle Aged MH - *Smoking/th [Therapy] MH - *Specialization AB - OBJECTIVE: To describe the research conducted to structure and develop a statewide tobacco training and certification programme for tobacco treatment specialists (TTSs) in Massachusetts. AB - DESIGN: Qualitative research strategies were used to obtain information on certification development and opinions regarding TTS training and certification from key informants. A role definition and validation study was then conducted to determine the core competencies for TTSs. A comprehensive training programme was developed, piloted, and finalised, and a certification programme was initiated. AB - PARTICIPANTS: Key informants included: individuals involved in the development of their professional certification programmes; tobacco treatment providers from across Massachusetts; and national tobacco treatment experts. AB - MAIN OUTCOME MEASURES: Participants' opinions about the need for and structure of a training and certification programme for individuals specialising in the provision of moderate to intensive tobacco treatment; delineation of core competencies for TTSs, using the Agency for Health Care Policy and Research (now the Agency for Healthcare Research and Quality) clinical practice guideline as a foundation for the development of evidence based standards of practice for the treatment of nicotine dependence. AB - RESULTS: The data support a comprehensive training and certification programme for TTSs in Massachusetts. Main concerns include the cost of obtaining certification, the potential to exclude uncertified healthcare professionals from delivering basic tobacco treatment, and the role of the TTS in the healthcare delivery system and the community. The training programme developed for Massachusetts was piloted, and the structure of a statewide training and certification programme for TTSs was finalised. AB - CONCLUSIONS: The research provides support for the need and acceptance of a training and certification programme for TTSs in Massachusetts, and presents the challenges to be addressed. We demonstrated the feasibility of developing and implementing an evidence based training programme, and of initiating a statewide certification programme in Massachusetts. This work will add to a national dialogue on the development of a training and certification programme for tobacco treatment providers and encourage further research into the potential impact of statewide and national certification. IS - 0964-4563 IL - 0964-4563 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - PMC1748396 [pmc] PP - ppublish LG - English DP - 2000 Dec EZ - 2000/12/07 11:00 DA - 2001/03/03 10:01 DT - 2000/12/07 11:00 YR - 2000 ED - 20010215 RD - 20140615 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11106706 <1032. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11147982 TI - Alcohol and substance abuse among medical residents. SO - JAMA. 284(22):2874, 2000 Dec 13. AS - JAMA. 284(22):2874, 2000 Dec 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Simson JM FA - Simson, J M CM - Comment on: JAMA. 1990 Nov 21;264(19):2511-8; PMID: 2232018 CM - Comment on: JAMA. 2000 Sep 6;284(9):1099-104; PMID: 10974688 NJ - JAMA VO - 284 IP - 22 PG - 2874 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 - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/ep [Epidemiology] MH - Humans MH - Internship and Residency/sn [Statistics & Numerical Data] MH - *Internship and Residency MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Letter ID - jlt1213 [pii] PP - ppublish LG - English DP - 2000 Dec 13 EZ - 2001/01/09 11:00 DA - 2001/02/28 10:01 DT - 2001/01/09 11:00 YR - 2000 ED - 20010118 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11147982 <1033. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11097707 TI - Training physicians about impaired drivers. SO - Annals of Emergency Medicine. 36(6):628-30, 2000 Dec. AS - Ann Emerg Med. 36(6):628-30, 2000 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Runge JW FA - Runge, J W IN - Runge, J W. Department of Emergency Medicine, George Washington University, Washington, DC, USA. NJ - Annals of emergency medicine VO - 36 IP - 6 PG - 628-30 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 - *Accident Prevention MH - *Accidents, Traffic/pc [Prevention & Control] MH - *Alcoholism/di [Diagnosis] MH - *Education, Medical/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - Mass Screening/mt [Methods] MH - *Physician's Role MH - Program Development MH - Program Evaluation MH - Risk Factors MH - United States IS - 0196-0644 IL - 0196-0644 PT - Journal Article ID - S0196064400150036 [pii] PP - ppublish LG - English DP - 2000 Dec EZ - 2000/11/30 11:00 DA - 2001/02/28 10:01 DT - 2000/11/30 11:00 YR - 2000 ED - 20001229 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11097707 <1034. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10890292 TI - Preventing substance use among Native American youth: three-year results. SO - Addictive Behaviors. 25(3):387-97, 2000 May-Jun. AS - Addict Behav. 25(3):387-97, 2000 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schinke SP AU - Tepavac L AU - Cole KC FA - Schinke, S P FA - Tepavac, L FA - Cole, K C IN - Schinke, S P. Columbia University School of Social Work, USA. schinke@columbia.edu NJ - Addictive behaviors VO - 25 IP - 3 PG - 387-97 PI - Journal available in: Print PI - Citation processed from: Print JC - 2gw, 7603486 IO - Addict Behav SB - Index Medicus CP - England MH - Catchment Area (Health) MH - Child MH - Culture MH - Female MH - Follow-Up Studies MH - Health Promotion MH - Humans MH - *Indians, North American/px [Psychology] MH - Male MH - Random Allocation MH - *Substance-Related Disorders/eh [Ethnology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - This study developed and tested skills- and community-based approaches to prevent substance abuse among Native American youth. After completing pretest measurements, 1,396 third- through fifth-grade Native American students from 27 elementary schools in five states were divided randomly by school into two intervention arms and one control arm. Following intervention delivery, youths in all arms completed posttest measurements and three annual follow-up measurements. Youths in schools assigned to the intervention arms learned cognitive and behavioral skills for substance abuse prevention. One intervention arm additionally engaged local community residents in efforts to prevent substance use among Native American youth. Outcome assessment batteries measured youths' reported use of smoked and smokeless tobacco, alcohol, and marijuana. Over the course of the 3.5-year study, increased rates of tobacco, alcohol, and marijuana use were reported by youths across the three arms of the study. Though cigarette use was unaffected by intervention, follow up rates of smokeless tobacco, alcohol, and marijuana use were lower for youths who received skills intervention than for youths in the control arm. Community intervention components appeared to exert no added beneficial influence on youths' substance use, beyond the impact of skills intervention components alone. Finally, gender differences were apparent across substances, measurements, and study arms, with girls smoking more cigarettes and boys using more smokeless tobacco, alcohol, and marijuana. IS - 0306-4603 IL - 0306-4603 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. ID - S0306-4603(99)00071-4 [pii] PP - ppublish GI - No: CA44903 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: DA03277 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2000 May-Jun EZ - 2000/07/13 11:00 DA - 2001/02/28 10:01 DT - 2000/07/13 11:00 YR - 2000 ED - 20001129 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10890292 <1035. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11014057 TI - Physician-based tobacco dependence interventions: review and clinical practice recommendations. [Review] [26 refs] SO - Journal of the Mississippi State Medical Association. 41(9):722-9, 2000 Sep. AS - J Miss State Med Assoc. 41(9):722-9, 2000 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith PO AU - Griebler J AU - Payne TJ AU - Crews KM FA - Smith, P O FA - Griebler, J FA - Payne, T J FA - Crews, K M IN - Smith, P O. Department of Family Medicine, University of Mississippi Medical Center, Jackson 39211, USA. NJ - Journal of the Mississippi State Medical Association VO - 41 IP - 9 PG - 722-9 PI - Journal available in: Print PI - Citation processed from: Print JC - j6f, 7505622 IO - J Miss State Med Assoc SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Curriculum MH - Education, Medical, Continuing/og [Organization & Administration] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Mississippi MH - Patient Education as Topic MH - *Physician's Role MH - Physician-Patient Relations MH - Plants, Toxic MH - *Practice Guidelines as Topic MH - Practice Patterns, Physicians' MH - Program Development MH - Sensitivity and Specificity MH - *Smoking Cessation/mt [Methods] MH - Tobacco/ae [Adverse Effects] MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 0026-6396 IL - 0026-6396 PT - Journal Article PT - Review PP - ppublish LG - English DP - 2000 Sep EZ - 2000/10/03 11:00 DA - 2001/02/28 10:01 DT - 2000/10/03 11:00 YR - 2000 ED - 20001026 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11014057 <1036. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10883411 TI - Use of tangential visual symbols to increase the long-term learning process: applications of linkage in teaching pharmacological principles of addiction. SO - Journal of Clinical Pharmacology. 40(7):708-12, 2000 Jul. AS - J Clin Pharmacol. 40(7):708-12, 2000 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giannini AJ AU - Giannini JN AU - Condon M FA - Giannini, A J FA - Giannini, J N FA - Condon, M IN - Giannini, A J. Department of Corporate Medical Director, Chemical Abuse Centers, Inc., Austintown, Ohio, USA. NJ - Journal of clinical pharmacology VO - 40 IP - 7 PG - 708-12 PI - Journal available in: Print PI - Citation processed from: Print JC - ht9, 0366372 IO - J Clin Pharmacol SB - Index Medicus CP - England MH - Adult MH - *Audiovisual Aids MH - Communication MH - *Education, Medical/mt [Methods] MH - Female MH - Humans MH - Learning MH - Male MH - *Memory MH - *Pharmacology, Clinical/ed [Education] MH - Students, Medical MH - Substance-Related Disorders AB - Medieval and Renaissance teaching techniques using linkage between course content and tangentially related visual symbols were applied to the teaching of the pharmacological principles of addiction. Forty medical students randomly divided into two blinded groups viewed a lecture. One lecture was supplemented by symbolic slides, and the second was not. Students who viewed symbolic slides had significantly higher scores in a written 15-question multiple-choice test 30 days after the lecture. These results were consistent with learning and semiotic models. These models hypothesize a linkage between conceptual content and perception of visual symbols that thereby increases conceptual retention. Recent neurochemical research supports the existence of a linkage between two chemically distinct memory systems. Simultaneous stimulation of both chemical systems by teaching formats similar to those employed in the study can augment neurochemical signaling in the neocortex. IS - 0091-2700 IL - 0091-2700 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PP - ppublish LG - English DP - 2000 Jul EZ - 2000/07/07 11:00 DA - 2000/10/21 11:01 DT - 2000/07/07 11:00 YR - 2000 ED - 20001019 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10883411 <1037. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10946443 TI - Medical education in substance-related disorders: components and outcome. [Review] [59 refs] SO - Addiction. 95(6):949-57, 2000 Jun. AS - Addiction. 95(6):949-57, 2000 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - el-Guebaly N AU - Toews J AU - Lockyer J AU - Armstrong S AU - Hodgins D FA - el-Guebaly, N FA - Toews, J FA - Lockyer, J FA - Armstrong, S FA - Hodgins, D IN - el-Guebaly, N. Addiction Centre, University of Calgary, Alberta, Canada. NJ - Addiction (Abingdon, England) VO - 95 IP - 6 PG - 949-57 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - *Education, Medical/og [Organization & Administration] MH - Education, Medical, Graduate MH - Education, Medical, Undergraduate MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Learning MH - Male MH - Substance-Related Disorders/th [Therapy] AB - AIMS: To analyze the process of acquisition by physicians of a body of knowledge and skills in the management of substance abuse. AB - DESIGN: A comprehensive search of English-speaking literature was conducted over 20 years. Articles assessing the outcome of educational strategies in undergraduate, graduate and continuing medical education were examined to determine the targeted sample, the educational strategies involved and the outcomes assessed. AB - FINDINGS: Nine studies in undergraduate education, 11 in graduate and 11 in continuing education met the inclusion criteria. They were generally difficult to compare in design, strategy and outcome analysis. Cognitive knowledge and behavioral skills appear to be easier to obtain compared to more complex attitudinal shifts. AB - CONCLUSIONS: There is growing consensus in the selection of a combined didactic and interactive educational strategy but few empirical data as to the more cost-effective learning interventions. Training must be reinforced at regular intervals. While the expanding panoply of interventions available to physicians should enhance the perceptions of role legitimacy and treatment optimism, cohort studies across levels of education, specialty groups and across-substance and other addictive behaviors are required to determine cost-effective educational strategies. [References: 59] IS - 0965-2140 IL - 0965-2140 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PP - ppublish LG - English DP - 2000 Jun EZ - 2000/08/18 11:00 DA - 2000/09/02 11:01 DT - 2000/08/18 11:00 YR - 2000 ED - 20000831 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10946443 <1038. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10869239 TI - Alcohol education for general practitioners in the United Kingdom - a window of opportunity?. [Review] [48 refs] SO - Alcohol & Alcoholism. 35(3):225-9, 2000 May-Jun. AS - Alcohol Alcohol. 35(3):225-9, 2000 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McAvoy BR FA - McAvoy, B R IN - McAvoy, B R. Department of Primary Health Care, School of Health Sciences, The Medical School, Newcastle upon Tyne, UK. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 35 IP - 3 PG - 225-9 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - *Alcoholism/pc [Prevention & Control] MH - Education, Medical, Continuing/mt [Methods] MH - Education, Medical, Continuing/td [Trends] MH - *Education, Medical, Continuing MH - Humans MH - *Physicians, Family/ed [Education] MH - Program Evaluation MH - United Kingdom AB - Alcohol misuse is a major public health problem. In the UK, general practitioners are perceived as key players in prevention and management of alcohol problems, but may not be prepared sufficiently to undertake this work. A systematic review of the literature by computerized search of the Medline database, hand search of review article citations and a survey of relevant educational and training organizations and agencies were undertaken. Although there is no shortage of educational materials, there has been little evaluation of their effectiveness. A need for more training and support has been identified, but this requires better co-ordination and a more multidisciplinary approach. Forthcoming changes in the National Health Service and the organization of continuing professional development offer a unique opportunity to advance this agenda. [References: 48] IS - 0735-0414 IL - 0735-0414 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PP - ppublish LG - English DP - 2000 May-Jun EZ - 2000/06/28 11:00 DA - 2000/09/02 11:01 DT - 2000/06/28 11:00 YR - 2000 ED - 20000829 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10869239 <1039. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10932634 TI - Stress burnout and addiction. SO - Texas Medicine. 95(3):42-52, 1999 Mar. AS - Tex Med. 95(3):42-52, 1999 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Franke J FA - Franke, J CM - Comment in: Tex Med. 1999 Jun;95(6):9; PMID: 10370343 CM - Comment on: Ann Neurol. 2001 Jun;49(6):712-20; PMID: 11409422 NJ - Texas medicine VO - 95 IP - 3 PG - 42-52 PI - Journal available in: Print PI - Citation processed from: Print JC - vna, 0051012 IO - Tex Med SB - Index Medicus CP - United States MH - Burnout, Professional/pc [Prevention & Control] MH - *Burnout, Professional/px [Psychology] MH - Burnout, Professional/rh [Rehabilitation] MH - Education, Medical, Continuing MH - Financial Support MH - Hotlines MH - Humans MH - *Physician Impairment MH - Societies, Medical MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Texas IS - 0040-4470 IL - 0040-4470 PT - Comment PT - Journal Article PP - ppublish LG - English DP - 1999 Mar EZ - 2000/08/10 DA - 2000/08/29 DT - 2000/08/10 00:00 YR - 1999 ED - 20000823 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10932634 <1040. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10897536 TI - GPs' attitudes towards the treatment of drug misusers. SO - British Journal of General Practice. 50(454):385-6, 2000 May. AS - Br J Gen Pract. 50(454):385-6, 2000 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McGillion J AU - Wanigaratne S AU - Feinmann C AU - Godden T AU - Byrne A FA - McGillion, J FA - Wanigaratne, S FA - Feinmann, C FA - Godden, T FA - Byrne, A IN - McGillion, J. University College London. CM - Comment in: Br J Gen Pract. 2000 Aug;50(457):665; PMID: 11042926 CM - Comment in: Br J Gen Pract. 2000 Aug;50(457):665; PMID: 11042927 NJ - The British journal of general practice : the journal of the Royal College of General Practitioners VO - 50 IP - 454 PG - 385-6 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/PMC1313703 SB - Index Medicus CP - England MH - *Attitude of Health Personnel MH - Education, Medical, Continuing MH - Humans MH - London MH - Physicians, Family/ed [Education] MH - *Physicians, Family/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] AB - General practitioners (GPs) are encouraged to play a major part in the care and treatment of drug users; however, many regularly encounter physical or verbal abuse and feel frustration, disappointment, and disillusionment when treating such patients. Furthermore, communication difficulties between doctor and patient and the advent of HIV serve to intensify these problems. In order to address these issues, a questionnaire survey was carried out to assess what proportion of GPs are commonly employed in the management of drug misusers, and to examine the attitudes towards, and knowledge of, the management of these patients. The results show that this group of GPs are concerned about drug misuse in their immediate geographic area and believe it should be detected in general practice. Despite this, fewer than half of the GPs felt they had adequate knowledge of the issues surrounding opiate misuse. This finding certainly raises the question of the availability of training and education in the area of drug misuse. IS - 0960-1643 IL - 0960-1643 PT - Journal Article ID - PMC1313703 [pmc] PP - ppublish LG - English DP - 2000 May EZ - 2000/07/18 DA - 2000/08/19 DT - 2000/07/18 00:00 YR - 2000 ED - 20000817 RD - 20140615 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10897536 <1041. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10809519 TI - Identifying office resource needs of Canadian physicians to help prevent, assess and treat patients with substance use and pathological gambling disorders. SO - Journal of Addictive Diseases. 19(2):43-58, 2000. AS - J Addict Dis. 19(2):43-58, 2000. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rowan MS AU - Galasso CS FA - Rowan, M S FA - Galasso, C S IN - Rowan, M S. Department of Family Medicine, Dalhousie University, Halifax, Nova Scotia, Canada. NJ - Journal of addictive diseases VO - 19 IP - 2 PG - 43-58 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Canada MH - Education, Medical, Continuing MH - *Gambling/px [Psychology] MH - *Health Resources MH - Humans MH - *Needs Assessment MH - Primary Health Care MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - A study was conducted to determine whether there is a need for office-based resources to assist physicians in the prevention, assessment and/or management of patients, self and peers with substance use (excluding alcohol and tobacco) or pathological gambling disorders. The needs assessment was undertaken in three parts. Survey information was collected from 54 respondents including Executive Directors of the Canadian Medical Association's national affiliates and provincial/territorial Divisions, Deputy Ministers of Health, Registrars of provincial/territorial licensing bodies and Deans or Associate Deans of Continuing Medical Education programs in universities. Key informant interviews were conducted with 22 "experts" in the field of substance use and/or pathological gambling disorders. Focus groups were held in Vancouver, Toronto, Ottawa, Montreal and Halifax with 34 physicians who are interested in and whose caseload included patients with substance use and/or gambling disorders. Results suggest that current resources for both substance use and pathological gambling disorders are inadequate for physicians because there are gaps in the types activities and resources available, existing resources have not been effectively diffused or disseminated to physicians and training is needed to complement these resources to encourage proper implementation. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J069v19n02_04 [doi] PP - ppublish LG - English DP - 2000 EZ - 2000/05/16 09:00 DA - 2000/08/19 11:00 DT - 2000/05/16 09:00 YR - 2000 ED - 20000816 RD - 20080512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10809519 <1042. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10929188 TI - Tobacco awareness curricula in medical schools. SO - Annals of Internal Medicine. 133(4):314, 2000 Aug 15. AS - Ann Intern Med. 133(4):314, 2000 Aug 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pitchenik AE AU - O'Connell M AU - Wiener D FA - Pitchenik, A E FA - O'Connell, M FA - Wiener, D NJ - Annals of internal medicine VO - 133 IP - 4 PG - 314 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Adolescent Behavior MH - *Curriculum MH - Florida MH - Humans MH - Pilot Projects MH - *Schools, Medical MH - Smoking Cessation/mt [Methods] MH - Students, Medical IS - 0003-4819 IL - 0003-4819 PT - Letter ID - 200008150-00030 [pii] PP - ppublish LG - English DP - 2000 Aug 15 EZ - 2000/08/06 DA - 2000/08/06 00:01 DT - 2000/08/06 00:00 YR - 2000 ED - 20000811 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10929188 <1043. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10885041 TI - Conversation with Jim Rankin. SO - Addiction. 95(5):667-76, 2000 May. AS - Addiction. 95(5):667-76, 2000 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rankin J FA - Rankin, J NJ - Addiction (Abingdon, England) VO - 95 IP - 5 PG - 667-76 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Canada MH - Education, Medical/og [Organization & Administration] MH - Humans MH - New South Wales MH - *Substance Abuse Treatment Centers/og [Organization & Administration] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0965-2140 IL - 0965-2140 PT - Interview PP - ppublish LG - English DP - 2000 May EZ - 2000/07/08 11:00 DA - 2000/08/06 11:00 DT - 2000/07/08 11:00 YR - 2000 ED - 20000801 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10885041 <1044. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10733725 TI - Comparison of methods for teaching clinical skills in assessing and managing drug-seeking patients. SO - Medical Education. 34(4):285-91, 2000 Apr. AS - Med Educ. 34(4):285-91, 2000 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Taverner D AU - Dodding CJ AU - White JM FA - Taverner, D FA - Dodding, C J FA - White, J M IN - Taverner, D. Department of Clinical and Experimental Pharmacology, University of Adelaide, Adelaide, Australia. NJ - Medical education VO - 34 IP - 4 PG - 285-91 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - *Clinical Competence MH - *Clinical Medicine/ed [Education] MH - Computer-Assisted Instruction MH - *Education, Medical, Undergraduate/mt [Methods] MH - Humans MH - *Patient Acceptance of Health Care MH - Patient Simulation MH - *Physician-Patient Relations MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Video Recording AB - AIMS: New medical graduates lack clinical skills in assessing and managing patients seeking drugs of dependence. This study compares the effectiveness of three different clinical skills training methods, with similar content, which were developed to teach these skills to senior medical students. AB - METHODS: A preliminary survey indicated that common problems seen by primary care practitioners included both new and previously known patients seeking either benzodiazepines or opiates. The common content of the teaching was determined from this survey. A didactic small group tutorial (DT), a video-based tutorial (VBT) using professional actors, and a computer-aided instruction package using digitized video (CAI) were developed with this common content, and trialled with undergraduate medical students over 2 years in a parallel-group design. Outcome was assessed by student feedback, performance on a case-based written examination and by a structured evaluation of interviews with simulated patients requesting drugs. Comparison was also made between methods on the basis of knowledge tests. AB - RESULTS: No difference was seen in written examination and simulated patient outcomes between the three groups. However, the VBT was thought by the students to be preferable to other methods. The estimated development costs of CAI were higher, but total costs over a 6-year period were lower than for the DT and VBT. The results suggest that clinical skills can be taught equally effectively through several different methods. Collaboration between institutions in the development of widely applicable CAI tools should be an efficient and economical mode of teaching with a wide range of applications. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - med493 [pii] PP - ppublish LG - English DP - 2000 Apr EZ - 2000/03/25 09:00 DA - 2000/07/25 11:00 DT - 2000/03/25 09:00 YR - 2000 ED - 20000719 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10733725 <1045. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10733701 TI - Changes in alcohol history taking and management of alcohol dependence by interns at The Royal Adelaide Hospital. SO - Medical Education. 34(3):170-4, 2000 Mar. AS - Med Educ. 34(3):170-4, 2000 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gaughwin M AU - Dodding J AU - White JM AU - Ryan P FA - Gaughwin, M FA - Dodding, J FA - White, J M FA - Ryan, P IN - Gaughwin, M. Acting Director, Drug and Alcohol Resource Unit, Royal Adelaide Hospital, Adelaide, Australia. NJ - Medical education VO - 34 IP - 3 PG - 170-4 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Alcohol Drinking MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - Australia MH - Female MH - Hospitals, General MH - Hospitals, Teaching MH - Humans MH - *Internship and Residency MH - Male MH - *Medical History Taking/mt [Methods] AB - OBJECTIVE: The objective of this study is to determine whether the presence of a drug and alcohol unit and comprehensive medical education have made a difference to the detection and management of alcohol-related problems in a general teaching hospital. AB - METHODS: Data were obtained from hospital case notes before and after the introduction of the drug and alcohol unit and medical education. Samples of general admissions and admissions with an alcohol diagnosis were obtained. The outcome measures included alcohol history taking, quantification of alcohol consumption and management of alcohol dependence. AB - RESULTS: It was found that for the general admission sample, interns were more likely to take an alcohol history, both in the accident and emergency (A&E) department and on the ward, in 1994 compared to 1988. The difference in the A&E department was statistically significant (P = 0.009). In the A&E department in 1994 there was a greater prevalence of alcohol history taking for male patients (odds ratio (OR) 10.09, 95% confidence interval (CI) 1.89 to 53.70, P = 0.007) compared with female patients (OR = 1.81, 95% CI 0.38 to 8.57, P = 0.045). There were no differences in alcohol history taking by interns in the samples of alcohol-related admissions. There were no statistically significant differences in the prevalence of documenting alcohol histories quantitatively in either sample. The use of alcohol withdrawal charts, ordering diazepam for alcohol withdrawal and ordering drugs which conformed to the hospital formulary all increased significantly by 1994. The prevalence of ordering thiamine and consulting the drug and alcohol unit both decreased slightly by 1994, but not significantly. AB - CONCLUSION: Improvements have been found in the detection and management of alcohol use since the introduction of the Drug and Alcohol Unit and medical education, but there is still room for further improvement and particular areas where greater attention is needed are identified. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - med488 [pii] PP - ppublish LG - English DP - 2000 Mar EZ - 2000/03/25 09:00 DA - 2000/07/25 11:00 DT - 2000/03/25 09:00 YR - 2000 ED - 20000719 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10733701 <1046. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10870498 TI - Stemming needless deaths: "medicalizing" the problem of injection drug use. SO - CMAJ Canadian Medical Association Journal. 162(12):1688-9, 2000 Jun 13. AS - CMAJ. 162(12):1688-9, 2000 Jun 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stevens KD FA - Stevens, K D IN - Stevens, K D. University of British Columbia, Vancouver. kyledstevens@home.com CM - Comment in: CMAJ. 2000 Sep 19;163(6):697; PMID: 11022581 NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 162 IP - 12 PG - 1688-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1232504 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Canada/ep [Epidemiology] MH - Curriculum MH - Education, Medical, Undergraduate MH - Humans MH - Morals MH - Physician-Patient Relations MH - Risk Factors MH - *Substance Abuse, Intravenous/pc [Prevention & Control] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] IS - 0820-3946 IL - 0820-3946 PT - Journal Article ID - PMC1232504 [pmc] PP - ppublish LG - English DP - 2000 Jun 13 EZ - 2000/06/28 11:00 DA - 2000/07/15 11:00 DT - 2000/06/28 11:00 YR - 2000 ED - 20000713 RD - 20140615 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10870498 <1047. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13668050 TI - Theory and practice in teaching medical students in an alcoholism clinic. SO - Quarterly Journal of Studies on Alcohol. 20(2):346-51, 1959 Jun. AS - Q J Stud Alcohol. 20(2):346-51, 1959 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - CLIFFORD BJ FA - CLIFFORD, B J NJ - Quarterly journal of studies on alcohol VO - 20 IP - 2 PG - 346-51 PI - Journal available in: Print PI - Citation processed from: Print JC - ql9, 7503879 IO - Q J Stud Alcohol OI - Source: CLML. 5936:42091:19:175 SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism MH - *Ambulatory Care Facilities MH - *Education, Medical MH - Humans MH - *Students MH - *Students, Medical KW - *ALCOHOLISM; *EDUCATION, MEDICAL IS - 0033-5649 IL - 0033-5649 PT - Journal Article PP - ppublish LG - English DP - 1959 Jun EZ - 1959/06/01 DA - 1959/06/01 00:01 DT - 1959/06/01 00:00 YR - 1959 ED - 20000701 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13668050 <1048. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13638829 TI - California's alcoholic rehabilitation program; a preliminary report. SO - California Medicine. 90(3):224-6, 1959 Mar. AS - Calif Med. 90(3):224-6, 1959 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - AUERBACK A FA - AUERBACK, A NJ - California medicine VO - 90 IP - 3 PG - 224-6 PI - Journal available in: Print PI - Citation processed from: Print JC - cfu, 0410260 IO - Calif Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1577743 OI - Source: CLML. 5936:12721:19 SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - California MH - Follow-Up Studies MH - Humans MH - *Mental Disorders MH - *Schools, Medical MH - United States KW - *ALCOHOLISM/prevention and control AB - CONFRONTED BY THE MOST SERIOUS ALCOHOLISM PROBLEM IN THE UNITED STATES, CALIFORNIA HAS BEGUN AN EXTENSIVE REHABILITATION PROGRAM IN THREE CATEGORIES: Treatment and rehabilitation services; study and investigation; education, information and training. Treatment clinics operate in seven cities and it is proposed to help finance further facilities in communities interested in their local alcoholic problem. Grants to medical schools for improved personnel training are also proposed. Basic and clinical research and epidemiologic, sociologic and follow-up studies are in progress. Public education to the problems of alcoholism, stressing that it is an illness requiring treatment, is under way. This multi-faceted approach is expected to supply answers to many of the questions surrounding alcoholism. IS - 0008-1264 IL - 0008-1264 PT - Journal Article ID - PMC1577743 [pmc] PP - ppublish LG - English DP - 1959 Mar EZ - 1959/03/01 DA - 1959/03/01 00:01 DT - 1959/03/01 00:00 YR - 1959 ED - 20000701 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13638829 <1049. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13595129 TI - A program for the psychiatric training of general practitioners while utilizing their offices as an outpatient facility. SO - American Journal of Psychiatry. 115(6):539-42, 1958 Dec. AS - Am J Psychiatry. 115(6):539-42, 1958 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - SMITH JA AU - STROUGH LC AU - WITTSON C AU - MANSFIELD E FA - SMITH, J A FA - STROUGH, L C FA - WITTSON, C FA - MANSFIELD, E NJ - The American journal of psychiatry VO - 115 IP - 6 PG - 539-42 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry OI - Source: CLML. 5935:24625:20:485 SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism/th [Therapy] MH - *Education, Medical MH - *General Practitioners MH - Humans MH - *Outpatients MH - *Psychiatry/ed [Education] KW - *ALCOHOLISM/therapy; *PSYCHIATRY/education IS - 0002-953X IL - 0002-953X PT - Journal Article ID - 10.1176/ajp.115.6.539 [doi] PP - ppublish LG - English DP - 1958 Dec EZ - 1958/12/01 DA - 1958/12/01 00:01 DT - 1958/12/01 00:00 YR - 1958 ED - 20000701 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13595129 <1050. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10788732 TI - A survey of smoking cessation knowledge, training, and practice among U.S. Army general medical officers. SO - American Journal of Preventive Medicine. 18(4):300-4, 2000 May. AS - Am J Prev Med. 18(4):300-4, 2000 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hepburn MJ AU - Johnson JM AU - Ward JA AU - Longfield JN FA - Hepburn, M J FA - Johnson, J M FA - Ward, J A FA - Longfield, J N IN - Hepburn, M J. Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas, USA. Matthew.Hepburn@AMEDD.Army.Mil NJ - American journal of preventive medicine VO - 18 IP - 4 PG - 300-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - Adult MH - Clinical Competence MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice/sn [Statistics & Numerical Data] MH - Family Practice/td [Trends] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Health Surveys MH - Humans MH - Male MH - Middle Aged MH - Military Medicine/ed [Education] MH - *Military Medicine/sn [Statistics & Numerical Data] MH - Military Personnel/sn [Statistics & Numerical Data] MH - *Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Probability MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires MH - Texas AB - BACKGROUND: Historically, cigarette-smoking rates have been higher among military personnel than among civilians, although recently these rates have decreased. AB - METHODS: In March 1997, a questionnaire assessing (1) training received on smoking cessation, (2) objective knowledge of smoking-cessation techniques, (3) frequency of practice habits, and (4) personal tobacco use among physicians, was successfully mailed to 232 of the total population of 279 Army general medical officers (GMOs). AB - RESULTS: One-hundred-fifty (65%) GMOs returned questionnaires. Of these, 3.3% reported personal cigarette smoking, and 7.3% regularly used smokeless tobacco. During internship, few (13%) GMOs received smoking-cessation training. Primary care programs provided training more frequently than did surgery internship programs. The mean score on the objective knowledge portion was 72%. GMOs had a variable practice pattern in their use of smoking-cessation techniques (percent answering "usually" or "always"): helping patients set quit dates (35%), offering to prescribe the nicotine patch (59%), referring patients to a behavior-modification program (86%). Physicians who received training during internship were significantly more likely (p < 0.01) to help their patients set a quit date. Training did not result in a statistically increased frequency of other practice habits. AB - CONCLUSIONS: GMOs received minimal training on smoking cessation during internship. GMOs refer patients to smoking-cessation classes, reflecting the strategy of the Army Health Promotion program. Strategies to increase the frequency that GMOs prescribe nicotine replacement and assist patients in setting a quit date are needed. Military smoking-cessation efforts may provide valuable lessons for the civilian community. IS - 0749-3797 IL - 0749-3797 PT - Journal Article ID - S0749-3797(00)00123-9 [pii] PP - ppublish LG - English DP - 2000 May EZ - 2000/05/02 09:00 DA - 2000/07/06 11:00 DT - 2000/05/02 09:00 YR - 2000 ED - 20000627 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10788732 <1051. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10850517 TI - Unanticipated reactions to a recent report on alcohol problems among pediatric residents. SO - Archives of Pediatrics & Adolescent Medicine. 154(6):635, 2000 Jun. AS - Arch Pediatr Adolesc Med. 154(6):635, 2000 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knight JR AU - Palacios J AU - Shannon M FA - Knight, J R FA - Palacios, J FA - Shannon, M CM - Comment on: Arch Pediatr Adolesc Med. 1999 Nov;153(11):1181-3; PMID: 10555722 NJ - Archives of pediatrics & adolescent medicine VO - 154 IP - 6 PG - 635 PI - Journal available in: Print PI - Citation processed from: Print JC - 9422751, bwf IO - Arch Pediatr Adolesc Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/ep [Epidemiology] MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Mass Screening/mt [Methods] MH - Patient Selection MH - *Pediatrics/ed [Education] MH - Prevalence IS - 1072-4710 IL - 1072-4710 PT - Comment PT - Letter PP - ppublish LG - English DP - 2000 Jun EZ - 2000/06/13 09:00 DA - 2000/06/24 11:00 DT - 2000/06/13 09:00 YR - 2000 ED - 20000621 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10850517 <1052. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10843275 TI - Improving the quality of VA care for patients with substance-use disorders: the Quality Enhancement Research Initiative (QUERI) substance abuse module. [Review] [11 refs] SO - Medical Care. 38(6 Suppl 1):I105-13, 2000 Jun. AS - Med Care. 38(6 Suppl 1):I105-13, 2000 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Finney JW AU - Willenbring ML AU - Moos RH FA - Finney, J W FA - Willenbring, M L FA - Moos, R H IN - Finney, J W. Center for Health Care Evaluation, Veterans Affairs Palo Alto Health Care System, Menlo Park, California, USA. jfinney@odd.stanford.edu NJ - Medical care VO - 38 IP - 6 Suppl 1 PG - I105-13 PI - Journal available in: Print PI - Citation processed from: Print JC - 0230027, lsm IO - Med Care SB - Index Medicus CP - United States MH - Benchmarking/og [Organization & Administration] MH - Comorbidity MH - Cost of Illness MH - Documentation/mt [Methods] MH - Documentation/st [Standards] MH - Health Services Accessibility/st [Standards] MH - *Health Services Research/og [Organization & Administration] MH - Humans MH - Outcome and Process Assessment (Health Care)/og [Organization & Administration] MH - Practice Guidelines as Topic MH - Quality of Life MH - Risk Factors MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/ec [Economics] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] MH - *Total Quality Management/og [Organization & Administration] MH - United States/ep [Epidemiology] MH - *United States Department of Veterans Affairs/og [Organization & Administration] AB - Substance-use disorders are costly in both human and economic terms and are highly prevalent among patients in the VA Health Care System. The Quality Enhancement Research Initiative (QUERI) Substance Abuse Module (SAM) seeks to enhance identification and management of patients with substance-use disorders seen in primary care and other medical settings; bolster specialized substance-abuse treatment practices; improve care for patients with multiple comorbidities; and strengthen treatment for high-risk and underserved substance-abuse patient subgroups. This article describes how the SAM will achieve these aims by following the QUERI process steps and conducting an integrated set of research projects that incorporates literature reviews and meta-analyses, naturalistic and randomized controlled trials of promising treatments, studies of barriers to guideline implementation, and outcome-oriented evaluations of the implementation of practice guidelines. [References: 11] IS - 0025-7079 IL - 0025-7079 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Review PP - ppublish LG - English DP - 2000 Jun EZ - 2000/06/08 09:00 DA - 2000/06/24 11:00 DT - 2000/06/08 09:00 YR - 2000 ED - 20000616 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10843275 <1053. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10824255 TI - Opium lecture for Medical Society of London. SO - Transactions of the Medical Society of London. 114:51-4, 1997-1998. AS - Trans Med Soc Lond. 114:51-4, 1997-1998. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Verner I FA - Verner, I NJ - Transactions of the Medical Society of London VO - 114 PG - 51-4 PI - Journal available in: Print PI - Citation processed from: Print JC - w88, 7506118 IO - Trans Med Soc Lond SB - Index Medicus SB - History of Medicine Journals CP - England MH - China MH - Commerce/hi [History] MH - History, 17th Century MH - History, 18th Century MH - History, 19th Century MH - Humans MH - *Opioid-Related Disorders/hi [History] MH - *Opium/hi [History] MH - United Kingdom RN - 8008-60-4 (Opium) IS - 0076-6011 IL - 0076-6011 PT - Historical Article PT - Lectures PP - ppublish LG - English DP - 1997-1998 EZ - 1997/01/01 00:00 DA - 2000/06/17 09:00 DT - 1997/01/01 00:00 YR - 1997-1998 ED - 20000615 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10824255 <1054. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10832944 TI - Medical students' attitudes toward pain and the use of opioid analgesics: implications for changing medical school curriculum. SO - Southern Medical Journal. 93(5):472-8, 2000 May. AS - South Med J. 93(5):472-8, 2000 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weinstein SM AU - Laux LF AU - Thornby JI AU - Lorimor RJ AU - Hill CS Jr AU - Thorpe DM AU - Merrill JM FA - Weinstein, S M FA - Laux, L F FA - Thornby, J I FA - Lorimor, R J FA - Hill, C S Jr FA - Thorpe, D M FA - Merrill, J M IN - Weinstein, S M. Department of Neuro-Oncology, University of Texas M.D. Anderson Cancer Center, Houston, USA. NJ - Southern medical journal VO - 93 IP - 5 PG - 472-8 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 - Acute Disease MH - *Analgesics, Opioid/tu [Therapeutic Use] MH - Attitude of Health Personnel MH - *Attitude to Health MH - Chronic Disease MH - Clinical Competence MH - *Curriculum MH - Drug Utilization MH - Drug and Narcotic Control/lj [Legislation & Jurisprudence] MH - *Education, Medical MH - Follow-Up Studies MH - Humans MH - Internal-External Control MH - Medical Laboratory Science MH - Opioid-Related Disorders MH - *Pain/dt [Drug Therapy] MH - Personality MH - Prejudice MH - Regression Analysis MH - Specialization MH - Students, Medical/px [Psychology] MH - *Students, Medical AB - BACKGROUND: Barriers to pain management include physicians' lack of knowledge and attitudes. Our aim was to investigate future physicians' knowledge and attitudes toward pain and the use of opioid analgesics. AB - METHODS: We tested a medical school class during their freshman and senior years. Stepwise regression analysis was used to identify the personal traits that predicted opiophobia. AB - RESULTS: The professionalization process of medical training may reinforce negative attitudes. Psychologic characteristics were associated with reluctance to prescribe opioids, and fears of patient addiction and drug regulatory agency sanctions. AB - CONCLUSIONS: Consistent attitudes were found in senior medical students with preferences for certain specialty areas and the practitioners of their future specialties, suggesting a "preselection" effect. Higher scores on reliance on high technology, external locus of control, and intolerance of clinical uncertainty were associated with higher scores on one or more of the three dimensions of opiophobia. Implications for medical education are discussed. RN - 0 (Analgesics, Opioid) IS - 0038-4348 IL - 0038-4348 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 2000 May EZ - 2000/06/01 09:00 DA - 2000/06/17 09:00 DT - 2000/06/01 09:00 YR - 2000 ED - 20000614 RD - 20111117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10832944 <1055. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10824824 TI - Prisons: learning about women's health and substance abuse. SO - Academic Medicine. 75(5):544, 2000 May. AS - Acad Med. 75(5):544, 2000 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clarke JG AU - Cyr MG AU - Spaulding A FA - Clarke, J G FA - Cyr, M G FA - Spaulding, A IN - Clarke, J G. Department of Corrections, Division of General Medicine, Rhode Island Hospital, Providence 02903, USA. Jennifer_Clarke@Brown.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 75 IP - 5 PG - 544 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 - *Curriculum MH - Female MH - Humans MH - *Internship and Residency MH - *Prisoners MH - Rhode Island MH - *Substance-Related Disorders MH - *Women's Health IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 2000 May EZ - 2000/05/29 09:00 DA - 2000/06/10 09:00 DT - 2000/05/29 09:00 YR - 2000 ED - 20000608 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10824824 <1056. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10775743 TI - A survey of obstetrician-gynecologists on their patients' alcohol use during pregnancy. SO - Obstetrics & Gynecology. 95(5):756-63, 2000 May. AS - Obstet Gynecol. 95(5):756-63, 2000 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Diekman ST AU - Floyd RL AU - Decoufle P AU - Schulkin J AU - Ebrahim SH AU - Sokol RJ FA - Diekman, S T FA - Floyd, R L FA - Decoufle, P FA - Schulkin, J FA - Ebrahim, S H FA - Sokol, R J IN - Diekman, S T. National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Georgia 30341-3724, USA. NJ - Obstetrics and gynecology VO - 95 IP - 5 PG - 756-63 PI - Journal available in: Print PI - Citation processed from: Print JC - oc2, 0401101 IO - Obstet Gynecol SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Abortion, Spontaneous/pc [Prevention & Control] MH - Adult MH - Aged MH - Aged, 80 and over MH - *Alcoholism/co [Complications] MH - Central Nervous System Diseases/pc [Prevention & Control] MH - Congenital Abnormalities/pc [Prevention & Control] MH - *Education, Medical, Continuing MH - Female MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Guidelines as Topic MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - *Obstetrics/st [Standards] MH - Pregnancy MH - *Pregnancy Complications/pc [Prevention & Control] MH - Surveys and Questionnaires MH - United States AB - OBJECTIVE: To examine knowledge, attitudes, current clinical practices, and educational needs of obstetrician-gynecologists regarding patients' alcohol use during pregnancy. AB - METHODS: A 20-item, self-administered questionnaire on patients' prenatal alcohol use was sent to 1000 active ACOG fellows. Responses were analyzed using univariate and multivariate statistical techniques. AB - RESULTS: Of the 60% of the obstetrician-gynecologists who responded to the survey, 97% reported asking their pregnant patients about alcohol use. When a patient reports alcohol use, most respondents reported that they always discuss adverse effects and always advise abstinence. One fifth of the respondents (20%) reported abstinence to be the safest way to avoid all four of the adverse pregnancy outcomes cited (ie, spontaneous abortion, central nervous system impairment, birth defects, and fetal alcohol syndrome); 13% were unsure about levels associated with all of the adverse outcomes; and 4% reported that consumption of eight or more drinks per week did not pose a risk for any of the four adverse outcomes. The two resources that respondents said they needed most to improve alcohol-use assessment were information on thresholds for adverse reproductive outcomes (83%) and referral resources for patients with alcohol problems (63%). AB - CONCLUSION: Efforts should be made to provide practicing obstetrician-gynecologists with updates on the adverse effects of alcohol use by pregnant women and with effective methods for screening and counseling women who report alcohol use during pregnancy. IS - 0029-7844 IL - 0029-7844 PT - Journal Article ID - S0029-7844(99)00616-X [pii] PP - ppublish LG - English DP - 2000 May EZ - 2000/04/25 09:00 DA - 2000/06/08 09:00 DT - 2000/04/25 09:00 YR - 2000 ED - 20000522 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10775743 <1057. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10652058 TI - Medical students, drugs and alcohol: time for medical schools to take the issue seriously. SO - Medical Education. 34(2):86-7, 2000 Feb. AS - Med Educ. 34(2):86-7, 2000 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wallace P FA - Wallace, P IN - Wallace, P. Department of Primary Care Population Sciences, Royal Free University College Medical School, London, UK. CM - Comment on: Med Educ. 2000 Feb;34(2):148-50; PMID: 10652069 NJ - Medical education VO - 34 IP - 2 PG - 86-7 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Alcoholism MH - Curriculum MH - Education, Medical, Undergraduate MH - England/ep [Epidemiology] MH - Humans MH - Organizational Policy MH - Prevalence MH - Schools, Medical MH - *Students, Medical/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0308-0110 IL - 0308-0110 PT - Comment PT - Journal Article ID - med638 [pii] PP - ppublish LG - English DP - 2000 Feb EZ - 2000/01/29 09:00 DA - 2000/05/08 09:00 DT - 2000/01/29 09:00 YR - 2000 ED - 20000504 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10652058 <1058. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10732931 TI - Tobacco dependence curricula in medical schools. SO - JAMA. 283(11):1426-7, 2000 Mar 15. AS - JAMA. 283(11):1426-7, 2000 Mar 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wadland W AU - Keefe C AU - Thompson M AU - Noel M FA - Wadland, W FA - Keefe, C FA - Thompson, M FA - Noel, M CM - Comment on: JAMA. 1999 Sep 1;282(9):825-9; PMID: 10478687 NJ - JAMA VO - 283 IP - 11 PG - 1426-7 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 - *Curriculum MH - *Education, Medical MH - Humans MH - Schools, Medical MH - Smoking Cessation MH - *Tobacco Use Disorder MH - United States IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Letter ID - jlt0315 [pii] PP - ppublish LG - English DP - 2000 Mar 15 EZ - 2000/03/25 09:00 DA - 2000/04/01 09:00 DT - 2000/03/25 09:00 YR - 2000 ED - 20000330 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10732931 <1059. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10574032 TI - [Why talk about alcohol?]. [French, German] OT - Pourquoi parler d'alcool? SO - Praxis. 88(42):1691-2, 1999 Oct 14. AS - Praxis (Bern 1994). 88(42):1691-2, 1999 Oct 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yersin B AU - Wick HD FA - Yersin, B FA - Wick, H D NJ - Praxis VO - 88 IP - 42 PG - 1691-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 101468093 IO - Praxis (Bern 1994) SB - Index Medicus CP - Switzerland MH - Alcohol Withdrawal Delirium/di [Diagnosis] MH - Alcohol Withdrawal Delirium/rh [Rehabilitation] MH - *Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/rh [Rehabilitation] MH - Curriculum MH - Education, Medical MH - Humans MH - *Patient Care Team MH - Switzerland IS - 1661-8157 IL - 1661-8157 PT - Editorial PP - ppublish LG - French LG - German DP - 1999 Oct 14 EZ - 1999/11/26 DA - 1999/11/26 00:01 DT - 1999/11/26 00:00 YR - 1999 ED - 20000120 RD - 20080610 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10574032 <1060. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10456584 TI - Intervention for excessive alcohol consumption in primary health care: attitudes and practices of English general practitioners. SO - Alcohol & Alcoholism. 34(4):559-66, 1999 Jul-Aug. AS - Alcohol Alcohol. 34(4):559-66, 1999 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaner EF AU - Heather N AU - McAvoy BR AU - Lock CA AU - Gilvarry E FA - Kaner, E F FA - Heather, N FA - McAvoy, B R FA - Lock, C A FA - Gilvarry, E IN - Kaner, E F. Department of Primary Health Care, School of Health Sciences, The Medical School, University of Newcastle upon Tyne, UK. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 34 IP - 4 PG - 559-66 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude to Health MH - Education, Medical/st [Standards] MH - Health Promotion MH - Humans MH - Physician-Patient Relations MH - *Practice Patterns, Physicians'/st [Standards] MH - *Preventive Health Services/sd [Supply & Distribution] MH - *Primary Health Care MH - Surveys and Questionnaires MH - United Kingdom AB - General practitioners' (GPs') recognition of, attitudes towards, and intervention for, excessive drinking and alcohol problems among their patients were assessed in a postal questionnaire survey. Levels of recognition of, and intervention for, excessive drinking by GPs were low. GPs did not routinely enquire about alcohol and had managed only small numbers of patients specifically for excessive drinking or alcohol problems in the previous year. Enquiry about alcohol issues was elicited mainly by physical symptoms or by new patient registrations. Although 83% of GPs felt prepared to counsel excessive drinkers, only 21% felt effective in helping patients reduce consumption. Over the past 10 years, there appears to have been an increase in numbers of GPs who feel that they should be working with alcohol issues, but fewer GPs perceive themselves as being effective in this work. The main barriers to brief alcohol intervention were given as insufficient time and training, and lack of help from government policy; the main incentives related to availability of appropriate support services and proven efficacy of brief interventions. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1999 Jul-Aug EZ - 1999/08/24 DA - 1999/08/24 00:01 DT - 1999/08/24 00:00 YR - 1999 ED - 19991229 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10456584 <1061. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10587676 TI - Overcoming barriers to creating a tobacco-use curriculum. SO - Academic Medicine. 74(11):1158-60, 1999 Nov. AS - Acad Med. 74(11):1158-60, 1999 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Short GJ AU - Ricer RE AU - Filak AT Jr FA - Short, G J FA - Ricer, R E FA - Filak, A T Jr IN - Short, G J. University of Cincinnati School of Medicine, Ohio, USA. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 74 IP - 11 PG - 1158-60 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 - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - Ohio MH - Patient Education as Topic MH - Schools, Medical MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 1999 Nov EZ - 1999/12/10 09:00 DA - 2001/03/28 10:01 DT - 1999/12/10 09:00 YR - 1999 ED - 19991223 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10587676 <1062. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10549182 TI - A study on drug abuse among the undergraduate medical students in Calcutta. SO - Journal of the Indian Medical Association. 97(1):20-1, 1999 Jan. AS - J Indian Med Assoc. 97(1):20-1, 1999 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Naskar NN AU - Bhattacharya SK FA - Naskar, N N FA - Bhattacharya, S K IN - Naskar, N N. Department of Community Medicine, Calcutta National Medical College. NJ - Journal of the Indian Medical Association VO - 97 IP - 1 PG - 20-1 PI - Journal available in: Print PI - Citation processed from: Print JC - ifr, 7505608 IO - J Indian Med Assoc SB - Index Medicus CP - India MH - Adolescent MH - Adult MH - Cross-Sectional Studies MH - *Developing Countries MH - Education, Medical, Undergraduate MH - Female MH - Humans MH - Incidence MH - India/ep [Epidemiology] MH - Male MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Urban Population/sn [Statistics & Numerical Data] AB - A study conducted during 1993 among undergraduate medical students in 2 medical colleges of Calcutta indicated that the prevalence of total and current drug abusers were 48.9% and 27.9% respectively of the respondent student population. The drug abuse rate gradually increased with advancement of each academic year i.e., from 24% in the first year to 74.4% in the final year, being maximum (84.5%) in the age group of 25-29 years. The prevalence among boys (58.4%) was significantly higher than that among girls (25.9%). Hostellers were found to be more drug users than non-hostellers. In the pattern of drug abuse, 12.6% of students used tobacco only and 3.6% alcohol only. Most commonly used combination was alcohol, tobacco and other drugs which constituted 12.7% of students. IS - 0019-5847 IL - 0019-5847 PT - Journal Article PP - ppublish LG - English DP - 1999 Jan EZ - 1999/11/05 DA - 1999/11/05 00:01 DT - 1999/11/05 00:00 YR - 1999 ED - 19991202 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10549182 <1063. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10555722 TI - Prevalence of alcohol problems among pediatric residents. SO - Archives of Pediatrics & Adolescent Medicine. 153(11):1181-3, 1999 Nov. AS - Arch Pediatr Adolesc Med. 153(11):1181-3, 1999 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knight JR AU - Palacios JN AU - Shannon M FA - Knight, J R FA - Palacios, J N FA - Shannon, M IN - Knight, J R. Division of General Pediatrics, Children's Hospital, Harvard Medical School, Boston, Mass 02115, USA. knightvj@a1.tch.harvard.edu CM - Comment in: Arch Pediatr Adolesc Med. 2000 Jun;154(6):635; PMID: 10850517 NJ - Archives of pediatrics & adolescent medicine VO - 153 IP - 11 PG - 1181-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 9422751, bwf IO - Arch Pediatr Adolesc Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Data Collection MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Mass Screening/mt [Methods] MH - *Pediatrics/ed [Education] MH - Prevalence AB - OBJECTIVE: To measure the prevalence of alcohol-related problems among pediatric trainees. AB - METHODS: An alcoholism screening test was administered anonymously to participants at a mandatory substance abuse education and prevention program. AB - SETTING: A large urban pediatric residency training program. AB - SUBJECTS: One hundred fifteen pediatric residents attended the program during 3 consecutive years (1996-1998). Eighty-five (74%) screening tests were returned and 81 (70%) were analyzed AB - MAIN OUTCOME MEASURE: The 25-item Michigan Alcoholism Screening Test (MAST). Differential MAST cutpoints have been established to "suggest" or "indicate" a lifetime diagnosis of alcoholism. AB - RESULTS: Twelve residents (15%) had scores suggestive and 6 (7%) indicative of alcoholism. Twenty-eight (35%) admitted to having alcohol-associated amnesia (blackouts), 13 (16%) to "feeling bad" about their drinking, 9 (11%) to drinking before noon, 6 (7%) to getting into fights when drunk, and 2 (2%) to alcohol-related marital problems. However, only 1 (1%) had gone to anyone for help and none admitted to alcohol-related problems at work. AB - CONCLUSIONS: These screening data suggest that alcohol abuse and related problems exist among pediatric trainees at troubling rates. While more than one third of the trainees had experienced a serious consequence from heavy drinking, only 1 had gone for help and problems were not apparent at work. Greater emphasis should be placed on alcohol prevention and early intervention programs as a routine part of pediatric training. IS - 1072-4710 IL - 1072-4710 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: MCJ259360 Organization: *PHS HHS* Country: United States LG - English DP - 1999 Nov EZ - 1999/11/11 DA - 1999/11/11 00:01 DT - 1999/11/11 00:00 YR - 1999 ED - 19991130 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10555722 <1064. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10548170 TI - Impact of two ambulatory care training programs on smoking-cessation activities. SO - Southern Medical Journal. 92(10):977-80, 1999 Oct. AS - South Med J. 92(10):977-80, 1999 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borum ML FA - Borum, M L IN - Borum, M L. Department of Medicine, George Washington University Medical Center, Washington, DC 20037, USA. NJ - Southern medical journal VO - 92 IP - 10 PG - 977-80 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 - African Continental Ancestry Group MH - Aged MH - Aged, 80 and over MH - *Ambulatory Care MH - Counseling MH - District of Columbia MH - European Continental Ancestry Group MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Medical History Taking MH - Middle Aged MH - Physician-Patient Relations MH - Primary Health Care MH - Retrospective Studies MH - Sex Factors MH - *Smoking Cessation MH - Smoking Prevention AB - BACKGROUND: Tobacco use causes significant morbidity and mortality. Resident physicians at the George Washington University Medical Center are trained to counsel patients to stop smoking. AB - METHODS: I retrospectively reviewed charts of 300 patients treated by resident physicians in the Department of Medicine (200) and the Department of Health Care Sciences (100). AB - RESULTS: In the 200 patients cared for by resident physicians in the traditional internal medicine training program, a smoking history was obtained in 93 (47%). Forty-seven patients (51%) smoked, and 7 smokers (15%) were counseled to stop smoking. In 100 patients cared for by resident physicians in the primary care internal medicine training program, a smoking history was obtained in 94 patients (94%). Twenty-three patients (24%) smoked, and 11 (48%) were counseled to stop smoking. AB - CONCLUSION: Resident physicians in the primary care training program obtained more smoking histories and counseled more patients to stop smoking. Further study is necessary to evaluate strategies that can be used in residency training to encourage smoking-cessation counseling. IS - 0038-4348 IL - 0038-4348 PT - Journal Article PP - ppublish LG - English DP - 1999 Oct EZ - 1999/11/05 DA - 1999/11/05 00:01 DT - 1999/11/05 00:00 YR - 1999 ED - 19991117 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10548170 <1065. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10531633 TI - Clinicians' self-assessment. Questions and answers in substance abuse treatment. SO - Journal of Substance Abuse Treatment. 17(3):263-4, 1999 Oct. AS - J Subst Abuse Treat. 17(3):263-4, 1999 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hirsch R FA - Hirsch, R IN - Hirsch, R. Division of Addiction Treatment Services, North Shore-Long Island Jewish Health System, Manhasset, New York, USA. NJ - Journal of substance abuse treatment VO - 17 IP - 3 PG - 263-4 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 - Alcohol-Related Disorders/di [Diagnosis] MH - Canada MH - *Education, Medical, Continuing MH - Humans MH - Methadone/tu [Therapeutic Use] MH - Narcotics/tu [Therapeutic Use] MH - Psychiatry/lj [Legislation & Jurisprudence] MH - Street Drugs/lj [Legislation & Jurisprudence] MH - Substance-Related Disorders/dt [Drug Therapy] MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders/th [Therapy] MH - United States RN - 0 (Narcotics) RN - 0 (Street Drugs) RN - UC6VBE7V1Z (Methadone) IS - 0740-5472 IL - 0740-5472 PT - Journal Article ID - S0740547299000343 [pii] PP - ppublish LG - English DP - 1999 Oct EZ - 1999/10/26 DA - 1999/10/26 00:01 DT - 1999/10/26 00:00 YR - 1999 ED - 19991115 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10531633 <1066. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10558480 TI - Minority fellowship program. CMHS, CSAP, and CSAT, SAMHSA, DHHS. Notice of planned awards for renewal of clinical training grants under the Minority Fellowship Program (MFP) to the American Nurses Association, the American Psychiatric Association (APA) and the Council on Social Work Education (CSWE). SO - Federal Register. 64(78):20009-10, 1999 Apr 23. AS - Fed Regist. 64(78):20009-10, 1999 Apr 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Federal register VO - 64 IP - 78 PG - 20009-10 PI - Journal available in: Print PI - Citation processed from: Print JC - 7808722, b58 IO - Fed Regist SB - Health Technology Assessment Journals CP - United States MH - Career Mobility MH - *Education, Medical/ec [Economics] MH - *Education, Nursing/ec [Economics] MH - *Fellowships and Scholarships MH - *Financing, Government MH - Government Agencies MH - Humans MH - *Mental Health Services/ec [Economics] MH - *Minority Groups MH - Organizations MH - Social Work/ed [Education] MH - United States AB - SAMHSA plans to award renewal MFP grants to the ANA, APA, and CSWE to help facilitate the entry of ethnic minority students into mental health and/or substance abuse careers and increase the number of nurses, psychiatrists, and social workers trained to teach, administer, and provide direct mental health and substance abuse services to ethnic minority groups. The project period is anticipated to be 3 years. The first year will be funded for up to $400,000 for each award. This is not a general request for applications. The renewal clinical training grants will only be made to the ANA, APA, and the CSWE based on the receipt of satisfactory applications that are considered to have sufficient merit by an Initial Review Group and the National Advisory Council. IS - 0097-6326 IL - 0097-6326 PT - Journal Article PP - ppublish LG - English DP - 1999 Apr 23 EZ - 1999/11/11 DA - 1999/11/11 00:01 DT - 1999/11/11 00:00 YR - 1999 ED - 19991109 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10558480 <1067. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10528823 TI - Changes in attitudes and practices in primary health care with regard to early intervention for problem drinkers. SO - Alcohol & Alcoholism. 34(5):795-800, 1999 Sep-Oct. AS - Alcohol Alcohol. 34(5):795-800, 1999 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bendtsen P AU - Akerlind I FA - Bendtsen, P FA - Akerlind, I IN - Bendtsen, P. Faculty of Health Sciences, Department of Health and Environment, University of Linkoping, Sweden. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 34 IP - 5 PG - 795-800 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/pc [Prevention & Control] MH - Attitude of Health Personnel MH - Clinical Competence MH - *Education, Medical, Continuing/mt [Methods] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurses/px [Psychology] MH - *Physicians, Family/px [Psychology] AB - During an intervention period of 1 to 2 months, a project team supported general practitioners (GPs) and nurses in four primary health care centres in Sweden in introducing new routines for detection and treatment of problem drinkers. After the implementation of the new methods, the GPs reported increased involvement in early detection and intervention significantly more often than the nurses did. A majority in both groups reported perceived improvement in skills. There was a significant positive change of the attitudes concerning working with alcohol-related problems in the nurses reaching the same level as the GPs. In the nurses, attitudes and self-perceived intervention skills were improved, but to a lesser extent than their practice. The results indicate that future efforts concerning improvement of primary health care staff involvement in alcohol interventions should focus on training, supervision, and giving positive examples, rather than on changing an already positive attitude towards alcohol intervention. The potential role of nurses is still uncertain and not utilized sufficiently. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PP - ppublish LG - English DP - 1999 Sep-Oct EZ - 1999/10/21 DA - 1999/10/21 00:01 DT - 1999/10/21 00:00 YR - 1999 ED - 19991109 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10528823 <1068. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10528474 TI - Substance use disorders in physician training programs. [Review] [25 refs] SO - Journal - Oklahoma State Medical Association. 92(10):504-7, 1999 Oct. AS - J Okla State Med Assoc. 92(10):504-7, 1999 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yarborough WH FA - Yarborough, W H IN - Yarborough, W H. OUHSC-Tulsa Campus, Department of Internal Medicine, OK 74129-1077, USA. NJ - The Journal of the Oklahoma State Medical Association VO - 92 IP - 10 PG - 504-7 PI - Journal available in: Print PI - Citation processed from: Print JC - jh3, 7503043 IO - J Okla State Med Assoc SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Female MH - Humans MH - Inservice Training MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - Oklahoma/ep [Epidemiology] MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Prevalence MH - Risk Factors MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Survival Rate AB - Physician impairment due to substance use occurs in all age groups of physicians. Risk factors are similar for age-matched controls, but choice of substance may be influenced by specialty and narcotic permit. Alcohol is by far the most commonly abused drug involved. One of the last areas of performance affected is work. Other areas may provide earlier clues. Intervention and referral to appropriate treatment centers is important. Death rates are relatively high in this disease. We report a favorable outcome of 75 percent at The University of Oklahoma Health Sciences Center, Tulsa (OUHSC-T), but a death rate of 16.7 percent in our small sample. Aftercare and monitoring are essential to a successful outcome. The vast majority of physicians in training can complete their training with appropriate treatment and monitoring and go on to successful careers. [References: 25] IS - 0030-1876 IL - 0030-1876 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1999 Oct EZ - 1999/10/21 DA - 1999/10/21 00:01 DT - 1999/10/21 00:00 YR - 1999 ED - 19991109 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10528474 <1069. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10488351 TI - Physician, don't heal thyself!. SO - South African Medical Journal. Suid-Afrikaanse Tydskrif Vir Geneeskunde. 89(8):817, 1999 Aug. AS - SAMJ, S. Afr. med. j.. 89(8):817, 1999 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Modlin T FA - Modlin, T CM - Comment on: S Afr Med J. 1999 Mar;89(3):201; PMID: 10226658 NJ - South African medical journal = Suid-Afrikaanse tydskrif vir geneeskunde VO - 89 IP - 8 PG - 817 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404520 IO - S. Afr. Med. J. SB - Index Medicus CP - South Africa MH - Education, Medical, Continuing/og [Organization & Administration] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Physician Impairment MH - Physicians/px [Psychology] MH - *Substance-Related Disorders IS - 0256-9574 PT - Comment PT - Letter PP - ppublish LG - English DP - 1999 Aug EZ - 1999/09/17 DA - 1999/09/17 00:01 DT - 1999/09/17 00:00 YR - 1999 ED - 19991105 RD - 20140912 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10488351 <1070. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10490263 TI - Alcohol and substance abuse training for emergency medicine residents: a survey of U.S. programs. SO - Academic Emergency Medicine. 6(9):964-6, 1999 Sep. AS - Acad Emerg Med. 6(9):964-6, 1999 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krishel S AU - Richards CF FA - Krishel, S FA - Richards, C F IN - Krishel, S. Department of Emergency Medicine, University of California, San Diego, Medical Center, USA. NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 6 IP - 9 PG - 964-6 PI - Journal available in: Print PI - Citation processed from: Print JC - ce1, 9418450 IO - Acad Emerg Med SB - Index Medicus CP - United States MH - Adult MH - Alcohol-Related Disorders/di [Diagnosis] MH - Alcohol-Related Disorders/th [Therapy] MH - Counseling/ed [Education] MH - Data Collection MH - *Education, Medical, Graduate/og [Organization & Administration] MH - Educational Measurement MH - *Emergency Medicine/ed [Education] MH - Female MH - Humans MH - Internship and Residency MH - Male MH - Program Evaluation MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - United States IS - 1069-6563 IL - 1069-6563 PT - Journal Article PP - ppublish LG - English DP - 1999 Sep EZ - 1999/09/18 DA - 1999/09/18 00:01 DT - 1999/09/18 00:00 YR - 1999 ED - 19991028 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10490263 <1071. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10522083 TI - DOs need more training in diagnosing and treating addiction. SO - Journal of the American Osteopathic Association. 99(9):456, 1999 Sep. AS - J Am Osteopath Assoc. 99(9):456, 1999 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goldstein FJ FA - Goldstein, F J CM - Comment on: J Am Osteopath Assoc. 1999 Sep;99(9):461-9; PMID: 10522084 NJ - The Journal of the American Osteopathic Association VO - 99 IP - 9 PG - 456 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, Continuing MH - Humans MH - *Osteopathic Medicine/ed [Education] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders IS - 0098-6151 IL - 0098-6151 PT - Comment PT - Editorial PP - ppublish LG - English DP - 1999 Sep EZ - 1999/10/16 DA - 1999/10/16 00:01 DT - 1999/10/16 00:00 YR - 1999 ED - 19991027 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10522083 <1072. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10499411 TI - A natural response to drug misuse problems: a review of drug-user treatment services of Bangladesh. SO - Substance Use & Misuse. 34(12):1605-17, 1999 Oct. AS - Subst Use Misuse. 34(12):1605-17, 1999 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hossain M AU - Ahmed SK FA - Hossain, M FA - Ahmed, S K IN - Hossain, M. Department of Sociology and Social Work, Virginia State University, Petersburg 23806, USA. NJ - Substance use & misuse VO - 34 IP - 12 PG - 1605-17 PI - Journal available in: Print PI - Citation processed from: Print JC - cgg, 9602153 IO - Subst Use Misuse SB - Index Medicus CP - England MH - Attitude of Health Personnel MH - Bangladesh MH - Cultural Characteristics MH - *Delivery of Health Care MH - *Developing Countries MH - Humans MH - *Substance-Related Disorders/th [Therapy] AB - This paper reviews and describes the natural processes through which the people of a Third World country, Bangladesh, have been trying to provide treatment to drug misusers. As the demand for medical help increases, different organizations develop to cater to the needs. Bangladesh has followed the age-old ashram model and the contemporary medical hospital model to provide services to its addicts. In reality the drug misuse treatment providers are still evolving through different learning stages about the biopsychosocial manifestations of addiction. According to the authors, the stages of learning can be divided into three phases: 1) the early period of confusion and enthusiasm, 2) the period of truism, and 3) the period of pragmatism. The people who have gained experience in running treatment centers in the last decade need to form alliances to share their experiences in order to develop rational models for drug treatment programs in Bangladesh. It is also important that they develop methods to monitor providers' activities and to protect clients' safety and interests. IS - 1082-6084 IL - 1082-6084 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1999 Oct EZ - 1999/09/28 DA - 1999/09/28 00:01 DT - 1999/09/28 00:00 YR - 1999 ED - 19991021 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10499411 <1073. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10498080 TI - Who teaches residents about the prevention and treatment of substance use disorders? A national survey. SO - Journal of Family Practice. 48(9):725-9, 1999 Sep. AS - J. FAM. PRACT.. 48(9):725-9, 1999 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming MF AU - Manwell LB AU - Kraus M AU - Isaacson JH AU - Kahn R AU - Stauffacher EA FA - Fleming, M F FA - Manwell, L B FA - Kraus, M FA - Isaacson, J H FA - Kahn, R FA - Stauffacher, E A IN - Fleming, M F. University of Wisconisin-Madison Medical School, USA. mfleming@fammed.wisc.edu NJ - The Journal of family practice VO - 48 IP - 9 PG - 725-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Curriculum MH - Data Collection MH - *Faculty, Medical/og [Organization & Administration] MH - Faculty, Medical/sn [Statistics & Numerical Data] MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Middle Aged MH - Primary Health Care MH - Program Development MH - Schools, Medical MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/th [Therapy] MH - Teaching MH - United States AB - BACKGROUND: Studies indicate that physicians are poorly prepared to identify and treat tobacco, alcohol, and drug use disorders. Several faculty development programs have been created to increase the number of residency teaching faculty with expertise in this area. There is limited information, however, on those who currently teach residents about these problems and whether there is a need for additional faculty development programs. AB - METHODS: We conducted a 2-stage national survey of faculty who teach residents about substance use problems. First, residency directors from 7 specialties (family medicine, psychiatry, internal medicine, pediatrics, obstetrics and gynecology, emergency medicine, and osteopathy) responded to a mailed questionnaire asking them to identify faculty who teach residents about substance use disorders. Second, those identified were contacted and asked to participate in a telephone interview. AB - RESULTS: Of 1293 faculty identified by the residency directors, 769 participated in a research interview. Most of these teachers were full-time physician faculty, men, white, and based in departments of family medicine or psychiatry. Teaching was primarily conducted in hospitals, general outpatient clinics, and classrooms rather than alcohol and drug treatment programs. Less than 10% of the faculty performed clinical work in alcohol and drug treatment programs, and only 19% were certified addiction specialists. The respondents reported a definite need for additional development programs for themselves and other residency teaching faculty. AB - CONCLUSIONS: We suggest a modest increase in the number of faculty who teach residents about substance abuse disorders, and the creation of additional faculty development programs. IS - 0094-3509 IL - 0094-3509 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: 103HR960593P000-000 Organization: (HR) *NHLBI NIH HHS* Country: United States GI - No: 103HR970104P000-000 Organization: (HR) *NHLBI NIH HHS* Country: United States LG - English DP - 1999 Sep EZ - 1999/09/25 DA - 1999/09/25 00:01 DT - 1999/09/25 00:00 YR - 1999 ED - 19991015 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10498080 <1074. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10447840 TI - Teaching medical students alcohol intervention skills: results of a controlled trial. SO - Medical Education. 33(8):559-65, 1999 Aug. AS - Med Educ. 33(8):559-65, 1999 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Walsh RA AU - Sanson-Fisher RW AU - Low A AU - Roche AM FA - Walsh, R A FA - Sanson-Fisher, R W FA - Low, A FA - Roche, A M IN - Walsh, R A. Faculty of Medicine and Health Sciences, University of Newcastle, New South Wales, 2308, Australia. NJ - Medical education VO - 33 IP - 8 PG - 559-65 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/th [Therapy] MH - *Education, Medical, Graduate/mt [Methods] MH - Evaluation Studies as Topic MH - Feedback MH - Female MH - Humans MH - Male MH - Videotape Recording AB - OBJECTIVE: To assess the relative effectiveness of videotape feedback and lecture methods for teaching alcohol brief intervention skills. AB - DESIGN: In a controlled trial, two student blocks received a manual, lecture and demonstration about the principles and practice of brief alcohol intervention. In addition, experimental students made a 20-min videotape and participated in a 1.5-h small group feedback session. Prior to and after training, all students completed questionnaires and videotaped interviews with simulated patients. AB - SETTING: Faculty of Medicine and Health Sciences of the University of Newcastle, Australia. AB - SUBJECTS: Final-year medical students. AB - RESULTS: Levels of alcohol-related knowledge, attitudes and interactional skills as well as general interactional skills were significantly improved after teaching. Alcohol-related interactional skills that were unsatisfactory at pretest reached satisfactory standards at post-test. An intergroup comparison of the improvement between pre- and post-teaching scores indicated that there was no significant difference in the effectiveness of the two methods. AB - CONCLUSIONS: Training can improve medical student performance in alcohol intervention. Further research is required to examine the relative effectiveness of different teaching methods. IS - 0308-0110 IL - 0308-0110 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - med378 [pii] PP - ppublish LG - English DP - 1999 Aug EZ - 1999/08/14 DA - 1999/08/14 00:01 DT - 1999/08/14 00:00 YR - 1999 ED - 19991007 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10447840 <1075. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10234560 TI - A first step incorporating smoking education into a Brazilian medical school curriculum: results of a survey to assess the cigarette smoking knowledge, attitudes, behaviour, and clinical practices of medical students. SO - Journal of Addictive Diseases. 18(1):19-29, 1999. AS - J Addict Dis. 18(1):19-29, 1999. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Daudt AW AU - Alberg AJ AU - Prola JC AU - Fialho L AU - Petracco A AU - Wilhelms A AU - Weiss A AU - Estery C FA - Daudt, A W FA - Alberg, A J FA - Prola, J C FA - Fialho, L FA - Petracco, A FA - Wilhelms, A FA - Weiss, A FA - Estery, C IN - Daudt, A W. Oncology Service, Hospital de Clinicas de Porto Alegre, Federal University of Rio Grande do Sul, Brazil. adaudt@pro.via-rs.com.br NJ - Journal of addictive diseases VO - 18 IP - 1 PG - 19-29 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - *Attitude to Health MH - Brazil MH - *Cognition MH - *Curriculum MH - *Education, Medical MH - Female MH - *Health Behavior MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - Male MH - Retrospective Studies MH - Smoking Cessation MH - *Smoking Prevention MH - Surveys and Questionnaires MH - Tobacco Use Disorder/di [Diagnosis] MH - *Tobacco Use Disorder/pc [Prevention & Control] AB - Smoking-related illnesses are the leading causes of morbidity and mortality in Brazil. Despite a smoking prevalence of approximately 40%, there is limited national effort to reduce tobacco use in Brazil by means of public education and training of health care professionals to promote smoking education. In particular, the need for information about tobacco warrants increased emphasis in undergraduate medical education. An educational program on nicotine addiction during medical school could facilitate the incorporation of smoking cessation interventions into routine medical practice. As a preliminary step toward implementing a tobacco education and intervention program, this study was designed to assess knowledge and attitudes about smoking among Brazilian medical students. Five hundred thirteen (N = 513) medical students from the Federal University of Rio Grande do Sul, the southernmost state of Brazil, completed a self-reported questionnaire during the 1995-1996 academic school year. Most students recognize the adverse health effects of smoking and the importance of their professional role in promoting smoking cessation. In contradiction, however, few medical students currently provide their patients who smoke with even minimal intervention. This discrepancy supports the idea that training in nicotine addiction and smoking cessation techniques will help medical students to develop the skills and confidence needed to successfully intervene with their current and future patients. IS - 1055-0887 IL - 1055-0887 PT - Journal Article ID - 10.1300/J069v18n01_03 [doi] PP - ppublish LG - English DP - 1999 EZ - 1999/05/11 DA - 1999/05/11 00:01 DT - 1999/05/11 00:00 YR - 1999 ED - 19990910 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10234560 <1076. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10478687 TI - Tobacco dependence curricula in US undergraduate medical education. SO - JAMA. 282(9):825-9, 1999 Sep 01. AS - JAMA. 282(9):825-9, 1999 Sep 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferry LH AU - Grissino LM AU - Runfola PS FA - Ferry, L H FA - Grissino, L M FA - Runfola, P S IN - Ferry, L H. Department of Preventive Medicine, Loma Linda University School of Medicine, Calif 92350, USA. lferry@sph.llu.edu CM - Comment in: JAMA. 2000 Mar 15;283(11):1426-7; PMID: 10732931 NJ - JAMA VO - 282 IP - 9 PG - 825-9 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 - *Curriculum MH - Data Collection MH - *Education, Medical, Undergraduate MH - Humans MH - Patient Education as Topic MH - Schools, Medical MH - Smoking Cessation MH - Tobacco Use Disorder/pc [Prevention & Control] MH - *Tobacco Use Disorder MH - United States AB - CONTEXT: Tobacco use is the leading preventable cause of death in the United States. And yet only 21% of practicing physicians claim they received adequate training to help their patients stop smoking. AB - OBJECTIVE: To assess the content and extent of tobacco education and intervention skills in US medical schools' curricula. AB - DESIGN: A survey with 13 multiple-response items on tobacco education. Survey questions were based on the recommendations of the Agency for Health Care Policy and Research and the National Cancer Institute Expert Panel. The Liaison Committee on Medical Education included 4 of these items in a modified form on the 1997 annual questionnaire. AB - SETTING: One hundred twenty-six US medical schools. AB - PARTICIPANTS: Surveys were obtained from 122 associate deans for medical education (98.6%). AB - MAIN OUTCOME MEASURES: Curriculum content in basic science and clinical science, elective or required clinical experience, hours of instruction, and resource materials. AB - RESULTS: Inclusion of all 6 tobacco curricula content areas recommended by the National Cancer Institute and the Agency for Health Care Policy and Research was higher in basic science (63/115 [54.8%]) than in clinical science (5/115 [4.4%]). Most medical schools (83/120 [69.2%]) did not require clinical training in smoking cessation techniques, while 23.5% (27/115) offered additional experience as an elective course. Thirty-one percent (32/102) of schools averaged less than 1 hour of instruction per year in smoking cessation techniques during the 4 years of medical school. A minority of schools reported 3 or more hours of clinical smoking cessation instruction in the third (14.7%) and fourth (4.9%) years. AB - CONCLUSIONS: A majority of US medical school graduates are not adequately trained to treat nicotine dependence. The major deficit is the lack of smoking cessation instruction and evaluation in the clinical years. A model core tobacco curricula that meets national recommendations should be developed and implemented in all US medical schools. IS - 0098-7484 IL - 0098-7484 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - joc90796 [pii] PP - ppublish LG - English DP - 1999 Sep 01 EZ - 1999/09/09 09:00 DA - 2000/06/10 09:00 DT - 1999/09/09 09:00 YR - 1999 ED - 19990908 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10478687 <1077. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10432783 TI - Needles, syringes, injection drug users, and the Oklahoma State Medical Association. [Review] [16 refs] SO - Journal - Oklahoma State Medical Association. 92(5):231-3, 1999 May. AS - J Okla State Med Assoc. 92(5):231-3, 1999 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dewberry GP Jr AU - Miller SE FA - Dewberry, G P Jr FA - Miller, S E IN - Dewberry, G P Jr. gpdewb@integrityonline16.com NJ - The Journal of the Oklahoma State Medical Association VO - 92 IP - 5 PG - 231-3 PI - Journal available in: Print PI - Citation processed from: Print JC - jh3, 7503043 IO - J Okla State Med Assoc SB - Index Medicus SB - AIDS/HIV Journals CP - United States MH - Acquired Immunodeficiency Syndrome/pc [Prevention & Control] MH - Female MH - *Health Education/og [Organization & Administration] MH - Health Education/st [Standards] MH - Humans MH - Male MH - Needle Sharing/lj [Legislation & Jurisprudence] MH - Oklahoma MH - Policy Making MH - Program Evaluation MH - Societies, Medical/lj [Legislation & Jurisprudence] MH - Societies, Medical/st [Standards] MH - *Substance Abuse, Intravenous/pc [Prevention & Control] IS - 0030-1876 IL - 0030-1876 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1999 May EZ - 1999/08/05 10:00 DA - 2001/03/28 10:01 DT - 1999/08/05 10:00 YR - 1999 ED - 19990908 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10432783 <1078. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10429578 TI - Improving education about substance abuse. SO - Academic Medicine. 74(7):749-50, 1999 Jul. AS - Acad Med. 74(7):749-50, 1999 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prislin M AU - Shultz GN AU - Singleton V FA - Prislin, M FA - Shultz, G N FA - Singleton, V NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 74 IP - 7 PG - 749-50 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 - Alcoholism MH - Attitude of Health Personnel MH - Clinical Clerkship MH - Curriculum MH - *Education, Medical MH - Family Health MH - Humans MH - Marijuana Smoking MH - Morals MH - Physician-Patient Relations MH - Stereotyping MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Treatment Outcome IS - 1040-2446 IL - 1040-2446 PT - Letter PP - ppublish LG - English DP - 1999 Jul EZ - 1999/08/03 DA - 1999/08/03 00:01 DT - 1999/08/03 00:00 YR - 1999 ED - 19990826 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10429578 <1079. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10398649 TI - Drug and alcohol policies are rare at medical schools in UK. SO - BMJ. 319(7202):123, 1999 Jul 10. AS - BMJ. 319(7202):123, 1999 Jul 10. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams DF FA - Williams, D F NJ - BMJ (Clinical research ed.) VO - 319 IP - 7202 PG - 123 PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 IO - BMJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1116205 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Alcohol Drinking MH - *Health Policy MH - Humans MH - Schools, Medical MH - Students, Medical MH - *Substance-Related Disorders MH - United Kingdom IS - 0959-8138 IL - 0959-535X PT - Letter ID - PMC1116205 [pmc] PP - ppublish LG - English DP - 1999 Jul 10 EZ - 1999/07/10 DA - 1999/07/10 00:01 DT - 1999/07/10 00:00 YR - 1999 ED - 19990826 RD - 20161124 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10398649 <1080. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10432755 TI - [Description of the guidelines available in Spain for tackling tobacco dependency in primary care. SEMFYC (Spanish Society of Family and Community Medicine)]. [Spanish] OT - Descripcion de las guias disponibles en Espana para el abordaje del tabaquismo en atencion primaria. SO - Atencion Primaria. 24(2):101-8, 1999 Jun 30. AS - Aten Primaria. 24(2):101-8, 1999 Jun 30. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clemente ML AU - Alonso JA AU - Cordoba R AU - Cortada J AU - Grandes G AU - Nebot M AU - Solbes A AU - Tormo J FA - Clemente, M L FA - Alonso, J A FA - Cordoba, R FA - Cortada, J FA - Grandes, G FA - Nebot, M FA - Solbes, A FA - Tormo, J NJ - Atencion primaria VO - 24 IP - 2 PG - 101-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 9111075, a5f IO - Aten Primaria SB - Index Medicus CP - Spain MH - Family Practice MH - Humans MH - *Smoking Prevention MH - Spain MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 0212-6567 IL - 0212-6567 PT - Guideline PT - Journal Article PT - Practice Guideline PP - ppublish LG - Spanish DP - 1999 Jun 30 EZ - 1999/08/05 DA - 1999/08/05 00:01 DT - 1999/08/05 00:00 YR - 1999 ED - 19990817 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10432755 <1081. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10385946 TI - The role of the physician in addiction prevention and treatment. SO - Psychiatric Clinics of North America. 22(2):489-505, 1999 Jun. AS - Psychiatr Clin North Am. 22(2):489-505, 1999 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller NS AU - Sheppard LM FA - Miller, N S FA - Sheppard, L M IN - Miller, N S. Department of Psychiatry, Michigan State University, East Lansing, USA. norman.miller@ht.msu.edu NJ - The Psychiatric clinics of North America VO - 22 IP - 2 PG - 489-505 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 - Alcoholism/ec [Economics] MH - Alcoholism/pc [Prevention & Control] MH - Cost-Benefit Analysis MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Medicine/td [Trends] MH - Patient Advocacy MH - *Physician's Role MH - Prevalence MH - Rehabilitation/ec [Economics] MH - Specialization MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ec [Economics] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - With increasing pressure on general physicians by managed care organizations and the public to treat and advocate for drug and alcohol addicted patients, it is more necessary than ever that physicians have the knowledge and skills to appropriately address this segment of the population. Specifically, physicians need a better understanding of the prevalence of alcohol and drug dependence in a variety of populations, along with increased awareness of the economic impact of addictive illnesses on our society. Routine screening questions should be incorporated into patient encounters, and physicians should be able to identify environments that may pose a risk for the development of addiction. Physicians need training and practice in referring patients to treatment teams, monitoring patients in recovery, and providing interventions that will eliminate or reduce substance abuse before it becomes addiction. The treatment outcomes in abstinence-based programs, particularly those combined with referral to AA, have been encouraging, demonstrating that addiction is a treatable illness and not a character defect. In addition, several studies provide evidence that addiction treatment is cost-beneficial, resulting in reduced medical costs, lowered absenteeism, and increased productivity. Despite these encouraging results, there is still room for improvement. Treatment is not always effective, and it is not sufficiently available to everyone who needs it. Addicted individuals are both stigmatized and marginalized, and many are too ill to advocate for themselves. Widespread recognition in the medical community of addiction as a treatable illness will contribute to a greater understanding of addictive disorders and reduce the stigma attached to the diagnosis and treatment of addiction. For this to occur, better training for physicians in the recognition and management of addictive disorders, starting at the medical school level, is necessary. The approval of addiction medicine as a clinical specialty by the American Medical Association also has helped to advance the legitimacy of addiction as a treatable illness, and provides a focal point for the synthesis and integration of clinical, teaching, and research activities central to addiction medicine. The combination of knowledge, skills, and attitudes outlined in the article will go a long way toward increasing physicians' abilities to assist their patients with recovery from addiction. IS - 0193-953X IL - 0193-953X PT - Journal Article ID - S0193-953X(05)70089-7 [pii] PP - ppublish LG - English DP - 1999 Jun EZ - 1999/07/01 DA - 1999/07/01 00:01 DT - 1999/07/01 00:00 YR - 1999 ED - 19990812 RD - 20180313 UP - 20180313 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=10385946 <1082. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10385945 TI - Postgraduate education and training in addiction disorders. Defining core competencies. SO - Psychiatric Clinics of North America. 22(2):481-8, xi, 1999 Jun. AS - Psychiatr Clin North Am. 22(2):481-8, xi, 1999 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dove HW FA - Dove, H W IN - Dove, H W. Department of Psychiatry, University of Illinois at Chicago, USA. NJ - The Psychiatric clinics of North America VO - 22 IP - 2 PG - 481-8, xi 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 - *Curriculum/st [Standards] MH - *Education, Medical, Graduate/og [Organization & Administration] MH - Education, Medical, Graduate/td [Trends] MH - *Family Practice/ed [Education] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Neurology/ed [Education] MH - Neurology/td [Trends] MH - Psychiatry/ed [Education] MH - Psychiatry/td [Trends] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - United States/ep [Epidemiology] AB - The rising prevalence of substance abuse disorders in the general medical population makes it essential that more active training be initiated during general residency training across all specialties. Core competencies for general residencies are outlined and the need for advocacy for continuation of postgraduate fellowship in Addiction Psychiatry is recommended as a means of increasing the numbers of faculty to provide leadership teaching and research in the area of Addiction Psychiatry. IS - 0193-953X IL - 0193-953X PT - Journal Article ID - S0193-953X(05)70088-5 [pii] PP - ppublish LG - English DP - 1999 Jun EZ - 1999/07/01 DA - 1999/07/01 00:01 DT - 1999/07/01 00:00 YR - 1999 ED - 19990812 RD - 20180313 UP - 20180313 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=10385945 <1083. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10385944 TI - Education and training in addictive diseases. SO - Psychiatric Clinics of North America. 22(2):471-80, xi, 1999 Jun. AS - Psychiatr Clin North Am. 22(2):471-80, xi, 1999 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klamen DL FA - Klamen, D L IN - Klamen, D L. Department of Psychiatry, University of Illinois at Chicago, USA. NJ - The Psychiatric clinics of North America VO - 22 IP - 2 PG - 471-80, xi 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 - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Curriculum MH - *Education, Medical, Continuing/og [Organization & Administration] MH - *Education, Medical, Undergraduate/og [Organization & Administration] MH - Education, Medical, Undergraduate/td [Trends] MH - Female MH - Humans MH - *Internship and Residency/og [Organization & Administration] MH - Male MH - Psychiatry/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - United States AB - Addiction to alcohol and other drugs is a serious public health problem that is one of the most common disorders seen in medical practice. Although it is an extremely common disorder, it is poorly diagnosed and treated by physicians. Training about addictions must begin early in the medical student's career and continue in a vertically integrated way throughout medical school and residency. The notion of addiction as a disease process must be introduced and integrated into course materials in the preclinical years. Careful attention to the development of positive views toward working with addicted patients must be paid, and students must be indoctrinated early with the idea that physicians have a responsibility to diagnose and manage addicted patients. IS - 0193-953X IL - 0193-953X PT - Journal Article ID - S0193-953X(05)70087-3 [pii] PP - ppublish LG - English DP - 1999 Jun EZ - 1999/07/01 DA - 1999/07/01 00:01 DT - 1999/07/01 00:00 YR - 1999 ED - 19990812 RD - 20180313 UP - 20180313 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=10385944 <1084. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10392407 TI - Issues in the recovery of physicians from addictive illnesses. SO - Psychiatric Quarterly. 70(2):107-22, 1999. AS - Psychiatr Q. 70(2):107-22, 1999. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mansky PA FA - Mansky, P A IN - Mansky, P A. Department of Psychiatry, Albany Medical College, NY, USA. NJ - The Psychiatric quarterly VO - 70 IP - 2 PG - 107-22 PI - Journal available in: Print PI - Citation processed from: Print JC - qbp, 0376465 IO - Psychiatr Q SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/px [Psychology] MH - *Behavior, Addictive/px [Psychology] MH - Defense Mechanisms MH - Female MH - Genetic Predisposition to Disease MH - Humans MH - Male MH - Middle Aged MH - New York/ep [Epidemiology] MH - *Physician Impairment/px [Psychology] MH - Physician Impairment/sn [Statistics & Numerical Data] MH - Regional Medical Programs/sn [Statistics & Numerical Data] MH - Risk-Taking MH - Self Medication MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - United States/ep [Epidemiology] AB - The issues discussed in this article introduce and examine topics related to physicians' health which are salient in their clinical usefulness or their heuristic value in planning future research. Physicians in general possess physical, emotional and intellectual strengths that are needed to face high stress and low social support. Physicians are also less likely to seek routine medical care. With many illnesses physicians are inherently resistant but have higher risk factors. It is postulated that the opposing tendencies cancel each other. Physicians have better intrinsic physical and mental health but live under higher stress and get less routine preventive care. Physicians also may have a tendency to live healthy lives without addiction but have high risk factors for addiction. Adults who have grown up in families with addiction have a tendency to choose health care professions. Genetic composition may predispose to alcoholism and other chemical addictions. Taking into consideration inherent health and risk it is thought that physicians have a similar prevalence of alcoholism and drug dependence as compared to the general population. Physicians have higher access to pharmaceutical drugs but are less inclined to use street drugs. In the New York State Physicians' Health Program, 88% of the participants used alcohol or prescription drugs and only 12 percent used marihuana or Cocaine. Additional risk factors for Substance Use Disorders in Physicians have been postulated to be pharmaco-logical optimism, intellectual strength, strong will, love of challenges, instrumental use of medications and a daily need for denial. These factors require rigorous investigation to establish their role. Clinical approaches and techniques discussed include the incubation period for a Substance Use Disorder, initial high tolerance, state dependent learning, and the signal properties of drugs. As recovery progresses it is postulated that it becomes increasingly important to deal with substitute addictions and family of origin issues. IS - 0033-2720 IL - 0033-2720 PT - Journal Article PP - ppublish LG - English DP - 1999 EZ - 1999/07/07 DA - 1999/07/07 00:01 DT - 1999/07/07 00:00 YR - 1999 ED - 19990812 RD - 20171101 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10392407 <1085. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10425908 TI - [Collegial support to improve prescription patterns for addictive preparations]. [Norwegian] OT - Kollegial stotte for bedret forskrivning av A- og B-preparater. SO - Tidsskrift for Den Norske Laegeforening. 119(17):2520-5, 1999 Jun 30. AS - Tidsskr Nor Laegeforen. 119(17):2520-5, 1999 Jun 30. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - von Hanno T AU - Hilberg E AU - Furuholmen D AU - Cramer G FA - von Hanno, T FA - Hilberg, E FA - Furuholmen, D FA - Cramer, G IN - von Hanno, T. Vestfold Laegeforenings Kollegiale Stottetilbud Legekontoret pa Tjome. NJ - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke VO - 119 IP - 17 PG - 2520-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 0413423, 101086543, vrv IO - Tidsskr. Nor. Laegeforen. SB - Index Medicus CP - Norway MH - Adult MH - *Analgesics, Opioid/ad [Administration & Dosage] MH - Analgesics, Opioid/ae [Adverse Effects] MH - *Drug Prescriptions MH - Education, Medical, Continuing MH - Female MH - Guidelines as Topic MH - Humans MH - *Hypnotics and Sedatives/ad [Administration & Dosage] MH - Hypnotics and Sedatives/ae [Adverse Effects] MH - Interprofessional Relations MH - Male MH - Middle Aged MH - Norway MH - *Physician's Role MH - *Practice Patterns, Physicians' MH - *Psychotropic Drugs/ad [Administration & Dosage] MH - Psychotropic Drugs/ae [Adverse Effects] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Norwegian County Medical Officers monitor unsatisfactory prescription practices in relation to addictive drugs. In this context, our team has tried to reach out to colleagues with preventive guidance. Our aim was to build communications skills by promoting systematic reflection on the importance of our own attitudes and behaviour in our work as physicians. In collaboration with the Vestfold Branch of the Norwegian Medical Association and the Vestfold Addiction Clinic, the Vestfold County Medical Officer set up preventive guidance tutorials for a closed group. The County Medical Officer specifically invited 20 physicians; invitations were also sent to all other members of the Medical Association in the county. The tutorials were given in 1997-98, with a voluntary attendance of 15 physicians. An evaluation form was sent to participants two months after completion. The tutorials received a positive evaluation. The results suggest that the guidance on the whole was considered useful. Of those specifically invited, 10% (2) attended. The tutorials were meant as a practical step to helping doctors reflect more systematically on their own style of communication and understanding of pain behaviour. There is a common interest in expanding the conventional biomedical model of understanding of chronic non-malignant pain conditions, a model in which prescribing addictive drugs is quite controversial. RN - 0 (Analgesics, Opioid) RN - 0 (Hypnotics and Sedatives) RN - 0 (Psychotropic Drugs) IS - 0029-2001 IL - 0029-2001 PT - English Abstract PT - Journal Article PP - ppublish LG - Norwegian DP - 1999 Jun 30 EZ - 1999/07/30 DA - 1999/07/30 00:01 DT - 1999/07/30 00:00 YR - 1999 ED - 19990804 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10425908 <1086. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10190230 TI - Dual diagnosis of substance abuse in schizophrenia: prevalence and impact on outcomes. [Review] [36 refs] SO - Schizophrenia Research. 35 Suppl:S93-100, 1999 Mar 01. AS - Schizophr Res. 35 Suppl:S93-100, 1999 Mar 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dixon L FA - Dixon, L IN - Dixon, L. University of Maryland, Department of Psychiatry, Baltimore 21201, USA. ldixon@umaryland.edu NJ - Schizophrenia research VO - 35 Suppl PG - S93-100 PI - Journal available in: Print PI - Citation processed from: Print JC - ayx, 8804207 IO - Schizophr. Res. SB - Index Medicus SB - AIDS/HIV Journals CP - Netherlands MH - Alcoholism/co [Complications] MH - Alcoholism/ep [Epidemiology] MH - Cocaine-Related Disorders/co [Complications] MH - Cocaine-Related Disorders/ep [Epidemiology] MH - Diagnosis, Dual (Psychiatry) MH - Female MH - Health Care Costs MH - Health Status MH - Humans MH - Male MH - Marijuana Abuse/co [Complications] MH - Marijuana Abuse/ep [Epidemiology] MH - Patient Compliance MH - Prevalence MH - *Schizophrenia/co [Complications] MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/ep [Epidemiology] MH - Violence AB - Comorbid substance abuse disorders have emerged as one of the greatest obstacles to the effective treatment of persons with schizophrenia. Estimates of the prevalence of such comorbidity vary, but as many as half of persons with schizophrenia may suffer from a comorbid drug or alcohol disorder. Younger age, male gender, and lower educational attainment are associated with greater risk for addiction. Persons with schizophrenia and comorbid addiction tend to have an earlier onset of schizophrenia than do those without comorbid addiction. Research does not support a link between specific symptoms of schizophrenia and choice of abused drugs. Rather, drug choice is correlated with the pattern of ambient drug use in the community. Comorbid substance disorders are associated with a variety of poorer outcomes, including increased psychotic symptoms, poorer treatment compliance, violence, housing instability and homelessness, medical problems (including human immunodeficiency virus infection), poor money management, and greater use of crisis-oriented services that result in higher costs of care. Considerable progress has been made over the past decade in understanding the need to integrate substance abuse treatment and mental health treatment to provide more effective care for this population. [References: 36] IS - 0920-9964 IL - 0920-9964 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1999 Mar 01 EZ - 1999/04/06 DA - 1999/04/06 00:01 DT - 1999/04/06 00:00 YR - 1999 ED - 19990721 RD - 20160526 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10190230 <1087. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10189515 TI - Course of substance abuse in patients with and without schizophrenia. SO - American Journal on Addictions. 8(1):55-64, 1999. AS - Am J Addict. 8(1):55-64, 1999. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer JJ AU - Schneekloth TD FA - Westermeyer, J J FA - Schneekloth, T D IN - Westermeyer, J J. Department of Psychiatry, University of Minnesota/Minneapolis VAMC, USA. westermeyer.joseph@minneapolis.va.gov NJ - The American journal on addictions VO - 8 IP - 1 PG - 55-64 PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - Age Factors MH - Diagnosis, Dual (Psychiatry) MH - Disease Progression MH - Female MH - Humans MH - Male MH - *Schizophrenia/co [Complications] MH - Severity of Illness Index MH - Smoking/px [Psychology] MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - Surveys and Questionnaires MH - Time Factors AB - The authors compared the course of Substance Use Disorders (SUD) in patients with SUD plus schizophrenia (SCZ) with those having SUD only. Data were obtained through diagnostic interviews and questionnaires on consecutive out-patients and in-patients referred for SUD to two university medical centers with alcohol-drug programs. This study revealed the SCZ-SUD patients (n = 29) had demographic characteristics, onset of their substance use, course of use/abuse, and lifetime SUD diagnoses that closely resembled those with SUD-only (n = 296). The marked similarities argue for a course of SUD in schizophrenic patients that is fully as morbid as that in SUD-only patients. The few differences in course appear linked to the following: (1) patients with SCZ using caffeine early, perhaps to relieve prodromal manifestations of schizophrenia, (2) patients with SCZ-SUD later using less or avoiding use of substances that exacerbate symptoms of schizophrenia (e.g., caffeine, cocaine, opiates), and (3) using tobacco more often to ameliorate the symptoms of schizophrenia or the side effects of medications used to treat schizophrenia. Contrary to expectation, those with comorbid SCZ-SUD employed self-help to deal with SUD as often as did the SUD-only patients. IS - 1055-0496 IL - 1055-0496 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1999 EZ - 1999/04/06 DA - 1999/04/06 00:01 DT - 1999/04/06 00:00 YR - 1999 ED - 19990716 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10189515 <1088. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10358917 TI - [Factors of social workers' training in a medical school for work in psychiatric and substance abuse rehabilitation clinics]. [Russian] OT - Osobennosti podgotovki v meditsinskom vuze sotsial'nykh rabotnikov dlia psikhiatricheskikh i narkologicheskikh uchrezhdenii. SO - Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova. 99(5):41-3, 1999. AS - Zh Nevrol Psikhiatr Im S S Korsakova. 99(5):41-3, 1999. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sidorov PI AU - Solov'ev AG AU - Tevlina VV FA - Sidorov, P I FA - Solov'ev, A G FA - Tevlina, V V NJ - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova VO - 99 IP - 5 PG - 41-3 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 - *Education, Medical MH - *Health Personnel/ed [Education] MH - Humans MH - *Mental Health Services/ma [Manpower] MH - *Psychiatry/ed [Education] MH - Russia MH - *Social Work/ed [Education] MH - *Substance Abuse Treatment Centers AB - The paper presents experience in training and advanced training of experts for the institutions that provide psychiatric and narcological aid on the basis of the Arkhangelsk State Medical Academy. The necessity of the interdisciplinary methodological approach taking into consideration the international experience of the Scandinavian countries is emphasized. IS - 1997-7298 IL - 1997-7298 PT - English Abstract PT - Journal Article PP - ppublish LG - Russian DP - 1999 EZ - 1999/06/08 DA - 1999/06/08 00:01 DT - 1999/06/08 00:00 YR - 1999 ED - 19990629 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10358917 <1089. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10334377 TI - Primary care and addiction treatment: lessons learned from building bridges across traditions. SO - Journal of Addictive Diseases. 18(2):65-82, 1999. AS - J Addict Dis. 18(2):65-82, 1999. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stanley AH FA - Stanley, A H IN - Stanley, A H. New Jersey Substance Abuse Treatment Campus Project, USA. NJ - Journal of addictive diseases VO - 18 IP - 2 PG - 65-82 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - *Delivery of Health Care MH - Health Care Costs MH - Health Services Accessibility MH - Humans MH - Interinstitutional Relations MH - Primary Health Care/ec [Economics] MH - Primary Health Care/td [Trends] MH - *Primary Health Care MH - *Substance Abuse Treatment Centers MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/th [Therapy] AB - A primary care unit combined with residential addiction treatment allows patients with addictive disease and chronic medical or psychiatric problems to successfully complete the treatment. These are patients who would otherwise fail treatment or fail to be considered candidates for treatment. Health care providers should have a background in primary care and have the potential to respond professionally to clinical problems in behavioral medicine. Ongoing professional training and statistical quality management principles can maintain morale and productivity. Health education is an integral part of primary care. The costs of such concurrent care when viewed in the context of the high societal and economic costs of untreated addictive disease and untreated chronic medical problems are low. The principles used to develop this primary care unit can be used to develop health care units for other underserved populations. These principles include identification of specific health care priorities and continuity of rapport with the target population and with addiction treatment staff. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1300/J069v18n02_07 [doi] PP - ppublish GI - No: 5-U88T100208 Organization: *PHS HHS* Country: United States LG - English DP - 1999 EZ - 1999/05/20 DA - 1999/05/20 00:01 DT - 1999/05/20 00:00 YR - 1999 ED - 19990622 RD - 20080512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10334377 <1090. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10334374 TI - Use of standardized patients to evaluate the physicians in residence program: a substance abuse training approach. SO - Journal of Addictive Diseases. 18(2):39-50, 1999. AS - J Addict Dis. 18(2):39-50, 1999. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Levin FR AU - Owen P AU - Stinchfield R AU - Rabinowitz E AU - Pace N FA - Levin, F R FA - Owen, P FA - Stinchfield, R FA - Rabinowitz, E FA - Pace, N IN - Levin, F R. Department of Psychiatry, Columbia University/New York State Psychiatric Institute, New York, USA. frl2@columbia.edu NJ - Journal of addictive diseases VO - 18 IP - 2 PG - 39-50 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 - Counseling MH - Humans MH - *Internship and Residency MH - Interpersonal Relations MH - Middle Aged MH - Professional Competence MH - Substance Abuse Treatment Centers MH - *Substance-Related Disorders/th [Therapy] AB - The purpose of this study was to evaluate the efficacy of the Physician in Residence (PIR) program at the Hazelden Residential Program of New York City as a substance abuse training approach using standardized patients (SP) and self-report ratings. Using an objective rating scale, two experienced drug counselors evaluated four videotaped interviews carried out by housestaff pre- and post-enrollment in the PIR program. In addition, housestaff completed self-report ratings regarding their knowledge, attitudes, and skills of substance abuse. Of the 23 housestaff who completed both pre- and post-PIR program videotape sessions, significant improvements were noted in both observer and self-reported ratings. Overall, self-report ratings showed a greater percent improvement than the counselor ratings. The PIR program may be an efficacious approach to teach substance abuse clinical skills to housestaff. IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1300/J069v18n02_04 [doi] PP - ppublish GI - No: DA00214-01A1 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1999 EZ - 1999/05/20 DA - 1999/05/20 00:01 DT - 1999/05/20 00:00 YR - 1999 ED - 19990622 RD - 20080512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10334374 <1091. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10334372 TI - Access to narcotic addiction treatment and medical care: prospects for the expansion of methadone maintenance treatment. [Review] [82 refs] SO - Journal of Addictive Diseases. 18(2):5-21, 1999. AS - J Addict Dis. 18(2):5-21, 1999. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lewis DC FA - Lewis, D C IN - Lewis, D C. Brown University Center for Alcohol and Addiction Studies, Providence, RI 02912, USA. CM - Comment in: J Addict Dis. 1999;18(2):1-4; PMID: 10334371 NJ - Journal of addictive diseases VO - 18 IP - 2 PG - 5-21 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Health Care Costs MH - *Health Services Accessibility MH - Heroin Dependence/ec [Economics] MH - *Heroin Dependence/rh [Rehabilitation] MH - Humans MH - *Legislation, Drug MH - *Methadone/tu [Therapeutic Use] MH - *Narcotics/tu [Therapeutic Use] MH - Primary Health Care MH - Public Opinion AB - Methadone maintenance treatment (MMT) for opioid addiction is safe and effective but underutilized because of inaccessibility, under-financing and the stigma generally attached to maintenance therapies. In addition, cumbersome regulation of methadone prescription and treatment impedes the delivery of care and retards expansion of methadone maintenance into office practice settings. Exaggeration of the problem of methadone diversion further hinders development of MMT. Despite obstacles, methadone maintenance has been successfully expanded and extended into primary care settings abroad. Initial trials in the U.S. have shown that methadone maintenance in physician office-based settings yields positive results with some advantages over care in large methadone clinics. Alternatives to methadone, such as buprenorphine, are also being explored in primary care settings. With implementation of the NIH Consensus Statement on Effective Medical Treatment of Heroin Addiction, including training of primary care physicians, methadone maintenance treatment could reach many more patients, achieve higher success rates, and substantially reduce the deleterious effects of opioid addiction in the U.S. [References: 82] RN - 0 (Narcotics) RN - UC6VBE7V1Z (Methadone) IS - 1055-0887 IL - 1055-0887 PT - Journal Article PT - Review ID - 10.1300/J069v18n02_02 [doi] PP - ppublish LG - English DP - 1999 EZ - 1999/05/20 DA - 1999/05/20 00:01 DT - 1999/05/20 00:00 YR - 1999 ED - 19990622 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10334372 <1092. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10387798 TI - Underperforming doctors. Recovery services. SO - Health Service Journal. 109(5651):28-9, 1999 Apr 22. AS - Health Serv J. 109(5651):28-9, 1999 Apr 22. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Berliner H FA - Berliner, H IN - Berliner, H. New School of Social Research, New York, USA. NJ - The Health service journal VO - 109 IP - 5651 PG - 28-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8605800, g4f IO - Health Serv J SB - Health Administration Journals CP - England MH - Alcoholism/rh [Rehabilitation] MH - Humans MH - Internship and Residency MH - Liability, Legal MH - *Licensure, Medical MH - Mental Disorders/rh [Rehabilitation] MH - National Practitioner Data Bank MH - *Occupational Health Services MH - *Physician Impairment MH - Societies, Medical MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - In the US, state medical licensing boards have the power to prevent sick doctors from practising if they do not undergo treatment. Every state has a programme for impaired doctors, most including a two-week hospital stay involving intensive psychotherapy. Research on recovery is limited, but some studies have found recovery rates of 75 per cent. IS - 0952-2271 IL - 0952-2271 PT - Journal Article PP - ppublish LG - English DP - 1999 Apr 22 EZ - 1999/07/01 DA - 1999/07/01 00:01 DT - 1999/07/01 00:00 YR - 1999 ED - 19990618 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10387798 <1093. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10343637 TI - Teaching medical students about tobacco. [Review] [110 refs] SO - Thorax. 54(1):70-8, 1999 Jan. AS - Thorax. 54(1):70-8, 1999 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richmond R FA - Richmond, R IN - Richmond, R. School of Community Medicine, University of New South Wales, Sydney, Australia. CM - Comment in: Thorax. 1999 Jan;54(1):2; PMID: 10343622 CM - Comment in: Thorax. 1999 Jul;54(7):657-8; PMID: 10438309 CM - Comment in: Thorax. 1999 Jun;54(6):564; PMID: 10866576 NJ - Thorax VO - 54 IP - 1 PG - 70-8 PI - Journal available in: Print PI - Citation processed from: Print JC - vqw, 0417353 IO - Thorax PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1745356 SB - Index Medicus CP - England MH - Curriculum MH - *Education, Medical, Undergraduate/mt [Methods] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Program Development MH - Smoking/ae [Adverse Effects] MH - Smoking/ep [Epidemiology] MH - *Smoking MH - Smoking Cessation MH - Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - *Students, Medical MH - Teaching/mt [Methods] IS - 0040-6376 IL - 0040-6376 PT - Journal Article PT - Review ID - PMC1745356 [pmc] PP - ppublish LG - English DP - 1999 Jan EZ - 1999/05/27 DA - 1999/05/27 00:01 DT - 1999/05/27 00:00 YR - 1999 ED - 19990603 RD - 20140615 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10343637 <1094. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10081058 TI - Rugby football. [Review] [31 refs] SO - Physical Medicine & Rehabilitation Clinics of North America. 10(1):159-75, 1999 Feb. AS - Phys Med Rehabil Clin N Am. 10(1):159-75, 1999 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dietzen CJ AU - Topping BR FA - Dietzen, C J FA - Topping, B R IN - Dietzen, C J. Department of Physical Medicine and Rehabilitation, Indiana University Medical Center, Indianapolis, USA. NJ - Physical medicine and rehabilitation clinics of North America VO - 10 IP - 1 PG - 159-75 PI - Journal available in: Print PI - Citation processed from: Print JC - 9102787, cx9 IO - Phys Med Rehabil Clin N Am SB - Index Medicus CP - United States MH - Athletic Injuries/pc [Prevention & Control] MH - Athletic Injuries/rh [Rehabilitation] MH - *Football/in [Injuries] MH - Humans MH - Mouth Protectors MH - Protective Clothing AB - Rugby union football continues to gain in popularity in the United States. Both men's and women's clubs have been established at several colleges and universities. There has been substantial growth in the number of high school rugby football clubs in recent years. With the increase in numbers of young participants in this sport, it is important that great efforts be mounted to attempt to control the injury rates and severity of injuries in rugby football. Players and coaches must be knowledgeable of the rules of the game, and referees must strictly enforce these rules. Physicians and dentists should be involved in educating parents, coaches, players, and school officials about the inherent risks of injury and the means for injury prevention. Medical personnel must also be instrumental in educating players about alcohol abuse/addiction. Rugby players should be encouraged to use the limited protective gear that is allowed: wraps, tape, joint sleeves, scrum caps, and facial grease to prevent lacerations. Mouthguards are strongly recommended at any level of play and should be mandated. The use of helmets, face masks, and shoulder pads has been suggested by some authors. Such rule changes could actually increase injury rates and severity, because this equipment could be used as weapons as they are in American football. It is recommended that rugby clubs purchase or build equipment to practice scrummage skills. Coaches should be experienced and attend clinics or complete video courses on medical emergencies and safe techniques of the game. Injury frequency and severity can be decreased by adequate preseason training and conditioning, proper tackling and falling techniques, strengthening of neck muscles, and allowing only experienced, fit athletes to play in the front row. Medical surveillance must be improved at matches and, ideally, at practice sessions. At present, it is common for no emergency medical personnel or physicians to be present at matches in the United States. Better case registers are necessary to monitor rugby injuries, but more medical professionals must become involved in the sport to obtain useful data. Rugby players will respect the advice of a medical adviser, providing he or she is knowledgeable. This is a hardy group of athletes with a cavalier attitude, as evidenced by the injury statistics and the case studies above. Their sport can be made safer without diminishing the intensity of the game or the camaraderie the players enjoy. [References: 31] IS - 1047-9651 IL - 1047-9651 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1999 Feb EZ - 1999/03/19 DA - 1999/03/19 00:01 DT - 1999/03/19 00:00 YR - 1999 ED - 19990527 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10081058 <1095. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10214109 TI - Cigarette smoking prevention--physicians should teach by example. SO - Western Journal of Medicine. 170(3):178, 1999 Mar. AS - West J Med. 170(3):178, 1999 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cheng TO FA - Cheng, T O CM - Comment on: West J Med. 1998 Jul;169(1):23-9; PMID: 9682627 NJ - The Western journal of medicine VO - 170 IP - 3 PG - 178 PI - Journal available in: Print PI - Citation processed from: Print JC - 0410504, xn5 IO - West. J. Med. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1305540 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Humans MH - *Physician's Role MH - *Smoking Prevention IS - 0093-0415 IL - 0093-0415 PT - Letter PT - Comment ID - PMC1305540 [pmc] PP - ppublish LG - English DP - 1999 Mar EZ - 1999/04/24 DA - 1999/04/24 00:01 DT - 1999/04/24 00:00 YR - 1999 ED - 19990506 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=10214109 <1096. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9835233 TI - Anxiety and depression among HIV-infected heterosexuals--a report from India. SO - Journal of Psychosomatic Research. 45(5):401-9, 1998 Nov. AS - J Psychosom Res. 45(5):401-9, 1998 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chandra PS AU - Ravi V AU - Desai A AU - Subbakrishna DK FA - Chandra, P S FA - Ravi, V FA - Desai, A FA - Subbakrishna, D K IN - Chandra, P S. Department of Psychiatry, National Institute of Mental Health & Neurosciences, Bangalore, India. chandra@nimhans.ren.nic.in NJ - Journal of psychosomatic research VO - 45 IP - 5 PG - 401-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 0376333, juv IO - J Psychosom Res SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adult MH - *Anxiety Disorders/ep [Epidemiology] MH - Anxiety Disorders/px [Psychology] MH - *Depressive Disorder/ep [Epidemiology] MH - Depressive Disorder/px [Psychology] MH - Female MH - *HIV Seropositivity/px [Psychology] MH - Humans MH - India/ep [Epidemiology] MH - Interpersonal Relations MH - Male MH - Pain Measurement MH - Prevalence MH - Regression Analysis MH - Risk Factors MH - Socioeconomic Factors MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Suicide, Attempted/px [Psychology] AB - The aim of the study was to study factors related to anxiety, depression, and suicidal ideation among HIV-seropositive heterosexuals soon after being tested for their HIV status for the first time. Anxiety, depression, and suicidal ideation were assessed among 51 HIV-seropositive heterosexual men and women with various stages of HIV infection. All assessments were done between 4 and 6 weeks after revelation of positive serostatus. Psychosocial variables such as quality of family relationships and substance use and sociodemographic details such as gender, income, education, and residence were studied for their association with psychiatric morbidity. Illness details studied for their association with psychiatric morbidity included stage of HIV infection, spouse's HIV status, presence of physical illness, and pain. Depression was present in 40% and anxiety in 36% of the sample. Serious suicidal intent was seen in 14%. Multiple regression analysis indicated that presence of pain, concurrent alcohol abuse, poor family relations, and presence of AIDS in the spouse were significant factors associated with depression, anxiety, and suicidal ideation. IS - 0022-3999 IL - 0022-3999 PT - Journal Article ID - S0022399998000282 [pii] PP - ppublish LG - English DP - 1998 Nov EZ - 1998/12/03 DA - 1998/12/03 00:01 DT - 1998/12/03 00:00 YR - 1998 ED - 19990427 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9835233 <1097. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9825419 TI - Worldwide survey of education on tobacco in medical schools. SO - Tobacco Control. 7(3):247-52, 1998. AS - Tob Control. 7(3):247-52, 1998. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richmond RL AU - Debono DS AU - Larcos D AU - Kehoe L FA - Richmond, R L FA - Debono, D S FA - Larcos, D FA - Kehoe, L IN - Richmond, R L. School of Community Medicine, University of New South Wales, Kensington NSW, Australia. R.Richmond@unsw.edu.au NJ - Tobacco control VO - 7 IP - 3 PG - 247-52 PI - Journal available in: Print PI - Citation processed from: Print JC - clu, 9209612 IO - Tob Control PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1763901 SB - Index Medicus CP - England MH - Cross-Sectional Studies MH - *Education, Medical MH - Global Health MH - *Health Education MH - Humans MH - Smoking Cessation MH - *Smoking Prevention MH - Surveys and Questionnaires AB - OBJECTIVES: To determine the extent of teaching about tobacco, tobacco-related diseases, and smoking cessation techniques in medical schools around the world; and to ascertain the problems of getting the teaching about tobacco onto the medical curriculum. AB - DESIGN: Cross-sectional survey. Questionnaires were sent to the 1353 medical schools in 143 countries around the world using the World Health Organization's Directory of Medical Schools. The questionnaire was translated from English into French, Russian, Mandarin, and Japanese. AB - SUBJECTS: Deans of medical schools worldwide, or their nominees. AB - MAIN OUTCOME MEASURES: Extent and format of teaching about tobacco in the medical curriculum, objectives and content of the courses on tobacco, and problems encountered in introducing the topic of tobacco. AB - RESULTS: 493 medical schools responded, representing 64% of countries and 36% of schools. Only 12% of medical schools did not cover the topic of tobacco in the medical curriculum. 58% of medical schools taught about tobacco during the teaching of other subjects. 40% taught tobacco by systematically integrating teaching with other modules. 11% had a specific module on tobacco. The medical schools reported on the objectives and content of their courses on tobacco, which commonly included knowledge about tobacco-related diseases and pharmacological issues. Only a third taught about smoking cessation techniques. 22% had encountered problems in introducing the topic of tobacco, and respondents offered solutions to overcome these problems. AB - CONCLUSIONS: Medical schools need continued encouragement to include tobacco issues in their curricula, with particular emphasis on teaching about smoking cessation techniques. IS - 0964-4563 IL - 0964-4563 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC1763901 [pmc] PP - ppublish LG - English DP - 1998 EZ - 1998/11/24 DA - 1998/11/24 00:01 DT - 1998/11/24 00:00 YR - 1998 ED - 19990322 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9825419 <1098. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9854649 TI - Mnemonics for DSM-IV substance-related disorders. SO - General Hospital Psychiatry. 20(6):368-70, 1998 Nov. AS - Gen Hosp Psychiatry. 20(6):368-70, 1998 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pinkofsky HB AU - Reeves RR FA - Pinkofsky, H B FA - Reeves, R R IN - Pinkofsky, H B. Department of Psychiatry, Louisiana State University Medical Center, Shreveport 71130, USA. NJ - General hospital psychiatry VO - 20 IP - 6 PG - 368-70 PI - Journal available in: Print PI - Citation processed from: Print JC - fnk, 7905527 IO - Gen Hosp Psychiatry SB - Index Medicus CP - United States MH - *Abbreviations as Topic MH - Diagnosis, Differential MH - *Education, Medical, Continuing/mt [Methods] MH - Humans MH - *Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pp [Physiopathology] MH - Substance-Related Disorders/px [Psychology] AB - A series of acronyms was developed to assist in recalling the DSM-IV diagnostic criteria for substance-related disorders. In order to facilitate recall, most of the mnemonics are related in some way to the disorder itself. In general, each letter of the acronym relates to an element of the diagnostic criteria. These mnemonics are intended to be helpful in a variety of academic and medical settings. IS - 0163-8343 IL - 0163-8343 PT - Journal Article ID - S0163834398000528 [pii] PP - ppublish LG - English DP - 1998 Nov EZ - 1998/12/17 DA - 1998/12/17 00:01 DT - 1998/12/17 00:00 YR - 1998 ED - 19990303 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9854649 <1099. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9890153 TI - Addiction. The training experience. SO - Report - Group for the Advancement of Psychiatry. (142):125-36, 1998 AS - Rep Group Adv Psychiatry. (142):125-36, 1998 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Report (Group for the Advancement of Psychiatry : 1984) IP - 142 PG - 125-36 PI - Journal available in: Print PI - Citation processed from: Print JC - 8500115, rbi IO - Rep Group Adv Psychiatry SB - Index Medicus CP - United States MH - Adult MH - Female MH - Humans MH - Internship and Residency MH - Male MH - Mental Disorders/co [Complications] MH - Mental Disorders/th [Therapy] MH - Middle Aged MH - *Psychiatry/ed [Education] MH - *Psychotherapy/ed [Education] MH - *Psychotherapy/mt [Methods] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/th [Therapy] IS - 0888-3394 IL - 0888-3394 PT - Case Reports PT - Journal Article PP - ppublish LG - English DP - 1998 EZ - 1999/01/16 DA - 1999/01/16 00:01 DT - 1999/01/16 00:00 YR - 1998 ED - 19990217 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9890153 <1100. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9879160 TI - Screening for addiction in patients with chronic pain and "problematic" substance use: evaluation of a pilot assessment tool. SO - Journal of Pain & Symptom Management. 16(6):355-63, 1998 Dec. AS - J Pain Symptom Manage. 16(6):355-63, 1998 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Compton P AU - Darakjian J AU - Miotto K FA - Compton, P FA - Darakjian, J FA - Miotto, K IN - Compton, P. UCLA School of Nursing 90095-6918, USA. NJ - Journal of pain and symptom management VO - 16 IP - 6 PG - 355-63 PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj IO - J Pain Symptom Manage SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Chronic Disease MH - Evaluation Studies as Topic MH - Female MH - Humans MH - Male MH - *Mass Screening/mt [Methods] MH - Middle Aged MH - *Opioid-Related Disorders/di [Diagnosis] MH - *Pain/dt [Drug Therapy] MH - Pilot Projects MH - Surveys and Questionnaires AB - Assessing for the presence of addiction in the chronic pain patient receiving chronic opioid analgesia is a challenging clinical task. This paper presents a recently developed screening tool for addictive disease in chronic pain patients, and pilot efficacy data describing its ability to do so. In a small sample of patients (n = 52) referred from a multidisciplinary pain center for "problematic" medication use, responses to the screening questionnaire were compared between patients who met combined diagnostic criteria for a substance use disorder and those who did not, as assessed by a trained addiction medicine specialist. Responses of addicted patients significantly differed from those of nonaddicted patients on multiple screening items, with the two groups easily differentiated by total questionnaire score. Further, three key screening indicators were identified as excellent predictors for the presence of addictive disease in this sample of chronic pain patients. RN - 0 (Analgesics, Opioid) IS - 0885-3924 IL - 0885-3924 PT - Clinical Trial PT - Controlled Clinical Trial PT - Journal Article ID - S0885392498001109 [pii] PP - ppublish LG - English DP - 1998 Dec EZ - 1999/01/08 DA - 1999/01/08 00:01 DT - 1999/01/08 00:00 YR - 1998 ED - 19990204 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9879160 <1101. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9788026 TI - A stage of change approach to addiction in the medical setting. [Review] [13 refs] SO - General Hospital Psychiatry. 20(5):267-73, 1998 Sep. AS - Gen Hosp Psychiatry. 20(5):267-73, 1998 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peteet JR AU - Brenner S AU - Curtiss D AU - Ferrigno M AU - Kauffman J FA - Peteet, J R FA - Brenner, S FA - Curtiss, D FA - Ferrigno, M FA - Kauffman, J IN - Peteet, J R. Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. NJ - General hospital psychiatry VO - 20 IP - 5 PG - 267-73 PI - Journal available in: Print PI - Citation processed from: Print JC - fnk, 7905527 IO - Gen Hosp Psychiatry SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Defense Mechanisms MH - Denial (Psychology) MH - Female MH - Humans MH - Male MH - Outcome and Process Assessment (Health Care) MH - *Patient Care Team MH - Patient Compliance/px [Psychology] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Despite recent advances in its understanding and treatment, addiction remains a difficult challenge for clinicians within medical settings such as the general hospital. The use of single, traditional paradigms (disciplinary, therapeutic, educational, or libertarian) for approaching addiction-related problems have often failed to embrace the complexity of the patients' motivation to change. Prochaska and DiClemente's [7] stage of change model offers a realistic, practical, and broadly applicable means by which clinicians can facilitate behavioral change from the stage of denial (precontemplation) through that of sustained recovery (maintenance). Clinicians can help addicted individuals to move from precontemplation to contemplation by enhancing their ambivalence; from contemplation to preparation by considering their history of change; from preparation to action by flexibly intervening based on this understanding; and from action to maintenance by evaluating the outcomes of these interventions. A stage of change model is also useful in understanding the process of change in clinicians' own approaches to patients with substance use disorders. [References: 13] IS - 0163-8343 IL - 0163-8343 PT - Case Reports PT - Journal Article PT - Review ID - S0163-8343(98)00033-4 [pii] PP - ppublish LG - English DP - 1998 Sep EZ - 1998/10/27 DA - 1998/10/27 00:01 DT - 1998/10/27 00:00 YR - 1998 ED - 19990126 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9788026 <1102. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9798817 TI - Alcohol counseling: physicians will do it. SO - Journal of General Internal Medicine. 13(10):692-8, 1998 Oct. AS - J Gen Intern Med. 13(10):692-8, 1998 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Adams A AU - Ockene JK AU - Wheller EV AU - Hurley TG FA - Adams, A FA - Ockene, J K FA - Wheller, E V FA - Hurley, T G IN - Adams, A. General Medicine/Primary Care, University of Massachusetts Medical School, Worcester 01655, USA. NJ - Journal of general internal medicine VO - 13 IP - 10 PG - 692-8 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/PMC1500899 SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - *Counseling/ed [Education] MH - Education, Medical, Continuing MH - Female MH - Humans MH - *Internal Medicine/sn [Statistics & Numerical Data] MH - Male MH - Massachusetts MH - Middle Aged MH - *Patient Education as Topic/mt [Methods] AB - OBJECTIVE: To assess the use of a brief provider-delivered alcohol counseling intervention of 5 to 10 minutes with high-risk drinking patients by primary care provider* trained in the counseling intervention and provided with an office support system. AB - DESIGN: A group randomized study design was used. Office sites were randomized to either a usual care or special intervention condition, within which physicians and patients were nested. The unit of analysis was the patient. AB - SETTING: Primary care internal medicine practices affiliated with an academic medical center. AB - PARTICIPANTS: Twenty-nine providers were randomized by practice site to receive training and an office support system to provide an alcohol counseling special intervention or to continue to provide usual care. AB - INTERVENTION: Special intervention providers received 2 1/2 hours of training in a brief alcohol-counseling intervention and were then supported by an office system that screened patients, cued providers to intervene, and made patient education materials available as tip sheets. AB - MEASUREMENTS AND MAIN RESULTS: Implementation of the counseling steps was measured by patient exit interviews (PEI) immediately following the patient visit. The interval between the date of training and the date of the PEI ranged from 6 to 32 months. Special intervention providers were twice as likely as usual care providers to discuss alcohol use with their patients. They carried out every step of the counseling sequence significantly more often than did usual care providers (p < .001). This intervention effect persisted over the 32 months of follow-up. AB - CONCLUSIONS: Physicians and other health-care providers trained in a brief provider-delivered alcohol intervention will counsel their high-risk drinking patients when cued to do so and supported by a primary care office system. IS - 0884-8734 IL - 0884-8734 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. ID - PMC1500899 [pmc] PP - ppublish GI - No: R01 AA009153 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: 5-R01-AA09153 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1998 Oct EZ - 1998/11/03 DA - 1998/11/03 00:01 DT - 1998/11/03 00:00 YR - 1998 ED - 19990121 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9798817 <1103. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9805174 TI - Alcohol Risk Assessment and Intervention Project. SO - Canadian Family Physician. 44:2188, 1998 Oct. AS - Can Fam Physician. 44:2188, 1998 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Canadian family physician Medecin de famille canadien VO - 44 PG - 2188 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/PMC2277908 SB - Index Medicus CP - Canada MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - *Education, Medical, Continuing/mt [Methods] MH - *Family Practice/ed [Education] MH - Humans MH - *Teaching Materials MH - *Videotape Recording IS - 0008-350X IL - 0008-350X PT - Journal Article ID - PMC2277908 [pmc] PP - ppublish LG - English DP - 1998 Oct EZ - 1998/11/07 DA - 1998/11/07 00:01 DT - 1998/11/07 00:00 YR - 1998 ED - 19981130 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9805174 <1104. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9795618 TI - The development of substance-abuse curricular content by five North Carolina schools. SO - Academic Medicine. 73(10):1039-43, 1998 Oct. AS - Acad Med. 73(10):1039-43, 1998 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fang WL AU - Applegate SN AU - Stein RM AU - Lohr JA FA - Fang, W L FA - Applegate, S N FA - Stein, R M FA - Lohr, J A IN - Fang, W L. Office of Student Academic Support and Strategic Programs, University of Virginia School of Medicine, Charlottesville 22908, USA. wf@virginia.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 73 IP - 10 PG - 1039-43 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 - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - North Carolina MH - *Program Development MH - Schools, Dental MH - Schools, Medical MH - *Substance-Related Disorders AB - In 1992, the four medical schools in North Carolina and that state's dental school initiated a four-year project to more thoroughly integrate content about substance abuse into their curricula. The project was based on the premise that medical schools are failing to provide their students with adequate training about substance abuse issues, yet substance abuse is a large and growing source of health problems nationwide. While the authors indicate in broad ways the kinds of curricular content that the project sought, in this article they concentrate on the processes by which key faculty, administrators, and staff members from all the schools worked together in the curriculum development process, with each school tailoring the project's findings to the needs of its own students. Phase I of the project focused on the selection and orientation of the key faculty and members of the working committee at each institution, and garnering institutional support. Phase II focused on the development by key faculty of the project's philosophy, goals, and objectives; conducting needs assessment and curriculum analysis at each school; and identifying the content needed. During Phase III, project participants refined the needed content and integrated it, in individual ways, into each school's curriculum. Some (but not enough) evaluation of these curricular implementations was done. The authors highlight the lessons learned, both positive and negative, in hopes that these will be useful to other educators who wish to design, implement, and institutionalize substance-abuse curricular content. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1998 Oct EZ - 1998/10/31 DA - 1998/10/31 00:01 DT - 1998/10/31 00:00 YR - 1998 ED - 19981119 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9795618 <1105. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9803724 TI - Effectiveness of physicians-in-training counseling for smoking cessation in African Americans. SO - Journal of the National Medical Association. 90(10):597-604, 1998 Oct. AS - J Natl Med Assoc. 90(10):597-604, 1998 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen B Jr AU - Pederson LL AU - Leonard EH FA - Allen, B Jr FA - Pederson, L L FA - Leonard, E H IN - Allen, B Jr. Drew-Meharry-Morehouse Consortium Cancer Center, Charles R. Drew University of Medicine and Science, Los Angeles, California 90059, USA. NJ - Journal of the National Medical Association VO - 90 IP - 10 PG - 597-604 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/PMC2608367 SB - Index Medicus CP - United States MH - *African Americans MH - *Counseling MH - Evaluation Studies as Topic MH - Female MH - Hospitals, General MH - Hospitals, Urban MH - Humans MH - *Internship and Residency MH - Male MH - *Physician's Role MH - *Smoking Cessation MH - United States AB - This study examined the effectiveness of smoking cessation counseling by physicians-in-training (residents) with African-American patients. One hundred fifty-eight family and internal medicine residents at a large urban public general hospital participated in the study; two thirds of the residents underwent a 2-hour smoking cessation training program. Ninety-two of the trained physicians counseled from 1 to 18 patients. The majority of physicians were male, with 8% being current smokers. Over a 26-month period, 1086 patients were randomly assigned to intervention and control (usual care) groups. Mean patient age was 44 years, mean years smoking was 25, and mean number of cigarettes smoked per day was 14. There were no differences in biochemically validated smoking cessation rates between the intervention and control groups at 3 or 12 months postenrollment (2% versus 1.8% and 2.2% versus 2.8%, respectively). Losses to follow-up were high at both 3 and 12 months (38% and 40% respectively). Implications for future trials in minority populations are discussed. A brief physician-based smoking cessation message does not appear to be an effective strategy for use with African-American smokers in a large urban public general hospital. IS - 0027-9684 IL - 0027-9684 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. ID - PMC2608367 [pmc] PP - ppublish GI - No: N01-CN-65006 Organization: (CN) *NCI NIH HHS* Country: United States LG - English DP - 1998 Oct EZ - 1998/11/06 03:02 DA - 2001/03/28 10:01 DT - 1998/11/06 03:02 YR - 1998 ED - 19981118 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9803724 <1106. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9713673 TI - American College of Preventive Medicine practice policy. Tobacco-cessation patient counseling. SO - American Journal of Preventive Medicine. 15(2):160-2, 1998 Aug. AS - Am J Prev Med. 15(2):160-2, 1998 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kattapong VJ AU - Locher TL AU - Secker-Walker RH AU - Bell TA FA - Kattapong, V J FA - Locher, T L FA - Secker-Walker, R H FA - Bell, T A IN - Kattapong, V J. Department of Health Services and Preventive Medicine Residency, School of Public Health and Community Medicine, University of Washington, Seattle 98195, USA. NJ - American journal of preventive medicine VO - 15 IP - 2 PG - 160-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - *Health Promotion/mt [Methods] MH - Humans MH - *Patient Education as Topic/st [Standards] MH - *Preventive Medicine/st [Standards] MH - *Tobacco Use Cessation/mt [Methods] MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States IS - 0749-3797 IL - 0749-3797 PT - Guideline PT - Journal Article PT - Practice Guideline ID - S0749-3797(98)00036-1 [pii] PP - ppublish LG - English DP - 1998 Aug EZ - 1998/08/26 DA - 1998/08/26 00:01 DT - 1998/08/26 00:00 YR - 1998 ED - 19981116 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9713673 <1107. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13990152 TI - [Repress the abuse, don't proscribe the use]. [Italian] SO - Ospedale Maggiore. 50:276-8, 1962 Jun. AS - Osp Maggiore. 50:276-8, 1962 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - SPINELLI S FA - SPINELLI, S NJ - L' Ospedale maggiore VO - 50 PG - 276-8 PI - Journal available in: Print PI - Citation processed from: Print JC - om2, 0022210 IO - Osp Maggiore SB - OLDMEDLINE Citations CP - Italy MH - *Education, Medical MH - *Hospitals MH - Humans MH - *Mental Disorders MH - *Substance-Related Disorders KW - *EDUCATION, MEDICAL; *HOSPITALS IS - 0369-7843 IL - 0369-7843 PT - Journal Article PP - ppublish LG - Italian DP - 1962 Jun EZ - 1962/06/01 DA - 1962/06/01 00:01 DT - 1962/06/01 00:00 YR - 1962 ED - 19981101 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13990152 <1108. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 13714626 TI - Alcoholism as a topic of teaching in the undergraduate medical curriculum. SO - Quarterly Journal of Studies on Alcohol. 22:135-42, 1961 Mar. AS - Q J Stud Alcohol. 22:135-42, 1961 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - HIRSH J FA - HIRSH, J NJ - Quarterly journal of studies on alcohol VO - 22 PG - 135-42 PI - Journal available in: Print PI - Citation processed from: Print JC - ql9, 7503879 IO - Q J Stud Alcohol SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical MH - Humans MH - *Students KW - *ALCOHOLISM; *EDUCATION, MEDICAL IS - 0033-5649 IL - 0033-5649 PT - Journal Article PP - ppublish LG - English DP - 1961 Mar EZ - 1961/03/01 DA - 1961/03/01 00:01 DT - 1961/03/01 00:00 YR - 1961 ED - 19981101 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=13714626 <1109. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14406301 TI - The alcoholism training program at the University of Washington School of Medicine. SO - Quarterly Journal of Studies on Alcohol. 21:298-313, 1960 Jun. AS - Q J Stud Alcohol. 21:298-313, 1960 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - JACKSON JK AU - MYKUT M AU - BURR RC AU - FAGAN RJ FA - JACKSON, J K FA - MYKUT, M FA - BURR, R C FA - FAGAN, R J NJ - Quarterly journal of studies on alcohol VO - 21 PG - 298-313 PI - Journal available in: Print PI - Citation processed from: Print JC - ql9, 7503879 IO - Q J Stud Alcohol SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism MH - *Ambulatory Care Facilities MH - *Hospitals, Special MH - Humans MH - *Medicine MH - *Schools KW - *ALCOHOLISM/hospitals and clinics IS - 0033-5649 IL - 0033-5649 PT - Journal Article PP - ppublish LG - English DP - 1960 Jun EZ - 1960/06/01 DA - 1960/06/01 00:01 DT - 1960/06/01 00:00 YR - 1960 ED - 19981101 RD - 19601201 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=14406301 <1110. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9757738 TI - A study of substance abuse on two campuses of University of Papua New Guinea. SO - Medicine & Law. 17(2):229-41, 1998. AS - Med Law. 17(2):229-41, 1998. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson FY FA - Johnson, F Y IN - Johnson, F Y. Department of Clinical Sciences, Faculty of Medicine, University of Papua New Guinea, Boroko, Papua New Guinea. NJ - Medicine and law VO - 17 IP - 2 PG - 229-41 PI - Journal available in: Print PI - Citation processed from: Print JC - mal, 8218185 IO - Med Law SB - Index Medicus CP - United States MH - Alcohol Drinking/ep [Epidemiology] MH - Alcohol Drinking/pc [Prevention & Control] MH - Humans MH - New Guinea/ep [Epidemiology] MH - Smoking/ep [Epidemiology] MH - Smoking Prevention MH - *Students/sn [Statistics & Numerical Data] MH - Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] AB - BACKGROUND: Recent research reports indicate that there is a substantial amount of substance abuse on the campuses of the University of Papua New Guinea. AB - OBJECTIVE: To compare the frequency and quantity of alcohol and drug abuse on the two campuses of the University of Papua New Guinea in the National Capital District. AB - METHODS: A purposely designed questionnaire was used to collect data randomly on a total of 90 subjects (45 from each campus). The data was subjected to computer analysis. AB - RESULTS: The results show that abuse of alcohol, tobacco and other drugs is prevalent on the two campuses of the University of Papua New Guinea. AB - CONCLUSION: The results will form the basis of recommendations for substance abuse prevention, through information and education of the University students and staff members. IS - 0723-1393 IL - 0723-1393 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1998 EZ - 1998/10/03 DA - 1998/10/03 00:01 DT - 1998/10/03 00:00 YR - 1998 ED - 19981029 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9757738 <1111. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9720639 TI - Cost-effectiveness of strategies to market and train primary health care physicians in brief intervention techniques for hazardous alcohol use. SO - Social Science & Medicine. 47(2):203-11, 1998 Jul. AS - Soc Sci Med. 47(2):203-11, 1998 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gomel MK AU - Wutzke SE AU - Hardcastle DM AU - Lapsley H AU - Reznik RB FA - Gomel, M K FA - Wutzke, S E FA - Hardcastle, D M FA - Lapsley, H FA - Reznik, R B IN - Gomel, M K. Department of Psychological Medicine, University of Sydney, Australia. NJ - Social science & medicine (1982) VO - 47 IP - 2 PG - 203-11 PI - Journal available in: Print PI - Citation processed from: Print JC - ut9, 8303205 IO - Soc Sci Med SB - Index Medicus CP - England MH - *Alcohol Drinking/pc [Prevention & Control] MH - *Alcoholism/pc [Prevention & Control] MH - Cost-Benefit Analysis MH - Counseling MH - *Education, Medical, Continuing/og [Organization & Administration] MH - Humans MH - *Marketing of Health Services/og [Organization & Administration] MH - Mass Screening MH - New South Wales MH - Outcome and Process Assessment (Health Care) MH - *Physicians, Family/ed [Education] MH - Program Evaluation MH - *Psychotherapy, Brief/ed [Education] AB - The cost-effectiveness of strategies to market and train primary care physicians in brief intervention for hazardous alcohol consumption was examined. Physicians were randomly assigned to one of three marketing strategies designed to promote the "uptake" of a brief intervention package for hazardous and harmful alcohol consumption. The strategies were direct mail, tele-marketing, or academic detailing. One hundred and twenty-seven of those physicians who requested the package during the marketing phase (phase 1) and who also agreed to participate in the training and support phase of the project (phase 2) were matched into one of three training and support conditions: training and no support, training and minimal support, training and maximal support. An additional 34 physicians were randomly selected and assigned to a control condition. The ultimate aim of training and support was to maximise physician screening and counselling rates. Tele-marketing was found to be more cost-effective than academic detailing and direct mail in promoting the uptake of the package. For the training and support phase costs and effects increased with the level of support, hence the issue to be considered is whether the additional cost incurred in moving from one strategy to another is warranted given the increase in the level of outcome. IS - 0277-9536 IL - 0277-9536 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't ID - S027795369800063X [pii] PP - ppublish LG - English DP - 1998 Jul EZ - 1998/08/28 DA - 1998/08/28 00:01 DT - 1998/08/28 00:00 YR - 1998 ED - 19981028 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9720639 <1112. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9695061 TI - [Evaluation of reproductive disorders in men occupational exposed to lead]. [Polish] OT - Ocena zaburzen plodnosci mezczyzn narazonych zawodowo na olow. SO - Medycyna Pracy. 49(2):137-45, 1998. AS - Med Pr. 49(2):137-45, 1998. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sitarek K AU - Szymczak W AU - Berlinska B FA - Sitarek, K FA - Szymczak, W FA - Berlinska, B IN - Sitarek, K. Zakladu Toksykologii i Kancerogenezy, Instytutu Medycyny Pracy im., Lodzi. NJ - Medycyna pracy VO - 49 IP - 2 PG - 137-45 PI - Journal available in: Print PI - Citation processed from: Print JC - moj, 0376642 IO - Med Pr SB - Index Medicus CP - Poland MH - Adult MH - Case-Control Studies MH - Cross-Sectional Studies MH - Environmental Monitoring MH - Epidemiological Monitoring MH - Humans MH - *Infertility, Male/ep [Epidemiology] MH - Infertility, Male/et [Etiology] MH - Lead Poisoning/co [Complications] MH - *Lead Poisoning/ep [Epidemiology] MH - Male MH - Occupational Diseases/co [Complications] MH - *Occupational Diseases/ep [Epidemiology] MH - Occupational Exposure/an [Analysis] MH - Poland/ep [Epidemiology] MH - Prevalence AB - The objective of the study was to define the prevalence of reproductive disorders in men occupationally exposed to lead in concentrations occurring usually in the work environment. The period of time preceding the conception in couples in which men were occupationally exposed to lead was adopted as the measure of the disorder. A cross-section survey was performed. Men of selected plants of Upper Silesia and Glogow responded to questions included in the questionnaire regarding age, education, occupation, occupational exposure, health condition, addictions, the situation in the family as well as questions concerning the respondent's spouse (age, education, occupation, addictions, health condition). The blood lead concentrations in persons exposed to this metal in the period preceding the conception were defined on the basis of medical data stored by the plant occupational outpatient clinics. The control group consisted of workers of the metallurgic industry, living in Lodz or its vicinity, and non-occupationally exposed men living in Silesia. In total 341 exposed men and 510 non-exposed controls participated in the study. The investigated groups were rather homogeneous as to the age of those under study and their spouses, education, addictions and the number of children. The analysis of the survey results indicated that in 5% of couples in the control group the time before conception exceeded one year. A similar occurrence of reproductive disorders was found in couples in which man was occupationally exposed to lead. The proportion of couples with reproductive disorders in this group (regardless of the size of Pb exposure) was 6%. The stratification of the Pb-exposed groups, taking into account the exposure size in accordance with the WHO criteria (group 1-220 micrograms/l, that is below the accepted value above which the ZnPP level increases; group II-PbB 200-400 micrograms/l that is up to the level recommended as the highest level for the population occupationally exposed to lead; and group III-PbB above 400 micrograms/l) allowed the analysis of the frequency of reproductive disorders depending on the size of the exposure. The percentage of couples with delayed conception accounted for 4.5% in group I; 8.7% in group II, and in group III did not differ significantly from that in the control group. These results show that men's occupational exposure to lead below allowable concentration in the biological material (500 micrograms/Pb/l blood in Poland or 400 micrograms/Pbl recommended by WHO) does not pose the risk for prolonged period preceding the conception in their partners. IS - 0465-5893 IL - 0465-5893 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - Polish DP - 1998 EZ - 1998/08/08 DA - 1998/08/08 00:01 DT - 1998/08/08 00:00 YR - 1998 ED - 19981027 RD - 20121115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9695061 <1113. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9777822 TI - Primary care as harm reduction for injection drug users. SO - JAMA. 280(13):1191, 1195, 1998 Oct 07. AS - JAMA. 280(13):1191, 1195, 1998 Oct 07. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gunn N AU - White C AU - Srinivasan R FA - Gunn, N FA - White, C FA - Srinivasan, R IN - Gunn, N. University of California at Davis School of Medicine, USA. NJ - JAMA VO - 280 IP - 13 PG - 1191, 1195 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 - California MH - *Community Health Services/og [Organization & Administration] MH - Humans MH - *Primary Health Care/og [Organization & Administration] MH - Schools, Medical MH - Students, Medical MH - *Substance Abuse, Intravenous/pc [Prevention & Control] IS - 0098-7484 IL - 0098-7484 PT - Journal Article ID - jms1007 [pii] PP - ppublish LG - English DP - 1998 Oct 07 EZ - 1998/10/20 02:02 DA - 2001/08/14 10:01 DT - 1998/10/20 02:02 YR - 1998 ED - 19981022 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9777822 <1114. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9777821 TI - Smoke and spirits: the substance abuse dilemma. SO - JAMA. 280(13):1190, 1998 Oct 07. AS - JAMA. 280(13):1190, 1998 Oct 07. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Huang LY FA - Huang, L Y NJ - JAMA VO - 280 IP - 13 PG - 1190 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 - *Community Health Services MH - Humans MH - Primary Health Care/og [Organization & Administration] MH - Risk-Taking MH - Schools, Medical MH - *Students, Medical MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States IS - 0098-7484 IL - 0098-7484 PT - Editorial ID - jms1007 [pii] PP - ppublish LG - English DP - 1998 Oct 07 EZ - 1998/10/20 02:02 DA - 2001/08/14 10:01 DT - 1998/10/20 02:02 YR - 1998 ED - 19981022 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9777821 <1115. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9744177 TI - Effect of training on general practitioners' use of a brief intervention for excessive drinkers. SO - Australian & New Zealand Journal of Public Health. 22(2):206-9, 1998 Apr. AS - Aust N Z J Public Health. 22(2):206-9, 1998 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richmond RL AU - G-Novak K AU - Kehoe L AU - Calfas G AU - Mendelsohn CP AU - Wodak A FA - Richmond, R L FA - G-Novak, K FA - Kehoe, L FA - Calfas, G FA - Mendelsohn, C P FA - Wodak, A IN - Richmond, R L. School of Community Medicine, University of New South Wales, St Vincent's Hospital, Darlinghurst. NJ - Australian and New Zealand journal of public health VO - 22 IP - 2 PG - 206-9 PI - Journal available in: Print PI - Citation processed from: Print JC - ck2, 9611095 IO - Aust N Z J Public Health SB - Index Medicus CP - Australia MH - Adolescent MH - Adult MH - Aged MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - *Education, Medical, Continuing/mt [Methods] MH - Evaluation Studies as Topic MH - Family Practice MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - New South Wales MH - Surveys and Questionnaires AB - OBJECTIVE: To determine among general practitioners (GPs) the effect of three different types of training on utilisation of a brief, controlled drinking intervention. AB - DESIGN: A non-randomised intervention study. Setting, participants: 96 GPs (64%) within the South Eastern Sydney Division of General Practice participated; 35 chose workshop training, 39 one-to-one training and 22 received a special kit by mail. AB - MAIN OUTCOME MEASURES: Identification by GPs of excessive drinkers by practice audits; use of the program determined by the number of patients recruited in 3 months and by GPs' use of the intervention 6 months after training. AB - RESULTS: 41 (43%) GPs conducted practice audits, identifying 15.1% of males and 6.6% of females as excessive drinkers (regular excessive weekly consumption and/or binge). 179 patients were recruited by 36 GPs over 3 months, and 32% of these patients reported a reduction of alcohol consumption. 63% who attended workshop training, 57% who received one-to-one training, and 36% who received the kit by mail reported they were current users of the program at 6 months. Significantly fewer GPs who received the kit by mail reported ever using the program (59%) compared to the other groups (p < 0.01). AB - CONCLUSION: This naturalistic study found that workshops and one-to-one training sessions in doctors' surgeries achieved greater uptake of a brief intervention for problem drinkers than distribution of a special kit by mail. IS - 1326-0200 IL - 1326-0200 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PP - ppublish LG - English DP - 1998 Apr EZ - 1998/09/23 DA - 1998/09/23 00:01 DT - 1998/09/23 00:00 YR - 1998 ED - 19981015 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9744177 <1116. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9692383 TI - Marijuana use prevention: the In-DEPTH model program. SO - Journal of Psychoactive Drugs. 30(2):205-8, 1998 Apr-Jun. AS - J Psychoactive Drugs. 30(2):205-8, 1998 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lafferty L FA - Lafferty, L NJ - Journal of psychoactive drugs VO - 30 IP - 2 PG - 205-8 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - Adolescent MH - *Cannabis MH - *Health Education/og [Organization & Administration] MH - Humans MH - *Models, Educational MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Over the past five years marijuana use has doubled among eighth, 10th and 12th grade students, and in several demographics it has tripled. The recent debate over the legalization of medical marijuana (California's Proposition 215), positive media messages, lack of parent/child discussion, and denial by schools and communities may be contributing factors to the rise of drug use among adolescents. The In-DEPTH program, a unique drug education model that educates, prevents, and provides intervention strategies in adolescent marijuana use, has in small multisite surveys shown initial success in decreasing marijuana use and positively changing beliefs. The program is based on pharmacology, addiction medicine principles, economics and the pharmaceutical sales model, and examines drug dealing as well as drug use. IS - 0279-1072 IL - 0279-1072 PT - Journal Article ID - 10.1080/02791072.1998.10399691 [doi] PP - ppublish LG - English DP - 1998 Apr-Jun EZ - 1998/08/06 DA - 1998/08/06 00:01 DT - 1998/08/06 00:00 YR - 1998 ED - 19981015 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9692383 <1117. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9743764 TI - Developing a medical school alcohol policy. SO - Medical Education. 32(2):138-42, 1998 Mar. AS - Med Educ. 32(2):138-42, 1998 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gray JD AU - Bhopal RS AU - White M FA - Gray, J D FA - Bhopal, R S FA - White, M IN - Gray, J D. Department of Epidemiology & Public Health, University of Newcastle upon Tyne, UK. NJ - Medical education VO - 32 IP - 2 PG - 138-42 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - *Alcohol Drinking MH - *Alcoholism/th [Therapy] MH - England MH - *Health Policy MH - Humans MH - Policy Making MH - *Schools, Medical AB - The health and lifestyle problems of medical students and doctors give cause for concern on several fronts. We have developed a health policy for staff and students in Newcastle Medical School. This policy presents integrated recommendations relating to six key areas, i.e. alcohol, physical activity, sexual health, stress, occupational health and safety, and diet. The methods used to develop recommendations in relation to alcohol are described here. They were adopted by the working groups developing recommendations in the other areas. There were four key stages to policy development: establishing an information base; preparing a draft policy for consultation; consulting staff and students, and finalizing the policy. Consultation was a slow and challenging process but led to substantial revisions to the policy, enhancing its acceptability and likely success. The final policy includes a 3-year implementation plan setting out actions, resource implications and key players. Our policy, which has been adopted by the medical school and will soon be implemented, includes recommendations regarding changes to the school environment, training and education needs for staff and students, and access to services for those with alcohol related problems. Health policies should be developed in other medical schools and our approach offer a possible model. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PP - ppublish LG - English DP - 1998 Mar EZ - 1998/09/23 DA - 1998/09/23 00:01 DT - 1998/09/23 00:00 YR - 1998 ED - 19981007 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9743764 <1118. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9738181 TI - Adolescent medicine training in pediatric residency programs: are we doing a good job?. SO - Pediatrics. 102(3 Pt 1):588-95, 1998 Sep. AS - Pediatrics. 102(3 Pt 1):588-95, 1998 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Emans SJ AU - Bravender T AU - Knight J AU - Frazer C AU - Luoni M AU - Berkowitz C AU - Armstrong E AU - Goodman E FA - Emans, S J FA - Bravender, T FA - Knight, J FA - Frazer, C FA - Luoni, M FA - Berkowitz, C FA - Armstrong, E FA - Goodman, E IN - Emans, S J. Division of Adolescent/Young Adult Medicine, Children's Hospital, Boston, MA 02115, USA. NJ - Pediatrics VO - 102 IP - 3 Pt 1 PG - 588-95 PI - Journal available in: Print PI - Citation processed from: Print JC - oxv, 0376422 IO - Pediatrics SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Adolescent Medicine/ed [Education] MH - Adolescent Medicine/sn [Statistics & Numerical Data] MH - Data Collection MH - Internship and Residency/mt [Methods] MH - Internship and Residency/og [Organization & Administration] MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - *Pediatrics/ed [Education] MH - Pediatrics/sn [Statistics & Numerical Data] MH - Preventive Medicine/ed [Education] MH - United States AB - OBJECTIVES: To determine how pediatric residency programs are responding to the new challenges of teaching adolescent medicine (AM) to residents by assessing whether manpower is adequate for training, whether AM curricula and skills are adequately covered by training programs, what types of teaching methodologies are used to train residents in AM, and the needs for new curricular materials to teach AM. AB - DESIGN: A 3-part 92-item survey mailed to all US pediatric residency training programs. AB - SETTING: Pediatric residency programs. AB - PARTICIPANTS: Residency program directors and directors of AM training. AB - MAIN OUTCOME MEASURES: AM divisional structure, clinical sites of training, presence of a block rotation, and faculty of pediatric training programs; training materials used and desired in AM; perceived adequacy of coverage of various AM topics; competency of residents in performing pelvic examinations in sexually active teens; and manpower needs. AB - RESULTS: A total of 155/211 (73.5%) of programs completed the program director and the AM parts of the survey. Ninety-six percent of programs (size range, 5-120 residents) had an AM block rotation and 90% required the AM block; those without a block rotation were more likely to be larger programs. Only 39% of programs felt that the number of AM faculty was adequate for teaching residents. Almost half of the programs reported lack of time, faculty, and curricula to teach content in substance abuse. Besides physicians, AM teachers included nurse practitioners (28%), psychologists (25%), and social workers (19%). Topics most often cited as adequately covered included sexually transmitted diseases (81.9%), confidentiality (79.4%), puberty (77.0%), contraception (76.1%), and menstrual problems (73.5%). Topics least often cited as adequately covered included psychological testing (16.1%), violence in relationships (20.0%), violence and weapon-carrying (29.7%), and sports medicine (29.7%). Fifty-eight percent of 137 respondents thought that all or nearly all of their residents were competent in performing pelvic examinations by the end of training; there was no difference between perceived competence and the residents' use of procedure books. Seventy-four percent used a specific curriculum for teaching AM; materials included chapters/articles (85%), lecture outlines (76.1%), slides (41.9%), videos (35.5%), written case studies (24.5%), computerized cases (6.5%), and CD-ROMs (3.2%). Fifty-two percent used Bright Futures, 48% used the Guidelines for Adolescent Preventive Services, and 14% used the Guide to Clinical Preventive Services for teaching clinical preventive services. Programs that used Bright Futures were more likely to feel that preventive services were adequately covered in their programs than those who did not (78% vs 57%). A majority of programs desired more learner-centered materials. AB - CONCLUSIONS: Although almost all pediatric programs are now providing AM rotations, there is significant variability in adequacy of training across multiple topics important for resident education. Programs desire more learner-centered materials and more faculty to provide comprehensive resident education in AM. IS - 0031-4005 IL - 0031-4005 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: MCJ 259368 Organization: *PHS HHS* Country: United States LG - English DP - 1998 Sep EZ - 1998/09/17 DA - 1998/09/17 00:01 DT - 1998/09/17 00:00 YR - 1998 ED - 19980924 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9738181 <1119. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9728638 TI - Mistreatment and maladaptations during medical internship. SO - JAMA. 280(8):699; author reply 700, 1998 Aug 26. AS - JAMA. 280(8):699; author reply 700, 1998 Aug 26. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rockwell DA FA - Rockwell, D A CM - Comment on: JAMA. 1998 Apr 15;279(15):1194-9; PMID: 9555759 NJ - JAMA VO - 280 IP - 8 PG - 699; author reply 700 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 - Humans MH - *Internship and Residency MH - *Physician Impairment MH - *Substance-Related Disorders IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Letter ID - jlt0826 [pii] PP - ppublish LG - English DP - 1998 Aug 26 EZ - 1998/09/05 02:14 DA - 2001/08/14 10:01 DT - 1998/09/05 02:14 YR - 1998 ED - 19980909 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9728638 <1120. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12293637 TI - Beliefs about substance use among pregnant and parenting adolescents. SO - Journal of Research on Adolescence. 8(1):69-95, 1998. AS - J Res Adolesc. 8(1):69-95, 1998. VI - 1 RO - PIP ST - MEDLINE AU - Morrison DM AU - Spencer MS AU - Gillmore MR FA - Morrison, D M FA - Spencer, M S FA - Gillmore, M R NJ - Journal of research on adolescence : the official journal of the Society for Research on Adolescence VO - 8 IP - 1 PG - 69-95 PI - Journal available in: Print PI - Citation processed from: Print JC - 9109126 IO - J Res Adolesc OI - Source: PIP. 132528 OI - Source: POP. 00276346 SB - Population Information Citations CP - United States MH - *Adolescent MH - Age Factors MH - *Alcohol Drinking MH - Americas MH - *Attitude MH - Behavior MH - Demography MH - Developed Countries MH - Family Characteristics MH - Family Relations MH - Fertility MH - *Mothers MH - North America MH - Parents MH - *Perception MH - Population MH - Population Characteristics MH - Population Dynamics MH - *Pregnancy in Adolescence MH - *Prevalence MH - *Prospective Studies MH - Psychology MH - Research MH - Research Design MH - Sexual Behavior MH - *Smoking MH - Social Problems MH - *Substance-Related Disorders MH - *Time Factors MH - United States KW - *Adolescent Pregnancy; Adolescents; *Adolescents, Female; Age Factors; *Alcohol Drinking; Americas; *Attitude; Behavior; Demographic Factors; Developed Countries; *Drug Usage; Family And Household; Family Characteristics; Family Relationships; Fertility; Measurement; *Mothers; North America; Northern America; Parents; *Perception; Population; Population Characteristics; Population Dynamics; *Prevalence; *Prospective Studies; Psychological Factors; Reproductive Behavior; Research Methodology; *Research Report; *Smoking; Social Problems; Studies; *Substance Addiction; *Time Factors; United States; Youth OA - PIP: Although substance use among pregnant and parenting adolescents has serious health implications for both mother and infant, few studies have investigated the predictors of such behavior. The present study, based on the Theory of Reasoned Action, tracked substance use behavior, intentions, attitudes, perceived social norms, and beliefs from pregnancy to 12 months postpartum in a cohort of 255 US adolescents (mean age, 16 years). Documented was a pattern in which adolescent mothers engaged in low levels of cigarette, marijuana, and alcohol use during pregnancy, but resumed substance use in the first 6 postpartum months, with rates levelling off by 12 months postpartum. Attitudes and perceived social norms about cigarette, alcohol, and marijuana use became increasingly more favorable from pregnancy to 6 months postpartum, paralleling trends in use rates. Doctors were perceived as most opposed to substance use during and after pregnancy, while friends, boyfriends, and siblings were considered to be least opposed. In general, negative outcomes of substance use were viewed less negatively and as less likely after the baby was born. Consistent with the Theory of Reasoned Action, increases in substance use after delivery were accompanied by similar increases in intentions to use these substances, more favorable attitudes toward use, and less perceived disapproval of use. Adolescents' willingness to curtail substance use during pregnancy indicates a concern for the well-being of their infant. This study's findings suggest a need for educational programs that emphasize the need to avoid substance use after as well as during pregnancy.; Language: English NT - TJ: JOURNAL OF RESEARCH ON ADOLESCENCE IS - 1050-8392 IL - 1050-8392 PT - Journal Article ID - 10.1207/s15327795jra0801_4 [doi] PP - ppublish LG - English DP - 1998 EZ - 2002/09/26 06:00 DA - 2002/10/09 04:00 DT - 2002/09/26 06:00 YR - 1998 ED - 19980902 RD - 20031114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=12293637 <1121. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9700351 TI - Effectiveness of CME workshops for alcohol and other drug-related interventions in general practice. SO - Medical Journal of Australia. 169(2):116-7, 1998 Jul 20. AS - Med J Aust. 169(2):116-7, 1998 Jul 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Digiusto EA AU - Leigh SV AU - Hardcastle DA AU - Currie JN FA - Digiusto, E A FA - Leigh, S V FA - Hardcastle, D A FA - Currie, J N NJ - The Medical journal of Australia VO - 169 IP - 2 PG - 116-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 0400714, m26 IO - Med. J. Aust. SB - Index Medicus CP - Australia MH - Accreditation MH - *Alcoholism/pc [Prevention & Control] MH - Australia MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - Methadone/tu [Therapeutic Use] MH - Practice Patterns, Physicians'/sn [Statistics & Numerical Data] MH - Pregnancy MH - *Pregnancy Complications/pc [Prevention & Control] MH - *Smoking Prevention MH - *Substance-Related Disorders/pc [Prevention & Control] RN - UC6VBE7V1Z (Methadone) IS - 0025-729X IL - 0025-729X PT - Letter PP - ppublish LG - English DP - 1998 Jul 20 EZ - 1998/08/13 DA - 1998/08/13 00:01 DT - 1998/08/13 00:00 YR - 1998 ED - 19980818 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9700351 <1122. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9617653 TI - Training the trainers: substance abuse screening and intervention. SO - International Journal of Psychiatry in Medicine. 28(1):137-46, 1998. AS - Int J Psychiatry Med. 28(1):137-46, 1998. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown RL AU - Fleming MF FA - Brown, R L FA - Fleming, M F IN - Brown, R L. Department of Family Medicine, University of Wisconsin Medical School, Madison 53715, USA. NJ - International journal of psychiatry in medicine VO - 28 IP - 1 PG - 137-46 PI - Journal available in: Print PI - Citation processed from: Print JC - 0365646, gsj IO - Int J Psychiatry Med SB - Index Medicus CP - United States MH - Adult MH - Curriculum MH - Education MH - Education, Medical, Continuing/mt [Methods] MH - *Education, Medical, Continuing MH - Educational Technology MH - Faculty, Medical MH - Family Practice/ed [Education] MH - Female MH - Humans MH - Internship and Residency MH - Male MH - *Physicians, Family/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/th [Therapy] MH - Teaching/mt [Methods] MH - *Teaching AB - OBJECTIVE: Screening and brief intervention for substance abuse is effective yet underutilized by primary care physicians. This article reports on Project SAEFP (Substance Abuse Education for Family Physicians), which aimed to enhance the clinical and teaching skills and activities of U.S. family practice residency faculty. AB - METHOD: Ten five-day workshops were designed and administered for 165 participants. Evaluation data included measures of participant satisfaction and pre-workshop and twelve-month post-workshop measures of the frequency of teaching, consulting, and clinical activities, and the attainment of self-identified teaching goals. AB - RESULTS: The participants were very satisfied with the workshops. They improved significantly in the key outcome measures. AB - CONCLUSIONS: Several workshops may have contributed to the apparent success of Project SAEFP. Attributes of the workshops which might have facilitated their success were their duration, funding, frequency of offering, collegial learning environment, opportunities for active learning, emotionally moving exposure to recovering individuals, focus on how to modify curriculum at participant residency programs, availability of family physician role models as faculty, and readily usable instructional materials. Planners of interventions for physician educators might profit from similar attention to these attributes. IS - 0091-2174 IL - 0091-2174 PT - Journal Article ID - 10.2190/VG0W-TW89-UWE0-HYJL [doi] PP - ppublish LG - English DP - 1998 EZ - 1998/06/09 DA - 1998/06/09 00:01 DT - 1998/06/09 00:00 YR - 1998 ED - 19980807 RD - 20170214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9617653 <1123. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9667092 TI - A controlled evaluation of small-group education of general practitioners in the management of drug users. SO - British Journal of General Practice. 48(429):1159-60, 1998 Apr. AS - Br J Gen Pract. 48(429):1159-60, 1998 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - King M AU - Hindler C AU - Nazareth I AU - Farmer R AU - Gerada C AU - Cohen J FA - King, M FA - Hindler, C FA - Nazareth, I FA - Farmer, R FA - Gerada, C FA - Cohen, J IN - King, M. University Department of Psychiatry, Royal Free Hospital School of Medicine, London. CM - Comment in: Br J Gen Pract. 1998 Jul;48(432):1435; PMID: 9800412 NJ - The British journal of general practice : the journal of the Royal College of General Practitioners VO - 48 IP - 429 PG - 1159-60 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/PMC1410043 SB - Index Medicus CP - England MH - Education, Medical, Continuing MH - Evaluation Studies as Topic MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders/th [Therapy] AB - We evaluated the effectiveness of small-group education of general practitioners (GPs) in the management of drug users. A total of 40 doctors were trained. Some 28 doctors who were unable to attend and 30 who did not want training participated as comparison groups. Sixteen months after the education, trained doctors notified significantly more drug users to the British Home Office database and more often prescribed methadone at first consultation with a drug user. IS - 0960-1643 IL - 0960-1643 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC1410043 [pmc] PP - ppublish LG - English DP - 1998 Apr EZ - 1998/07/17 DA - 1998/07/17 00:01 DT - 1998/07/17 00:00 YR - 1998 ED - 19980728 RD - 20140617 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9667092 <1124. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9628694 TI - "Teachable moments" provide a means for physicians to lower alcohol abuse. SO - JAMA. 279(22):1767-8, 1998 Jun 10. AS - JAMA. 279(22):1767-8, 1998 Jun 10. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mitka M FA - Mitka, M NJ - JAMA VO - 279 IP - 22 PG - 1767-8 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 - *Alcohol Drinking/pc [Prevention & Control] MH - *Alcoholism/pc [Prevention & Control] MH - Humans MH - Mass Screening MH - *Physician's Role IS - 0098-7484 IL - 0098-7484 PT - News ID - jmn0610 [pii] PP - ppublish LG - English DP - 1998 Jun 10 EZ - 1998/06/17 02:07 DA - 2001/08/14 10:01 DT - 1998/06/17 02:07 YR - 1998 ED - 19980618 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9628694 <1125. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9565388 TI - Screening for problem drinking: impact on physician behavior and patient drinking habits. SO - Journal of General Internal Medicine. 13(4):251-6, 1998 Apr. AS - J Gen Intern Med. 13(4):251-6, 1998 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Conigliaro J AU - Lofgren RP AU - Hanusa BH FA - Conigliaro, J FA - Lofgren, R P FA - Hanusa, B H IN - Conigliaro, J. Section of General Internal Medicine, VA Pittsburgh Health Care System, Center for Research on Healthcare, University of Pittsburgh, PA 15240, USA. NJ - Journal of general internal medicine VO - 13 IP - 4 PG - 251-6 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/PMC1496941 SB - Index Medicus CP - United States MH - *Alcohol Drinking MH - *Alcoholism/di [Diagnosis] MH - Humans MH - Internship and Residency MH - Middle Aged MH - Primary Health Care MH - United States AB - OBJECTIVE: To assess the effect of a screen for problem drinking on medical residents and their patients. AB - DESIGN: Descriptive cohort study. AB - SETTING: Veterans Affairs Medical Clinic. AB - PATIENTS: Patients were screened 2 weeks before a scheduled visit (n = 714). Physicians were informed if their patients scored positive. AB - MEASUREMENTS AND MAIN RESULTS: Physician discussion of alcohol use was documented through patient interview and chart review. Self-reported alcohol consumption was recorded. Of 236 current drinkers, 28% were positive for problem drinking by the Alcohol Use Disorders Identification Test (AUDIT). Of 58 positive patients contacted at 1 month, 78% recalled a discussion about alcohol use, 58% were advised to decrease drinking, and 9% were referred for treatment. In 57 positive patient charts, alcohol use was noted in 33 (58%), and a recommendation in 14 (25%). Newly identified patients had fewer notations than patients with prior alcohol problems. Overall, 6-month alcohol consumption decreased in both AUDIT-positive and AUDIT-negative patients. The proportion of positive patients who consumed more than 16 drinks per week (problem drinking) decreased from 58% to 49%. Problem drinking at 6 months was independent of physician discussion or chart notation. AB - CONCLUSIONS: Resident physicians discussed alcohol use in a majority of patients who screened positive for alcohol problems but less often offered specific advice or treatment. Furthermore, residents were less likely to note concerns about alcohol use in charts of patients newly identified. Finally, a screen for alcohol abuse may influence patient consumption. IS - 0884-8734 IL - 0884-8734 PT - Journal Article ID - PMC1496941 [pmc] PP - ppublish LG - English DP - 1998 Apr EZ - 1998/06/13 DA - 1998/06/13 00:01 DT - 1998/06/13 00:00 YR - 1998 ED - 19980610 RD - 20140617 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9565388 <1126. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9549764 TI - Survey of alcohol, drug use by radiologic technologists. ASRT Research and Development Committee. SO - Radiologic Technology. 69(4):343-50, 1998 Mar-Apr. AS - Radiol Technol. 69(4):343-50, 1998 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Radiologic technology VO - 69 IP - 4 PG - 343-50 PI - Journal available in: Print PI - Citation processed from: Print JC - qrd, 0401256 IO - Radiol Technol SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - *Allied Health Personnel/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - *Technology, Radiologic AB - This article describes the results of a survey investigating use of alcohol and illicit drugs by radiologic technologists. Overall, survey results suggest that few radiologic technologists have a problem with the abuse of alcohol and drugs. However, the survey indicates that approximately 3% to 4% of radiologic technologists may suffer from some type of substance abuse problem, with alcohol abuse more common than drug abuse. These findings correlate with studies that reveal similar rates of substance abuse among physicians, nurses and pharmacists. Because the abuse of alcohol and drugs affects the quality of patient care, the authors recommend that professional organizations identify and assist radiologic technologists who suffer from substance abuse and that they promote greater awareness of the problem through education. The authors also recommend that an awareness of the effects of substance abuse be included in the professional curriculum. IS - 0033-8397 IL - 0033-8397 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1998 Mar-Apr EZ - 1998/04/29 DA - 1998/04/29 00:01 DT - 1998/04/29 00:00 YR - 1998 ED - 19980521 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9549764 <1127. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9534126 TI - Didactic and experiential education in substance abuse programs. [Review] [15 refs] SO - Journal of Substance Abuse Treatment. 15(1):43-53, 1998 Jan-Feb. AS - J Subst Abuse Treat. 15(1):43-53, 1998 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kaskutas LA AU - Marsh D AU - Kohn A FA - Kaskutas, L A FA - Marsh, D FA - Kohn, A IN - Kaskutas, L A. Alcohol Research Group, Berkeley, CA 94709-2176, USA. NJ - Journal of substance abuse treatment VO - 15 IP - 1 PG - 43-53 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 - Alcoholism/rh [Rehabilitation] MH - Humans MH - *Patient Education as Topic MH - Self-Help Groups MH - Social Environment MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Medical model and social model programs both include client education as part of their service mandate, although the two models may define and accomplish the task of education differently. The role of education in substance abuse recovery has not been clear in either the treatment or recovery models. This paper therefore begins with a debate of the value of "educating" substance abuse clients, using several possible definitions of education and drawing upon a variety of theories from health education and community psychology. We divide these types of education into two broad definitional categories: knowledge acquisition and life skills development. Using data collected during a process evaluation at one medical and two social model programs, we provide examples of how knowledge acquisition and life skills development are accomplished at these sites. Analysis of the observational data pointed to two approaches to education, one didactic, the other experiential. All three sites used a didactic approach to knowledge about addiction. Only the social model sites used an experiential approach to convey knowledge and skills about recovery, and the development of life skills. [References: 15] IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Review ID - S0740547297002481 [pii] PP - ppublish LG - English DP - 1998 Jan-Feb EZ - 1998/04/16 DA - 1998/04/16 00:01 DT - 1998/04/16 00:00 YR - 1998 ED - 19980521 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9534126 <1128. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11365008 TI - Old AIDS. SO - Body Positive. 11(1):14-21, 1998 Jan. AS - Body Posit. 11(1):14-21, 1998 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Engle L FA - Engle, L NJ - The Body positive VO - 11 IP - 1 PG - 14-21 PI - Journal available in: Print PI - Citation processed from: Print JC - 9887196, de8, 9887196 IO - Body Posit SB - AIDS/HIV Journals CP - United States MH - Age Factors MH - Aged MH - Female MH - *HIV Infections/ep [Epidemiology] MH - HIV Infections/pc [Prevention & Control] MH - *HIV Infections/tm [Transmission] MH - Health Promotion MH - Humans MH - Male MH - Middle Aged MH - Social Support MH - United States/ep [Epidemiology] OA - AIDS: More than 10 percent of Americans who test positive for HIV are over the age of 50. These people are frequently misdiagnosed and typically learn they have the virus later in the disease process, so they rarely benefit from early and aggressive treatment. In addition, health problems are also associated with aging and few HIV practitioners have experience with mature or geriatric patients. Americans over 50 who engage in risky sexual behavior are only one-sixth as likely to use condoms as younger people, and one-fifth as likely to be tested for HIV. Older women are becoming infected at a higher rate than older men. In some ways, the effects of HIV and old age converge and aggravate each other and older people are less likely to disclose their sexual or substance abuse history to their doctors. There are few education and prevention programs for older people.; Language: English IS - 1048-4396 IL - 1048-4396 PT - Newspaper Article PP - ppublish LG - English DP - 1998 Jan EZ - 2001/05/22 10:00 DA - 2001/05/22 10:01 DT - 2001/05/22 10:00 YR - 1998 ED - 19980505 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11365008 <1129. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9550998 TI - Substance use among nurses: differences between specialties. SO - American Journal of Public Health. 88(4):581-5, 1998 Apr. AS - Am J Public Health. 88(4):581-5, 1998 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Trinkoff AM AU - Storr CL FA - Trinkoff, A M FA - Storr, C L IN - Trinkoff, A M. Department of Psychiatric, Community and Adult Primary Care Nursing, University of Maryland School of Nursing, Baltimore, USA. trinkoff@nurse-1.ab.umd.edu NJ - American journal of public health VO - 88 IP - 4 PG - 581-5 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/PMC1508454 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Female MH - Health Surveys MH - Humans MH - Male MH - *Nurses/sn [Statistics & Numerical Data] MH - Odds Ratio MH - Prevalence MH - *Professional Impairment/sn [Statistics & Numerical Data] MH - Regression Analysis MH - Risk Factors MH - Sampling Studies MH - Socioeconomic Factors MH - *Specialties, Nursing/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - OBJECTIVES: Valid data on factors that increase a health care worker's likelihood of substance use are integral in ensuring professional standards and quality health care for consumers. This study explored the association between nursing specialty and past-year substance use. AB - METHODS: In an anonymous mailed survey, a balanced stratified sample of registered nurses (n = 4438) reported their use of marijuana, cocaine, and prescription-type drugs, as well as cigarette smoking and binge drinking. AB - RESULTS: Prevalence of use of all substances was 32%. Rates varied by specialty, even when sociodemographics were controlled. Compared with nurses in women's health, pediatrics, and general practice, emergency nurses were 3.5 times as likely to use marijuana or cocaine (odds ratio [OR] = 3.5; 95% confidence interval [CI] = 1.5, 8.2); oncology and administration nurses were twice as likely to engage in binge drinking; and psychiatric nurses were most likely to smoke (OR = 2.4; 95% CI = 1.6, 3.8). No specialty differences appeared for prescription-type drug use. AB - CONCLUSIONS: Certain nursing specialties were more likely than others to be associated with substance use. The differences were not explained by demographic characteristics. Inasmuch as a comparison of these results for nurses with prior work on physicians found considerable agreement by specialty, preventive initiatives should consider inter-disciplinary approaches to substance use education. IS - 0090-0036 IL - 0090-0036 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - PMC1508454 [pmc] PP - ppublish GI - No: R01 DA07434 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1998 Apr EZ - 1998/04/29 DA - 1998/04/29 00:01 DT - 1998/04/29 00:00 YR - 1998 ED - 19980501 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9550998 <1130. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9523944 TI - Substance abuse and emergency medicine: not so benign neglect. SO - Academic Emergency Medicine. 5(3):280-1, 1998 Mar. AS - Acad Emerg Med. 5(3):280-1, 1998 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brewer PA FA - Brewer, P A NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 5 IP - 3 PG - 280-1 PI - Journal available in: Print PI - Citation processed from: Print JC - ce1, 9418450 IO - Acad Emerg Med SB - Index Medicus CP - United States MH - *Curriculum MH - *Emergency Medicine/ed [Education] MH - Humans MH - *Substance-Related Disorders IS - 1069-6563 IL - 1069-6563 PT - Letter PP - ppublish LG - English DP - 1998 Mar EZ - 1998/04/02 DA - 1998/04/02 00:01 DT - 1998/04/02 00:00 YR - 1998 ED - 19980430 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9523944 <1131. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9526484 TI - Teaching on addiction issues lacking in medical school, specialists told. SO - CMAJ Canadian Medical Association Journal. 158(5):640-1, 1998 Mar 10. AS - CMAJ. 158(5):640-1, 1998 Mar 10. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Robb N FA - Robb, N NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 158 IP - 5 PG - 640-1 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1229016 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Canada MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders AB - During the 1997 annual scientific meeting of the Canadian Society of Addiction Medicine, a medical student complained that medical schools do not provide enough education on addiction-related issues. April Boyd said most students want the information because they think they will face these issues when they enter practice. IS - 0820-3946 IL - 0820-3946 PT - Journal Article ID - PMC1229016 [pmc] PP - ppublish LG - English DP - 1998 Mar 10 EZ - 1998/04/04 DA - 1998/04/04 00:01 DT - 1998/04/04 00:00 YR - 1998 ED - 19980407 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9526484 <1132. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9465357 TI - Family physicians' utilization of a brief smoking cessation program following reinforcement contact after training: a randomized trial. SO - Preventive Medicine. 27(1):77-83, 1998 Jan-Feb. AS - Prev Med. 27(1):77-83, 1998 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richmond R AU - Mendelsohn C AU - Kehoe L FA - Richmond, R FA - Mendelsohn, C FA - Kehoe, L IN - Richmond, R. School of Community Medicine, University of New South Wales, Sydney, Australia. R.Richmond@unsw.edu.au NJ - Preventive medicine VO - 27 IP - 1 PG - 77-83 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 - Education, Medical, Continuing MH - Family Practice MH - Female MH - Humans MH - Male MH - Middle Aged MH - Outcome and Process Assessment (Health Care) MH - Patient Education as Topic/mt [Methods] MH - Physician's Role MH - Physicians, Family/ed [Education] MH - *Physicians, Family MH - Reinforcement (Psychology) MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation/sn [Statistics & Numerical Data] MH - Surveys and Questionnaires AB - BACKGROUND: Previous studies have examined methods of delivery of brief interventions and reinforcement contact and their effects on physicians' utilization of smoking cessation interventions. In this study the objectives were: (1) to determine the ongoing utilization by family physicians of a brief smoking cessation intervention 6 months after a training workshop and (2) to examine the effect of reinforcement contact on physician utilization. A supplementary aim was to assess point prevalence abstinence among patients identified as ready to quit smoking. AB - METHODS: This was a randomized controlled trial of family physicians (98 in the Contact and 100 in the Noncontact group). Training was conducted in a 2-hr workshop. Doctors in the Contact group received three brief telephone calls at 2 weeks, 2 months, and 4 months after training. Main outcome measures were: (1) utilization, determined by responses to a mailed questionnaire about use of the program, and (2) the number of booklets distributed by full-time doctors, collected by practice secretaries or research assistant. AB - RESULTS: At 6 months 88% of physicians (93% of the Contact group and 84% of the Noncontact group, P = 0.06) were current users of the smoking cessation intervention. Full-time physicians in the Contact group distributed significantly more booklets (40.1) over 6 months than those in the Noncontact group (32.8) (P < 0.05). Twenty-one percent of patients reported not smoking at follow-up at an average of 9.9 months after intervention. AB - CONCLUSIONS: Most doctors continued to use the program 6 months after training and reinforcement contact encouraged greater recruitment of patients. IS - 0091-7435 IL - 0091-7435 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial ID - S0091-7435(97)90240-1 [pii] ID - 10.1006/pmed.1997.0240 [doi] PP - ppublish LG - English DP - 1998 Jan-Feb EZ - 1998/02/18 DA - 1998/02/18 00:01 DT - 1998/02/18 00:00 YR - 1998 ED - 19980331 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9465357 <1133. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9471520 TI - [Problems and perspectives in child health care]. [Croatian] OT - Problemi i perspektive zdravstvene zastite dece. SO - Medicinski Pregled. 50(11-12):547-50, 1997 Nov-Dec. AS - Med Pregl. 50(11-12):547-50, 1997 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nikolic N AU - Gebauer E AU - Jovanovic M AU - Rakic D AU - Katanic D FA - Nikolic, N FA - Gebauer, E FA - Jovanovic, M FA - Rakic, D FA - Katanic, D IN - Nikolic, N. Institut za zdravstvenu zastitu dece i omladine, Medicinski fakultet, Novi Sad. NJ - Medicinski pregled VO - 50 IP - 11-12 PG - 547-50 PI - Journal available in: Print PI - Citation processed from: Print JC - 0134461, 2985249r, m8u IO - Med. Pregl. SB - Index Medicus CP - Serbia MH - Child MH - *Child Health Services MH - *Child Welfare MH - Humans MH - Yugoslavia AB - Health care protection of children in Vojvodina is of particular importance regarding the negative natural birth rate. In spite of difficult economic situation, health care of children in Vojvodina is permanently carried out and would be significantly better in quality if the education of subspecialized personnel, space facilities, technological innovations, computerization and continuous education were available. Introduction of microanalytic laboratory techniques is essential for monitoring of prematures. Propagation of natural nutrition is an obligation of pediatricians. Respiratory diseases are still on the top of morbidity pyramid but tuberculosis is evidently in increase. An important health care problem is the expansion of allergic diseases. The progressive incidence of insulin-dependent diabetes is also evident. The spheres of juvenile gynecological endocrinology and andrology are still underdeveloped and that also applies to adolescent medicine. Toxicology remains an ongoing problem in pediatrics due to an increased number of accidental poisoning. Pediatricians-gastroenterologists are lacking while paediatric hepatology should be brought into more advanced state. Bone marrow and stem cells transplantation is in the responsibility of the Centre for haematology and oncology. Nephrology department lacks children's haemodialysis, ultrasound biopsy of kidneys, urodynamic analyses and new staff facilities. The increased number of survivals in case of children with with sequeles inevitably asks for better development of rehabilitation, prolonged treatment and teamwork. Intensive care and therapy department requires new staff and high technology capacities. Development of children's surgery department inevitably means the reconstruction of space facilities, modern equipment and new subspecializations. Preventive outpatient service is performed through systematic examinations. ultrasound diagnostics of hips, auditive screening and educational program activities related to addiction and veneral diseases. Genetic health of the population is supremely covered by the Center for Medical Genetics, with the tendenca for development of molecular genetics. It is necessary to develop rehabilitation service, prolonged treatment and teamwork. Diagnostic of convulsive conditions should be advanced with more refined diagnostic methods. IS - 0025-8105 IL - 0025-8105 PT - English Abstract PT - Journal Article PP - ppublish LG - Croatian DP - 1997 Nov-Dec EZ - 1998/02/21 DA - 1998/02/21 00:01 DT - 1998/02/21 00:00 YR - 1997 ED - 19980219 RD - 20091109 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9471520 <1134. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9438398 TI - Alcoholism among indigent inpatients: identification and intervention by internal medicine residents. SO - Southern Medical Journal. 91(1):27-32, 1998 Jan. AS - South Med J. 91(1):27-32, 1998 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cerise FP AU - Scarinci IC AU - Thibodaux R AU - Cannatella M AU - Stark S AU - Brantley PJ FA - Cerise, F P FA - Scarinci, I C FA - Thibodaux, R FA - Cannatella, M FA - Stark, S FA - Brantley, P J IN - Cerise, F P. Department of Medicine, Pennington Biomedical Research Center, Louisiana State University, Baton Rouge, USA. NJ - Southern medical journal VO - 91 IP - 1 PG - 27-32 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/co [Complications] MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Female MH - Health Services/ut [Utilization] MH - Humans MH - *Internal Medicine/ed [Education] MH - Internship and Residency MH - Male MH - *Medical Indigency/sn [Statistics & Numerical Data] MH - Medical Records MH - Middle Aged MH - Prevalence MH - Retrospective Studies MH - Smoking MH - Substance-Related Disorders AB - BACKGROUND: This study examined alcoholism identification and interventions by internal medicine residents, determined the prevalence of alcoholism among indigent inpatients, and examined some variables related to alcoholism in this population. AB - METHODS: The alcohol abuse and dependence section of the Diagnostic Interview Schedule was administered to 197 inpatients, and chart audits were done. AB - RESULTS: The obtained prevalence of alcoholism was 17%. Residents identified current alcohol abuse among 71% of current alcoholics, 17% of past alcoholics, and 3% of nonalcoholics. Sixty-two percent of alcoholics identified by the residents did not receive advice or referral, 13% received advice, 17% were referred to Alcoholics Anonymous, and 8% were referred to an inpatient facility. AB - CONCLUSIONS: Our results suggest that although residents' identification of alcoholism is satisfactory, it is necessary to improve their rates of intervention. The profile of the alcoholic inpatients in this study includes demographics, presence of chronic illnesses, and utilization of medical services as compared with nonalcoholics. IS - 0038-4348 IL - 0038-4348 PT - Journal Article PP - ppublish LG - English DP - 1998 Jan EZ - 1998/01/23 DA - 1998/01/23 00:01 DT - 1998/01/23 00:00 YR - 1998 ED - 19980127 RD - 20100324 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9438398 <1135. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9417376 TI - ["It's free, therefore they abuse...". Study of answers of medical students concerning drug consumption]. [French] OT - "C'est gratuit donc ils abusent...". Etude des representations des etudiants en medecine sur la consommation medicale. SO - Sante Publique (Vandoeuvre-Les-Nancey). 9(2):221-6, 1997 Jun. AS - Sante Publique. 9(2):221-6, 1997 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cao MM AU - Deschamps JP FA - Cao, M M FA - Deschamps, J P IN - Cao, M M. Ecole de Sante Publique, Faculte de Medecine, Universite Henri Poincare-Nancy I, Vandoeuvre-les-Nancy, France. NJ - Sante publique (Vandoeuvre-les-Nancy, France) VO - 9 IP - 2 PG - 221-6 PI - Journal available in: Print PI - Citation processed from: Print JC - czl, 9216153 IO - Sante Publique SB - Index Medicus CP - France MH - Attitude MH - *Drug Utilization MH - Education, Medical, Graduate MH - France MH - Humans MH - Insurance, Health MH - Public Health/ed [Education] MH - *Students, Medical MH - *Substance-Related Disorders AB - In 1994, during a public health examination, in Nancy, a question was asked to students in their 6th year of medical studies: "why do the patients who benefit of a total reimbursement of the drug's cost (that is patients that receive free medical care because they have a serious illness), consume obviously more than the others?". The aim of this study is to analyse the student's answers: 57 students gave the correct answer (serious illness explains high consumption), 44 gave several answers (included free care explains high consumption); for 71 students, it is only an abusive consumption. Although the time to complete the test is limited, it is a good indication of the student's attitudes. Many of them do not make a difference between high consumption in a case of serious illness and abusive consumption as a result of free medical care. Then the student's attitude towards the patients is frequently negative. IS - 0995-3914 IL - 0995-3914 PT - English Abstract PT - Journal Article PP - ppublish LG - French DP - 1997 Jun EZ - 1997/06/01 00:00 DA - 2000/03/18 09:00 DT - 1997/06/01 00:00 YR - 1997 ED - 19971229 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9417376 <1136. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9398783 TI - Commentary: missing in action--emergency medicine and the problem drinker. SO - Annals of Emergency Medicine. 30(6):819-20, 1997 Dec. AS - Ann Emerg Med. 30(6):819-20, 1997 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Annals of emergency medicine VO - 30 IP - 6 PG - 819-20 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 - *Alcoholism/th [Therapy] MH - *Emergency Medicine MH - Humans MH - *Patient Education as Topic IS - 0196-0644 IL - 0196-0644 PT - Journal Article ID - S0196064497003752 [pii] PP - ppublish LG - English DP - 1997 Dec EZ - 1997/12/17 DA - 1997/12/17 00:01 DT - 1997/12/17 00:00 YR - 1997 ED - 19971224 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9398783 <1137. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9373706 TI - Training general practitioners. SO - Alcohol & Alcoholism. 32(5):627-8, 1997 Sep-Oct. AS - Alcohol Alcohol. 32(5):627-8, 1997 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glatt MM FA - Glatt, M M CM - Comment on: Alcohol Alcohol. 1997 Jan-Feb;32(1):9-12; PMID: 9131897 NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 32 IP - 5 PG - 627-8 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - *Alcoholism MH - Attitude of Health Personnel MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans IS - 0735-0414 IL - 0735-0414 PT - Comment PT - Letter PP - ppublish LG - English DP - 1997 Sep-Oct EZ - 1997/11/28 DA - 1997/11/28 00:01 DT - 1997/11/28 00:00 YR - 1997 ED - 19971216 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9373706 <1138. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9339860 TI - Addiction medicine and continuing medical education. [Review] [70 refs] SO - Journal of Psychoactive Drugs. 29(3):275-84, 1997 Jul-Sep. AS - J Psychoactive Drugs. 29(3):275-84, 1997 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sandlow LJ AU - Dos Santos SR FA - Sandlow, L J FA - Dos Santos, S R IN - Sandlow, L J. Department of Medical Education, University of Illinois at Chicago, 60612, USA. NJ - Journal of psychoactive drugs VO - 29 IP - 3 PG - 275-84 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Family Practice/st [Standards] MH - Guidelines as Topic MH - Humans MH - *Substance-Related Disorders MH - United States AB - Addictive disorders are one of the most common problems encountered by primary care physicians. In the last decades there has been a significant effort by organizations, universities, and private foundations to increase the teaching of alcohol and drug abuse issues to medical students, residents and practitioners. Still, up to now, the subject has not been presented appropriately at either the undergraduate or graduate medical education level and the majority of physicians in practice have not been adequately instructed in addiction medicine. This article reviews the literature on addictive disorders and medical education, exploring issues concerning continuing medical education (CME) in particular. The authors discuss the problems relative to this subject and the educational techniques and methods most appropriate to changing attitudes and behaviors of physicians. They also design an approach to a CME program on addictive disorders for primary care physicians that incorporates multiple teaching/learning methodologies. [References: 70] IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.1997.10400202 [doi] PP - ppublish LG - English DP - 1997 Jul-Sep EZ - 1997/07/01 00:00 DA - 1997/10/27 00:01 DT - 1997/07/01 00:00 YR - 1997 ED - 19971125 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9339860 <1139. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9339859 TI - Addiction medicine: a place for faculty development. [Review] [22 refs] SO - Journal of Psychoactive Drugs. 29(3):269-74, 1997 Jul-Sep. AS - J Psychoactive Drugs. 29(3):269-74, 1997 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gelula MH FA - Gelula, M H IN - Gelula, M H. Department of Medical Education, University of Illinois at Chicago College of Medicine, 60612-7309, USA. NJ - Journal of psychoactive drugs VO - 29 IP - 3 PG - 269-74 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Curriculum MH - Education, Medical MH - *Faculty, Medical MH - Guidelines as Topic MH - Humans MH - *Schools, Medical MH - *Substance-Related Disorders MH - United States AB - Addiction medicine must fight for its space in the undergraduate, graduate and continuing medical education curricula, as do most other clinical domains. Often curriculum time is provided to specialty areas when a clear relevance to the overall curriculum is made obvious. Increasing the awareness of addiction medicine through institutionalized faculty development programs can serve to foster the integration of this specialized curriculum. Institutionalizing faculty development is proposed in a description of a four-phase model. Specific recommendations of goals, processes, and critical steps in the faculty development process supporting scholarship leading to curricular change are described. [References: 22] IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.1997.10400201 [doi] PP - ppublish LG - English DP - 1997 Jul-Sep EZ - 1997/07/01 00:00 DA - 1997/10/27 00:01 DT - 1997/07/01 00:00 YR - 1997 ED - 19971125 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9339859 <1140. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9339858 TI - Integration in education for addiction medicine. [Review] [27 refs] SO - Journal of Psychoactive Drugs. 29(3):263-8, 1997 Jul-Sep. AS - J Psychoactive Drugs. 29(3):263-8, 1997 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klamen DL AU - Miller NS FA - Klamen, D L FA - Miller, N S IN - Klamen, D L. Undergraduate Medical Education in Psychiatry, Department of Psychiatry, The University of Illinois at Chicago, 60612-7327, USA. NJ - Journal of psychoactive drugs VO - 29 IP - 3 PG - 263-8 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Curriculum MH - *Education, Medical MH - Education, Medical, Continuing MH - Education, Medical, Undergraduate MH - Humans MH - Internship and Residency MH - *Physician's Role MH - *Substance-Related Disorders MH - United States AB - Addiction to alcohol and other drugs is a serious public health problem that is one of the most common disorders seen in medical practice. Although it is an extremely common disorder, it is poorly diagnosed and treated by physicians. In order to begin to develop an integrated approach to education and addiction, one must define the many roles of the physician working with addicted patients. Training about addictions must begin early in the medical student's career, and continue in a vertically integrated way throughout medical school. The notion of addiction as a disease process must be introduced and integrated into course materials in the preclinical years. Careful attention must be paid to the development of positive views toward working with addicted patients, and students must be indoctrinated early with the idea that physicians have a responsibility to diagnose and manage addicted patients. Students should be given multiple opportunities to learn and use screening interviews for addiction in preclinical interviewing courses, and while on the clerkships. Residency education and continuing medical education in addictions are also important, so that faculty may become good role models for students in this critical area. [References: 27] IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.1997.10400200 [doi] PP - ppublish LG - English DP - 1997 Jul-Sep EZ - 1997/07/01 00:00 DA - 1997/10/27 00:01 DT - 1997/07/01 00:00 YR - 1997 ED - 19971125 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9339858 <1141. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9376253 TI - A medical school's plan for anti-tobacco-use education in community schools and hospitals. SO - Journal of Cancer Education. 12(3):157-60, 1997. AS - J Cancer Educ. 12(3):157-60, 1997. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stein J AU - Glass K AU - Coburn K AU - Sisson J AU - Birnkrant J AU - Bravo A AU - Green A AU - O'Donnell JF FA - Stein, J FA - Glass, K FA - Coburn, K FA - Sisson, J FA - Birnkrant, J FA - Bravo, A FA - Green, A FA - O'Donnell, J F IN - Stein, J. Dartmouth Medical School, Hanover, New Hampshire 03755-3837, USA. NJ - Journal of cancer education : the official journal of the American Association for Cancer Education VO - 12 IP - 3 PG - 157-60 PI - Journal available in: Print PI - Citation processed from: Print JC - avy, 8610343 IO - J Cancer Educ SB - Index Medicus CP - England MH - Adolescent MH - Adult MH - Ambulatory Care Facilities MH - Child MH - Counseling MH - Curriculum MH - Education, Medical MH - Female MH - *Health Education MH - *Hospitals MH - Humans MH - Male MH - New Hampshire MH - Preventive Medicine/ed [Education] MH - Primary Prevention MH - *Schools MH - *Schools, Medical MH - *Smoking Cessation MH - *Smoking Prevention MH - Students, Medical AB - BACKGROUND: Tobacco use in the United States remains a significant health concern. In 1992, students at Dartmouth Medical School began a community service program that targeted the prevention of local tobacco use. AB - METHODS: The program combined primary prevention, through education of school-aged children, with secondary prevention, through smoking cessation clinics. AB - RESULTS: The program has received widespread community as well as national support for its actions. The program is in its initial stages of gathering data to determine whether there has been a significant impact on the tobacco use of the community. AB - CONCLUSIONS: This paper is an introduction to the program's efforts, and a potential template for other medical schools to follow. IS - 0885-8195 IL - 0885-8195 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1080/08858199709528479 [doi] PP - ppublish LG - English DP - 1997 EZ - 1997/11/05 DA - 1997/11/05 00:01 DT - 1997/11/05 00:00 YR - 1997 ED - 19971107 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9376253 <1142. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9286003 TI - Evaluating the impact of a clinical training program in the addictions. SO - Substance Use & Misuse. 32(10):1331-48, 1997 Aug. AS - Subst Use Misuse. 32(10):1331-48, 1997 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scotch FL AU - Fleger-Berman L AU - Shaffer HJ FA - Scotch, F L FA - Fleger-Berman, L FA - Shaffer, H J IN - Scotch, F L. Division on Addictions, Harvard Medical School, Boston, Massachusetts 02115, USA. NJ - Substance use & misuse VO - 32 IP - 10 PG - 1331-48 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 - *Alcoholism/rh [Rehabilitation] MH - Career Choice MH - Curriculum MH - *Fellowships and Scholarships MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Massachusetts MH - *Substance-Related Disorders/rh [Rehabilitation] AB - This research examined students who were enrolled in a specialized addiction treatment training program to evaluate the impact of this year-long internship experience on their professional lives. Achieving an 87.5% survey completion rate, the vast majority of program graduates assessed the overall training program and its component activities very positively. The topics and activities associated with "drug dependence" were evaluated more positively than the training events associated with pathological gambling. Furthermore, the majority of program graduates obtained jobs in the addiction field. As a result of the training program, approximately 74.5% of respondents stated that they had changed their beliefs about addiction. In addition, many respondents commented that their participation in the program changed their stereotypes of people with addiction. The findings provide suggestions and guidance for other clinical training programs that can gain from the experiences of fellows who studied at the Norman E. Zinberg Center for Addiction Studies. IS - 1082-6084 IL - 1082-6084 PT - Journal Article PP - ppublish LG - English DP - 1997 Aug EZ - 1997/08/01 DA - 1997/08/01 00:01 DT - 1997/08/01 00:00 YR - 1997 ED - 19971022 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9286003 <1143. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9258865 TI - Training in substance abuse: still a stepchild in psychiatry residencies?. SO - Journal of Substance Abuse Treatment. 14(2):197-8, 1997 Mar-Apr. AS - J Subst Abuse Treat. 14(2):197-8, 1997 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Katz JL FA - Katz, J L NJ - Journal of substance abuse treatment VO - 14 IP - 2 PG - 197-8 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 - Accreditation MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0740-5472 IL - 0740-5472 PT - Editorial ID - S0740547297001189 [pii] PP - ppublish LG - English DP - 1997 Mar-Apr EZ - 1997/03/01 DA - 1997/03/01 00:01 DT - 1997/03/01 00:00 YR - 1997 ED - 19971010 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9258865 <1144. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9255829 TI - Using the Internet for clinical training: a course on network therapy for substance abuse. SO - Psychiatric Services. 48(8):999-1000, 1008, 1997 Aug. AS - Psychiatr Serv. 48(8):999-1000, 1008, 1997 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Keller DS AU - Dermatis H FA - Galanter, M FA - Keller, D S FA - Dermatis, H IN - Galanter, M. Division of Alcoholism and Drug Abuse of the Department of Psychiatry, New York University Medical Center, New York 10016, USA. NJ - Psychiatric services (Washington, D.C.) VO - 48 IP - 8 PG - 999-1000, 1008 PI - Journal available in: Print PI - Citation processed from: Print JC - 9502838, b8t IO - Psychiatr Serv SB - Index Medicus CP - United States MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Combined Modality Therapy MH - *Computer Communication Networks MH - Curriculum MH - *Education, Medical, Continuing MH - Humans MH - Opioid-Related Disorders/rh [Rehabilitation] MH - *Psychiatry/ed [Education] MH - Specialization IS - 1075-2730 IL - 1075-2730 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1176/ps.48.8.999 [doi] PP - ppublish GI - No: R01IDA0518 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1997 Aug EZ - 1997/08/01 DA - 1997/08/01 00:01 DT - 1997/08/01 00:00 YR - 1997 ED - 19971008 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9255829 <1145. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9261485 TI - Network Therapy for addiction: assessment of the clinical outcome of training. SO - American Journal of Drug & Alcohol Abuse. 23(3):355-67, 1997 Aug. AS - Am J Drug Alcohol Abuse. 23(3):355-67, 1997 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Keller DS AU - Dermatis H FA - Galanter, M FA - Keller, D S FA - Dermatis, H IN - Galanter, M. Department of Psychiatry, New York University School of Medicine, New York 10016, USA. NJ - The American journal of drug and alcohol abuse VO - 23 IP - 3 PG - 355-67 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 - Ambulatory Care MH - *Cocaine MH - *Cognitive Therapy/ed [Education] MH - *Crack Cocaine MH - Curriculum MH - Female MH - Follow-Up Studies MH - Humans MH - *Internship and Residency MH - Male MH - New York City MH - Outcome and Process Assessment (Health Care) MH - *Psychiatry/ed [Education] MH - *Social Support MH - Substance Abuse Detection MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Mental health practitioners in the office setting are often seen as deficient in addiction treatment skills. Relevant training in often quite limited, and trainees are generally not introduced in an effective office-based modality. We studied the feasibility of teaching beginning therapists how to apply Network Therapy, a cognitive-behavioral approach to achieving abstinence and preventing relapse that augments individual therapy with support from family and friends. The therapists were 19 psychiatric residents without experience in substance abuse treatment or outpatient therapy, and the patients were 24 cocaine-dependent patients who received a 24-week course of Network treatment. The patients remained in treatment for an average of 15.4 weeks. Seventy-nine percent of their observed weekly urine toxicologies were negative for cocaine, and 42% of patients produced clean urines in the 3 weeks immediately before termination. The overall outcome compares favorably with that reported in studies on cocaine treatment where experienced therapists were employed. Our results suggest that naive mental health trainees can be taught to apply Network Therapy for effective substance abuse management. This is particularly relevant to technology transfer for general mental health trainees, who are often thought to be perceived to be refractory to learning about the outpatient management of addiction. RN - 0 (Crack Cocaine) RN - I5Y540LHVR (Cocaine) IS - 0095-2990 IL - 0095-2990 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: R01DA0518 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1997 Aug EZ - 1997/08/01 DA - 1997/08/01 00:01 DT - 1997/08/01 00:00 YR - 1997 ED - 19970930 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9261485 <1146. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9256992 TI - A substance abuse consultation service. Enhancing the care of hospitalized substance abusers and providing training in addiction psychiatry. [Review] [43 refs] SO - American Journal on Addictions. 6(3):256-65, 1997. AS - Am J Addict. 6(3):256-65, 1997. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDuff DR AU - Solounias BL AU - Beuger M AU - Cohen A AU - Klecz M AU - Weintraub E FA - McDuff, D R FA - Solounias, B L FA - Beuger, M FA - Cohen, A FA - Klecz, M FA - Weintraub, E IN - McDuff, D R. Department of Psychiatry, University of Maryland Medical Center, Baltimore 21201, USA. NJ - The American journal on addictions VO - 6 IP - 3 PG - 256-65 PI - Journal available in: Print PI - Citation processed from: Print JC - 9208821 IO - Am J Addict SB - Index Medicus CP - England MH - Adult MH - Female MH - *Hospitalization MH - Humans MH - Male MH - *Personnel, Hospital/ed [Education] MH - Prevalence MH - *Psychiatric Department, Hospital MH - *Referral and Consultation MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] AB - The authors review the literature on the high prevalence but underrecognition of substance abuse among hospitalized patients and the general unavailability of hospital-based substance abuse consultation services. They describe the development, clinical operations, staffing, and teaching activities of a large substance abuse consultation service in one urban academic medical center and detail the service's growth and changing utilization patterns over an 8-year period, reporting the clinical characteristics of 1,819 patients seen over a 1-year period. Differences in patient demographics, patterns of substance use, and diagnoses were highly significant from one referring service to another. The authors discuss the implications of such a service for patient care and teaching. [References: 43] IS - 1055-0496 IL - 1055-0496 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1997 EZ - 1997/07/01 DA - 1997/07/01 00:01 DT - 1997/07/01 00:00 YR - 1997 ED - 19970922 RD - 20161020 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9256992 <1147. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9282151 TI - A comparison of two methods to teach smoking-cessation techniques to medical students. SO - Academic Medicine. 72(8):725-7, 1997 Aug. AS - Acad Med. 72(8):725-7, 1997 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Papadakis MA AU - Croughan-Minihane M AU - Fromm LJ AU - Wilkie HA AU - Ernster VL FA - Papadakis, M A FA - Croughan-Minihane, M FA - Fromm, L J FA - Wilkie, H A FA - Ernster, V L IN - Papadakis, M A. Department of Medicine, University of California, San Francisco, School of Medicine 94143, USA. maxine_papadakis@ucsfdom.ucsf.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 72 IP - 8 PG - 725-7 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 - Education, Medical, Undergraduate/ec [Economics] MH - *Education, Medical, Undergraduate/mt [Methods] MH - Humans MH - *Patient Simulation MH - *Role Playing MH - San Francisco MH - *Smoking Cessation/mt [Methods] AB - PURPOSE: To evaluate two smoking-cessation practice exercises, one using standardized patients (SPs), the other using role playing by medical students. AB - METHOD: In the spring of 1994 all 120 first-year University of California, San Francisco, School of Medicine Students were given lectures on the health effects of smoking and how physicians can help patients quit. Afterward some of the students were randomly assigned to two groups in which to practice counseling patients: Group 1 (n = 35) used SPs, Group 2 (n = 37) used role playing. Each of the Group 1 students practiced smoking-cessation techniques with an SP; the SP evaluated the student on cognitive and communication skills, assigned an overall rating, and provide feedback using a standardized form. The Group 2 students (as well as the 48 students not assigned to a group) role-played in pairs and used the same form to provide feedback. All the students evaluated their respective practice practices. Two weeks later 24 Group 1 and 31 Group 2 students participated in a clinic-skills-assessment exercise using SPs. As in the Group 1 practice exercise, each student was evaluated by an SP on cognitive and communication skills and assigned an overall rating. Data were analyzed through a number of statistical methods. The cost of the SP program was determined. AB - RESULTS: The Group 1 students rated their practice exercise much more favorably than did the Group 2 students. However, there was no significant difference between the groups in their ratings by the SPs on the clinical-skills-assessment exercise. The use of SPs cost a great deal more than did the use of role playing. AB - CONCLUSION: Although the students rated the SPs higher than they did the role playing, the two tools produced similar levels of skills attainment. The data suggest that having students practice smoking-cessation techniques through role playing may be as effective as using the more extensive SPs. IS - 1040-2446 IL - 1040-2446 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1997 Aug EZ - 1997/08/01 DA - 1997/08/01 00:01 DT - 1997/08/01 00:00 YR - 1997 ED - 19970911 RD - 20100412 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9282151 <1148. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9165285 TI - Implementation of CAGE alcohol screening in a primary care practice. SO - Family Medicine. 29(5):332-5, 1997 May. AS - Fam Med. 29(5):332-5, 1997 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lawner K AU - Doot M AU - Gausas J AU - Doot J AU - See C FA - Lawner, K FA - Doot, M FA - Gausas, J FA - Doot, J FA - See, C IN - Lawner, K. Department of Family Practice, Lutheran General Hospital/Advocate, Park Ridge, Ill, USA. NJ - Family medicine VO - 29 IP - 5 PG - 332-5 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - *Alcoholism/pc [Prevention & Control] MH - Chi-Square Distribution MH - Documentation MH - Family Practice/st [Standards] MH - *Family Practice/sn [Statistics & Numerical Data] MH - Humans MH - *Internship and Residency/st [Standards] MH - Longitudinal Studies MH - Mass Screening/mt [Methods] MH - *Mass Screening/ut [Utilization] MH - *Professional Practice/st [Standards] MH - Program Evaluation AB - BACKGROUND AND OBJECTIVES: Alcoholism is a common problem in primary care. Although the four-question CAGE screening tool was developed for use by primary care physicians, studies show that the questionnaire is still not widely used in clinical practice. This study tested the effectiveness of an intervention to increase physicians' use of the CAGE questions. AB - METHODS: We reviewed medical records charts completed by 15 family practice residents for documented alcoholism screening, both before and after an educational intervention. The intervention included modification of examination forms to include the CAGE questions, as well as written feedback from faculty members regarding residents' documentation of alcohol screening. AB - RESULTS: We reviewed a total of 170 pre- and 227 post-intervention charts. Following educational intervention, documentation of quantity/frequency of alcohol beverage consumption increased from 26.5% to 93%. The use of CAGE screening increased from 5.9% to 76.7%. For post-intervention charts that documented using the four CAGE questions, 12.6% showed one or more positive responses. Of these charts, 27% documented physician intervention such as a warning or referral for treatment of alcohol-related problems. AB - CONCLUSIONS: Our educational intervention was a successful way to improve physicians' use of CAGE questions to screen for alcoholism. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1997 May EZ - 1997/05/01 DA - 1997/05/01 00:01 DT - 1997/05/01 00:00 YR - 1997 ED - 19970812 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9165285 <1149. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9217509 TI - Prevention and treatment of alcohol-related problems: an international medical education model. SO - Academic Medicine. 71(11):1204-10, 1996 Nov. AS - Acad Med. 71(11):1204-10, 1996 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murray M AU - Fleming M FA - Murray, M FA - Fleming, M IN - Murray, M. International Research and Training Program, National Institute on Alcohol Abuse and Alcoholism, Bethesda, Maryland 20892-7033, USA. pmurray@willco.niaaa.nih.gov NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 71 IP - 11 PG - 1204-10 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 - *Alcoholism/pc [Prevention & Control] MH - *Alcoholism/th [Therapy] MH - Curriculum MH - *Education, Medical MH - Humans MH - *International Cooperation MH - *Models, Educational MH - National Institutes of Health (U.S.) MH - Poland MH - United States AB - Alcohol abuse and alcoholism are among the world's most pressing public health concerns. Research has shown that while primary care physicians are in a good position to screen for alcohol-use disorders and to aid in treating these problems, they tend to identify only a small percentage of patients with such disorders and they rarely intervene with these persons. This situation is probably attributable to the fact that medical students worldwide are taught very little about alcohol-related problems. Clearly there is an urgent need to educate the world's doctors about preventing, diagnosing, and treating alcohol abuse and addiction. In this paper, the authors describe a model international program for educating physicians about alcohol-related problems that was developed by the National Institute on Alcohol Abuse and Alcoholism (NIAAA) in cooperation with the Center for Addiction Research and Education (CARE) at the University of Wisconsin-Madison. They describe the components of the initiative's "trainer-development" approach and critical issues in implementing the program in other countries. Finally, they discuss how the program was successfully implemented in Poland and describe the NIAAA's plans for introducing the model in several other countries. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 1996 Nov EZ - 1996/11/01 DA - 1996/11/01 00:01 DT - 1996/11/01 00:00 YR - 1996 ED - 19970807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9217509 <1150. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9203743 TI - [The health of prisoners]. [Review] [48 refs] [French] OT - La sante des detenus. SO - Bulletin de l Academie Nationale de Medecine. 181(3):569-99; discussion 599-601, 1997 Mar 18. AS - Bull Acad Natl Med. 181(3):569-99; discussion 599-601, 1997 Mar 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gentilini M AU - Tcheriatchoukine J AU - Louasse P AU - Edel Y AU - Dessaint L AU - Duneton P AU - Chieze F FA - Gentilini, M FA - Tcheriatchoukine, J FA - Louasse, P FA - Edel, Y FA - Dessaint, L FA - Duneton, P FA - Chieze, F IN - Gentilini, M. Institut Sante et Developpement, Paris. NJ - Bulletin de l'Academie nationale de medecine VO - 181 IP - 3 PG - 569-99; discussion 599-601 PI - Journal available in: Print PI - Citation processed from: Print JC - b8g, 7503383 IO - Bull. Acad. Natl. Med. SB - Index Medicus SB - AIDS/HIV Journals CP - Netherlands MH - *Delivery of Health Care MH - France MH - HIV Infections/tm [Transmission] MH - Hepatitis MH - *Prisons MH - Substance-Related Disorders AB - In twenty years, the prison population, from the mother country and the overseas departments, has more than doubled, in spite of reprieve and amnesty decisions. This increase is more a consequence of longer penalties than of a rise in the number of imprisoned people The law no. 94-43, dated january 18th 1994, concerning the prisoners' medical care and welfare is an unprecedented health revolution. It comes in addition to provisions from 1986 and 1987 for the programme "13,000" prisons and those endowed with a regional medical and psychological service (SMPR). The prisoners' health must urgently be dealt with and particularly as regards infectious diseases, vaccination check-up, campaign against drug addiction health and nutrition education and dental care. As soon as incarceration has begun, the exist must be prepared and taken into consideration by the different interveners inside and outside the prison, in order to make sure of an efficient medical follow-up. As the number of intervening medical and social personnel, is increasing in prisons, a coordination inside the their walls as well as on the regional and national levels, would prove useful. [References: 48] IS - 0001-4079 IL - 0001-4079 PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - French DP - 1997 Mar 18 EZ - 1997/03/18 DA - 1997/03/18 00:01 DT - 1997/03/18 00:00 YR - 1997 ED - 19970806 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9203743 <1151. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9222267 TI - Physician impairment by substance abuse. [Review] [49 refs] SO - Medical Clinics of North America. 81(4):1037-52, 1997 Jul. AS - Med Clin North Am. 81(4):1037-52, 1997 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connor PG AU - Spickard A Jr FA - O'Connor, P G FA - Spickard, A Jr IN - O'Connor, P G. Department of Medicine, Yale University School of Medicine, New Haven, Connecticut, USA. NJ - The Medical clinics of North America VO - 81 IP - 4 PG - 1037-52 PI - Journal available in: Print PI - Citation processed from: Print JC - lu6, 2985236r IO - Med. Clin. North Am. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Diagnosis, Differential MH - Humans MH - Internship and Residency MH - Physician Impairment/sn [Statistics & Numerical Data] MH - *Physician Impairment MH - Recurrence MH - Risk Factors MH - Students, Medical MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - Physician impairment by substance abuse represents a significant challenge to physicians, patients, and society as a whole. Although data is sparse, the prevalence of alcohol and illicit drug abuse among physicians is probably similar to that of the general population, while abuse of prescription drugs may be more prevalent. From a medicolegal standpoint, these issues are managed mostly at the state level and substance abuse is of increasing interest to credentialling organizations such as hospitals and managed care organizations. A variety of concrete steps can be taken to identify physicians with substance abuse problems and treatment approaches have been designed specifically for impaired physicians. With improved attention to the problem of physician impairment by substance abuse, the well-being of both physicians and their patients can be enhanced. [References: 49] IS - 0025-7125 IL - 0025-7125 PT - Journal Article PT - Review ID - S0025-7125(05)70562-9 [pii] PP - ppublish LG - English DP - 1997 Jul EZ - 1997/07/01 DA - 2001/03/28 10:01 DT - 1997/07/01 00:00 YR - 1997 ED - 19970724 RD - 20171218 UP - 20171218 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=9222267 <1152. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9219491 TI - Physicians' knowledge of antidepressant withdrawal effects: a survey. SO - Journal of Clinical Psychiatry. 58 Suppl 7:28-30, 1997. AS - J Clin Psychiatry. 58 Suppl 7:28-30, 1997. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Young AH AU - Currie A FA - Young, A H FA - Currie, A IN - Young, A H. Hadrian Clinic, Newcastle General Hospital, Newcastle Upon Tyne, UK. CM - Comment in: J Clin Psychiatry. 1999 Feb;60(2):124-5; PMID: 10084643 NJ - The Journal of clinical psychiatry VO - 58 Suppl 7 PG - 28-30 PI - Journal available in: Print PI - Citation processed from: Print JC - hic, 7801243 IO - J Clin Psychiatry SB - Index Medicus CP - United States MH - Adverse Drug Reaction Reporting Systems MH - *Antidepressive Agents/ae [Adverse Effects] MH - Attitude of Health Personnel MH - *Clinical Competence MH - Depressive Disorder/dt [Drug Therapy] MH - Education, Medical, Continuing MH - England MH - *Family Practice MH - Humans MH - *Psychiatry MH - Substance Withdrawal Syndrome/di [Diagnosis] MH - *Substance Withdrawal Syndrome/et [Etiology] MH - Surveys and Questionnaires AB - BACKGROUND: While the incidence of discontinuation events in controlled studies of serotonin reuptake inhibitors ranges between 34.5% and 86%, only a small number of discontinuation reactions are reported to national data bases of spontaneously reported adverse drug reactions. It was hypothesized that the disparity was due to lack of knowledge amongst physicians about the potential for antidepressant discontinuation reactions. AB - METHOD: Therefore, a questionnaire was mailed to 100 psychiatrists and 100 general practitioners (GPs) in northeast England to assess the knowledge base and to validate this assumption. AB - RESULTS: Fifty psychiatrists (50%) and 53 GPs (53%) responded to the questionnaire. Of the respondents, 36 (72%) of the psychiatrists and 16 (30%) of the GPs were aware that patients may experience antidepressant discontinuation events; 33 (66%) psychiatrists and 22 (42%) GPs had had experience with patients who had discontinuation symptoms; and 10 (20%) psychiatrists and 9 (17%) GPs said they always caution patients about the possibility of discontinuations events. AB - CONCLUSION: According to the results of the survey, a sizable minority of physicians denied being confidently aware of the existence of antidepressant withdrawal symptoms. Education about discontinuation reactions, including the hallmark features, symptoms, and course, is needed for both psychiatrists and family practice physicians. RN - 0 (Antidepressive Agents) IS - 0160-6689 IL - 0160-6689 PT - Journal Article PP - ppublish LG - English DP - 1997 EZ - 1997/01/01 DA - 1997/01/01 00:01 DT - 1997/01/01 00:00 YR - 1997 ED - 19970722 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9219491 <1153. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9181201 TI - Teaching smoking-cessation counseling to medical students using simulated patients. SO - American Journal of Preventive Medicine. 13(3):153-8, 1997 May-Jun. AS - Am J Prev Med. 13(3):153-8, 1997 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Eyler AE AU - Dicken LL AU - Fitzgerald JT AU - Oh MS AU - Wolf FM AU - Zweifler AJ FA - Eyler, A E FA - Dicken, L L FA - Fitzgerald, J T FA - Oh, M S FA - Wolf, F M FA - Zweifler, A J IN - Eyler, A E. Department of Family Practice, University of Michigan Medical School, Ann Arbor 48109-0356, USA. NJ - American journal of preventive medicine VO - 13 IP - 3 PG - 153-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - *Clinical Clerkship MH - *Counseling/ed [Education] MH - Evaluation Studies as Topic MH - Female MH - Humans MH - Male MH - *Patient Simulation MH - *Smoking Cessation MH - Students, Medical/px [Psychology] MH - Teaching/mt [Methods] AB - OBJECTIVE: Our objective was to evaluate the effectiveness of using simulated patient instructors and the Ockene method to instruct third-year medical students in smoking-cessation counseling techniques. AB - DESIGN: We used a clinical exercise with self-study preparation and simulated patient instructors. AB - METHODS: One hundred fifty-nine students participated in a smoking-cessation counseling session in which cognitive and behavioral endpoints were assessed by simulated patient instructors and the students themselves. AB - RESULTS: Student performance in the cognitive and behavioral components of model smoking-cessation counseling was acceptable. Specific areas of weakness, such as the tendency of students to underemphasize the personal and social benefits of smoking cessation, and to overestimate their competence on a number of skill items, were identified. Student evaluation of the exercise was positive. AB - CONCLUSIONS: Smoking-cessation counseling can be taught effectively to third-year medical students by simulated patient instructors during a clinical clerkship. IS - 0749-3797 IL - 0749-3797 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1997 May-Jun EZ - 1997/05/01 DA - 1997/05/01 00:01 DT - 1997/05/01 00:00 YR - 1997 ED - 19970721 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9181201 <1154. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9202504 TI - General practitioner centred scheme for treatment of opiate dependent drug injectors in Glasgow. SO - BMJ. 314(7096):1730-5, 1997 Jun 14. AS - BMJ. 314(7096):1730-5, 1997 Jun 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gruer L AU - Wilson P AU - Scott R AU - Elliott L AU - Macleod J AU - Harden K AU - Forrester E AU - Hinshelwood S AU - McNulty H AU - Silk P FA - Gruer, L FA - Wilson, P FA - Scott, R FA - Elliott, L FA - Macleod, J FA - Harden, K FA - Forrester, E FA - Hinshelwood, S FA - McNulty, H FA - Silk, P IN - Gruer, L. HIV and Addictions Resource Centre, Ruchill Hospital, Glasgow. CM - Comment in: BMJ. 1997 Sep 6;315(7108):602-3; PMID: 9302968 CM - Comment in: BMJ. 1997 Sep 6;315(7108):603; PMID: 9302969 CM - Comment in: BMJ. 1997 Nov 29;315(7120):1463-4; PMID: 9418108 CM - Comment in: BMJ. 1997 Jun 14;314(7096):1706-7; PMID: 9202500 CM - Comment in: BMJ. 1997 Sep 6;315(7108):603; PMID: 9302970 NJ - BMJ (Clinical research ed.) VO - 314 IP - 7096 PG - 1730-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 IO - BMJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2126905 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Counseling MH - Drug Costs MH - Education, Medical, Continuing MH - *Family Practice MH - Female MH - Humans MH - Inservice Training MH - Male MH - Medical Records Systems, Computerized MH - Methadone/ec [Economics] MH - *Methadone/tu [Therapeutic Use] MH - Narcotics/ec [Economics] MH - *Narcotics/tu [Therapeutic Use] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Pharmacies MH - Physician-Patient Relations MH - Referral and Consultation MH - Scotland MH - Social Support RN - 0 (Narcotics) RN - UC6VBE7V1Z (Methadone) IS - 0959-8138 IL - 0959-535X PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC2126905 [pmc] PP - ppublish LG - English DP - 1997 Jun 14 EZ - 1997/06/14 DA - 1997/06/14 00:01 DT - 1997/06/14 00:00 YR - 1997 ED - 19970714 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9202504 <1155. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9085102 TI - Long-term evaluation of a substance abuse fellowship program in family medicine. SO - Family Medicine. 29(3):194-8, 1997 Mar. AS - Fam Med. 29(3):194-8, 1997 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graham AV AU - Davis AK AU - Coggan PG AU - Sherwood RA FA - Graham, A V FA - Davis, A K FA - Coggan, P G FA - Sherwood, R A IN - Graham, A V. Department of Family Medicine, Case Western Reserve University, Cleveland, Ohio, USA. avg@po.cwru.edu NJ - Family medicine VO - 29 IP - 3 PG - 194-8 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - *Faculty, Medical MH - *Family Practice/ed [Education] MH - *Fellowships and Scholarships MH - Humans MH - Male MH - Program Evaluation MH - Staff Development MH - *Substance-Related Disorders MH - United States AB - BACKGROUND: Faculty development fellowship programs provide avenues for physicians to develop careers in academic medicine. However, the long-term impact of these programs has not been evaluated. This paper examines the impact of an 18-month substance abuse faculty development fellowship administered by the Society of Teachers of Family Medicine (STFM) 7 years after the fellowship's completion. AB - METHODS: Fellows were interviewed by telephone. Their CVs were examined to assess how their present substance abuse teaching, clinical, research, administrative, scholarly, and networking activities compared with those prior to the fellowship. AB - RESULTS: Initially, fellows contributed modules to an STFM publication and increased substance abuse teaching in their home institutions. Seven years later, fellows reported increased activity in substance abuse teaching, clinical, administrative, and research activities over those prior to the fellowship and attributed these increases to the fellowship. Fellows' CVs reflected increased publications, presentations, and networking activities with each other, including the creation of the STFM Group on Substance Abuse. AB - CONCLUSIONS: In a 7-year follow-up, STFM's substance abuse fellowship program met its original goals, strengthened the academic and professional achievements of the fellows, and fostered the development of several fellows as leaders within the substance abuse field. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1997 Mar EZ - 1997/03/01 DA - 1997/03/01 00:01 DT - 1997/03/01 00:00 YR - 1997 ED - 19970626 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9085102 <1156. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9164256 TI - Sports medicine: a century of progress. SO - Journal of Nutrition. 127(5 Suppl):878S-885S, 1997 May. AS - J Nutr. 127(5 Suppl):878S-885S, 1997 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tipton CM FA - Tipton, C M IN - Tipton, C M. Department of Physiology, University of Arizona, Tucson 85271-0093, USA. NJ - The Journal of nutrition VO - 127 IP - 5 Suppl PG - 878S-885S PI - Journal available in: Print PI - Citation processed from: Print JC - jev, 0404243 IO - J. Nutr. SB - Index Medicus SB - History of Medicine Journals SB - National Aeronautics and Space Administration (NASA) Journals CP - United States MH - Doping in Sports MH - Exercise MH - Female MH - History, 19th Century MH - History, 20th Century MH - Humans MH - Male MH - Nutritional Physiological Phenomena MH - Physical Endurance MH - *Sports MH - *Sports Medicine/hi [History] AB - According to the international Olympic Committee, it is the responsibility of the sports medicine profession to care for the health and welfare of Olympic athletes, treat and prevent injuries, conduct medical examinations, evaluate performance capacity, provide nutritional advice, prescribe and supervise training programs, and to monitor substance use. Implicit in these functions is to assist Olympic athletes in achieving the objectives of the Olympic Motto (Citius, Altius, Fortius), which is to become faster, higher, and stronger. During the past Olympiads, athletic performance has increased, as indicated by times for the men's marathon (-28%) or by the distance covered in the women's javelin throw (+80%). However, the fulfillment of these responsibilities was a slow and protracted process, as demonstrated by the facts that medical examinations were not required until 1920, that 28 years elapsed before an official team physician was appointed, and that women had to wait until 1984 before sanction was given to compete in the marathon race. Doping was not defined until 1964, and monitoring of substance abuse did not materialize until after 1972. Although individuals have prepared for athletic competition since the ancient Olympics, the scientific foundations for various training prescriptions were not firmly established until the 1960s and 1970s. It was speculated that performance records will continue to improve in the next century because more scientific sports medicine information would be available and because such information would be better disseminated to athletes. IS - 0022-3166 IL - 0022-3166 PT - Historical Article PT - Journal Article PP - ppublish LG - English DP - 1997 May EZ - 1997/05/01 DA - 1997/05/01 00:01 DT - 1997/05/01 00:00 YR - 1997 ED - 19970613 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9164256 <1157. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9159584 TI - A longitudinal study of substance use and abuse in a single class of medical students. SO - Academic Medicine. 72(5):376-81, 1997 May. AS - Acad Med. 72(5):376-81, 1997 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Croen LG AU - Woesner M AU - Herman M AU - Reichgott M FA - Croen, L G FA - Woesner, M FA - Herman, M FA - Reichgott, M IN - Croen, L G. Department of Epidemiology and Social Medicine, Albert Einstein College of Medicine, Yeshiva University, Bronx, New York 10461 USA. croen@aecom.yu.edu NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 72 IP - 5 PG - 376-81 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 - *Alcohol Drinking/ep [Epidemiology] MH - *Attitude of Health Personnel MH - Educational Status MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - *Students, Medical/px [Psychology] MH - Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - United States AB - PURPOSE: A longitudinal study to ascertain the attitudes toward, and habits of, substance use among a single class of medical students. AB - METHOD: A single class from a northeastern medical school was surveyed in both its first year (February 1991, 176 students) and its third year (May 1993, 170 students). The students were asked to report how frequently during the prior year they had used drugs or alcohol, and whether their use of each substance had increased, decreased, or remained the same since entering medical school; to identify any family members with histories of alcohol or drug problems; and to report any incidence during the prior year of ten behaviors associated with substance dependence. The students were also asked to indicate their agreement or disagreement with 11 attitudinal statements. Additional attitudinal items asked the students to identify three major deterrents to the abuse of drugs and alcohol, and what they had done if they had become aware of a classmate with a drug or alcohol problem. Chi-square analysis and two-tailed t-tests were used to compare data from the two surveys. AB - RESULTS: The response rates in the first and second surveys were 96.9% and 81.8%, respectively. Use of licit and illicit substances was comparable to that of chronological peers and prior national studies of medical trainees. Most of the students admitted to using alcohol at least once in the prior year (91.8% and 95%, respectively). In both years marijuana was the illicit drug used most often. Although there was a slight increase over time in the use of benzodiazepines (2.4% to 5.8%) and a decrease in the use of marijuana (29.4% to 21.7%), these changes were not significant. Few of the students in their third year reported using any substance other than alcohol more than once a month. In general, a greater percentage of the students reported a decrease rather than an increase in the use of a substance since entering medical school; the primary exception was for wine. As they progressed in their training, the students became less concerned about the effect of substance use on their performance and more likely to be embarrassed about admitting to an addiction. Although in each year a few of the students appeared to be at risk for substance dependence (8.9% and 3.5%, respectively), no student came to the attention of the administration because of problems related to substance use. While most of the students were unaware of any classmate who had a problem, half of those who were aware had done nothing, and the balance had rarely sought assistance from the faculty or administration. AB - CONCLUSION: Although there was no evidence that substance use was a major problem, a few of the students appeared to be at risk for drug or alcohol dependence. Appropriate intervention, support, and referral systems should be identified for the few who may be at risk, and increased educational efforts are needed to help all students address this issue with their peers and, ultimately, with their patients. IS - 1040-2446 IL - 1040-2446 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1997 May EZ - 1997/05/01 DA - 1997/05/01 00:01 DT - 1997/05/01 00:00 YR - 1997 ED - 19970612 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9159584 <1158. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9173454 TI - [4-month follow-up of 198 heroin addicts by general practitioners]. [French] OT - Suivi a 4 mois de 198 heroinomanes par des medecins generalistes. SO - Revue d Epidemiologie et de Sante Publique. 45(1):13-22, 1997 Mar. AS - Rev Epidemiol Sante Publique. 45(1):13-22, 1997 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Charpak Y AU - Nory-Guillou F AU - Blin P AU - Monaque C FA - Charpak, Y FA - Nory-Guillou, F FA - Blin, P FA - Monaque, C IN - Charpak, Y. EVAL, Paris. NJ - Revue d'epidemiologie et de sante publique VO - 45 IP - 1 PG - 13-22 PI - Journal available in: Print PI - Citation processed from: Print JC - rst, 7608039 IO - Rev Epidemiol Sante Publique SB - Index Medicus CP - France MH - Adult MH - Cohort Studies MH - *Family Practice MH - Female MH - Follow-Up Studies MH - Heroin Dependence/co [Complications] MH - *Heroin Dependence/th [Therapy] MH - Humans MH - Infection/co [Complications] MH - Infection/th [Therapy] MH - Male MH - Morphinans/tu [Therapeutic Use] MH - Narcotics/tu [Therapeutic Use] MH - Psychotropic Drugs/tu [Therapeutic Use] MH - Time Factors MH - Workload AB - This study aimed to describe the short term follow-up of a cohort of 198 i.v. heroin users by 44 highly motivated General Practitioners (GPs). The study showed that for these GPs, the work-load linked with the care of these patients was heavy. Nearly half of them saw at least one drug-addict every day. These GPs work within a network and stated they benefit from a regular training on drug addiction topics. The profile of i.v. heroin users, followed by these GPs, is different from the ones usually described in other health care structures (higher percentage of women and better social insertion). The two main motives to consult a GP are the demand of drugs concerning their addiction and medical concern (due to infectious diseases especially). The answer of GPs, concerning the demand of drugs, divide physicians into two groups: those who never prescribe morphine like drugs as substitution and those who do so. In addition, both of them often prescribe psychotropic drugs to some of their patients. Nevertheless, these prescriptions are just one of the elements of a follow-up contract between a GP and his patients. Morphine like prescription is more frequently described among long term drug-addicts already well-known by GPs. This selection prohibits a straight comparison of the results of two groups of patients (with and without morphine like substitution). But the main fact is that patients under morphine like substitution are followed better (in terms of continuity) after 4 months of observation. RN - 0 (Morphinans) RN - 0 (Narcotics) RN - 0 (Psychotropic Drugs) IS - 0398-7620 IL - 0398-7620 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - French DP - 1997 Mar EZ - 1997/03/01 DA - 1997/03/01 00:01 DT - 1997/03/01 00:00 YR - 1997 ED - 19970605 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9173454 <1159. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9090279 TI - Attitudes to cuts in expenditure and increased fees in health care. SO - Public Health. 111(2):71-5, 1997 Mar. AS - Public Health. 111(2):71-5, 1997 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Myllykangas M AU - Ryynanen OP AU - Kinnunen J AU - Takala J FA - Myllykangas, M FA - Ryynanen, O P FA - Kinnunen, J FA - Takala, J IN - Myllykangas, M. University of Kuopio, Department of Community Health and General Practice, Finland. NJ - Public health VO - 111 IP - 2 PG - 71-5 PI - Journal available in: Print PI - Citation processed from: Print JC - qi7, 0376507 IO - Public Health SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - Aged MH - *Attitude to Health MH - *Fees, Medical MH - Female MH - Financing, Personal MH - Finland MH - *Health Care Rationing MH - *Health Expenditures MH - *Health Priorities MH - Humans MH - Male MH - Middle Aged MH - Primary Health Care MH - Social Values MH - Surveys and Questionnaires AB - The aim of this postal questionnaire study was to measure attitudes to cuts and increased fees in health care in various Finnish population groups. Four groups were identified; a population sample of 2000 subjects, aged 18-70 y; a random sample of 1500 medical doctors of working age; a random sample of 1000 nurses of working age; and a sample of 2200 politicians involved in health and social care administration, mostly at the municipal level (altogether 6700 subjects). The main questionnaire included, among other things, the following questions: (1) Which of 18 specified medical activities at the primary health care level could be cut without causing severe harm to the population? (2) For which of 13 specified medical activities should clients pay at least 50% of the real cost? All the groups indicated the greatest willingness to cut expenditure on health education, occupational health services, hygiene inspection, substance abuse care, rehabilitation services for war veterans, and family planning. All the groups were least willing to make cuts in home care for disabled and elderly people, maternity services and clinics for under-fives. Most respondents in all groups felt that the activities for which clients should pay at least 50% of the cost were visits to physicians, occupational health services and dental services, whereas clinics for under-five and home care for disabled and elderly persons should be kept free of charge. As a conclusion, primary health care and prevention of diseases for small children, mothers, the elderly and disabled persons, were prioritised by all the groups. IS - 0033-3506 IL - 0033-3506 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0033-3506(97)90003-2 [pii] PP - ppublish LG - English DP - 1997 Mar EZ - 1997/03/01 DA - 1997/03/01 00:01 DT - 1997/03/01 00:00 YR - 1997 ED - 19970529 RD - 20171216 UP - 20171218 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=9090279 <1160. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9010901 TI - A controlled trial of educational strategies to teach medical students brief intervention skills for alcohol problems. SO - Preventive Medicine. 26(1):78-85, 1997 Jan-Feb. AS - Prev Med. 26(1):78-85, 1997 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roche AM AU - Stubbs JM AU - Sanson-Fisher RW AU - Saunders JB FA - Roche, A M FA - Stubbs, J M FA - Sanson-Fisher, R W FA - Saunders, J B IN - Roche, A M. Department of Psychiatry, University of Syndey, New South Wales, Australia. NJ - Preventive medicine VO - 26 IP - 1 PG - 78-85 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 - *Alcoholism/rh [Rehabilitation] MH - *Education, Medical, Graduate MH - Educational Measurement MH - Female MH - Humans MH - Interviews as Topic MH - Male MH - Middle Aged MH - *Psychotherapy, Brief/ed [Education] MH - Regression Analysis MH - Statistics, Nonparametric MH - *Teaching/mt [Methods] MH - Videotape Recording AB - OBJECTIVES: Comparatively little is known about the most effective educational strategies to train medical students to successfully intervene in their patients' alcohol problems. The relative effectiveness of two educational programs to teach medical students brief intervention skills for managing alcohol problems was examined. AB - METHODS: Teaching took place over 3 hr and was either the traditional didactic teaching program on the principles and practice of brief and early intervention or an interactive program involving a shortened lecture, clinical practice, and small group feedback on clinical performance. Students were assessed on a 10-min videotaped encounter with a simulated patient before and after teaching according to how they addressed alcohol-related issues and on their general interactional skills. AB - RESULTS: Performance on alcohol-related issues and interactional skills were significantly improved after teaching, although still poor in terms of clinical performance. A between-groups comparison on pre/ postteaching difference scores indicated interactive training was no more effective than traditional didactic lectures in developing the knowledge and skills needed for a brief alcohol intervention. AB - CONCLUSION: The need for more detailed teaching sessions on sensitive areas such as alcohol use in indicated. IS - 0091-7435 IL - 0091-7435 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial ID - S0091-7435(96)99990-9 [pii] ID - 10.1006/pmed.1996.9990 [doi] PP - ppublish LG - English DP - 1997 Jan-Feb EZ - 1997/01/01 DA - 1997/01/01 00:01 DT - 1997/01/01 00:00 YR - 1997 ED - 19970509 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9010901 <1161. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9048151 TI - Validation of a scale for network therapy: a technique for systematic use of peer and family support in addition treatment. SO - American Journal of Drug & Alcohol Abuse. 23(1):115-27, 1997 Feb. AS - Am J Drug Alcohol Abuse. 23(1):115-27, 1997 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keller DS AU - Galanter M AU - Weinberg S FA - Keller, D S FA - Galanter, M FA - Weinberg, S IN - Keller, D S. Department of Psychiatry, New York University School of Medicine, New York, USA. NJ - The American journal of drug and alcohol abuse VO - 23 IP - 1 PG - 115-27 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 - Cognitive Therapy/ed [Education] MH - Combined Modality Therapy MH - Curriculum MH - Family Therapy/ed [Education] MH - *Family Therapy MH - Female MH - Humans MH - Internship and Residency MH - Male MH - *Peer Group MH - *Personality Inventory/sn [Statistics & Numerical Data] MH - Psychiatry/ed [Education] MH - *Social Support MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Substance abuse treatments are increasingly employing standardized formats. This is especially the case for approaches that utilize an individual psychotherapy format but less so for family-based approaches. Network therapy, an approach that involves family members and peers in the patient's relapse prevention efforts, is theoretically and clinically differentiated in this paper from family systems therapy for addiction. Based on these conceptual differences, a Network Therapy Rating Scale (NTRS) was developed to measure the integrity and differentiability of network therapy from other family-based approaches to addiction treatment. Seven addictions faculty and 10 third- and fourth-year psychiatry residents recently trained in the network approach used the NTRS to rate excerpts of network and family systems therapy sessions. Data revealed the NTRS had high internal consistency reliability when utilized by both groups of raters. In addition, network and nonnetwork subscales within the NTRS rated congruent therapy excerpts significantly higher than noncongruent therapy excerpts, indicating that the NTRS subscales measure what they are designed to measure. Implications for research and training are discussed. IS - 0095-2990 IL - 0095-2990 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: R01-DA08518 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1997 Feb EZ - 1997/02/01 DA - 1997/02/01 00:01 DT - 1997/02/01 00:00 YR - 1997 ED - 19970507 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=9048151 <1162. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8911592 TI - Medical student and patient attitudes toward religion and spirituality in the recovery process. SO - American Journal of Drug & Alcohol Abuse. 22(4):549-61, 1996 Nov. AS - Am J Drug Alcohol Abuse. 22(4):549-61, 1996 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goldfarb LM AU - Galanter M AU - McDowell D AU - Lifshutz H AU - Dermatis H FA - Goldfarb, L M FA - Galanter, M FA - McDowell, D FA - Lifshutz, H FA - Dermatis, H IN - Goldfarb, L M. Department of Psychiatry, New York University Medical Center, USA. NJ - The American journal of drug and alcohol abuse VO - 22 IP - 4 PG - 549-61 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 - *Attitude MH - Culture MH - Curriculum MH - *Diagnosis, Dual (Psychiatry) MH - Education, Medical MH - Factor Analysis, Statistical MH - Female MH - Humans MH - Male MH - Mental Disorders/px [Psychology] MH - Professional-Patient Relations MH - *Religion and Medicine MH - Reproducibility of Results MH - Social Values MH - Socioeconomic Factors MH - *Students, Medical MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Treatment Outcome AB - This study compares the views on spirituality of dually diagnosed patients (diagnosed with both substance abuse and general psychiatric disorders) and medical students in order to investigate their respective orientations toward spirituality and their views of the importance of spirituality in the treatment of addiction. We administered a modified version of Feagin's "Orientation to Life and God Scale" to assess religious and spiritual orientation in both the patients and students. A second series of items was developed and administered in order to compare the patients' and students' perceptions of the relative importance of a religious and spiritual orientation in substance abuse treatment. A third series of items was also given to compare the nature of religious and health-related services on the inpatient unit that patients and students most wanted to see improved. We found that the medical students responsible for treating substance abuse are significantly less religiously and spirituality oriented than the patients they treat, and that the students do not indicate that spirituality is an important component in the care of these patients. It may be clinically relevant to train medical students in the potential importance of spirituality in addiction treatment so that they can incorporate spirituality into the treatment of addictions. IS - 0095-2990 IL - 0095-2990 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1996 Nov EZ - 1996/11/01 DA - 1996/11/01 00:01 DT - 1996/11/01 00:00 YR - 1996 ED - 19970313 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8911592 <1163. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 11618683 TI - [The course of pharmaceutical residencies in the 19th century, revealing the problem of opium]. [French] OT - Le concours de l'internat en pharmacie au XIXe siecle, revelateur de la problematique de l'opium. SO - Revue D'Histoire de la Pharmacie. 44(312 suppl):389-91, 1996. AS - Rev. Hist. Pharm.. 44(312 suppl):389-91, 1996. VI - 1 RO - HMD ST - MEDLINE AU - Chast F AU - Foliot P AU - Suffisseau L AU - Bui M FA - Chast, F FA - Foliot, P FA - Suffisseau, L FA - Bui, M IN - Chast, F. Service de Pharmacie-Pharmacologie de l'Hotel-Dieu, Paris, France. NJ - Revue d'histoire de la pharmacie VO - 44 IP - 312 suppl PG - 389-91 PI - Journal available in: Print PI - Citation processed from: Print JC - 0204315 IO - Rev Hist Pharm (Paris) SB - History of Medicine Journals CP - France MH - *Awards and Prizes MH - *Drug Evaluation/hi [History] MH - France MH - History, 19th Century MH - Humans MH - International Cooperation/hi [History] MH - *Opium/hi [History] RN - 8008-60-4 (Opium) IS - 0035-2349 IL - 0035-2349 PT - Historical Article PT - Journal Article PP - ppublish LG - French DP - 1996 EZ - 1996/01/01 00:00 DA - 2001/10/31 10:01 DT - 1996/01/01 00:00 YR - 1996 ED - 19970306 RD - 20080219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=11618683 <1164. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8923311 TI - Clinical knowledge and skill priorities in substance abuse education: a nursing faculty longitudinal survey. SO - Journal of Nursing Education. 35(8):356-60, 1996 Nov. AS - J Nurs Educ. 35(8):356-60, 1996 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Murphy SA AU - Scott CS AU - Mandel LP FA - Murphy, S A FA - Scott, C S FA - Mandel, L P IN - Murphy, S A. Department of Psychosocial Nursing, University of Washington, Seattle 98195, USA. NJ - The Journal of nursing education VO - 35 IP - 8 PG - 356-60 PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 IO - J Nurs Educ SB - Index Medicus SB - Nursing Journal CP - United States MH - *Curriculum MH - *Education, Nursing MH - *Faculty, Nursing MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Longitudinal Studies MH - Male MH - Specialties, Nursing/ed [Education] MH - Staff Development MH - *Substance-Related Disorders/nu [Nursing] AB - The aims of this study were to: 1) determine which of 16 substance abuse content areas nursing faculty fellows considered important for their professional growth; 2) determine content areas in which faculty fellows planned to obtain knowledge and skill development during the coming year; and 3) to identify content areas faculty fellows thought undergraduate and/or graduate students should be taught. Questionnaires were mailed to the 43 nursing faculty fellows who were recipients of substance abuse federal training during the 1989-1994 academic years. The response rate was 81%. One and a half years later, 66% responded to the same items on a follow-up survey. The results showed that faculty ratings of knowledge and skill development needs for themselves and their students in nursing were stable over time. Findings can be used to guide faculty and curriculum development in alcohol and other substance abuse. IS - 0148-4834 IL - 0148-4834 PT - Journal Article PT - Multicenter Study PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 1 T01 AA07496 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1996 Nov EZ - 1996/11/01 DA - 1996/11/01 00:01 DT - 1996/11/01 00:00 YR - 1996 ED - 19970306 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8923311 <1165. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8877671 TI - Clinical geriatric psychopharmacology: drugs and neuropsychiatric symptoms. A clinical pharmacology problem solving unit. SO - Journal of Clinical Pharmacology. 36(8):683-95, 1996 Aug. AS - J Clin Pharmacol. 36(8):683-95, 1996 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith CM FA - Smith, C M IN - Smith, C M. Department of Pharmacology and Toxicology, School of Medicine and Biomedical Sciences, State University of New York at Buffalo 14214, USA. NJ - Journal of clinical pharmacology VO - 36 IP - 8 PG - 683-95 PI - Journal available in: Print PI - Citation processed from: Print JC - ht9, 0366372 IO - J Clin Pharmacol SB - Index Medicus CP - England MH - Aged MH - Drug-Related Side Effects and Adverse Reactions MH - *Education, Medical MH - *Geriatrics/td [Trends] MH - Hospitalization MH - Humans MH - Nursing Homes MH - Pharmacology, Clinical/ed [Education] MH - *Pharmacology, Clinical/td [Trends] MH - Problem Solving MH - Substance-Related Disorders/dt [Drug Therapy] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders IS - 0091-2700 IL - 0091-2700 PT - Journal Article PP - ppublish LG - English DP - 1996 Aug EZ - 1996/08/01 DA - 1996/08/01 00:01 DT - 1996/08/01 00:00 YR - 1996 ED - 19970219 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8877671 <1166. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8857056 TI - The use of role plays in teaching drug and alcohol management. SO - Australian Family Physician. 25(4):532-3, 1996 Apr. AS - Aust Fam Physician. 25(4):532-3, 1996 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frith J FA - Frith, J IN - Frith, J. School of Community Medicine, University of New South Wales. NJ - Australian family physician VO - 25 IP - 4 PG - 532-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 9ec, 0326701 IO - Aust Fam Physician SB - Index Medicus CP - Australia MH - Alcoholism/th [Therapy] MH - *Education, Medical MH - Health Education MH - Humans MH - Physician-Patient Relations MH - *Role Playing MH - Stress, Psychological MH - *Substance-Related Disorders/th [Therapy] MH - *Teaching AB - This is an evaluation of the use of role plays to teach drug and alcohol assessment and management skills to medical students as part of their general practice training. Role plays of 'real life' scenarios enable students to evaluate their own learning experiences. This method facilitates effective peer discussion of clinical and ethical issues with a high degree of acceptability to both students and teachers. IS - 0300-8495 IL - 0300-8495 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1996 Apr EZ - 1996/04/01 DA - 1996/04/01 00:01 DT - 1996/04/01 00:00 YR - 1996 ED - 19970207 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8857056 <1167. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8995860 TI - Preparing GP's for working with drug users. SO - British Journal of General Practice. 46(413):753, 1996 Dec. AS - Br J Gen Pract. 46(413):753, 1996 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Campion-Smith C AU - Preston A FA - Campion-Smith, C FA - Preston, A NJ - The British journal of general practice : the journal of the Royal College of General Practitioners VO - 46 IP - 413 PG - 753 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/PMC1239870 SB - Index Medicus CP - England MH - *Education, Medical, Continuing/mt [Methods] MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders/th [Therapy] IS - 0960-1643 IL - 0960-1643 PT - Letter ID - PMC1239870 [pmc] PP - ppublish LG - English DP - 1996 Dec EZ - 1996/12/01 DA - 1996/12/01 00:01 DT - 1996/12/01 00:00 YR - 1996 ED - 19970127 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8995860 <1168. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8844027 TI - Thoughts on 'alcohol problems into the next century'. SO - Alcohol & Alcoholism. 31(3):231-4, 1996 May. AS - Alcohol Alcohol. 31(3):231-4, 1996 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paton A FA - Paton, A IN - Paton, A. Knollbury, Chadlington, Oxon, UK. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 31 IP - 3 PG - 231-4 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/rh [Rehabilitation] MH - Curriculum/td [Trends] MH - *Education, Medical/td [Trends] MH - Female MH - Forecasting MH - Humans MH - Male MH - Physician's Role MH - Primary Health Care/td [Trends] MH - United Kingdom/ep [Epidemiology] AB - Since alcohol misuse is responsible for a good deal of physical as well as social harm in Britain, doctors should receive proper education and training about alcohol. We should approach the 21st century with this and the following goals in mind. The ability to take a drinking history in the majority of patients should be a first priority. This can be done in a few minutes. Doctors should be alert to the many ways in which misuse causes problems that are potentially reversible, rather than concentrating on serious physical harm and dependency. They should be able to undertake brief intervention in heavy drinkers, a valuable tool in both primary care and hospital practice. They should understand the value of community detoxification in patients with withdrawal symptoms; they need to foster links with local alcohol services which have the expertise to help with patients (and their families) who require further supervision. A less pessimistic attitude among doctors to the treatment of alcohol problems needs to be encouraged. The current development of drugs which reduce craving could well provide the means of treating even the most severely affected patients. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PP - ppublish LG - English DP - 1996 May EZ - 1996/05/01 DA - 1996/05/01 00:01 DT - 1996/05/01 00:00 YR - 1996 ED - 19970122 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8844027 <1169. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8949540 TI - Smoking history-taking skills: a simple guide to teach medical students. SO - Medical Education. 30(4):283-9, 1996 Jul. AS - Med Educ. 30(4):283-9, 1996 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boehlecke B AU - Sperber AD AU - Kowlowitz V AU - Becker M AU - Contreras A AU - McGaghie WC FA - Boehlecke, B FA - Sperber, A D FA - Kowlowitz, V FA - Becker, M FA - Contreras, A FA - McGaghie, W C IN - Boehlecke, B. Department of Medicine, University of North Carolina, Chapel Hill, USA. NJ - Medical education VO - 30 IP - 4 PG - 283-9 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - *Clinical Competence MH - Counseling MH - *Education, Medical, Undergraduate MH - Humans MH - *Medical History Taking MH - North Carolina MH - *Smoking Cessation MH - *Teaching/mt [Methods] AB - Many doctors rate themselves as ineffective smoking cessation counsellors. It is logical to initiate training efforts with medical students. We incorporated smoking history-taking in the physical diagnosis course at the University of North Carolina at Chapel Hill using a simple method to teach smoking history-taking skills and to assess its effectiveness as an educational intervention. The principal intervention was the distribution of a one-sheet Smoking-History Taking and Counseling Guide, adapted from the American Lung Association's Freedom From Smoking for You and Your Family self-help manual. The second intervention was a single prompt for 50% of the course preceptors. Students' smoking history-taking skills were evaluated in the Objective Structured Clinical Examination (OSCE) at the end of the course. Students who received the guide did significantly better on the OSCE, even after controlling for having discussed taking a smoking history with their preceptors. A simple guide combined with a one-time prompting of preceptors has a positive effect on the acquisition of smoking history-taking skills by the medical students. This strategy may also be useful for teaching and evaluating smoking-cessation counselling skills, for which good smoking history-taking is a necessary basis. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 5-K07-HL02096 Organization: (HL) *NHLBI NIH HHS* Country: United States LG - English DP - 1996 Jul EZ - 1996/07/01 DA - 1996/07/01 00:01 DT - 1996/07/01 00:00 YR - 1996 ED - 19970107 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8949540 <1170. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8769951 TI - Substance use by surgical residents and students entering surgery. SO - Journal of Surgical Research. 61(1):108-12, 1996 Feb 15. AS - J Surg Res. 61(1):108-12, 1996 Feb 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bunch WH AU - Storr CL AU - Hughes PH AU - Baldwin DC Jr FA - Bunch, W H FA - Storr, C L FA - Hughes, P H FA - Baldwin, D C Jr IN - Bunch, W H. Church Divinity School of the Pacific, Baltimore, Maryland 21218, USA. NJ - The Journal of surgical research VO - 61 IP - 1 PG - 108-12 PI - Journal available in: Print PI - Citation processed from: Print JC - k7b, 0376340 IO - J. Surg. Res. SB - Index Medicus CP - United States MH - Adult MH - Alcohol Drinking MH - Attitude to Health MH - General Surgery/ed [Education] MH - *General Surgery MH - Humans MH - *Internship and Residency MH - Narcotics MH - Prevalence MH - *Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] AB - We studied the use of alcohol, tobacco, and nine unprescribed or illegal substances by surgical residents and medical students accepted into surgical programs. With the exception of alcohol, surgical residents had less lifetime experience and used less than other residents or nonmedical college graduates. Students entering surgery had used these substances more frequently and were more likely to be using them regularly than were residents. Residency directors need to be aware of the change in attitude and use patterns of present residents as compared with those of the past. RN - 0 (Narcotics) IS - 0022-4804 IL - 0022-4804 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - S002248049690089X [pii] PP - ppublish GI - No: R01 DA04877 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1996 Feb 15 EZ - 1996/02/15 DA - 2001/03/28 10:01 DT - 1996/02/15 00:00 YR - 1996 ED - 19961230 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8769951 <1171. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8908764 TI - Managing alcohol and drug problems in general practice: a survey of trainees' knowledge, attitudes and educational requirements. SO - Australian & New Zealand Journal of Public Health. 20(4):401-8, 1996 Aug. AS - Aust N Z J Public Health. 20(4):401-8, 1996 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roche AM AU - Parle MD AU - Saunders JB FA - Roche, A M FA - Parle, M D FA - Saunders, J B IN - Roche, A M. Department of Psychiatry, University of Sydney. NJ - Australian and New Zealand journal of public health VO - 20 IP - 4 PG - 401-8 PI - Journal available in: Print PI - Citation processed from: Print JC - ck2, 9611095 IO - Aust N Z J Public Health SB - Index Medicus CP - Australia MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Australia MH - *Family Practice/ed [Education] MH - Female MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - To establish baseline data on Family Medicine Programme trainees' knowledge of and attitudes to drug and alcohol problems, we posted questionnaires to all trainees in New South Wales, Queensland, Victoria and South Australia. A total of 1647 trainees was surveyed, with a response rate of 55 per cent (n = 908). The mean age of respondents was 29 years and 54 per cent were female. The majority of respondents (58 per cent) were in their final year of training. Overall knowledge levels were reasonably good (the mean score was 76 per cent), but there were significant areas of deficit. Senior trainees generally performed better than their junior counterparts. Knowledge was best for alcohol and weakest for opiates. Attitudes towards involvement with drug and alcohol problems were very positive; however, confidence in the efficacy of various interventions was mixed. IS - 1326-0200 IL - 1326-0200 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1996 Aug EZ - 1996/08/01 DA - 1996/08/01 00:01 DT - 1996/08/01 00:00 YR - 1996 ED - 19961219 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8908764 <1172. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8966173 TI - [Internist's aspects of alcoholism]. [Review] [46 refs] [Polish] OT - Internistyczne aspekty choroby alkoholowej. SO - Polski Tygodnik Lekarski. 51(14-18):249-55, 1996 Apr. AS - Pol Tyg Lek. 51(14-18):249-55, 1996 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kuczerowski R FA - Kuczerowski, R IN - Kuczerowski, R. Katedra i Klinika Chorob Wewnetrznych i Diabetologii AM w Warszawie. NJ - Polski tygodnik lekarski (Warsaw, Poland : 1960) VO - 51 IP - 14-18 PG - 249-55 PI - Journal available in: Print PI - Citation processed from: Print JC - pby, 9705468 IO - Pol Tyg Lek SB - Index Medicus CP - Poland MH - Alcoholism/co [Complications] MH - Alcoholism/pp [Physiopathology] MH - *Alcoholism MH - Drug Interactions MH - Humans MH - Internship and Residency MH - Poland MH - Psychoses, Alcoholic IS - 0032-3756 IL - 0032-3756 PT - Journal Article PT - Review PP - ppublish LG - Polish DP - 1996 Apr EZ - 1996/04/01 DA - 1996/04/01 00:01 DT - 1996/04/01 00:00 YR - 1996 ED - 19961211 RD - 20080620 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8966173 <1173. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8825828 TI - Substance abuse disorders: psychiatric trainees' knowledge, diagnostic skills and attitudes. SO - Australian & New Zealand Journal of Psychiatry. 29(4):645-52, 1995 Dec. AS - Aust N Z J Psychiatry. 29(4):645-52, 1995 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roche AM AU - Parle MD AU - Campbell J AU - Saunders JB FA - Roche, A M FA - Parle, M D FA - Campbell, J FA - Saunders, J B IN - Roche, A M. Centre for Drug and Alcohol Studies, Royal Prince Alfred Hospital, Sydney, New South Wales. NJ - The Australian and New Zealand journal of psychiatry VO - 29 IP - 4 PG - 645-52 PI - Journal available in: Print PI - Citation processed from: Print JC - 9i6, 0111052 IO - Aust N Z J Psychiatry 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 - Clinical Competence MH - Curriculum MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - New South Wales MH - Patient Care Team MH - *Psychiatry/ed [Education] MH - *Psychotropic Drugs MH - *Street Drugs MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - OBJECTIVE: The drug and alcohol related knowledge and attitudes of trainee psychiatrists were examined to obtain a baseline measure of these factors in order to determine whether current training is appropriate and adequate. AB - METHOD: A questionnaire was distributed to trainees enrolled in the training program of the Royal Australian and New Zealand College of Psychiatrists in New South Wales, Victoria, Queensland and South Australia (N = 425). Questions were asked relating to theoretical knowledge, diagnostic and problem solving skills for a number of drug groups; further questions concerned the respondents' attitudes and opinions on aspects of management. AB - RESULTS: Sixty per cent of recipients returned the questionnaire. Theoretical and applied knowledge levels were of an adequate standard overall, but highly variable. Notable areas of weakness included knowledge of opiates, barbiturates and stimulants. Trainees' views regarding treatment options were also variable. Alcoholics Anonymous was considered the best supported form of treatment from evidence from controlled trials. Low levels of self efficacy and little support were recognised for early intervention strategies. AB - CONCLUSIONS: While positive views were generally expressed towards involvement with patients with alcohol and drug problems, specific strategies to enhance training and performance are needed. Findings are discussed in terms of continuing education. It is recommended that if sufficient training in this area is not provided then psychiatrists will have little confidence in appropriate therapeutic approaches in treating substance misusers. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0004-8674 IL - 0004-8674 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.3109/00048679509064980 [doi] PP - ppublish LG - English DP - 1995 Dec EZ - 1995/12/01 DA - 1995/12/01 00:01 DT - 1995/12/01 00:00 YR - 1995 ED - 19961210 RD - 20170214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8825828 <1174. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8867424 TI - Tobacco curriculum for medical students, residents and practicing physicians. SO - Indiana Medicine. 89(2):199-204, 1996 Mar-Apr. AS - Indiana Med. 89(2):199-204, 1996 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kristeller JL AU - Ockene JK FA - Kristeller, J L FA - Ockene, J K IN - Kristeller, J L. Department of Psychology, Indiana State University, Terre Haute 47809, USA. NJ - Indiana medicine : the journal of the Indiana State Medical Association VO - 89 IP - 2 PG - 199-204 PI - Journal available in: Print PI - Citation processed from: Print JC - ida, 8401780 IO - Indiana Med SB - Index Medicus CP - United States MH - Curriculum MH - *Education, Medical MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - *Internship and Residency MH - Patient Education as Topic MH - Risk Factors MH - *Smoking/ae [Adverse Effects] MH - Smoking Cessation MH - Smoking Prevention AB - Smoking and other tobacco exposure have been recognized for several decades as the most significant preventable factors in premature morbidity and mortality. Most physicians believe they should address the issue of tobacco intake with their patients but are rarely provided with adequate training or support to do so effectively. Recent research identifies several ways in which physicians can have substantial impact on patient smoking rates, by use of very brief patient-centered counseling and by prescribing nicotine replacement therapies. This paper describes a model curriculum for medical students, residents, medical faculty and community physicians that can be integrated into current training and teaching practices. The goal is to create a "preventive" intervention perspective to smoking that is effective, practical, efficacious and cost-effective. IS - 0746-8288 IL - 0746-8288 PT - Journal Article PP - ppublish LG - English DP - 1996 Mar-Apr EZ - 1996/03/01 DA - 1996/03/01 00:01 DT - 1996/03/01 00:00 YR - 1996 ED - 19961204 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8867424 <1175. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14259677 TI - DRUG TOXICITY IN GENERAL PRACTICE. SO - Practitioner. 194:111-9, 1965 Jan. AS - Practitioner. 194:111-9, 1965 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - BARBER G FA - BARBER, G NJ - The Practitioner VO - 194 PG - 111-9 PI - Journal available in: Print PI - Citation processed from: Print JC - phq, 0404245 IO - Practitioner SB - OLDMEDLINE Citations CP - England MH - *Abnormalities, Drug-Induced MH - *Anti-Bacterial Agents MH - *Drug Hypersensitivity MH - *Drug Resistance MH - *Drug Resistance, Microbial MH - *Education, Medical, Graduate MH - *Family Practice MH - *General Practice MH - *Hematologic Diseases MH - *Psychopharmacology MH - *State Medicine MH - *Steroids MH - *Substance-Related Disorders MH - *Toxicology MH - *Vasodilator Agents KW - *ABNORMALITIES, DRUG-INDUCED; *ANTIBIOTICS; *DRUG ADDICTION; *DRUG HYPERSENSITIVITY; *DRUG RESISTANCE, MICROBIAL; *EDUCATION, MEDICAL, POSTGRADUATE; *GENERAL PRACTICE; *HEMATOLOGIC DISEASES; *PSYCHOPHARMACOLOGY; *STATE MEDICINE; *STEROIDS; *TOXICOLOGIC REPORT; *VASODILATOR AGENTS RN - 0 (Anti-Bacterial Agents) RN - 0 (Steroids) RN - 0 (Vasodilator Agents) IS - 0032-6518 IL - 0032-6518 PT - Journal Article PP - ppublish LG - English DP - 1965 Jan EZ - 1965/01/01 DA - 1965/01/01 00:01 DT - 1965/01/01 00:00 YR - 1965 ED - 19961201 RD - 20110928 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=14259677 <1176. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14105267 TI - PSYCHIATRIC SERVICES IN CZECHOSLOVAKIA. SO - Journal of the Irish Medical Association. 54:17-20, 1964 Jan. AS - J Ir Med Assoc. 54:17-20, 1964 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - LYNCH T FA - LYNCH, T NJ - Journal of the Irish Medical Association VO - 54 PG - 17-20 PI - Journal available in: Print PI - Citation processed from: Print JC - ijb, 0430304 IO - J Ir Med Assoc SB - OLDMEDLINE Citations CP - Ireland MH - *Alcoholism MH - Child MH - *Child Guidance MH - Czechoslovakia MH - *Education, Medical, Graduate MH - *Hospitals, Psychiatric MH - Humans MH - *Intellectual Disability MH - *Mental Health Services MH - *Neurotic Disorders MH - *Psychiatry KW - *ALCOHOLISM; *CHILD GUIDANCE; *CZECHOSLOVAKIA; *EDUCATION, MEDICAL, POSTGRADUATE; *HOSPITALS, PSYCHIATRIC; *MENTAL HEALTH SERVICES; *MENTAL RETARDATION; *NEUROSES; *PSYCHIATRY IS - 0021-129X IL - 0021-129X PT - Journal Article PP - ppublish LG - English DP - 1964 Jan EZ - 1964/01/01 DA - 1964/01/01 00:01 DT - 1964/01/01 00:00 YR - 1964 ED - 19961201 RD - 20111117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=14105267 <1177. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 14102960 TI - ALCOHOLISM: A COMMUNITY AND MEDICAL RESPONSIBILITY. SO - Medical Times. 91:1143-8, 1963 Dec. AS - Med Times. 91:1143-8, 1963 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - MOORE RA FA - MOORE, R A NJ - Medical times VO - 91 PG - 1143-8 PI - Journal available in: Print PI - Citation processed from: Print JC - mge, 0406055, 0406055 IO - Med Times SB - OLDMEDLINE Citations CP - United States MH - *Alcoholism MH - *Health Education MH - Humans MH - *Residence Characteristics MH - *Social Behavior KW - *ALCOHOLISM; *HEALTH EDUCATION IS - 0025-7583 IL - 0025-7583 PT - Journal Article PP - ppublish LG - English DP - 1963 Dec EZ - 1963/12/01 DA - 1963/12/01 00:01 DT - 1963/12/01 00:00 YR - 1963 ED - 19961201 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=14102960 <1178. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8867201 TI - Perceived workplace harassment experiences and problem drinking among physicians: broadening the stress/alienation paradigm. SO - Addiction. 91(3):391-403, 1996 Mar. AS - Addiction. 91(3):391-403, 1996 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richman JA AU - Flaherty JA AU - Rospenda KM FA - Richman, J A FA - Flaherty, J A FA - Rospenda, K M IN - Richman, J A. Department of Psychiatry, University of Illinois at Chicago 60612, USA. NJ - Addiction (Abingdon, England) VO - 91 IP - 3 PG - 391-403 PI - Journal available in: Print PI - Citation processed from: Print JC - bm3, 9304118 IO - Addiction SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/px [Psychology] MH - Cohort Studies MH - Female MH - Gender Identity MH - Humans MH - Internship and Residency MH - Male MH - *Physician Impairment/px [Psychology] MH - Risk Factors MH - Sexual Harassment/px [Psychology] MH - *Social Alienation MH - *Workload/px [Psychology] MH - *Workplace AB - Sociologists who embrace the stress or alienation paradigms generally focus on explaining problem drinking in low status occupations. By contrast, this paper argues that a broadened conceptualization of stress and alienation which incorporates abusive work relationships has utility for explaining male and female drinking outcomes in both high and low status occupations. We provide empirical data on the relationship between perceived abusive experiences and drinking outcomes in a cohort of male and female physicians in their internship year of training. The data show that perceived sexual harassment, discriminatory treatment and psychological humiliation relate to various drinking outcomes in men and women, controlling for drinking prior to the internship year. While females were more likely to report experiencing abuse, these perceived experiences had deleterious effects on drinking outcomes for both genders. Personal vulnerability (narcissism) brought into the training environment somewhat influenced the later reporting of abusive experiences by males but not by females. Regression analyses showed that, for both males and females, work-place abusive experiences in interaction with personality vulnerability best explained drinking outcomes. The implications of these results for the design of future alcohol-related work-place studies are discussed. IS - 0965-2140 IL - 0965-2140 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: R01AA07311 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1996 Mar EZ - 1996/03/01 DA - 1996/03/01 00:01 DT - 1996/03/01 00:00 YR - 1996 ED - 19961122 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8867201 <1179. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8843934 TI - Educating patients at home. Community Health Rap. SO - Medical Care. 34(10 Suppl):OS21-31, 1996 Oct. AS - Med Care. 34(10 Suppl):OS21-31, 1996 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alemi F AU - Stephens RC AU - Muise K AU - Dyches H AU - Mosavel M AU - Butts J FA - Alemi, F FA - Stephens, R C FA - Muise, K FA - Dyches, H FA - Mosavel, M FA - Butts, J IN - Alemi, F. Health Administration Program, Cleveland State University, Ohio, USA. NJ - Medical care VO - 34 IP - 10 Suppl PG - OS21-31 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 - Analysis of Variance MH - Case-Control Studies MH - Cocaine MH - *Computer Communication Networks/og [Organization & Administration] MH - Educational Status MH - Female MH - Health Services Research MH - *Home Care Services/og [Organization & Administration] MH - Humans MH - *Online Systems/og [Organization & Administration] MH - Opioid-Related Disorders/pc [Prevention & Control] MH - Outcome Assessment (Health Care) MH - *Patient Education as Topic/og [Organization & Administration] MH - Patient Satisfaction MH - Poverty MH - Pregnancy MH - Pregnancy Complications/pc [Prevention & Control] AB - OBJECTIVES: The authors analyzed the impact of home health education by studying the impact of a computer service called Community Health Rap. When patients call this service, the computer records their questions and alerts an expert who records a response. Subsequently, the computer alerts the patient that the question has been addressed. AB - METHODS: Subjects included a group of 82 pregnant women who had used cocaine during or 1 month before pregnancy (as reported by the woman) and a group of residents of zip code areas with the lowest income in Cleveland. From the drug-using pregnant women, we collected data regarding satisfaction with Community Health Rap, usage of Community Health Rap per month, self-reported health status (using the General Health Survey), and the extent of drug use (using the Addiction Severity Index). Trained coders also classified the nature of questions posed to the Community Health Rap by either the pregnant women who abuse drugs or the members of target households. Among the pregnant women who abuse drugs, we compared the differences between those who used the service and those who did not. To control for baseline differences between the two groups, analysis of co-variance was used with exit values as the dependent variables, the baseline values as the co-variates, and participation in the Community Health Rap as the independent variable. AB - RESULTS: Almost half (45%) of poor, undereducated subjects who lived in inner urban areas used the computer service. Content analysis of Community Health Rap messages revealed that subjects had many questions that were of a social nature (regarding sex, relationships, etc), in addition to medical questions. Analysis showed that poor health status, more frequent drug use, lower education, and age did not affect regular use of Community Health Rap service. No health outcomes or utilization of treatment were associated with regular use of Community Health Rap. One exception, however, was that regular users of Community Health Rap reported slower improvement of their pain than those who did not use Community Health Rap. AB - CONCLUSIONS: These data suggest that expansion of information services to households will not leave the poor and the undereducated population groups "behind." They will use computer services, though such services may not have an impact on their health status or cost of care. RN - I5Y540LHVR (Cocaine) IS - 0025-7079 IL - 0025-7079 PT - Journal Article PP - ppublish LG - English DP - 1996 Oct EZ - 1996/10/01 DA - 1996/10/01 00:01 DT - 1996/10/01 00:00 YR - 1996 ED - 19961108 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8843934 <1180. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8841215 TI - 24-hour mother-infant discharge with a follow-up home health visit: results in a selected medicaid population. SO - Obstetrics & Gynecology. 88(4 Pt 1):544-8, 1996 Oct. AS - Obstet Gynecol. 88(4 Pt 1):544-8, 1996 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brumfield CG AU - Nelson KG AU - Stotser D AU - Yarbaugh D AU - Patterson P AU - Sprayberry NK FA - Brumfield, C G FA - Nelson, K G FA - Stotser, D FA - Yarbaugh, D FA - Patterson, P FA - Sprayberry, N K IN - Brumfield, C G. Department of Obstetrics and Gynecology, University of Alabama at Birmingham, USA. NJ - Obstetrics and gynecology VO - 88 IP - 4 Pt 1 PG - 544-8 PI - Journal available in: Print PI - Citation processed from: Print JC - oc2, 0401101 IO - Obstet Gynecol SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Child MH - Community Health Nursing MH - Cost Control MH - Cost-Benefit Analysis MH - *Delivery, Obstetric MH - Female MH - Home Care Services/ec [Economics] MH - *Home Care Services MH - Hospital Costs MH - Humans MH - Infant, Newborn MH - Length of Stay/ec [Economics] MH - *Length of Stay MH - *Medicaid MH - Pregnancy MH - United States AB - OBJECTIVE: To determine safety and cost-effectiveness of 24-hour discharge in selected mothers and newborns. AB - METHODS: Women delivering at University Hospital (the University of Alabama at Birmingham) were screened to determine their eligibility for 24-hour discharge. Mothers were eligible if they had no medical problems and no history of substance abuse, had an uncomplicated vaginal delivery and postpartum course, were 12 or more hours after postpartum bilateral tubal ligation, and had reached 24 hours after delivery by 6:00 PM on the day of discharge. Newborns were eligible if they were term (37 weeks or greater), weighted 2500 g or greater, and had a normal examination at 24 hours of age. At 48 hours after delivery, each mother and infant pair was examined by a home health nurse. Telephone consultations with a staff physician were noted and outcomes were entered into a data base linked to hospital financial data. AB - RESULTS: Of 5621 deliveries from October 1, 1993 to September 30, 1995, 972 mothers (17%) and 856 (15%) newborns were discharged at 24 hours. One mother was lost to follow-up after discharge. Nine-hundred fifty-six of 971 mothers (98.5%) had a normal examination at the home visit. Fifteen of 971 mothers (1.5%) had problems that required obstetrician telephone consultation. Seven mothers (0.7%) required a physician visit; two of these women were readmitted for treatment of an infection. Seven-hundred ninety-five of 856 (93%) newborns had a normal examination. Sixty-one newborns (7%) had problems that required pediatrician telephone consultation, primarily for jaundice, infant care questions, and a cardiac murmur. Twelve infants (1.4%) required a pediatric clinic visit. No infant was readmitted to the hospital. Net cost savings to our hospital for 24-hour discharge in these selected patients was $ 506,139 during a 2-year period. AB - CONCLUSION: In a selected, low-risk, low-income population, mother-infant discharge 24 hours after delivery with a home follow-up visit is safe and cost-effective. IS - 0029-7844 IL - 0029-7844 PT - Journal Article PP - ppublish LG - English DP - 1996 Oct EZ - 1996/10/01 DA - 1996/10/01 00:01 DT - 1996/10/01 00:00 YR - 1996 ED - 19961108 RD - 20091026 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8841215 <1181. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8928526 TI - [Ambulatory medical treatment of drug dependent patients]. [Review] [5 refs] [German] OT - Ambulante arztliche Behandlung von Drogenabhangigen. SO - Zeitschrift fur Arztliche Fortbildung (Jena). 90(4):271-8, 1996 Jun. AS - Z Arztl Fortbild (Jena). 90(4):271-8, 1996 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Golz J FA - Golz, J NJ - Zeitschrift fur arztliche Fortbildung VO - 90 IP - 4 PG - 271-8 PI - Journal available in: Print PI - Citation processed from: Print JC - xs6, 0414004 IO - Z Arztl Fortbild (Jena) SB - Index Medicus CP - Germany MH - *Ambulatory Care MH - Heroin Dependence/px [Psychology] MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Methadone/tu [Therapeutic Use] MH - Naloxone/tu [Therapeutic Use] MH - Narcotic Antagonists/tu [Therapeutic Use] MH - Physician-Patient Relations MH - Primary Health Care MH - *Psychotropic Drugs MH - *Street Drugs MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Treatment Outcome AB - The treatment and counseling of drug addicts increasingly comes under the responsibility of family physicians. Since the onset of the AIDS epidemic this applies in particular to the methadone treatment of chronically ill heroin addicts. Medical education concerning the treatment of addiction is insufficient. Unprofessional dealing with drug addicts may easily result in serious obstruction of the relation between physician and patient. Thus it endangers the success of treatment. Basic guidelines of interaction, possibilities of abstinence therapy as well as harm reducing strategies are presented. [References: 5] RN - 0 (Narcotic Antagonists) RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) RN - 36B82AMQ7N (Naloxone) RN - UC6VBE7V1Z (Methadone) IS - 0044-2178 IL - 0044-2178 PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - German DP - 1996 Jun EZ - 1996/06/01 DA - 1996/06/01 00:01 DT - 1996/06/01 00:00 YR - 1996 ED - 19961107 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8928526 <1182. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8855682 TI - Substance-impaired physicians probationary and voluntary treatment programs compared. SO - Western Journal of Medicine. 165(1-2):31-6, 1996 Jul-Aug. AS - West J Med. 165(1-2):31-6, 1996 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nelson HD AU - Matthews AM AU - Girard DE AU - Bloom JD FA - Nelson, H D FA - Matthews, A M FA - Girard, D E FA - Bloom, J D IN - Nelson, H D. Department of Medicine, Oregon Health Sciences University, Portland, USA. CM - Comment in: West J Med. 1996 Jul-Aug;165(1-2):81-2; PMID: 8855700 NJ - The Western journal of medicine VO - 165 IP - 1-2 PG - 31-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 0410504, xn5 IO - West. J. Med. PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1307538 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Age Factors MH - Aged MH - Alcoholism/th [Therapy] MH - Female MH - Governing Board MH - Humans MH - Internship and Residency MH - Length of Stay MH - Male MH - Medical Staff, Hospital MH - Mental Disorders MH - Middle Aged MH - Oregon MH - *Physician Impairment MH - Professional Practice MH - Recurrence MH - Referral and Consultation MH - Retrospective Studies MH - *Substance-Related Disorders/th [Therapy] MH - Treatment Outcome MH - Voluntary Health Agencies AB - We compared the characteristics and treatment outcomes of substance-impaired physicians monitored by two different programs in Oregon: a probationary program administered by the Oregon Board of Medical Examiners and the confidential, voluntary Diversion Program for Health Professionals. Demographic, substance use, and treatment outcome variables were obtained by a retrospective medical record review from 41 physicians monitored by the Oregon board and 56 physicians monitored by the diversion program during a 3-year study period. Compared with physicians monitored by the Oregon board, physicians in the diversion program were younger, more likely to be in training programs and less likely to be in hospital-based practice settings, more often reported by immediate rather than third-party contacts, more likely to choose in-state inpatient treatment than out-of-state treatment, and less likely to have concurrent mental illness diagnoses (P < .05 for all comparisons). Short-term relapse rates did not differ statistically between the groups (22.0% for the Oregon board group, 14.3% for the diversion program group). The higher number of younger physicians and physicians in training and tendency toward increased reporting by immediate contacts in the diversion program suggested earlier intervention than in the Oregon board group. IS - 0093-0415 IL - 0093-0415 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC1307538 [pmc] PP - ppublish LG - English DP - 1996 Jul-Aug EZ - 1996/07/01 DA - 1996/07/01 00:01 DT - 1996/07/01 00:00 YR - 1996 ED - 19961107 RD - 20130918 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8855682 <1183. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8781002 TI - Teaching smoking cessation skills to senior medical students: a block-randomized controlled trial of four different approaches. SO - Preventive Medicine. 25(3):251-8, 1996 May-Jun. AS - Prev Med. 25(3):251-8, 1996 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roche AM AU - Eccleston P AU - Sanson-Fisher R FA - Roche, A M FA - Eccleston, P FA - Sanson-Fisher, R IN - Roche, A M. Royal Prince Alfred Hospital, Sydney, New South Wales, Australia. NJ - Preventive medicine VO - 25 IP - 3 PG - 251-8 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 - Analysis of Variance MH - Australia MH - Clinical Competence MH - *Education, Medical MH - Female MH - Humans MH - Male MH - Medical History Taking MH - Observer Variation MH - Physician-Patient Relations MH - *Preventive Medicine/ed [Education] MH - *Smoking Cessation MH - *Teaching/mt [Methods] MH - Videotape Recording AB - BACKGROUND: Medical practitioners have considerable untapped potential to assist patients in stopping smoking. However, marked deficits have been found in the amount and type of training medical practitioners receive in smoking cessation counseling with little attention paid to determination of effective training methods. AB - METHOD: A randomized controlled trial was conducted to examine the relative effectiveness of four different educational programs in teaching smoking cessation skills to 5th-year medical students in an Australian medical school. The four programs comprised: (a) a traditional didactic lecture mode (control group), (b) audio feedback through the use of audiotaped role plays, (c) role plays with peer feedback, and (d) video feedback. Students' smoking cessation intervention skills were assessed prior to training and at the end of term via videotaped interviews with simulated patients. AB - RESULTS: Senior medical students demonstrated significantly improved skills in smoking intervention when exposed to any of the educational approaches other than traditional didactic teaching. No overall differences in smoking intervention skills were found between the three experimental training methods. AB - CONCLUSIONS: Specific training in smoking cessation techniques is necessary to increase the intervention skills of medical students. Traditional teaching methods are ineffective in developing smoking cessation intervention skills. Enhanced teaching, of an appropriate nature, at undergraduate and postgraduate levels is needed. IS - 0091-7435 IL - 0091-7435 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial ID - S0091-7435(96)90054-7 [pii] ID - 10.1006/pmed.1996.0054 [doi] PP - ppublish LG - English DP - 1996 May-Jun EZ - 1996/05/01 DA - 1996/05/01 00:01 DT - 1996/05/01 00:00 YR - 1996 ED - 19961106 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8781002 <1184. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8735059 TI - Teaching smoking cessation to family practice residents: an experiential approach. SO - Family Medicine. 28(5):331-6, 1996 May. AS - Fam Med. 28(5):331-6, 1996 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hall MN AU - Pettice YJ AU - Robinson MD AU - Alexander M FA - Hall, M N FA - Pettice, Y J FA - Robinson, M D FA - Alexander, M IN - Hall, M N. Department of Family Practice, Carolinas Medical Center, Charlotte, NC, USA. NJ - Family medicine VO - 28 IP - 5 PG - 331-6 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - Adult MH - Behavior Therapy MH - Curriculum MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - North Carolina MH - Patient Education as Topic MH - Problem-Based Learning MH - Self-Help Groups MH - *Smoking Cessation AB - BACKGROUND AND OBJECTIVES: Smoking cessation is a complex process influenced by the smoker's motivation to quit and the effective use of external support measures. Understanding the complexities of smoking cessation can be difficult for physicians, many of whom have never smoked. This paper describes an experiential educational approach that exposes family practice residents to the process of smoking cessation through active participation in an American Lung Association (ALA) Freedom From Smoking group. AB - METHODS: We designed and observed a 1-month educational program in which residents co-led a modified ALA group. Ethnography, a qualitative research technique, was used to discover what residents learned. AB - RESULTS: We identified five themes that describe what residents learned through their experience in the ALA Group: 1) the power of nicotine addiction, 2) the power of the smoking cessation group, 3) skills, tips, tools, and tricks to help the smoker quit, 4) the process of redefining success, and 5) the ability to understand the smoker. Residents' recall of their experience remained vivid, even 9 months after the training concluded. AB - CONCLUSIONS: This experiential approach provided a rich, lasting learning experience for the residents we studied. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 1996 May EZ - 1996/05/01 DA - 1996/05/01 00:01 DT - 1996/05/01 00:00 YR - 1996 ED - 19961104 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8735059 <1185. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8729143 TI - The role of internal medicine in addiction medicine. SO - Journal of Addictive Diseases. 15(1):1-17, 1996. AS - J Addict Dis. 15(1):1-17, 1996. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lewis DC FA - Lewis, D C IN - Lewis, D C. Center for Alcohol and Addiction Studies, Brown University, Providence, RI 02912, USA. David_Lewis@brown.edu NJ - Journal of addictive diseases VO - 15 IP - 1 PG - 1-17 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Humans MH - Internal Medicine/ma [Manpower] MH - *Internal Medicine MH - Physician's Role MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Internal Medicine must play an important role in addiction medicine. Although Psychiatry has been the dominant discipline in the addictions field, this article explores how the internist can bring special insight to the understanding of addictions. The article documents how Internal Medicine, historically, has helped define and diversify the field of addiction medicine. A survey of recent history, however, shows that Internal Medicine has only minimally broadened its role in the addiction field, despite the pronouncements of numerous committees, despite the urging of several medical groups that it do so. The article shows that some internists want to play an increased role in the field of addiction medicine, but often feel limited by their lack of knowledge and by the professional biases they confront. In conclusion, new suggestions for improving internist education and increasing their interest and participation in addiction medicine are offered. IS - 1055-0887 IL - 1055-0887 PT - Journal Article ID - 10.1300/J069v15n01_01 [doi] PP - ppublish LG - English DP - 1996 EZ - 1996/01/01 DA - 1996/01/01 00:01 DT - 1996/01/01 00:00 YR - 1996 ED - 19960926 RD - 20080512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8729143 <1186. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8679008 TI - Medical education about alcohol: review of its role and effectiveness. [Review] [126 refs] SO - Alcohol & Alcoholism. 30(6):689-702, 1995 Nov. AS - Alcohol Alcohol. 30(6):689-702, 1995 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Walsh RA FA - Walsh, R A IN - Walsh, R A. Faculty of Medicine and Health Sciences, University of Newcastle, Australia. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 30 IP - 6 PG - 689-702 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Australia MH - Canada MH - *Education, Medical/mt [Methods] MH - Humans MH - Physician's Role MH - Program Evaluation MH - United Kingdom AB - Many reports have described inadequate responses by doctors to problems associated with alcohol misuse. Low levels of medical knowledge and inappropriate attitudes continue to be documented in the alcohol area. However, in recent years, greater emphasis has been placed on the need to improve doctors' skills in relation to alcohol problem detection and intervention. Experiential teaching approaches have been recommended and strategies which incorporate feedback methods offer considerable promise. In the United Kingdom and Canada, there has been no centrally funded approach to improve alcohol medical education. In contrast, federally funded initiatives in the United States of America and Australia have been associated with impressive increases in alcohol-related teaching hours and elective opportunities. Despite the substantial effort invested in achieving these curriculum gains, there is a dearth of research demonstrating impacts on medical behaviours or evaluating the cost-effectiveness of different educational strategies. Evidence from trials in smoking cessation training indicate that well-designed programmes can alter doctor behaviours in relation to substance abuse. If the alcohol medical education field is to progress, there is an urgent need for the development and evaluation of programmes which are better designed and are more informed by theory. [References: 126] IS - 0735-0414 IL - 0735-0414 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PP - ppublish LG - English DP - 1995 Nov EZ - 1995/11/01 DA - 1995/11/01 00:01 DT - 1995/11/01 00:00 YR - 1995 ED - 19960822 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8679008 <1187. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8653036 TI - Alcohol risk assessment and intervention for family physicians. Project of the College of Family Physicians of Canada. [Review] [31 refs] SO - Canadian Family Physician. 42:681-9, 1996 Apr. AS - Can Fam Physician. 42:681-9, 1996 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peters C AU - Wilson D AU - Bruneau A AU - Butt P AU - Hart S AU - Mayhew J FA - Peters, C FA - Wilson, D FA - Bruneau, A FA - Butt, P FA - Hart, S FA - Mayhew, J IN - Peters, C. Hotel Dieu Family, Medicine Centre Queen's University, Kingston, Ont. NJ - Canadian family physician Medecin de famille canadien VO - 42 PG - 681-9 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/PMC2146434 SB - Index Medicus CP - Canada MH - *Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Canada MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - *Family Practice/mt [Methods] MH - Humans MH - Mass Screening MH - Physician's Role MH - Risk Assessment MH - Risk Factors MH - Societies, Medical MH - Surveys and Questionnaires MH - Teaching Materials AB - At-risk and problem drinkers (excluding those with severe dependency) are estimated to be 20% of the Canadian population. With minimal training family physicians can effectively manage patients with alcohol problems. The Alcohol Risk Assessment and Intervention Project of the College of Family Physicians of Canada has developed materials and training for family physicians to use in helping their patients reduce the risks of alcohol-related harm. [References: 31] IS - 0008-350X IL - 0008-350X PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review ID - PMC2146434 [pmc] PP - ppublish LG - English DP - 1996 Apr EZ - 1996/04/01 DA - 1996/04/01 00:01 DT - 1996/04/01 00:00 YR - 1996 ED - 19960726 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8653036 <1188. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8633725 TI - Position statement on training needs in addiction psychiatry. SO - American Journal of Psychiatry. 153(6):852-3, 1996 Jun. AS - Am J Psychiatry. 153(6):852-3, 1996 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - The American journal of psychiatry VO - 153 IP - 6 PG - 852-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Delivery of Health Care/st [Standards] MH - Humans MH - Psychiatry/ed [Education] MH - *Psychiatry MH - *Societies, Medical MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States AB - Psychiatry has only recently developed training in the area of substance-related disorders. Nevertheless, these illnesses are highly prevalent and are associated with substantial morbidity and mortality. Patients with these disorders often do not encounter or have access to effective treatment. Because of this, the American Psychiatric Association recommends developing improved training to assure that 1) the basic psychiatric residency addresses essential aspects of addiction prevention and treatment, 2) addiction psychiatry fellowships are strengthened to provide needed manpower for consultation, academic teaching, and research, and 3) psychiatrists are trained to provide leadership for the multidisciplinary teams characteristic of this field. This statement was drafted by the Committee on Training and Education in Addiction Psychiatry. It was approved by the APA Assembly in November 1995 and by the Board of Trustees in December 1995. IS - 0002-953X IL - 0002-953X PT - Journal Article ID - 10.1176/ajp.153.6.852 [doi] PP - ppublish LG - English DP - 1996 Jun EZ - 1996/06/01 DA - 1996/06/01 00:01 DT - 1996/06/01 00:00 YR - 1996 ED - 19960703 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8633725 <1189. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8620163 TI - Training in substance misuse for GPs. Services need to be adequately resourced. SO - BMJ. 312(7039):1162, 1996 May 04. AS - BMJ. 312(7039):1162, 1996 May 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ritson B FA - Ritson, B CM - Comment on: BMJ. 1996 Jan 20;312(7024):186-7; PMID: 8563569 NJ - BMJ (Clinical research ed.) VO - 312 IP - 7039 PG - 1162 PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 IO - BMJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2350628 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Health Care Rationing MH - Humans MH - *Substance-Related Disorders/di [Diagnosis] MH - United Kingdom IS - 0959-8138 IL - 0959-535X PT - Letter PT - Comment ID - PMC2350628 [pmc] PP - ppublish LG - English DP - 1996 May 04 EZ - 1996/05/04 DA - 1996/05/04 00:01 DT - 1996/05/04 00:00 YR - 1996 ED - 19960618 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8620163 <1190. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8620162 TI - Training in substance misuse for GPs. Courses are available in Lothian. SO - BMJ. 312(7039):1162, 1996 May 04. AS - BMJ. 312(7039):1162, 1996 May 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bury J AU - Simmonte M AU - Jaquet C FA - Bury, J FA - Simmonte, M FA - Jaquet, C CM - Comment on: BMJ. 1996 Jan 20;312(7024):186-7; PMID: 8563569 NJ - BMJ (Clinical research ed.) VO - 312 IP - 7039 PG - 1162 PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 IO - BMJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2350665 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - Scotland MH - *Substance-Related Disorders/di [Diagnosis] IS - 0959-8138 IL - 0959-535X PT - Comment PT - Letter ID - PMC2350665 [pmc] PP - ppublish LG - English DP - 1996 May 04 EZ - 1996/05/04 DA - 1996/05/04 00:01 DT - 1996/05/04 00:00 YR - 1996 ED - 19960618 RD - 20130919 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8620162 <1191. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8585389 TI - [The teaching of psychotherapy in a residency course on psychiatry and drug abuse]. [Russian] OT - O prepodavanii psikhoterapii v kurse subordinatury po psikhiatrii i narkologii. SO - Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova. 95(5):93-4, 1995. AS - Zh Nevrol Psikhiatr Im S S Korsakova. 95(5):93-4, 1995. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vanchakova NP AU - Miager VK FA - Vanchakova, N P FA - Miager, V K NJ - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova VO - 95 IP - 5 PG - 93-4 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 - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - *Psychotherapy/ed [Education] MH - Russia MH - *Substance-Related Disorders/th [Therapy] MH - *Teaching IS - 1997-7298 IL - 1997-7298 PT - Journal Article PP - ppublish LG - Russian DP - 1995 EZ - 1995/01/01 DA - 1995/01/01 00:01 DT - 1995/01/01 00:00 YR - 1995 ED - 19960320 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8585389 <1192. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8563569 TI - Training in substance abuse is lacking for GPs. SO - BMJ. 312(7024):186-7, 1996 Jan 20. AS - BMJ. 312(7024):186-7, 1996 Jan 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martin E FA - Martin, E CM - Comment in: BMJ. 1996 May 4;312(7039):1162; PMID: 8620162 CM - Comment in: BMJ. 1996 May 4;312(7039):1162; PMID: 8620163 NJ - BMJ (Clinical research ed.) VO - 312 IP - 7024 PG - 186-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 IO - BMJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2349860 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders MH - United Kingdom IS - 0959-8138 IL - 0959-535X PT - Letter ID - PMC2349860 [pmc] PP - ppublish LG - English DP - 1996 Jan 20 EZ - 1996/01/20 DA - 1996/01/20 00:01 DT - 1996/01/20 00:00 YR - 1996 ED - 19960301 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8563569 <1193. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8554638 TI - Do not change the numbers--clarify the message. The government review of the Sensible Drinking message: a Medical Council on Alcoholism view. SO - Alcohol & Alcoholism. 30(5):571-5, 1995 Sep. AS - Alcohol Alcohol. 30(5):571-5, 1995 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 30 IP - 5 PG - 571-5 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Accidents, Traffic/pc [Prevention & Control] MH - Adolescent MH - Adult MH - Aged MH - *Alcohol Drinking/ae [Adverse Effects] MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcoholic Beverages/sn [Statistics & Numerical Data] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - *Alcoholism/pc [Prevention & Control] MH - Female MH - *Health Education/mt [Methods] MH - Humans MH - Male MH - Middle Aged MH - Risk Factors MH - United Kingdom/ep [Epidemiology] AB - This is an edited version of the evidence from The Medical Council on Alcoholism (MCA) on 'Sensible Drinking', which is based on the collective views of the Education and Public Health Committee and of The MCA Regional Advisers in medical schools throughout the UK. The contributors are not only university teachers, but also clinicians and health service providers in touch with patients and the public. On one aspect there is total unanimity. On no account should the 21/14 units per week figures for men and women, respectively, be changed: the evidence indicates that this could only lead to increased harm. There seems to be some scope for restatement of the significance of the benchmark such as that 'below 21/14 units per week is a sensible level, and that, at twice this level, there is an appreciable increase in risk of harm which continues to increase as consumption rises'. Drink-free days are recommended, but the need to suggest an additional curb on intake on any given occasion is also emphasized, since heavy consumption of this sort is that which is particularly associated with behavioural and psychosocial problems, notably in the young. Driving is an obvious example where any drinking could be dangerous. A simple statement such as 'avoid intoxication and do not exceed 6/4 units in a day, while maintaining the weekly guidelines as at present and bearing in mind the circumstances' is proposed. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PP - ppublish LG - English DP - 1995 Sep EZ - 1995/09/01 DA - 1995/09/01 00:01 DT - 1995/09/01 00:00 YR - 1995 ED - 19960227 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8554638 <1194. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8546797 TI - A model smoking-intervention curriculum for medical school. SO - Academic Medicine. 71(1 Suppl):S96-8, 1996 Jan. AS - Acad Med. 71(1 Suppl):S96-8, 1996 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Usatine RP AU - Wilkes M AU - Slavin S AU - Wilkerson L FA - Usatine, R P FA - Wilkes, M FA - Slavin, S FA - Wilkerson, L NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 71 IP - 1 Suppl PG - S96-8 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 - Analysis of Variance MH - Faculty, Medical/sn [Statistics & Numerical Data] MH - Humans MH - Los Angeles MH - *Models, Educational MH - Motivation MH - *Problem-Based Learning MH - Program Evaluation/mt [Methods] MH - Program Evaluation/sn [Statistics & Numerical Data] MH - Smoking/px [Psychology] MH - *Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - Smoking Cessation/sn [Statistics & Numerical Data] MH - *Smoking Prevention MH - Students, Medical/sn [Statistics & Numerical Data] IS - 1040-2446 IL - 1040-2446 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1996 Jan EZ - 1996/01/01 DA - 1996/01/01 00:01 DT - 1996/01/01 00:00 YR - 1996 ED - 19960222 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8546797 <1195. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8546761 TI - Standardized patients as a measure of change in the ability of family physicians to detect and manage alcohol abuse. SO - Academic Medicine. 71(1 Suppl):S1-3, 1996 Jan. AS - Acad Med. 71(1 Suppl):S1-3, 1996 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lockyer J AU - el-Guebaly N AU - Simpson E AU - Gromoff B AU - Toews J AU - Juschka B FA - Lockyer, J FA - el-Guebaly, N FA - Simpson, E FA - Gromoff, B FA - Toews, J FA - Juschka, B IN - Lockyer, J. University of Calgary, Alberta, Canada. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 71 IP - 1 Suppl PG - S1-3 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 - *Alcoholism/di [Diagnosis] MH - Analysis of Variance MH - Canada MH - *Clinical Competence/st [Standards] MH - Clinical Competence/sn [Statistics & Numerical Data] MH - Education, Medical, Continuing MH - Educational Measurement/mt [Methods] MH - Educational Measurement/sn [Statistics & Numerical Data] MH - Humans MH - Physicians, Family/ed [Education] MH - *Physicians, Family/st [Standards] MH - Physicians, Family/sn [Statistics & Numerical Data] MH - Videotape Recording IS - 1040-2446 IL - 1040-2446 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1996 Jan EZ - 1996/01/01 DA - 1996/01/01 00:01 DT - 1996/01/01 00:00 YR - 1996 ED - 19960222 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med4&AN=8546761 <1196. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8541357 TI - Determining priorities for family physician education in substance abuse by the use of a survey. SO - Journal of Addictive Diseases. 14(2):23-31, 1995. AS - J Addict Dis. 14(2):23-31, 1995. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - el-Guebaly N AU - Lockyer JM AU - Drought J AU - Parboosingh J AU - Juschka BB AU - Weston WA AU - Campbell W AU - Chang S FA - el-Guebaly, N FA - Lockyer, J M FA - Drought, J FA - Parboosingh, J FA - Juschka, B B FA - Weston, W A FA - Campbell, W FA - Chang, S IN - el-Guebaly, N. Department of Psychiatry, University of Calgary, Alberta, Canada. NJ - Journal of addictive diseases VO - 14 IP - 2 PG - 23-31 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - Canada MH - Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - *Family Practice/ma [Manpower] MH - Female MH - Health Surveys MH - Humans MH - Male MH - Patients MH - Physician-Patient Relations MH - Referral and Consultation MH - *Substance-Related Disorders/di [Diagnosis] MH - Surveys and Questionnaires AB - As the initial stage in developing a curriculum to assist family physicians to diagnose and manage alcohol abuse in their practices, questionnaires were mailed to a selected group of family physicians. A total of 117 physicians (34%) completed the questionnaire. The majority of physicians (70.1%) reported that fewer than 10% of their caseload experienced alcohol-related problems. Most physicians (59.3%) did not use any of the standard diagnostic instruments but reported that screening and detection was the most challenging alcohol-related problem along with patient management. The questionnaire identified a number of areas that could be used in the development of educational strategies to increase the expertise of primary care physicians in the diagnosis and management of alcohol-related problems. IS - 1055-0887 IL - 1055-0887 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 10.1300/J069v14n02_03 [doi] PP - ppublish LG - English DP - 1995 EZ - 1995/01/01 DA - 1995/01/01 00:01 DT - 1995/01/01 00:00 YR - 1995 ED - 19960214 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8541357 <1197. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7497036 TI - Smoking cessation counseling by emergency physicians: opinions, knowledge, and training needs. SO - Academic Emergency Medicine. 2(3):211-6, 1995 Mar. AS - Acad Emerg Med. 2(3):211-6, 1995 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Prochazka A AU - Koziol-McLain J AU - Tomlinson D AU - Lowenstein SR FA - Prochazka, A FA - Koziol-McLain, J FA - Tomlinson, D FA - Lowenstein, S R IN - Prochazka, A. Veterans Affairs Medical Center, Denver, CO, USA. NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 2 IP - 3 PG - 211-6 PI - Journal available in: Print PI - Citation processed from: Print JC - ce1, 9418450 IO - Acad Emerg Med SB - Index Medicus CP - United States MH - Adult MH - Aged MH - Chi-Square Distribution MH - Counseling/ed [Education] MH - Emergency Medicine/ed [Education] MH - *Emergency Medicine MH - Emergency Service, Hospital MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Middle Aged MH - Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation MH - *Smoking Prevention AB - OBJECTIVES: To determine: 1) the extent of emergency physicians' (EPs') training in smoking cessation counseling; 2) their understanding of counseling and pharmacologic treatment techniques; 3) their current practices in screening, counseling, and referring patients who smoke; and 4) perceived barriers to routine smoking cessation counseling in emergency medical practice. AB - METHODS: A 26-item questionnaire addressing the above issues was mailed to all 256 members of the Colorado Chapter of the American College of Emergency Physicians. AB - RESULTS: Completed questionnaires were returned by 196 physicians (77% response rate). The majority of respondents were men (80%), practiced in urban settings (87%), and were board-certified in emergency medicine (82%). Most EPs lacked formal smoking cessation training (55%) and felt poorly prepared to counsel patients about smoking cessation (65%). A minority (27%) of the physicians reported routinely asking patients to quit smoking. The physicians with formal smoking cessation training were more likely to counsel and refer patients routinely (34% vs 20%, p = 0.03). The physicians cited the following barriers to routine smoking cessation counseling: a lack of time; a perception that patients are not interested; a belief that the ED setting is inappropriate for counseling; and a sense that counseling is ineffective. Lack of reimbursement was cited by only 13% of the respondents. The physicians who had formal smoking cessation training perceived fewer barriers to ED-based counseling. AB - CONCLUSIONS: Emergency physicians have received little training in smoking cessation and perceive many barriers to ED-based smoking cessation interventions. Not surprisingly, they infrequently take action to encourage or assist their patients to quit smoking. IS - 1069-6563 IL - 1069-6563 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 1P50CA58187-01 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1995 Mar EZ - 1995/03/01 DA - 1995/03/01 00:01 DT - 1995/03/01 00:00 YR - 1995 ED - 19960118 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7497036 <1198. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7478668 TI - Medical students tackle adolescent health. SO - Pennsylvania Medicine. 98(9):30-1, 1995 Sep. AS - Pa Med. 98(9):30-1, 1995 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoepfer M FA - Hoepfer, M NJ - Pennsylvania medicine VO - 98 IP - 9 PG - 30-1 PI - Journal available in: Print PI - Citation processed from: Print JC - oog, 0045606 IO - Pa Med SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Behavior MH - Adult MH - *Health Promotion MH - Humans MH - Pennsylvania MH - *Public Health MH - *Students, Medical AB - Vincent J. Zarro, MD, PhD, is assistant dean of student affairs and director of the division of addiction medicine in the Department of Medicine at the Medical College of Pennsylvania and Hahnemann University School of Medicine. For the past nine years, he has been involved in university efforts to address public health needs in the Philadelphia area through programs involving medical students. IS - 0031-4595 IL - 0031-4595 PT - Journal Article PP - ppublish LG - English DP - 1995 Sep EZ - 1995/09/01 DA - 1995/09/01 00:01 DT - 1995/09/01 00:00 YR - 1995 ED - 19951205 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7478668 <1199. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12287894 TI - [Gender identity in adolescents of the lower classes]. [Spanish] OT - Identidad de genero en adolescentes de sectores populares. SO - Profamilia: Planificacion, Poblacion y Desarollo. 10(22):68-75, 1993 Dec. AS - Profamilia. 10(22):68-75, 1993 Dec. VI - 1 RO - PIP ST - MEDLINE AU - De Alonso AR FA - De Alonso, A R NJ - Profamilia : planificacion, poblacion y desarollo VO - 10 IP - 22 PG - 68-75 PI - Journal available in: Print PI - Citation processed from: Print JC - 101084434 IO - Profamilia OI - Source: PIP. 097345 OI - Source: POP. 00243690 SB - Population Information Citations CP - Colombia MH - *Adolescent MH - Age Factors MH - Americas MH - Behavior MH - Colombia MH - Demography MH - Developing Countries MH - Economics MH - *Interpersonal Relations MH - Latin America MH - Perception MH - Population MH - Population Characteristics MH - *Poverty MH - Psychology MH - *Self Concept MH - Social Behavior MH - Social Class MH - Socioeconomic Factors MH - South America KW - Adolescents; *Adolescents, Female; Age Factors; Americas; Behavior; Colombia; Demographic Factors; Developing Countries; Economic Factors; *Female Role; *Gender Issues; Latin America; *Low Income Population; Perception; Population; Population Characteristics; Psychological Factors; *Self-perception; Social Behavior; Social Class; Socioeconomic Factors; Socioeconomic Status; South America; Youth OA - PIP: This reflection on gender identity among lower class adolescent females begins with a discussion of concepts. The specific sociocultural context strongly influences gender identity, which depends largely on social definitions of the female or male. Adolescence is the phase of life from around ten to 18 years during which the individual assumes an adult personality and life plans. The lower class or marginal sector, by whatever term it is called, denotes the group forming the base of the socioeconomic structure. This profoundly heterogeneous group experiences restricted conditions of material and spiritual survival. High proportions are in-migrants from rural areas with little education who earn meager livelihoods in the informal sector. The symbolic configuration of their communities of origin entails a view of submission, dependence, and sacrifice as the dominant characteristics of the female role. Urban residence exposes the population to messages on the value of education, consumption, the modern woman, and family planning, values contradicting traditional female role expectations. Families are large and live in poor and crowded housing with few services. The sexual division of labor places heavy burdens on girls from an early age. Alcoholism, domestic violence, or drug addiction may affect psychoaffective development. The quality of education available to these population sectors is very low. School abandonment is common. Most who continue their studies will be frustrated by a lack of available employment. The less educated will be concentrated in poorly paid jobs in the domestic and personal services, without social security and subject to abuse and exploitation by the employer. Some 50% of the women are in union by age 18. Unmarried motherhood and frequent changes of sexual partners are common. Legal mechanisms to protect the rights of mothers and those of their children are almost completely lacking. Most of the problems suffered by this group result from poverty in the context of crowding and unsatisfied material and spiritual needs. In such a context, the consolidation of a strong self-esteem cannot be expected.; Language: English NT - TJ: PROFAMILIA IS - 0122-0977 IL - 0122-0977 PT - English Abstract PT - Journal Article PP - ppublish LG - Spanish DP - 1993 Dec EZ - 1993/12/01 00:00 DA - 2002/10/09 04:00 DT - 1993/12/01 00:00 YR - 1993 ED - 19951019 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=12287894 <1200. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7668021 TI - ["Free from tobacco" educational program for smoking counseling and therapy in the physician's practice]. [German] OT - Schulungsprogramm "Frei von Tabak" zur Raucherberatung und Rauchertherapie in der Arztpraxis. SO - Zeitschrift fur Arztliche Fortbildung (Jena). 89(3):313-4, 1995 Jun. AS - Z Arztl Fortbild (Jena). 89(3):313-4, 1995 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Zeitschrift fur arztliche Fortbildung VO - 89 IP - 3 PG - 313-4 PI - Journal available in: Print PI - Citation processed from: Print JC - xs6, 0414004 IO - Z Arztl Fortbild (Jena) SB - Index Medicus CP - Germany MH - Humans MH - *Patient Education as Topic MH - Physician-Patient Relations MH - *Smoking/ae [Adverse Effects] MH - *Smoking Cessation MH - Smoking Prevention IS - 0044-2178 IL - 0044-2178 PT - Journal Article PP - ppublish LG - German DP - 1995 Jun EZ - 1995/06/01 DA - 1995/06/01 00:01 DT - 1995/06/01 00:00 YR - 1995 ED - 19951011 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7668021 <1201. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7661780 TI - Introducing the Sick of Smoking Program to South Australian GPs. The results of peer-led small group educational sessions. SO - Australian Family Physician. 24(7):1256-9, 1995 Jul. AS - Aust Fam Physician. 24(7):1256-9, 1995 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steven ID AU - Montanaro P FA - Steven, I D FA - Montanaro, P NJ - Australian family physician VO - 24 IP - 7 PG - 1256-9 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 - *Family Practice/td [Trends] MH - Humans MH - *Physicians, Family/ed [Education] MH - Program Development MH - *Smoking Cessation AB - In South Australia 288 general practitioners were trained in the use of a minimal intervention stop smoking program. Follow up 8 months later indicated widespread incorporation into practice. It was estimated that use of the program resulted in a cost of less than $24 for each smoker who ceased. IS - 0300-8495 IL - 0300-8495 PT - Journal Article PP - ppublish LG - English DP - 1995 Jul EZ - 1995/07/01 DA - 1995/07/01 00:01 DT - 1995/07/01 00:00 YR - 1995 ED - 19951002 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7661780 <1202. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7630693 TI - Training pediatric residents to prevent tobacco use. SO - Pediatrics. 96(2 Pt 1):326-30, 1995 Aug. AS - Pediatrics. 96(2 Pt 1):326-30, 1995 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klein JD AU - Portilla M AU - Goldstein A AU - Leininger L FA - Klein, J D FA - Portilla, M FA - Goldstein, A FA - Leininger, L IN - Klein, J D. Department of Pediatrics, University of Rochester School of Medicine, NY 14642, USA. NJ - Pediatrics VO - 96 IP - 2 Pt 1 PG - 326-30 PI - Journal available in: Print PI - Citation processed from: Print JC - oxv, 0376422 IO - Pediatrics SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Attitude of Health Personnel MH - Attitude to Health MH - Child MH - Counseling MH - Curriculum MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - National Institutes of Health (U.S.) MH - Parents MH - Patient Education as Topic MH - *Pediatrics/ed [Education] MH - Reproducibility of Results MH - Smoking/px [Psychology] MH - Smoking Cessation MH - *Smoking Prevention MH - Teaching/mt [Methods] MH - Tobacco Smoke Pollution/pc [Prevention & Control] MH - United States AB - OBJECTIVE: To assess the effectiveness and acceptability of incorporating the National Cancer Institute (NCI) Guide to Preventing Tobacco Use During Childhood and Adolescence into pediatric training. AB - DESIGN: Preintervention and postintervention self-reported surveys for residents receiving training and postintervention baseline surveys for those residents not receiving training. Measures include: (1) a self-reported knowledge, attitude, and behavior survey of residents; and (2) physician behavior reports from parent exit interviews. AB - SETTING: A hospital-based pediatric residency program and continuity clinic. AB - SUBJECTS: Pediatric residents and parents of pediatric patients seen for well child examinations. AB - INTERVENTIONS: Structured NCI smoking cessation curriculum modified for delivery during scheduled teaching activities. AB - RESULTS: The NCI training was acceptable and perceived as important by residents. Many did not recall receiving the materials or training. Trained residents who remembered the intervention improved their smoking cessation counseling effectiveness. Most patients' parents think it appropriate for physicians to ask; however, most reported not having been asked about smoking or environmental smoke exposure. AB - CONCLUSIONS: For residents to learn effective prevention counseling strategies, systematic, reinforced preventive educational curricula must become an institutionalized part of residency training. RN - 0 (Tobacco Smoke Pollution) IS - 0031-4005 IL - 0031-4005 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1995 Aug EZ - 1995/08/01 DA - 1995/08/01 00:01 DT - 1995/08/01 00:00 YR - 1995 ED - 19950905 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7630693 <1203. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7623701 TI - Comparison of training techniques using a patient-centered approach to smoking cessation. SO - Medical Education. 29(2):139-43, 1995 Mar. AS - Med Educ. 29(2):139-43, 1995 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seim HC AU - Verhoye JR FA - Seim, H C FA - Verhoye, J R IN - Seim, H C. Department of Family Practice and Community Health, Medical School, University of Minnesota, Minneapolis 55414, USA. NJ - Medical education VO - 29 IP - 2 PG - 139-43 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - *Education, Medical, Undergraduate MH - *Health Education MH - Humans MH - *Patient Participation MH - *Smoking Cessation MH - *Teaching/mt [Methods] MH - United States AB - This study compared the use of 2 1/2-hour multimedia workshop with distribution of an algorithm on the ability of fourth-year medical students to present a stop-smoking plan to a simulated patient. Results showed that students who participated in the workshop performed statistically significantly better on the skill areas of providing information, eliciting and responding to feeling and on content areas of past experience with quitting, resources available for change and negotiating a plan. There were no significant differences in the skill area of eliciting information and the content areas of motivation to stop smoking, factors that inhibit change and problems affecting the plan. Neither of the groups performed very well. The highest number of available points obtained by both groups was in eliciting information (53% in the algorithm group and 64% in the formal training group); however, most of the values were in the range of 10%-25% of possible points. Suggested reasons for the low values may be due to the specific items rated, the teaching methods or the time needed to assimilate new skills. IS - 0308-0110 IL - 0308-0110 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 2D15-PE-85006 Organization: (PE) *BHP HRSA HHS* Country: United States LG - English DP - 1995 Mar EZ - 1995/03/01 DA - 1995/03/01 00:01 DT - 1995/03/01 00:00 YR - 1995 ED - 19950828 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7623701 <1204. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7621153 TI - Substance use and alcohol abuse in emergency medicine training programs, by resident report. SAEM Residency Survey Task Force. SO - Academic Emergency Medicine. 1(1):47-53, 1994 Jan-Feb. AS - Acad Emerg Med. 1(1):47-53, 1994 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McNamara RM AU - Sanders AB AU - Ling L AU - Witzke DB AU - Bangs KA FA - McNamara, R M FA - Sanders, A B FA - Ling, L FA - Witzke, D B FA - Bangs, K A IN - McNamara, R M. Medical College of Pennsylvania Department of Emergency Medicine, Philadelphia 19129, USA. NJ - Academic emergency medicine : official journal of the Society for Academic Emergency Medicine VO - 1 IP - 1 PG - 47-53 PI - Journal available in: Print PI - Citation processed from: Print JC - ce1, 9418450 IO - Acad Emerg Med SB - Index Medicus CP - United States MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Alcoholism/ep [Epidemiology] MH - *Emergency Medicine MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - OBJECTIVE: To determine the prevalence of substance use and alcohol abuse among emergency medicine residents. AB - METHOD: The study instrument was an anonymous, self-report survey that assessed the use of 13 substances and included the CAGE questions for measuring alcohol abuse. The survey was administered to emergency medicine residents at the time of the American Board of Emergency Medicine's annual In-Service Examination. AB - RESULTS: Alcohol was the substance most commonly used by emergency medicine residents for nonmedical reasons. Using the CAGE score, 4.9% of residents were classified as alcoholic and another 7.6% as suspect for alcoholism, rates similar to those for housestaff of all specialties as reported in earlier studies. Instruction related to physician impairment during training in their emergency medicine residency was reported by only 36% of the respondents. AB - CONCLUSIONS: Emergency medicine residents report a low rate of illicit substance use and do not appear to misuse alcohol differently than other housestaff. Interpretation of these results must be tempered with the potential for underreporting that may occur with a voluntary self-report survey of a sensitive nature. IS - 1069-6563 IL - 1069-6563 PT - Journal Article PP - ppublish LG - English DP - 1994 Jan-Feb EZ - 1994/01/01 DA - 1994/01/01 00:01 DT - 1994/01/01 00:00 YR - 1994 ED - 19950828 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7621153 <1205. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7599777 TI - Substance abuse and the surgical health officer. SO - Journal of the American College of Surgeons. 181(1):78, 1995 Jul. AS - J Am Coll Surg. 181(1):78, 1995 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Krizek TJ FA - Krizek, T J NJ - Journal of the American College of Surgeons VO - 181 IP - 1 PG - 78 PI - Journal available in: Print PI - Citation processed from: Print JC - bzb, 9431305 IO - J. Am. Coll. Surg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcohol Drinking MH - *General Surgery MH - Humans MH - *Internship and Residency MH - *Physician Impairment MH - *Substance-Related Disorders IS - 1072-7515 IL - 1072-7515 PT - Editorial PP - ppublish LG - English DP - 1995 Jul EZ - 1995/07/01 DA - 1995/07/01 00:01 DT - 1995/07/01 00:00 YR - 1995 ED - 19950810 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7599777 <1206. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7599762 TI - Alcohol and drug use by surgery residents. SO - Journal of the American College of Surgeons. 181(1):1-5, 1995 Jul. AS - J Am Coll Surg. 181(1):1-5, 1995 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hyde GL AU - Wolf J FA - Hyde, G L FA - Wolf, J IN - Hyde, G L. Department of Surgery, University of Kentucky, Lexington, USA. NJ - Journal of the American College of Surgeons VO - 181 IP - 1 PG - 1-5 PI - Journal available in: Print PI - Citation processed from: Print JC - bzb, 9431305 IO - J. Am. Coll. Surg. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Alcohol Drinking/ep [Epidemiology] MH - Cocaine MH - Female MH - *General Surgery/ed [Education] MH - Humans MH - *Internship and Residency MH - Male MH - Physician Impairment MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - United States AB - BACKGROUND: Although the use of alcohol and drugs by surgery residents is of concern, no large-scale studies of this specific population exist. AB - STUDY DESIGN: A one-page, 36-item questionnaire on frequency of use of alcohol and drugs was administered to residents at the conclusion of the American Board of Surgery In-Service Examination. AB - RESULTS: The survey showed that the use of drugs by surgery residents is relatively low when compared to drug use by other physicians. However, alcohol abuse continues to be a problem, and alcohol is the drug of choice of most residents. Cocaine used by surgery residents is generally obtained from hospital sources. AB - CONCLUSIONS: Despite the optimistic findings of the survey, the authors advocate the following: Implementation of educational programs to prevent potential abuse of alcohol and drugs, and establishment of tighter controls on cocaine or use of a cocaine substitute for patient care. RN - I5Y540LHVR (Cocaine) IS - 1072-7515 IL - 1072-7515 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1995 Jul EZ - 1995/07/01 DA - 1995/07/01 00:01 DT - 1995/07/01 00:00 YR - 1995 ED - 19950810 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7599762 <1207. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7596239 TI - Addictions training for physicians and other licensed health care professionals in Maryland. SO - Maryland Medical Journal. 44(6):453-9, 1995 Jun. AS - Md Med J. 44(6):453-9, 1995 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McDuff DR AU - Tommasello AC AU - Hoffman KJ AU - Johnson JL FA - McDuff, D R FA - Tommasello, A C FA - Hoffman, K J FA - Johnson, J L IN - McDuff, D R. Division of alcohol and drug abuse, University of Maryland School of Medicine, USA. NJ - Maryland medical journal (Baltimore, Md. : 1985) VO - 44 IP - 6 PG - 453-9 PI - Journal available in: Print PI - Citation processed from: Print JC - man, 8506985 IO - Md Med J SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Education, Medical MH - *Health Occupations/ed [Education] MH - Humans MH - Maryland MH - *Substance-Related Disorders/th [Therapy] AB - Physicians and other health care providers have multiple opportunities in the course of a typical practice year to identify and treat individuals who abuse alcohol and other drugs. Although substance abuse is very common in clinical practice, providers routinely fail to intervene in a timely fashion due to negative attitudes, incomplete knowledge, and poorly developed practice skills. Over the past ten years, addictions training of licensed health care providers nationally and in Maryland has improved significantly. This article describes recent national training trends and current educational programs statewide for medical students, physicians in residency and fellowship programs, and licensed providers in dentistry, nursing, pharmacy, psychology, and social work. Several strategies for improving professional training in addictions in the future are discussed and the importance of shifting to an interprofessional training model is emphasized. IS - 0886-0572 IL - 0886-0572 PT - Journal Article PP - ppublish LG - English DP - 1995 Jun EZ - 1995/06/01 DA - 1995/06/01 00:01 DT - 1995/06/01 00:00 YR - 1995 ED - 19950728 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7596239 <1208. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7786368 TI - A model alcohol and other drug use curriculum for pediatric residents. SO - Academic Medicine. 70(6):495-8, 1995 Jun. AS - Acad Med. 70(6):495-8, 1995 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kokotailo PK AU - Fleming MF AU - Koscik RL FA - Kokotailo, P K FA - Fleming, M F FA - Koscik, R L IN - Kokotailo, P K. Department of Pediatrics, University of Wisconsin Medical School, Madison, USA. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 70 IP - 6 PG - 495-8 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 - Adolescent MH - Adolescent Behavior MH - *Alcoholism/pc [Prevention & Control] MH - Community Medicine/ed [Education] MH - Curriculum MH - Humans MH - *Internship and Residency/mt [Methods] MH - Internship and Residency/st [Standards] MH - Models, Educational MH - *Pediatrics/ed [Education] MH - Risk-Taking MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Wisconsin AB - While alcohol and other drug (AOD) use is a major health risk for adolescents in the United States, there is a paucity of AOD training for pediatric residents. In 1991-92, the University of Wisconsin Medical School developed an experiential, community-based AOD curriculum for pediatrics residents. The curriculum included resident participation in a community-based AOD adolescent assessment and intervention program, interactive didactic sessions, role-playing practice, and interviewing skills sessions. The residents who participated in the curriculum (n = 25) were compared with a control group (n = 19). Evaluation included pre- and post-curriculum written tests, objective structured clinical examinations, and residents' ratings of the curriculum components. The residents who participated showed significant gains in AOD knowledge, utilization of screening techniques, and clinical management skills as compared with the controls. The residents gave positive ratings to all curriculum components. This well-received curriculum can serve as a national model both for AOD education in pediatrics and for curriculum development in other areas of adolescent health-risk-taking. IS - 1040-2446 IL - 1040-2446 PT - Clinical Trial PT - Controlled Clinical Trial 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: 5D28PE15324 Organization: (PE) *BHP HRSA HHS* Country: United States GI - No: TO1AA07488-02 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1995 Jun EZ - 1995/06/01 DA - 1995/06/01 00:01 DT - 1995/06/01 00:00 YR - 1995 ED - 19950727 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7786368 <1209. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7775844 TI - The Orleans Parish Medical Society's "doctors in the schools" anti-tobacco education program. SO - Journal of the Louisiana State Medical Society. 147(4):168-72, 1995 Apr. AS - J La State Med Soc. 147(4):168-72, 1995 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - D'Antoni S FA - D'Antoni, S IN - D'Antoni, S. Orleans Parish Medical Society in New Orleans, USA. NJ - The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society VO - 147 IP - 4 PG - 168-72 PI - Journal available in: Print PI - Citation processed from: Print JC - ivk, 7505618 IO - J La State Med Soc SB - Index Medicus CP - United States MH - Adolescent MH - Child MH - Female MH - *Health Education MH - Humans MH - Louisiana MH - Male MH - *Physician's Role MH - Pilot Projects MH - *Smoking Prevention MH - *Societies, Medical IS - 0024-6921 IL - 0024-6921 PT - Journal Article PP - ppublish LG - English DP - 1995 Apr EZ - 1995/04/01 DA - 1995/04/01 00:01 DT - 1995/04/01 00:00 YR - 1995 ED - 19950710 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7775844 <1210. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7778330 TI - Conjoint screening questionnaires for alcohol and other drug abuse: criterion validity in a primary care practice. SO - Wisconsin Medical Journal. 94(3):135-40, 1995. AS - Wis Med J. 94(3):135-40, 1995. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown RL AU - Rounds LA FA - Brown, R L FA - Rounds, L A IN - Brown, R L. Department of Family Medicine, University of Wisconsin Medical School, Madison 53715, USA. NJ - Wisconsin medical journal VO - 94 IP - 3 PG - 135-40 PI - Journal available in: Print PI - Citation processed from: Print JC - xpj, 0110663 IO - Wis. Med. J. SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Female MH - Humans MH - Male MH - *Mass Screening MH - Middle Aged MH - *Personality Inventory/sn [Statistics & Numerical Data] MH - Primary Health Care MH - Psychometrics MH - Reproducibility of Results MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Wisconsin AB - The US Preventive Services Task Force recommended that physicians use the CAGE questions to screen patients for alcohol abuse. A similarly brief screening instrument for abuse of other drugs is needed. Two conjoint screening questionnaires for alcohol and other drug abuse were adapted from the CAGE questions and the Short Michigan Alcoholism Screening Test (SMAST). For 124 patients of an academic, community family practice, the conjoint questionnaires and their forerunners were compared with DSM-III-R diagnoses of substance use disorders as measured by the Diagnostic Interview Schedule-Revised (DIS-R). The SMAST and its conjoint analog exhibited low sensitivity. The CAGE Adapted to Include Drugs (CAGE-AID) was more sensitive but less specific for substance abuse than the CAGE, especially when a reduced criterion score was employed. The CAGE-AID was more sensitive than the CAGE for subjects of varying sex, income, and level of education, as well as most patterns of substance use disorders. The diminished specificity of the CAGE-AID may have been, at least in part, artifactual. The CAGE-AID holds promise for identifying primary care patients with alcohol and drug disorders. IS - 0043-6542 IL - 0043-6542 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1995 EZ - 1995/01/01 DA - 1995/01/01 00:01 DT - 1995/01/01 00:00 YR - 1995 ED - 19950707 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7778330 <1211. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7749481 TI - Medical education for pain and addiction: making progress toward answering a need. SO - Journal of Law, Medicine & Ethics. 22(3):252-6, 1994. AS - J Law Med Ethics. 22(3):252-6, 1994. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schnoll SH AU - Finch J FA - Schnoll, S H FA - Finch, J NJ - The Journal of law, medicine & ethics : a journal of the American Society of Law, Medicine & Ethics VO - 22 IP - 3 PG - 252-6 PI - Journal available in: Print PI - Citation processed from: Print JC - bv9, 9315583 IO - J Law Med Ethics SB - Nursing Journal CP - United States MH - Curriculum MH - *Education, Medical MH - Humans MH - Pain/dt [Drug Therapy] MH - *Pain MH - Pharmacology/ed [Education] MH - Physician-Patient Relations MH - *Substance-Related Disorders MH - United States IS - 1073-1105 IL - 1073-1105 PT - Journal Article PP - ppublish LG - English DP - 1994 EZ - 1994/01/01 DA - 1994/01/01 00:01 DT - 1994/01/01 00:00 YR - 1994 ED - 19950622 RD - 20170516 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7749481 <1212. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7752297 TI - The Atwood Hall Health Promotion Program, Federal Medical Center, Lexington, KY. Effects on drug-involved federal offenders. SO - Journal of Substance Abuse Treatment. 12(1):43-8, 1995 Jan-Feb. AS - J Subst Abuse Treat. 12(1):43-8, 1995 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Peterson M AU - Johnstone BM FA - Peterson, M FA - Johnstone, B M IN - Peterson, M. Department of Health and Physical Education, State University of New York at Oswego, USA. NJ - Journal of substance abuse treatment VO - 12 IP - 1 PG - 43-8 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 - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Cognitive Therapy MH - Combined Modality Therapy MH - Female MH - Health Knowledge, Attitudes, Practice MH - *Health Promotion MH - Humans MH - Kentucky MH - *Life Style MH - *Patient Admission MH - Physical Fitness/px [Psychology] MH - *Prisoners/px [Psychology] MH - *Psychotropic Drugs MH - Self Concept MH - *Street Drugs MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] AB - There is a critical need for the development of effective substance abuse and dependence treatment programs in prisons and jails. One aspect of treatment provision within this population that has received insufficient research attention is the inclusion of health promotion or wellness programs, including exercise and other health-related lifestyle modification training. Little is known about either the physiological or psychological consequences of such lifestyle modification programs among prisoners with substance use disorders. This study reports the effectiveness of an experimental wellness program included as part of a residential treatment unit in a federal correctional institute in the United States. A sample of 43 female offenders with a history of polysubstance abuse or dependence, who had volunteered to be part of a residential drug treatment program, were evaluated. Changes in health status and perceived psychological well-being between entry into the program and exit after maintaining participation for a minimum of 9 months were assessed. Pretest-posttest comparisons on a variety of physiological parameters indicated that significant improvements had occurred in the physical fitness of the group. Thematic analysis of qualitative self-reports by inmates exiting the program suggested that participants had also experienced significant enhancements in a number of areas pertaining to psychological well-being, including self-esteem, health awareness and concerns, healthy lifestyle adoption, and relapse prevention skills. These results suggest that including health promotion training in drug treatment programs for incarcerated offenders may have beneficial results. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0740-5472 IL - 0740-5472 PT - Journal Article ID - 0740547294000778 [pii] PP - ppublish LG - English DP - 1995 Jan-Feb EZ - 1995/01/01 DA - 1995/01/01 00:01 DT - 1995/01/01 00:00 YR - 1995 ED - 19950621 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7752297 <1213. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7740892 TI - [Experience with the medical psychology instruction of students and interns in psychiatry and the drug abuse field]. [Russian] OT - Opyt obucheniia meditsinskoi psikhologii studentov i subordinatorov po psikhiatrii i narkologii. SO - Zhurnal Nevrologii i Psikhiatrii Imeni S.S. Korsakova. 94(6):99-101, 1994. AS - Zh Nevrol Psikhiatr Im S S Korsakova. 94(6):99-101, 1994. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stiazhkin VD AU - Vanchakova NP AU - Solov'eva SL FA - Stiazhkin, V D FA - Vanchakova, N P FA - Solov'eva, S L NJ - Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova VO - 94 IP - 6 PG - 99-101 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 - Curriculum MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - *Psychology, Medical/ed [Education] MH - Russia MH - *Substance-Related Disorders/px [Psychology] MH - *Teaching IS - 1997-7298 IL - 1997-7298 PT - Journal Article PP - ppublish LG - Russian DP - 1994 EZ - 1994/01/01 DA - 1994/01/01 00:01 DT - 1994/01/01 00:00 YR - 1994 ED - 19950608 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7740892 <1214. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10172274 TI - Helping homeless men begin a new life. A program on Chicago's West Side provides substance abuse rehabilitation and job training. SO - Health Progress. 76(3):28-30, 1995 Apr. AS - Health Prog. 76(3):28-30, 1995 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Maher J AU - Peck T FA - Maher, J FA - Peck, T IN - Maher, J. MARSEPH, Chicago, USA. NJ - Health progress (Saint Louis, Mo.) VO - 76 IP - 3 PG - 28-30 PI - Journal available in: Print PI - Citation processed from: Print JC - hpr, 8500263 IO - Health Prog SB - Health Administration Journals CP - United States MH - *African Americans/px [Psychology] MH - Catholicism MH - Chicago MH - Employment MH - *Homeless Persons/px [Psychology] MH - *Hospitals, Religious/og [Organization & Administration] MH - Humans MH - Male MH - *Sheltered Workshops MH - Social Support MH - Substance-Related Disorders/th [Therapy] AB - The MARSEPH program, named for the two principal program collaborators--the Marillac Social Center and Saint Joseph Health Centers and Hospital--provides life and work skills to homeless men who visit a day shelter operated by the Marillac Social Center. Participants gain work experience at Saint Joseph. One of the most important aspects of the MARSEPH program is the removal of obstacles to the newly employed. Each MARSEPH participant receives housing assistance, a uniform, transportation to Saint Joseph Health Centers and Hospital, and a meal pass to the hospital's cafeteria. Through this assistance, the men can get off the streets, get to their jobs, be nourished, and look presentable. The MARSEPH program carefully monitors each participant's progress, to ensure his success. Case workers meet weekly with the men to discuss problems and concerns. Every week case workers also visit each participant's residence to monitor his living conditions and offer emotional support. At the end of the six-month training program, MARSEPH helps graduates find employment. IS - 0882-1577 IL - 0882-1577 PT - Journal Article PP - ppublish LG - English DP - 1995 Apr EZ - 1995/03/09 DA - 1995/03/09 00:01 DT - 1995/03/09 00:00 YR - 1995 ED - 19950531 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10172274 <1215. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7536914 TI - Perinatal and neonatal issues of substance abuse. [Review] [185 refs] SO - Pediatric Clinics of North America. 42(2):261-81, 1995 Apr. AS - Pediatr Clin North Am. 42(2):261-81, 1995 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bell GL AU - Lau K FA - Bell, G L FA - Lau, K IN - Bell, G L. Department of Pediatrics, University of Tennessee College of Medicine at Chattanooga, USA. NJ - Pediatric clinics of North America VO - 42 IP - 2 PG - 261-81 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 - Abnormalities, Drug-Induced/et [Etiology] MH - Developmental Disabilities/ci [Chemically Induced] MH - Female MH - Humans MH - Infant, Newborn MH - Neonatal Abstinence Syndrome/ci [Chemically Induced] MH - Neonatal Abstinence Syndrome/th [Therapy] MH - Pregnancy MH - Pregnancy Complications/di [Diagnosis] MH - Pregnancy Complications/pc [Prevention & Control] MH - *Pregnancy Complications MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] AB - Substance abuse during pregnancy can be teratogenic for the fetus and can cause decreased growth parameters in the newborn infant. Short-term and long-term neurobehavioral problems have been documented also in babies born to substance-abusing mothers. The problem of substance abuse during pregnancy and its effects on the fetus is unique in medicine in that it is 100% preventable. Physicians will need to take an active role in leading society to take action in preventing substance abuse during pregnancy, and emphasis on this action should occur long before the woman becomes pregnant. Until medical schools and residency programs take responsibility for teaching the importance of preventing substance abuse and of identifying the substance-abuser, drug and alcohol use will continue to exact its tragic toll on future generations. [References: 185] IS - 0031-3955 IL - 0031-3955 PT - Journal Article PT - Review ID - S0031-3955(16)38946-5 [pii] PP - ppublish LG - English DP - 1995 Apr EZ - 1995/04/01 DA - 1995/04/01 00:01 DT - 1995/04/01 00:00 YR - 1995 ED - 19950523 RD - 20171216 UP - 20171218 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=7536914 <1216. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7715049 TI - From the Institute of Medicine. SO - JAMA. 273(17):1326, 1995 May 03. AS - JAMA. 273(17):1326, 1995 May 03. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Torrens PR AU - Lynch BS AU - Bonnie RJ FA - Torrens, P R FA - Lynch, B S FA - Bonnie, R J IN - Torrens, P R. Committee on Preventing Nicotine Addiction in Children and Youths. NJ - JAMA VO - 273 IP - 17 PG - 1326 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 - Adolescent MH - *Adolescent Behavior MH - *Health Promotion MH - Humans MH - National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division MH - *Smoking Prevention MH - *Tobacco Use Disorder/pc [Prevention & Control] MH - United States IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1995 May 03 EZ - 1995/05/03 DA - 1995/05/03 00:01 DT - 1995/05/03 00:00 YR - 1995 ED - 19950517 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7715049 <1217. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7704172 TI - Tobacco prevention education in a pediatric residency program. SO - Archives of Pediatrics & Adolescent Medicine. 149(4):430-5, 1995 Apr. AS - Arch Pediatr Adolesc Med. 149(4):430-5, 1995 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kosower E AU - Ernst A AU - Taub B AU - Berman N AU - Andrews J AU - Seidel J FA - Kosower, E FA - Ernst, A FA - Taub, B FA - Berman, N FA - Andrews, J FA - Seidel, J IN - Kosower, E. Department of Pediatrics, University of California-Los Angeles School of Medicine, Torrance, USA. NJ - Archives of pediatrics & adolescent medicine VO - 149 IP - 4 PG - 430-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 9422751, bwf IO - Arch Pediatr Adolesc Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Counseling/ed [Education] MH - Educational Measurement MH - Faculty, Medical MH - Follow-Up Studies MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - Los Angeles MH - *Pediatrics/ed [Education] MH - *Smoking Prevention AB - OBJECTIVE: To report the impact of a tobacco intervention in a pediatric residency program. AB - DESIGN: Residents and faculty took pretests and posttests and follow-up surveys 6 months later. AB - SETTING: An urban, university-affiliated, county medical center. AB - INTERVENTION: An educational program of three presentations, written materials, and a bulletin board. AB - RESULTS: Significant improvement in counseling and confidence in counseling. Perceptions of barriers to counseling, specifically expertise, time limitation, and doubts regarding counseling effectiveness diminished. Residents changed less than faculty in particular areas. There were no differences between the posttests and the follow-up survey 6 months later. AB - CONCLUSIONS: Pediatric health professionals in an academic setting, given an educational program, will change their behaviors and attitudes about their role in counseling patients about tobacco use. IS - 1072-4710 IL - 1072-4710 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1995 Apr EZ - 1995/04/01 DA - 1995/04/01 00:01 DT - 1995/04/01 00:00 YR - 1995 ED - 19950511 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7704172 <1218. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7865149 TI - Alcohol screening practices of primary care physicians in eastern North Carolina. SO - Alcohol. 11(6):489-92, 1994 Nov-Dec. AS - Alcohol. 11(6):489-92, 1994 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Townes PN AU - Harkley AL FA - Townes, P N FA - Harkley, A L IN - Townes, P N. Department of Psychiatry, School of Medicine, East Carolina University, Greenville, NC 27858. NJ - Alcohol (Fayetteville, N.Y.) VO - 11 IP - 6 PG - 489-92 PI - Journal available in: Print PI - Citation processed from: Print JC - ag9, 8502311 IO - Alcohol SB - Index Medicus CP - United States MH - *Alcohol Drinking MH - *Alcoholism/pc [Prevention & Control] MH - Attitude of Health Personnel MH - Humans MH - North Carolina MH - Physicians, Family MH - Practice Patterns, Physicians' MH - *Primary Health Care MH - Surveys and Questionnaires AB - In our study, 616 primary care physicians of eastern North Carolina were surveyed for screening practices for detection of alcoholism in their patient population. We defined primary care as Family Medicine, Internal Medicine, Obstetrics and Gynecology, Pediatrics and Psychiatry. We defined eastern North Carolina as the 29 counties that Pitt County Memorial Hospital serves. In our survey we found that eastern North Carolina is medically underserved as well as having less resources for referral and consultation. In response to the questionnaire, we found that most physicians agreed on some numerical value for drinks per day, social drinks, and drinks per week while pregnant. Values for drinks per week and weekend binges generally reflected significant tolerance for heavy drinking behavior. We also found that physicians of the same specialty commonly agreed on answers but when compared to other specialties they differed. Physicians preferred personal and clinical screening methods to questionnaires such as CAGE. Most physicians did not prescribe Antabuse but did suggest to their patients to cut down on drinking. Physicians felt that their patients needed more education and support from the community as well as intervention at an early age. We conclude that physicians should receive more education concerning alcoholism and substance abuse. IS - 0741-8329 IL - 0741-8329 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 0741-8329(94)90073-6 [pii] PP - ppublish LG - English DP - 1994 Nov-Dec EZ - 1994/11/01 DA - 1994/11/01 00:01 DT - 1994/11/01 00:00 YR - 1994 ED - 19950324 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7865149 <1219. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7865148 TI - A model for answering the substance abuse educational needs of health professionals: the North Carolina Governor's Institute on Alcohol and Substance Abuse. [Review] [31 refs] SO - Alcohol. 11(6):483-7, 1994 Nov-Dec. AS - Alcohol. 11(6):483-7, 1994 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Durfee MF AU - Warren DG AU - Sdao-Jarvie K FA - Durfee, M F FA - Warren, D G FA - Sdao-Jarvie, K IN - Durfee, M F. Governor's Institute on Alcohol and Substance Abuse, Inc., Research Triangle Park, NC 27709. NJ - Alcohol (Fayetteville, N.Y.) VO - 11 IP - 6 PG - 483-7 PI - Journal available in: Print PI - Citation processed from: Print JC - ag9, 8502311 IO - Alcohol SB - Index Medicus CP - United States MH - Curriculum MH - *Education, Medical MH - Government MH - Humans MH - *Models, Educational MH - North Carolina MH - Physician's Role MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - Physicians can play an increased role in recognizing, intervening, and moderating their patients' misuse of alcohol and other drugs. This article explores the need for educational changes to permit physicians to develop skills in prevention, screening, and office-based treatment. It includes a personal account by one of the authors of his experience in recognizing deficiencies in substance abuse education both in his own medical school training and in today's health science curricula in the United States. It reviews prior initiatives by NIAAA/NIDA to address curriculum needs and describes an innovative collaborative model in North Carolina called the Governor's Institute on Alcohol and Substance Abuse. The Institute was created in 1990 as a nonprofit corporation to promote education, research, and communication among health professionals. Some of the Institute's programs are described, including its curriculum integration project in the state's four medical schools. The article concludes that the time is right to introduce substance abuse concepts into basic and continuing education for all health professionals. [References: 31] IS - 0741-8329 IL - 0741-8329 PT - Journal Article PT - Review ID - 0741-8329(94)90072-8 [pii] PP - ppublish LG - English DP - 1994 Nov-Dec EZ - 1994/11/01 DA - 1994/11/01 00:01 DT - 1994/11/01 00:00 YR - 1994 ED - 19950324 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7865148 <1220. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7854227 TI - Lessons from a training program for methadone prescribers. SO - Medical Journal of Australia. 162(3):143-4, 1995 Feb 06. AS - Med J Aust. 162(3):143-4, 1995 Feb 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bell JR FA - Bell, J R IN - Bell, J R. Drug and Alcohol Unit, Prince of Wales Hospital, Sydney, NSW. NJ - The Medical journal of Australia VO - 162 IP - 3 PG - 143-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 0400714, m26 IO - Med. J. Aust. SB - Index Medicus CP - Australia MH - Attitude of Health Personnel MH - Australia MH - *Clinical Competence MH - Drug Prescriptions MH - *Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Methadone/ad [Administration & Dosage] MH - *Methadone/tu [Therapeutic Use] MH - Patient Compliance MH - Personal Satisfaction MH - Physician-Patient Relations MH - Program Evaluation MH - Psychiatry/ed [Education] MH - Retrospective Studies MH - Teaching/mt [Methods] RN - UC6VBE7V1Z (Methadone) IS - 0025-729X IL - 0025-729X PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1995 Feb 06 EZ - 1995/02/06 DA - 1995/02/06 00:01 DT - 1995/02/06 00:00 YR - 1995 ED - 19950316 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7854227 <1221. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7854875 TI - Alcoholism in adolescents and their families. Family-focused assessment and management. [Review] [102 refs] SO - Pediatric Clinics of North America. 42(1):217-34, 1995 Feb. AS - Pediatr Clin North Am. 42(1):217-34, 1995 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Alexander DE AU - Gwyther RE FA - Alexander, D E FA - Gwyther, R E IN - Alexander, D E. Department of Family Medicine, University of North Carolina at Chapel Hill. NJ - Pediatric clinics of North America VO - 42 IP - 1 PG - 217-34 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 - Adult MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - *Alcoholism/th [Therapy] MH - Family Therapy/ed [Education] MH - *Family Therapy/mt [Methods] MH - Humans MH - Medical History Taking MH - Pediatrics/ed [Education] MH - Pediatrics/mt [Methods] MH - Risk Factors MH - Substance-Related Disorders/th [Therapy] AB - A family-focused approach is the most effective clinical method in the assessment and management of substance abuse in adolescents and their parents. The impact of alcoholism and substance abuse on parents and children, psychosocial risk factors, and indicators of alcoholism are important considerations when using this approach. Education regarding the family-focused approach to the treatment of substance abuse deserves a high priority in the training of pediatricians and other primary care physicians. As Doherty and Baird suggest," . . . the key to this training will not be . . . the development of a more sensitive liver function test, . . . but (rather) will be to help primary care physicians view individual patients as a part of a social context. The challenge will be to train the physicians to evaluate the patient in his or her social and family system for significant disturbances that commonly occur with chemical dependency. By evaluating the presenting patient in a family context, the primary care physician has the means to discover chemical dependency in early stages, when treatment options are less disruptive; when outcome is improved; and when the emotional and economic losses to patient, family and community are reduced." [References: 102] IS - 0031-3955 IL - 0031-3955 PT - Journal Article PT - Review ID - S0031-3955(16)38920-9 [pii] PP - ppublish LG - English DP - 1995 Feb EZ - 1995/02/01 DA - 1995/02/01 00:01 DT - 1995/02/01 00:00 YR - 1995 ED - 19950314 RD - 20171216 UP - 20171218 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=7854875 <1222. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7811343 TI - Drinking habits of medical students call for better integration of teaching about alcohol into the medical curriculum. SO - Alcohol & Alcoholism. 29(5):591-6, 1994 Sep. AS - Alcohol Alcohol. 29(5):591-6, 1994 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Varga M AU - Buris L FA - Varga, M FA - Buris, L IN - Varga, M. Department of Forensic Medicine, University Medical School of Debrecen, Hungary. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 29 IP - 5 PG - 591-6 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Cross-Sectional Studies MH - Curriculum MH - *Education, Medical MH - Female MH - Health Education MH - Humans MH - Hungary/ep [Epidemiology] MH - Incidence MH - Male MH - Personality Inventory MH - *Students, Medical/sn [Statistics & Numerical Data] MH - Substance Abuse Treatment Centers AB - A study was conducted with medical students to observe their drinking habits and alcohol misuse. The students completed questionnaires composed of AUDIT and SMAST questions. A significant proportion (33%) of students drank more than the recommended safe limit and screened positive at the AUDIT cut-off score of 11. The high scores of DSM-III criterion questions indicate that problem drinking on college campuses continues to be a significant public health concern. Our opinion is that prevention of alcohol misuse should be started at medical universities. The medical school curriculum must integrate education about alcohol. First the attitude of medical professionals should be changed so that we can achieve results in alcohol misuse prevention in society as a whole. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PP - ppublish LG - English DP - 1994 Sep EZ - 1994/09/01 DA - 1994/09/01 00:01 DT - 1994/09/01 00:00 YR - 1994 ED - 19950209 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7811343 <1223. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7966429 TI - An evaluation of a smoking cessation training program for medical residents in an inner-city hospital. SO - Journal of the National Medical Association. 86(9):671-5, 1994 Sep. AS - J Natl Med Assoc. 86(9):671-5, 1994 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Montner P AU - Bennett G AU - Brown C FA - Montner, P FA - Bennett, G FA - Brown, C IN - Montner, P. VA Medical Center, New Mexico. NJ - Journal of the National Medical Association VO - 86 IP - 9 PG - 671-5 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/PMC2607580 SB - Index Medicus CP - United States MH - Adult MH - *Education, Medical, Continuing MH - Evaluation Studies as Topic MH - Female MH - Hospitals, Municipal MH - Humans MH - *Internship and Residency MH - Male MH - New York City MH - *Smoking Cessation MH - Urban Population AB - Thirty-four medical residents at a hospital serving a predominantly black inner-city area were trained to counsel their patients to quit smoking. They were tested before the training session and again 4 months later with questionnaires assessing smoking knowledge, attitude, and clinical practice. The training consisted of two 1-hour lectures, printed materials, and a 1.5-hour Objective Simulated Clinical Exam. Most of the residents were males (88.2%), in internal medicine (87.5%), under the age of 35 (79.4%), and foreign-born (76.5%). Asians (44.1%) comprised the largest racial group, followed by whites (29.4%) and blacks (20.6%). The impact of the training was assessed by comparing the pre- and posttests using paired Student's t tests. Overall score increased from 69.3 to 89.1 (P = .0001) out of a maximum of 131. Scores increased significantly for attitudes and beliefs (38 to 52; P = .0001), knowledge (5.3 to 6.6; P = .0001), and usual practices with smoking patients (25 to 30; P = .002). These data provide evidence that training increased the confidence, motivation, and reported practice of these residents in intervening with their patients, the majority of whom are black. This has special significance because physicians are least likely to advise black patients and those in lower socioeconomic groups to quit smoking. The demographic profile of our residents is characteristic of many inner-city hospitals. IS - 0027-9684 IL - 0027-9684 PT - Journal Article ID - PMC2607580 [pmc] PP - ppublish LG - English DP - 1994 Sep EZ - 1994/09/01 DA - 1994/09/01 00:01 DT - 1994/09/01 00:00 YR - 1994 ED - 19941222 RD - 20151225 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7966429 <1224. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7916826 TI - Training medical students in smoking-cessation counseling. SO - Academic Medicine. 69(10 Suppl):S48-50, 1994 Oct. AS - Acad Med. 69(10 Suppl):S48-50, 1994 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coultas DB AU - Klecan DA AU - Whitten RM AU - Obenshain SS AU - Rubin RH AU - Wiese WH AU - Wilson BE AU - Woodall GW AU - Stidley CA FA - Coultas, D B FA - Klecan, D A FA - Whitten, R M FA - Obenshain, S S FA - Rubin, R H FA - Wiese, W H FA - Wilson, B E FA - Woodall, G W FA - Stidley, C A IN - Coultas, D B. University of New Mexico School of Medicine, Epidemiology and Cancer Control Program, Albuquerque 87131. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 69 IP - 10 Suppl PG - S48-50 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 Competence/st [Standards] MH - *Counseling/ed [Education] MH - *Education, Medical, Undergraduate/mt [Methods] MH - Education, Medical, Undergraduate/st [Standards] MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Patient Participation MH - *Smoking Cessation/mt [Methods] MH - Students, Medical IS - 1040-2446 IL - 1040-2446 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: K07 HL02474 Organization: (HL) *NHLBI NIH HHS* Country: United States LG - English DP - 1994 Oct EZ - 1994/10/01 DA - 1994/10/01 00:01 DT - 1994/10/01 00:00 YR - 1994 ED - 19941116 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7916826 <1225. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7920050 TI - How general practitioners view alcohol use. Clearing up the confusion. SO - Canadian Family Physician. 40:1570-9, 1994 Sep. AS - Can Fam Physician. 40:1570-9, 1994 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rush B AU - Ellis K AU - Crowe T AU - Powell L FA - Rush, B FA - Ellis, K FA - Crowe, T FA - Powell, L IN - Rush, B. Addiction Research Foundation, University of Western Ontario Research Park, London. NJ - Canadian family physician Medecin de famille canadien VO - 40 PG - 1570-9 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/PMC2380277 SB - Index Medicus CP - Canada MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Alcohol Drinking/th [Therapy] MH - Alcoholic Intoxication/di [Diagnosis] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - Alcoholic Intoxication/px [Psychology] MH - Alcoholic Intoxication/th [Therapy] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Counseling MH - Cross-Sectional Studies MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice MH - Female MH - Focus Groups MH - Health Behavior MH - Health Promotion MH - Humans MH - Male MH - Patient Education as Topic MH - *Physician-Patient Relations MH - Program Development MH - Risk Factors AB - This paper reviews the findings of qualitative and quantitative research into family physicians' attitudes, beliefs, and experience with patients with alcohol problems. The implications of the findings are discussed in the context of the need for educational programs to improve physicians' work with these patients. IS - 0008-350X IL - 0008-350X PT - Journal Article PT - Meta-Analysis ID - PMC2380277 [pmc] PP - ppublish LG - English DP - 1994 Sep EZ - 1994/09/01 DA - 1994/09/01 00:01 DT - 1994/09/01 00:00 YR - 1994 ED - 19941114 RD - 20130922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7920050 <1226. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7920049 TI - Detecting, preventing, and managing patients' alcohol problems. SO - Canadian Family Physician. 40:1557-66, 1994 Sep. AS - Can Fam Physician. 40:1557-66, 1994 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rush B AU - Bass M AU - Stewart M AU - McCracken E AU - Labreque M AU - Bondy S FA - Rush, B FA - Bass, M FA - Stewart, M FA - McCracken, E FA - Labreque, M FA - Bondy, S IN - Rush, B. Addiction Research Foundation of Ontario, London. CM - Comment in: Can Fam Physician. 1994 Sep;40:1492-5, 1498-501; PMID: 7920035 NJ - Canadian family physician Medecin de famille canadien VO - 40 PG - 1557-66 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/PMC2380275 SB - Index Medicus CP - Canada MH - Alcohol Drinking/pc [Prevention & Control] MH - Alcohol Drinking/px [Psychology] MH - Alcohol Drinking/th [Therapy] MH - Alcoholic Intoxication/di [Diagnosis] MH - Alcoholic Intoxication/pc [Prevention & Control] MH - Alcoholic Intoxication/px [Psychology] MH - Alcoholic Intoxication/th [Therapy] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Attitude to Health MH - Canada MH - Clinical Competence MH - Cross-Sectional Studies MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice MH - Female MH - Health Behavior MH - Health Promotion MH - Humans MH - Male MH - *Physician-Patient Relations MH - Professional Practice MH - Social Support AB - OBJECTIVE: To examine Canadian family physicians' attitudes, beliefs, and practices regarding alcohol use and alcohol-related problems among their patients. AB - DESIGN: A self-administered questionnaire mailed to a random sample of 2883 family physicians. The survey was conducted using a modified Dillman method. AB - PARTICIPANTS: Canadian physicians in active office-based practice during 1989. Sample included certificated and noncertificated members of the College of Family Physicians of Canada, as well as non-members of the College. AB - MAIN OUTCOME MEASURES: Perceived importance of various health-promotion behaviours; attitudes and beliefs about working with problem drinkers; current knowledge and practices regarding identifying and managing problem drinkers; and demographic characteristics. AB - RESULTS: Respondents had a strong sense of role legitimacy in working with problem drinkers, but predominantly negative and pessimistic attitudes. Half the respondents felt they had failed in their work with problem drinkers. More physicians agreed on a psychosocial etiology for alcoholism than on a biological origin. Three quarters of respondents said they "almost always" ask patients about quantity and frequency of alcohol use, and just over one third "almost always" ask about problems related to drinking. Data also suggest doctors have relatively few patients with alcohol problems, and they need help in responding to such patients. AB - CONCLUSION: Physicians need more training for their role in identifying and managing patients with alcohol problems. IS - 0008-350X IL - 0008-350X PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC2380275 [pmc] PP - ppublish LG - English DP - 1994 Sep EZ - 1994/09/01 DA - 1994/09/01 00:01 DT - 1994/09/01 00:00 YR - 1994 ED - 19941114 RD - 20130922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7920049 <1227. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7920035 TI - Identifying patients at risk for alcohol-related problems. SO - Canadian Family Physician. 40:1492-5, 1498-501, 1994 Sep. AS - Can Fam Physician. 40:1492-5, 1498-501, 1994 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wilson DM FA - Wilson, D M CM - Comment on: Can Fam Physician. 1994 Sep;40:1557-66; PMID: 7920049 NJ - Canadian family physician Medecin de famille canadien VO - 40 PG - 1492-5, 1498-501 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/PMC2380276 SB - Index Medicus CP - Canada MH - Adult MH - *Alcohol Drinking/ae [Adverse Effects] MH - *Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Attitude of Health Personnel MH - Curriculum MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - Female MH - Health Promotion MH - Humans MH - Male MH - Mass Screening MH - Risk Factors MH - Surveys and Questionnaires IS - 0008-350X IL - 0008-350X PT - Comment PT - Editorial ID - PMC2380276 [pmc] PP - ppublish LG - English LG - French DP - 1994 Sep EZ - 1994/09/01 DA - 1994/09/01 00:01 DT - 1994/09/01 00:00 YR - 1994 ED - 19941114 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7920035 <1228. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7926362 TI - A longitudinal study of family practice residents' attitudes toward alcoholism. SO - Family Medicine. 26(7):447-51, 1994 Jul-Aug. AS - Fam Med. 26(7):447-51, 1994 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Heiligman RM AU - Nagoshi CT FA - Heiligman, R M FA - Nagoshi, C T IN - Heiligman, R M. St Joseph's Hospital and Medical Center, Phoenix. NJ - Family medicine VO - 26 IP - 7 PG - 447-51 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism MH - *Attitude of Health Personnel MH - *Family Practice MH - Female MH - Humans MH - *Internship and Residency MH - Longitudinal Studies MH - Male MH - Middle Aged MH - *Program Development MH - Prospective Studies MH - Surveys and Questionnaires AB - BACKGROUND AND OBJECTIVES: This study sought to analyze whether the experience of residency training at a public hospital where alcoholism is highly prevalent, combined with a didactic program emphasizing community resources, would result in changes in residents' baseline attitudes. Previous research has suggested that alcoholism-related attitudes are therapeutically important. AB - METHODS: Forty-three family practice residents took the Marcus Alcoholism Questionnaire at the beginning, and at the end, of their 3-year training program. Initial scores were compared with an "expert" sample (Toronto Alcohol and Drug Research Foundation). Residents' initial and final scores were also compared. AB - RESULTS: Residents' entry attitudes were similar to those of the "expert" sample. On six of nine scales, there were no significant changes between entry and exit attitudes. At final testing, however, residents were significantly more likely to agree that a periodic excessive drinker can be an alcoholic (t = -3.15, P < .01), that alcoholism is not an illness (t = -2.57, P < .05), and that alcoholism is a harmless voluntary indulgence (t = 2.08, P < .05). However, exit means for the latter two scales still remained in a functional category, when compared with the expert sample. AB - CONCLUSIONS: Resident attitudes did not show any substantial deterioration during the course of training. The structured curriculum emphasizing community resources and positive role models may have counterbalanced the frustrations of the clinical training site. IS - 0742-3225 IL - 0742-3225 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1994 Jul-Aug EZ - 1994/07/01 DA - 1994/07/01 00:01 DT - 1994/07/01 00:00 YR - 1994 ED - 19941108 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7926362 <1229. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7524009 TI - Mothers' management of adenoid-tonsillectomy pain in 4- to 8-year-olds: a preliminary study. SO - Pain. 57(3):293-9, 1994 Jun. AS - Pain. 57(3):293-9, 1994 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gedaly-Duff V AU - Ziebarth D FA - Gedaly-Duff, V FA - Ziebarth, D IN - Gedaly-Duff, V. Oregon Health Sciences University, School of Nursing, Department of Family Nursing (SN-FAM), Portland 97201-3098. NJ - Pain VO - 57 IP - 3 PG - 293-9 PI - Journal available in: Print PI - Citation processed from: Print JC - opf, 7508686 IO - Pain SB - Index Medicus CP - United States MH - *Adenoidectomy MH - Child MH - Child, Preschool MH - Fear MH - *Home Care Services MH - Humans MH - *Mothers MH - Pain, Postoperative/pp [Physiopathology] MH - *Pain, Postoperative/th [Therapy] MH - Palliative Care/mt [Methods] MH - Substance-Related Disorders MH - *Tonsillectomy AB - The health care system has moved towards home care, early discharge, and day procedures. Parents in the home are, therefore, far more likely to be managing their children's postoperative pain than health professionals. The purpose of this study was to describe mothers' experiences in identifying and managing their children's acute pain associated with surgery. Because little is known about family's perceptions and management of a child's pain in the home, a qualitative design and grounded theory method were used. A purposive, convenience sample of 7 mothers whose children were 4-8 years old and who had a day-surgery adenoid-tonsillectomy were interviewed in depth (2-3 interviews per mother). Four themes were found in the data: (1) mothers' descriptions of their children's overall pattern of postoperative pain indicated that pain was minimal or absent before surgery, increased following surgery, and decreased with medicine and healing; (2) mothers' assessment and evaluation of their children's pain used pain cues similar to those used by nurses and physicians; (3) all the mothers worried about drug addiction; and 4) mothers learned to manage their children's pain through 'trial and error'. This study provides beginning data for understanding family management of children's pain. IS - 0304-3959 IL - 0304-3959 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 5R21 NR01489-02 Organization: (NR) *NINR NIH HHS* Country: United States LG - English DP - 1994 Jun EZ - 1994/06/01 DA - 1994/06/01 00:01 DT - 1994/06/01 00:00 YR - 1994 ED - 19941108 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7524009 <1230. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7939044 TI - [Sensitization and training of physicians in the field of drug addiction: the example of a program in Vaud]. [German] OT - Sensibiliser et former les medecins dans le domaine des toxicomanies: l'exemple d'un programme vaudois. SO - Schweizerische Rundschau fur Medizin Praxis. 83(34):927-30, 1994 Aug 23. AS - Schweiz Rundsch Med Prax. 83(34):927-30, 1994 Aug 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bertschy G FA - Bertschy, G IN - Bertschy, G. Departement universitaire de psychiatrie adulte (DUPA), Lausanne. NJ - Schweizerische Rundschau fur Medizin Praxis = Revue suisse de medecine Praxis VO - 83 IP - 34 PG - 927-30 PI - Journal available in: Print PI - Citation processed from: Print JC - 8403202, srm IO - Schweiz. Rundsch. Med. Prax. SB - Index Medicus CP - Switzerland MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - *Internal Medicine/ed [Education] MH - Program Evaluation MH - *Substance-Related Disorders/th [Therapy] MH - Switzerland AB - In the canton of Vaud general practitioners and internists from the private sector play a great role in the care for addict patients. Their interventions may also contribute to a decrease of risk factors as they work with families, children and adolescents. To help them to do better and in order to have more collaborators in this field, the University Department of Adult Psychiatry of Lausanne and the Department of Public Health of Vaud have developed a two-year program: the Program of Prevention and Physicians Postgraduate Training in the field of Addiction. The paper presents the different ways of interventions being selected, the first result concerning the program's activities, including a few remarks, and the role of the general practitioner. IS - 1013-2058 IL - 1013-2058 PT - English Abstract PT - Journal Article PP - ppublish LG - German DP - 1994 Aug 23 EZ - 1994/08/23 DA - 1994/08/23 00:01 DT - 1994/08/23 00:00 YR - 1994 ED - 19941027 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7939044 <1231. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7942395 TI - Substance abuse: one anesthesiologist's perspective. SO - Alabama Medicine. 63(9):20-3, 1994 Mar. AS - Ala Med. 63(9):20-3, 1994 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Arens JF FA - Arens, J F NJ - Alabama medicine : journal of the Medical Association of the State of Alabama VO - 63 IP - 9 PG - 20-3 PI - Journal available in: Print PI - Citation processed from: Print JC - 3aj, 8310343 IO - Ala Med SB - Index Medicus CP - United States MH - *Anesthesiology/ed [Education] MH - Combined Modality Therapy MH - Humans MH - *Internship and Residency MH - *Opioid-Related Disorders/pc [Prevention & Control] MH - *Physician Impairment MH - Risk Factors MH - United States IS - 0738-4947 IL - 0738-4947 PT - Journal Article PP - ppublish LG - English DP - 1994 Mar EZ - 1994/03/01 DA - 1994/03/01 00:01 DT - 1994/03/01 00:00 YR - 1994 ED - 19941025 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7942395 <1232. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8087901 TI - Use of psychoactive substances in three medical specialties: anaesthesia, medicine and surgery. SO - Canadian Journal of Anaesthesia. 41(7):561-7, 1994 Jul. AS - Can J Anaesth. 41(7):561-7, 1994 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lutsky I AU - Hopwood M AU - Abram SE AU - Cerletty JM AU - Hoffman RG AU - Kampine JP FA - Lutsky, I FA - Hopwood, M FA - Abram, S E FA - Cerletty, J M FA - Hoffman, R G FA - Kampine, J P IN - Lutsky, I. Department of Anesthesiology, Medical College of Wisconsin, Milwaukee. NJ - Canadian journal of anaesthesia = Journal canadien d'anesthesie VO - 41 IP - 7 PG - 561-7 PI - Journal available in: Print PI - Citation processed from: Print JC - c8l, 8701709 IO - Can J Anaesth SB - Index Medicus CP - United States MH - Adult MH - Age Factors MH - Aged MH - Alcoholism/ep [Epidemiology] MH - *Anesthesiology/sn [Statistics & Numerical Data] MH - Attitude of Health Personnel MH - Faculty, Medical MH - Family Health MH - Female MH - Humans MH - Internship and Residency MH - Male MH - Marital Status MH - *Medicine/sn [Statistics & Numerical Data] MH - Middle Aged MH - Physician Impairment/sn [Statistics & Numerical Data] MH - *Psychotropic Drugs MH - *Specialization MH - *Specialties, Surgical/sn [Statistics & Numerical Data] MH - Stress, Physiological/ep [Epidemiology] MH - Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - Wisconsin/ep [Epidemiology] AB - In order to determine the prevalence of psychoactive substance use in three specialty groupings, 1,624 questionnaires were sent to physicians in medicine, surgery and anaesthesia; all had trained at the same academic institution. A response rate of 57.8% was achieved. Comparison of prevalence of impairment rates showed no differences between Surgery (14.4%), Medicine (19.9%) and Anaesthesia (16.8%). Substance abuse was clearly associated with a family history of abuse; 32.1% of the abusers had a family history of such abuse compared with 11.7% of the non-abusers. Increased stress at various career stages did not appear to increase substance abuse; problem areas during medical life times were similar for each specialty. Substances most frequently used were marijuana (54.7%), amphetamines (32.9%); and benzodiazepines (25.1%). Seventy-three used psychoactive drugs which were non-prescribed. Drug counselling programmes were judged inadequate by most. Use of alcohol and drugs by faculty members was reported by a number of respondents. RN - 0 (Psychotropic Drugs) IS - 0832-610X IL - 0832-610X PT - Journal Article ID - 10.1007/BF03009992 [doi] PP - ppublish LG - English DP - 1994 Jul EZ - 1994/07/01 DA - 1994/07/01 00:01 DT - 1994/07/01 00:00 YR - 1994 ED - 19941020 RD - 20170907 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8087901 <1233. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8083872 TI - What are students thinking when we present ethics cases?: an example focusing on confidentiality and substance abuse. SO - Journal of Medical Ethics. 20(2):112-7, 1994 Jun. AS - J Med Ethics. 20(2):112-7, 1994 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stevens NG AU - McCormick TR FA - Stevens, N G FA - McCormick, T R IN - Stevens, N G. University of Washington. NJ - Journal of medical ethics VO - 20 IP - 2 PG - 112-7 PI - Journal available in: Print PI - Citation processed from: Print JC - j1d, 7513619 IO - J Med Ethics PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1376437 OI - Source: KIE. 44584 SB - Bioethics Journals SB - Index Medicus CP - England MH - Adult MH - Alcoholism/dt [Drug Therapy] MH - *Attitude to Health MH - Beneficence MH - Bioethical Issues MH - *Confidentiality MH - Disclosure MH - *Ethics, Medical/ed [Education] MH - Humans MH - Middle Aged MH - Mother-Child Relations MH - Paternalism MH - Personal Autonomy MH - *Students, Medical/px [Psychology] MH - Teaching/mt [Methods] KW - Bioethics and Professional Ethics; Empirical Approach; Professional Patient Relationship; *University of Washington School of Medicine AB - As part of an ethics course, health professions students were asked to identify ethical issues and to propose resolutions before and after a class discussion of a case involving confidentiality and substance abuse. Students listed an average of 2.4 issues before and 3.6 issues after the discussion. After discussion 50 per cent of students made explicit changes in their proposed resolution. Opinions varied widely on breaching confidentiality and the responsibility for protecting the patient's health. After the discussion almost 20 per cent of the class felt it was acceptable to breach confidentiality as long as the patient was unaware. Many students identified more with the health care provider than with the patient. The presence of substance abuse altered many students' views on confidentiality. In this experience students were less rigorous in their application of principles, creating an excellent opportunity for teaching through exploration of the complexity of ethical decision-making in a specific case. NT - KIE BoB Subject Heading: confidentiality NT - KIE BoB Subject Heading: medical ethics/education NT - Full author name: Stevens, Nancy G NT - Full author name: McCormick, Thomas R IS - 0306-6800 IL - 0306-6800 PT - Journal Article ID - PMC1376437 [pmc] PP - ppublish LG - English DP - 1994 Jun EZ - 1994/06/01 DA - 1994/06/01 00:01 DT - 1994/06/01 00:00 YR - 1994 ED - 19941013 RD - 20130922 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8083872 <1234. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8081112 TI - Physician documentation of family alcohol problems. SO - Journal of Substance Abuse. 6(1):95-103, 1994. AS - J Subst Abuse. 6(1):95-103, 1994. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graham AV AU - Zyzanski S AU - Reeb K AU - Sedlacek D AU - Emmitt-Myers S FA - Graham, A V FA - Zyzanski, S FA - Reeb, K FA - Sedlacek, D FA - Emmitt-Myers, S IN - Graham, A V. Department of Family Medicine, Case Western Reserve University, Cleveland, OH 44106-4950. NJ - Journal of substance abuse VO - 6 IP - 1 PG - 95-103 PI - Journal available in: Print PI - Citation processed from: Print JC - bjp, 9001404 IO - J Subst Abuse SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/px [Psychology] MH - Family Practice/ed [Education] MH - *Family Practice/st [Standards] MH - Female MH - Humans MH - *Internship and Residency/st [Standards] MH - Male MH - Medical History Taking/st [Standards] MH - Middle Aged MH - Physician's Role MH - Physician-Patient Relations AB - This study was conducted to determine whether family medicine residents' documentation of patient and family alcohol problems corresponded with patients' assessments. A random sample of 180 patient charts from a university-based family practice was audited and 78% (n = 140) of these patients participated in telephone interviews. Of those who participated in the telephone interview, 40% (n = 56) reported a positive family history of drinking problems, 28% (n = 39) indicated that they were currently concerned about the alcohol use of someone in their family, and 24% (n = 34) reported that at least one family member currently had an alcohol problem. Ninety-six percent (n = 134) of the subjects indicated that they believed physicians should ask about family alcohol problems and 91% (n = 128) believed physicians could be helpful in alcohol treatment at least some of the time. The audit of the 180 medical records indicated that residents charted a positive family history on 13% (n = 23) of the records and noted impact upon the family due to a member's drinking in 2% (n = 4) of the records. The study revealed that residents frequently did not identify alcohol problems or related family difficulties and highlighted the need for training and education in this area. IS - 0899-3289 IL - 0899-3289 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S0899-3289(94)90130-9 [pii] PP - ppublish LG - English DP - 1994 EZ - 1994/01/01 DA - 1994/01/01 00:01 DT - 1994/01/01 00:00 YR - 1994 ED - 19941013 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8081112 <1235. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8064978 TI - Smoking cessation curriculum for first-year medical students. SO - JAMA. 272(9):659-60, 1994 Sep 07. AS - JAMA. 272(9):659-60, 1994 Sep 07. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ernster VL AU - Croughan-Minihane MS FA - Ernster, V L FA - Croughan-Minihane, M S CM - Comment on: JAMA. 1994 Feb 23;271(8):624-6; PMID: 8301797 NJ - JAMA VO - 272 IP - 9 PG - 659-60 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 - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - *Smoking Cessation IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Letter PP - ppublish LG - English DP - 1994 Sep 07 EZ - 1994/09/07 DA - 1994/09/07 00:01 DT - 1994/09/07 00:00 YR - 1994 ED - 19940922 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8064978 <1236. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8057051 TI - Sophomore medical students as substance abuse prevention teachers. SO - Journal of the Louisiana State Medical Society. 146(6):275-8, 1994 Jun. AS - J La State Med Soc. 146(6):275-8, 1994 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davis TC AU - George RB AU - Long S AU - Bates W AU - Morris G AU - Anderson J FA - Davis, T C FA - George, R B FA - Long, S FA - Bates, W FA - Morris, G FA - Anderson, J IN - Davis, T C. Dept of Medicine, Louisiana State University Medical Center, Shreveport. NJ - The Journal of the Louisiana State Medical Society : official organ of the Louisiana State Medical Society VO - 146 IP - 6 PG - 275-8 PI - Journal available in: Print PI - Citation processed from: Print JC - ivk, 7505618 IO - J La State Med Soc SB - Index Medicus CP - United States MH - Adolescent MH - Attitude of Health Personnel MH - Curriculum MH - Education, Medical, Undergraduate MH - *Health Promotion/mt [Methods] MH - Humans MH - Louisiana MH - Role Playing MH - *Students, Medical MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Teaching AB - Medical education should emphasize health promotion and disease prevention and should offer educational experiences that require students to be active, independent learners and problem solvers. The purpose of this project was to enable sophomore medical students to apply their own innovative methods of instruction to a program for adolescent substance abuse prevention. Medical students developed and taught a school-based prevention program to 36 middle school students who represented a variety of socioeconomic backgrounds and abilities. They used demonstrations, role-playing, and drug abuse prevention commercials created by the adolescents for their peers. Medical students kept weekly journals to record their thoughts about and activities used in teaching substance abuse prevention to adolescents. The journals revealed an increased understanding of adolescent thinking and behavior and an increased confidence in teaching substance abuse prevention to adolescents. IS - 0024-6921 IL - 0024-6921 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1994 Jun EZ - 1994/06/01 DA - 1994/06/01 00:01 DT - 1994/06/01 00:00 YR - 1994 ED - 19940915 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8057051 <1237. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8048347 TI - An intervention to improve the assessment of alcoholism by practicing physicians. SO - Family Practice Research Journal. 14(1):41-9, 1994 Mar. AS - Fam Pract Res J. 14(1):41-9, 1994 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cowan PF FA - Cowan, P F IN - Cowan, P F. Family Practice Department, University of Illinois at Chicago 60612. NJ - Family practice research journal VO - 14 IP - 1 PG - 41-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8208228, 8208228 IO - Fam Pract Res J SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Female MH - Group Practice MH - Humans MH - Male MH - *Medical Audit MH - Medical History Taking MH - Middle Aged MH - Nurse Practitioners/ed [Education] MH - Outcome and Process Assessment (Health Care) MH - Patient Care Team AB - OBJECTIVE: Alcoholism is estimated to affect at least 10% of American adults. Despite the fact that early diagnosis is possible and early treatment can prevent great suffering, American physicians typically diagnose and treat alcoholism less than half the time. Several authors have suggested additional physician education as a possible way to improve alcoholism assessment skills and increase the diagnosis rate. AB - METHODS: A baseline audit, an educational intervention, and a post-intervention audit were done with physicians and nurse practitioners in an urban family practice group, using information recorded during everyday patient care. AB - RESULTS: A significant increase in specific alcohol intake histories and a significant decrease in recorded abstention were found. The proportion of patients with a recorded diagnosis of alcoholism was 2.5% before and 4.1% after the intervention. AB - CONCLUSIONS: After this intervention, physicians' and FNP's skills in alcohol history-taking and assessment increased, and were incorporated into their daily patient care. Education alone was not enough to remedy a low diagnosis rate; many other factors are involved. IS - 0270-2304 IL - 0270-2304 PT - Journal Article PP - ppublish LG - English DP - 1994 Mar EZ - 1994/03/01 DA - 1994/03/01 00:01 DT - 1994/03/01 00:00 YR - 1994 ED - 19940901 RD - 20120215 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8048347 <1238. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8046535 TI - Training physicians to help patients who drink too much. SO - Journal of General Internal Medicine. 9(5):296-8, 1994 May. AS - J Gen Intern Med. 9(5):296-8, 1994 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bradley KA AU - Larson EB FA - Bradley, K A FA - Larson, E B CM - Comment on: J Gen Intern Med. 1994 May;9(5):248-54; PMID: 8046526 NJ - Journal of general internal medicine VO - 9 IP - 5 PG - 296-8 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Attitude of Health Personnel MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Medical History Taking MH - Physician-Patient Relations IS - 0884-8734 IL - 0884-8734 PT - Comment PT - Editorial PP - ppublish LG - English DP - 1994 May EZ - 1994/05/01 DA - 1994/05/01 00:01 DT - 1994/05/01 00:00 YR - 1994 ED - 19940826 RD - 20170831 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8046535 <1239. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8046526 TI - Addressing alcohol use among primary care patients: differences between family medicine and internal medicine residents. SO - Journal of General Internal Medicine. 9(5):248-54, 1994 May. AS - J Gen Intern Med. 9(5):248-54, 1994 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schorling JB AU - Klas PT AU - Willems JP AU - Everett AS FA - Schorling, J B FA - Klas, P T FA - Willems, J P FA - Everett, A S IN - Schorling, J B. Department of Internal Medicine, University of Virginia Health Sciences Center, Charlottesville 22908. CM - Comment in: J Gen Intern Med. 1994 May;9(5):296-8; PMID: 8046535 NJ - Journal of general internal medicine VO - 9 IP - 5 PG - 248-54 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - *Attitude of Health Personnel MH - Cross-Sectional Studies MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Medical History Taking MH - Middle Aged MH - Outpatient Clinics, Hospital MH - Physician-Patient Relations MH - Regression Analysis AB - OBJECTIVES: To determine whether rates of addressing alcohol use differed between family medicine and internal medicine residents, and to determine whether attitudes, confidence, and perceptions affected these relationships. AB - SETTING: Two university outpatient clinics, one staffed by family medicine and the other by primary care and categorical internal medicine residents. AB - DESIGN: Cross-sectional study of consecutive patients who had been followed by second- and third-year residents for at least one year. AB - MEASUREMENTS: Alcohol abuse was determined using the Michigan Alcoholism Screening Test (MAST), with a score > or = 5 considered positive. Rates of addressing alcohol use in the preceding year were determined by patient report and chart review. Attitudes were assessed using the Substance Abuse Attitude Survey (SAAS). AB - RESULTS: 334 patients of 49 residents completed the MAST. Rates of alcoholism among the patient groups were: family medicine, 8.3%; primary care, 29.1%; and categorical medicine, 18.0% (p < 0.001). Screening behavior varied by type of residency: 47% of the family medicine, 71% of the primary care, and 65% of the categorical residents' patients reported being asked about alcohol use in the preceding year (p < 0.001); chart documentation was present for 15% of the family medicine, 38% of the primary care, and 24% of the categorical residents' patients (p < 0.001). Perceived prevalence of alcohol abuse, confidence in intervening, and several scales on the SAAS were related to residency type and to addressing alcohol use, but controlling for these variables did not affect the association between residency type and either patient report or chart documentation of screening. AB - CONCLUSION: Rates of addressing alcohol use differed for internal medicine and family medicine residents, but were not due to differences in resident perceptions and attitudes. IS - 0884-8734 IL - 0884-8734 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: AA07526 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1994 May EZ - 1994/05/01 DA - 1994/05/01 00:01 DT - 1994/05/01 00:00 YR - 1994 ED - 19940826 RD - 20170831 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8046526 <1240. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8035710 TI - Medical education on tobacco: implications of a worldwide survey. Tobacco and Health Committee of the International Union against Tuberculosis and Lung Disease (IUATLD). SO - Medical Education. 28(3):187-96, 1994 May. AS - Med Educ. 28(3):187-96, 1994 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Crofton JW AU - Freour PP AU - Tessier JF FA - Crofton, J W FA - Freour, P P FA - Tessier, J F IN - Crofton, J W. University of Edinburgh, UK. NJ - Medical education VO - 28 IP - 3 PG - 187-96 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 MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Male MH - Plants, Toxic MH - *Smoking/px [Psychology] MH - *Students, Medical/px [Psychology] MH - Tobacco AB - This report considers the implications for medical education of a global survey of the knowledge, behaviour and attitudes of medical students regarding tobacco. This was conducted in 42 countries derived from all continents. A total of 9326 students (44% women) from 51 medical schools replied anonymously to a multiple choice questionnaire administered in the local language. Student smoking rates varied greatly between countries/regions: daily smoking in men from 2% (Australia) to 48% (one centre in the former USSR); in women from nil in some Asian medical schools to 22% in one European. Though there was some variation between countries and medical schools, there was widespread ignorance of the causal role of smoking in specific diseases; notably coronary artery disease, peripheral vascular disease, emphysema, bladder cancer and neonatal mortality. There were widespread defects in knowledge and motivation regarding counselling patients to quit smoking, with a common failure to appreciate a doctor's responsibilities in prevention. Very few students knew the value of tobacco taxation in reducing consumption. Following our survey we were asked to advise the World Health Organization on a summary of the desirable tobacco content of medical curricula, which has now been issued. The International Union against Tuberculosis and Lung Disease, in cooperation with the European Region of WHO, has circulated the Deans of all European medical schools with a summary of the deficiencies revealed by the European component of the survey, together with a questionnaire on proposed action. A similar initiative is being considered in cooperation with the Western Pacific Region of WHO. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1994 May EZ - 1994/05/01 DA - 1994/05/01 00:01 DT - 1994/05/01 00:00 YR - 1994 ED - 19940816 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8035710 <1241. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8034139 TI - Faculty development in addiction medicine: project SAEFP, a one-year follow-up study. SO - Family Medicine. 26(4):221-5, 1994 Apr. AS - Fam Med. 26(4):221-5, 1994 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming MF AU - Barry KL AU - Davis A AU - Kahn R AU - Rivo M FA - Fleming, M F FA - Barry, K L FA - Davis, A FA - Kahn, R FA - Rivo, M IN - Fleming, M F. Department of Family Medicine, University of Wisconsin. NJ - Family medicine VO - 26 IP - 4 PG - 221-5 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - Adult MH - *Faculty, Medical MH - *Family Practice/ed [Education] MH - Female MH - Follow-Up Studies MH - Humans MH - Internship and Residency MH - Male MH - Program Evaluation MH - *Substance-Related Disorders MH - *Teaching MH - Teaching Materials AB - BACKGROUND AND OBJECTIVES: The goal of Project SAEFP (Substance Abuse Education for Family Physicians, pronounced SAFE) was to increase the number of residency teaching faculty with expertise in addiction medicine. This paper reports the results of a 12-month follow-up study conducted to assess changes in residency teaching and clinical practice of 165 residency teaching faculty who participated in this project. AB - METHODS: The Project SAEFP work group conducted a series of 5-day courses in the fall of 1990 at 10 sites around the country. The 165 faculty participants were taught how to use a set of 12 residency teaching modules that focused on clinical areas important to primary care physicians. The follow-up study consisted of a structured telephone interview. The findings were compared to previous interviews conducted before, and 3 months after, faculty participation in the course. AB - RESULTS: The findings suggest long-term increases in the amount of teaching, clinical practice, and consultations conducted by the family medicine faculty who participated in this faculty development project. AB - CONCLUSION: The findings of this study suggest that an intensive 5-day course using learner-centered teaching techniques can have a significant impact on primary care teaching faculty. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 240-89-0038 Organization: *PHS HHS* Country: United States LG - English DP - 1994 Apr EZ - 1994/04/01 DA - 1994/04/01 00:01 DT - 1994/04/01 00:00 YR - 1994 ED - 19940812 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8034139 <1242. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7911589 TI - [Management of drug addicts (heroin addicts) by general practitioners]. [French] OT - La prise en charge des toxicomanes (heroinomanes) par les medicins generalistes. SO - Revue d Epidemiologie et de Sante Publique. 42(3):224-34, 1994. AS - Rev Epidemiol Sante Publique. 42(3):224-34, 1994. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Charpak Y AU - Nory F AU - Barbot J FA - Charpak, Y FA - Nory, F FA - Barbot, J IN - Charpak, Y. EVAL, Paris. NJ - Revue d'epidemiologie et de sante publique VO - 42 IP - 3 PG - 224-34 PI - Journal available in: Print PI - Citation processed from: Print JC - rst, 7608039 IO - Rev Epidemiol Sante Publique SB - Index Medicus CP - France MH - Anti-Anxiety Agents/tu [Therapeutic Use] MH - Antidepressive Agents/tu [Therapeutic Use] MH - Antipsychotic Agents/tu [Therapeutic Use] MH - Clinical Competence MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - *Family Practice MH - Female MH - France MH - Heroin Dependence/dt [Drug Therapy] MH - *Heroin Dependence/th [Therapy] MH - Humans MH - Male MH - Narcotics/tu [Therapeutic Use] MH - Sampling Studies AB - A telephone survey has been undertaken in a random sample of 150 General Practitioners (GPs) in four regions of France. 25% refused to answer. The study showed that drug addiction (use of heroin) is a serious issue for many of these physicians: 15% follow more than 20 drug addicts per year and only 12% see none; extrapolating the mean number of drug addicts followed yearly (9.4 per GP) to all GPs in the four regions (26,000, that is to say half of all french GPs) give an "active file" of 250,000 drugs addicts per year. Only 15% if the GPs feel they are educated for the management of drug addicts, although 70% say they prescribe medication such as hypnotics and anxiolytics (97%), the most cited being Tranxene 50 (Chlorazepate 50 mg), antalgics (84%), morphinic or morphine-like drugs (49%), mainly Temgesic, and at last antidepressants and neuroleptics (39%). GPs suffer from being isolated in their practices, as contacts with collegues or institutions specialized in drug addiction are few. If one third of the GPs wish an active participation in the management of drug addicts, and one third wish at least to "do something", they are all much ambiguous in their attitudes toward drug addiction. Their behaviors vary from medical pride to anxiety and even fear. They all mention a lot of practical problems with respect to reputation, practice, lack of time... Unanimous wishes concern opportuneness of setting up continuous medical education on this topic, of working out guidelines for prescription, of improving relationships with other institutions. RN - 0 (Anti-Anxiety Agents) RN - 0 (Antidepressive Agents) RN - 0 (Antipsychotic Agents) RN - 0 (Narcotics) IS - 0398-7620 IL - 0398-7620 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - French DP - 1994 EZ - 1994/01/01 DA - 1994/01/01 00:01 DT - 1994/01/01 00:00 YR - 1994 ED - 19940714 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7911589 <1243. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8189370 TI - Smoking habits: the prevention role of teachers and general practitioners. SO - Journal of Environmental Pathology, Toxicology & Oncology. 12(3):161-5, 1993 Jul-Sep. AS - J Environ Pathol Toxicol Oncol. 12(3):161-5, 1993 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frydman M AU - Lynn R FA - Frydman, M FA - Lynn, R IN - Frydman, M. Department of Social Psychology, Faculty of Psychopedagogic Sciences, University of Mons Hainaut, Belgium. NJ - Journal of environmental pathology, toxicology and oncology : official organ of the International Society for Environmental Toxicology and Cancer VO - 12 IP - 3 PG - 161-5 PI - Journal available in: Print PI - Citation processed from: Print JC - jou, 8501420 IO - J. Environ. Pathol. Toxicol. Oncol. SB - Index Medicus CP - United States MH - Adult MH - Belgium/ep [Epidemiology] MH - Child MH - Female MH - Health Promotion MH - Humans MH - Male MH - Middle Aged MH - *Nicotine MH - *Physicians, Family MH - Smoking/ep [Epidemiology] MH - *Smoking Prevention MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - *Teaching AB - Surveys carried out widely in French-speaking Belgium showed that the frequency of nicotine addiction among teachers is not very different from that of other job categories. Among physicians, the number of smokers--although lower than average--is too high, especially among psychiatrists, gynecologists, and, paradoxically, heart specialists. However, young doctors usually do not smoke. The authors argue for a program aimed at making teachers and general practitioners more aware of the problem of smoking. This intervention may lend support to those trying to reach the general public. RN - 6M3C89ZY6R (Nicotine) IS - 0731-8898 IL - 0731-8898 PT - Journal Article PP - ppublish LG - English DP - 1993 Jul-Sep EZ - 1993/07/01 DA - 1993/07/01 00:01 DT - 1993/07/01 00:00 YR - 1993 ED - 19940620 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8189370 <1244. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8185102 TI - Chemical dependency in emergency medicine residency programs: perspective of the program directors. SO - Annals of Emergency Medicine. 23(5):1072-6, 1994 May. AS - Ann Emerg Med. 23(5):1072-6, 1994 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McNamara RM AU - Margulies JL FA - McNamara, R M FA - Margulies, J L IN - McNamara, R M. Department of Emergency Medicine, Medical College of Pennsylvania, Philadelphia. NJ - Annals of emergency medicine VO - 23 IP - 5 PG - 1072-6 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 - Data Collection MH - *Emergency Medicine/ed [Education] MH - *Emergency Medicine/ma [Manpower] MH - *Health Knowledge, Attitudes, Practice MH - Health Promotion MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Organizational Policy MH - Physician Executives/ed [Education] MH - *Physician Executives/px [Psychology] MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - STUDY OBJECTIVE: To evaluate the educational background, knowledge, and experiences regarding chemical dependency among emergency medicine program directors. The program directors' awareness of substance use and alcohol abuse among emergency medicine residents was examined by comparing their estimates with the actual rates reported by the residents. AB - DESIGN: An anonymous survey mailed in March 1992. AB - TYPE OF PARTICIPANTS: The program directors of all 86 Accreditation Council for Graduate Medical Education-approved emergency medicine residencies. AB - INTERVENTIONS: None. AB - MEASUREMENTS AND MAIN RESULTS: The 67 responding program directors represented 1,637 (77%) of the 2,130 emergency medicine residents on duty at the time of the survey. Thirty-three (49%) had suspected chemical dependency in a resident at least once, 22 (33%) had identified a chemically dependent resident, and nine (13%) hired a resident known to be in recovery. Substantial percentages reported no or slight knowledge regarding physician impairment issues. Twenty program directors (30%) received no education or only informal education regarding physician impairment. Compared to a February 1992 survey of emergency medicine residents, the program directors' estimates of resident use rates in the past year for seven substances were fairly accurate. However, the program directors estimated that only 16 (1.0%) of their current residents were impaired by alcohol; the resident survey yielded CAGE scores consistent with presumed or suspected alcoholism in 12.5% of emergency medicine residents. AB - CONCLUSION: Emergency medicine program directors must be more attentive to potential alcohol abuse among emergency medicine residents and should receive additional education regarding chemical dependency. IS - 0196-0644 IL - 0196-0644 PT - Comparative Study PT - Journal Article ID - S019606449400079X [pii] PP - ppublish LG - English DP - 1994 May EZ - 1994/05/01 DA - 1994/05/01 00:01 DT - 1994/05/01 00:00 YR - 1994 ED - 19940614 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8185102 <1245. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8166918 TI - Medical education about substance abuse: changes in curriculum and faculty between 1976 and 1992. SO - Academic Medicine. 69(5):362-9, 1994 May. AS - Acad Med. 69(5):362-9, 1994 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming M AU - Barry K AU - Davis A AU - Kropp S AU - Kahn R AU - Rivo M FA - Fleming, M FA - Barry, K FA - Davis, A FA - Kropp, S FA - Kahn, R FA - Rivo, M IN - Fleming, M. Department of Family Medicine, University of Wisconsin Medical School (UWMS), Madison. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 69 IP - 5 PG - 362-9 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 - *Curriculum MH - Data Collection MH - *Education, Medical MH - Faculty, Medical/sn [Statistics & Numerical Data] MH - Family Practice/ed [Education] MH - Humans MH - Infant, Newborn MH - Internship and Residency/sn [Statistics & Numerical Data] MH - Pediatrics/ed [Education] MH - Schools, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders MH - United States AB - PURPOSE: To examine changes in substance abuse education in U.S. medical schools between 1976 and 1992. AB - METHODS: In 1991-92 the authors conducted a 16-year follow-up survey of six clinical departments in each of the 126 U.S. medical schools. Two previous surveys by scholars and surveys conducted by the Liaison Committee on Medical Education, Association of American Medical Colleges, and the National Center for Medical Fellowships in the Addictions provided baseline data for comparison. The statistical methods used in the comparisons were paired t-tests, one-way analyses of variance, and tests of differences between proportions. AB - RESULTS: Significant increases were found in the numbers of required and elective curriculum units for medical students between 1986-87 and 1991-92. The number of medical schools requiring courses in substance abuse treatment increased from five to eight between 1986-87 and 1991-92. For residents, there were significant increases in the numbers of curriculum units for residents in family medicine and pediatrics. The average number of faculty in the 116 medical schools that reported units on substance abuse was 4.1. There were 45 fellowships in addiction medicine identified in 1991-92, with a total of 61 fellows in training. AB - CONCLUSION: While the findings confirm positive changes, the amount of curricula time and the number of faculty having expertise in substance abuse education do not compare well with the amounts of time and numbers of faculty involved in clinical problems of similar prevalence, such as cancer and heart disease. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 1994 May EZ - 1994/05/01 DA - 1994/05/01 00:01 DT - 1994/05/01 00:00 YR - 1994 ED - 19940602 RD - 20100324 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8166918 <1246. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8168676 TI - The twin epidemics of substance use and HIV: a state-level response using a train-the-trainer model. SO - Family Practice. 10(4):400-5, 1993 Dec. AS - Fam Pract. 10(4):400-5, 1993 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gabel LL AU - Pearsol JA FA - Gabel, L L FA - Pearsol, J A IN - Gabel, L L. Department of Family Medicine, Ohio State University, Columbus. NJ - Family practice VO - 10 IP - 4 PG - 400-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 8500875, fam IO - Fam Pract SB - Index Medicus SB - AIDS/HIV Journals CP - England MH - Adolescent MH - Adult MH - Disease Outbreaks MH - *Education, Continuing/mt [Methods] MH - Female MH - HIV Infections/co [Complications] MH - *HIV Infections MH - *Health Personnel/ed [Education] MH - Humans MH - Male MH - Models, Educational MH - Ohio/ep [Epidemiology] MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] AB - Use of alcohol and drugs is highly correlated with acquiring the human immunodeficiency virus (HIV), the precursor to developing an AIDS-related condition. Today the USA faces not one but two epidemics, the twin epidemics of substance use and HIV infection. A needs assessment in the state of Ohio of the 300 state-supported drug treatment facilities confirmed a need for HIV-related education and training of the 120 health care personnel, physicians and nurses. Unique train-the-trainer programming was planned and undertaken, including in the same training programme physician and nurse participants dealing both with substance use and HIV/AIDS issues. Significant differences were found in perceived levels of knowledge, and/or attitudes, before and after programme sessions, regarding substance use, HIV/AIDS, and related training issues. To reach all of Ohio's 120 drug treatment facility physicians and nurses required a 2.75 person-hour per trainee expenditure of professional resources. IS - 0263-2136 IL - 0263-2136 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1993 Dec EZ - 1993/12/01 DA - 1993/12/01 00:01 DT - 1993/12/01 00:00 YR - 1993 ED - 19940602 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8168676 <1247. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8169583 TI - Fitness to practice medicine. A question of conduct, not mental illness. SO - Journal of the Florida Medical Association. 81(2):101-5, 1994 Feb. AS - J Fla Med Assoc. 81(2):101-5, 1994 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shellow RA AU - Coleman PG FA - Shellow, R A FA - Coleman, P G IN - Shellow, R A. University of Miami School of Medicine. NJ - The Journal of the Florida Medical Association VO - 81 IP - 2 PG - 101-5 PI - Journal available in: Print PI - Citation processed from: Print JC - i53, 7505604 IO - J Fla Med Assoc SB - Index Medicus CP - United States MH - *Clinical Competence/lj [Legislation & Jurisprudence] MH - Disabled Persons/lj [Legislation & Jurisprudence] MH - Florida MH - Human Rights/lj [Legislation & Jurisprudence] MH - Humans MH - *Licensure, Medical/lj [Legislation & Jurisprudence] MH - Mental Disorders/th [Therapy] MH - *Mental Disorders MH - *Professional Competence/lj [Legislation & Jurisprudence] MH - Psychotherapy MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States AB - The Florida Board of Medicine questions applicants about history of and psychotherapy for mental illness and substance abuse. These questions are examined in light of knowledge of psychiatric disorders and restrictions on inquiries by the Americans With Disabilities Act. They are probably illegal under the Act and should be deleted from the application. Responses do not reveal enough about behavior likely to impair ability to practice medicine with skill and safety to justify invasion of privacy. Problems related to mental illness represent a small number of disciplinary actions taken by the Board. Suggestions are made for inquiries which may aid the Board in determining fitness to practice and comply with the Act. IS - 0015-4148 IL - 0015-4148 PT - Journal Article PP - ppublish LG - English DP - 1994 Feb EZ - 1994/02/01 DA - 1994/02/01 00:01 DT - 1994/02/01 00:00 YR - 1994 ED - 19940601 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8169583 <1248. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8166344 TI - Position statement on the need for improved training for treatment of patients with combined substance use and other psychiatric disorders. SO - American Journal of Psychiatry. 151(5):795-6, 1994 May. AS - Am J Psychiatry. 151(5):795-6, 1994 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - The American journal of psychiatry VO - 151 IP - 5 PG - 795-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Comorbidity MH - Education, Medical MH - Humans MH - Mental Disorders/ep [Epidemiology] MH - *Mental Disorders/th [Therapy] MH - *Psychiatry/ed [Education] MH - Societies, Medical MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] MH - Training Support MH - United States/ep [Epidemiology] AB - The diagnosis and management of patients with combined psychiatric and substance use disorders is an important aspect of modern psychiatry, and psychiatrists should be strongly encouraged to become involved in this area. These efforts should be supported by training and educational programs involving a wide range of institutions, including local treatment facilities, hospital centers, universities, and government. Restructuring or adding improvements to existing psychiatric treatment facilities and maintaining good working relationships with existing substance abuse treatment programs are desirable goals for improving care of dually diagnosed patients. IS - 0002-953X IL - 0002-953X PT - Journal Article ID - 10.1176/ajp.151.5.795 [doi] PP - ppublish LG - English DP - 1994 May EZ - 1994/05/01 DA - 1994/05/01 00:01 DT - 1994/05/01 00:00 YR - 1994 ED - 19940525 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8166344 <1249. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8149191 TI - Alcohol misuse as challenge to medical education: a belated remedy. [Review] [25 refs] SO - British Medical Bulletin. 50(1):164-70, 1994 Jan. AS - Br Med Bull. 50(1):164-70, 1994 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glass-Crome IB FA - Glass-Crome, I B IN - Glass-Crome, I B. National Addiction Centre, Institute of Psychiatry, University of London, UK. NJ - British medical bulletin VO - 50 IP - 1 PG - 164-70 PI - Journal available in: Print PI - Citation processed from: Print JC - b4g, 0376542 IO - Br. Med. Bull. SB - Index Medicus CP - England MH - *Alcoholism/di [Diagnosis] MH - *Education, Medical/mt [Methods] MH - Education, Medical, Graduate/mt [Methods] MH - Education, Medical, Undergraduate/mt [Methods] MH - Female MH - Humans MH - Male MH - United Kingdom AB - Substance misuse contributes directly or indirectly to each of the 5 key targets outlined in the Health of the Nation strategy: coronary heart disease and stroke, cancers, mental illness, HIV/AIDS and accidents. More specifically, the risk factor targets include a 30% reduction in the prevalence of cigarette smoking to no more than 20% in both men and women by the year 2000; a 30% reduction in the proportion of men drinking more than 21 units of alcohol per week and women drinking more than 14 units per week to 18% and 7% respectively, and reduction in the percentage of drug misusers sharing equipment to no more than 5% in the year 2000. The Tomlinson report repeatedly underscores the problems of drug misuse, alcohol problems and mental illness in Inner London. Both these recent reports admit to a 'lack of trained professionals' (p17) and to 'ensuring that professionals ... are adequately and appropriately educated' (p97). Furthermore, Health of the Nation declares that 'Professional bodies in health and social work will continue to design training to promote the early identification of alcohol misuse, and appropriate referral skills' (p16). [References: 25] IS - 0007-1420 IL - 0007-1420 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1994 Jan EZ - 1994/01/01 DA - 1994/01/01 00:01 DT - 1994/01/01 00:00 YR - 1994 ED - 19940512 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8149191 <1250. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8144203 TI - HIV screening & risk behaviour in psychoactive substance users. SO - Indian Journal of Medical Research. 97:231-3, 1993 Nov. AS - Indian J Med Res. 97:231-3, 1993 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Malhotra A AU - Balaji M AU - Basu D AU - Mattoo SK AU - Varma VK AU - Sehgal S FA - Malhotra, A FA - Balaji, M FA - Basu, D FA - Mattoo, S K FA - Varma, V K FA - Sehgal, S IN - Malhotra, A. Department of Psychiatry, Postgraduate Institute of Medical Education & Research, Chandigarh. NJ - The Indian journal of medical research VO - 97 PG - 231-3 PI - Journal available in: Print PI - Citation processed from: Print JC - gjf, 0374701 IO - Indian J. Med. Res. SB - Index Medicus SB - AIDS/HIV Journals CP - India MH - Adolescent MH - Adult MH - Female MH - HIV Antibodies/bl [Blood] MH - HIV Infections/di [Diagnosis] MH - *HIV Infections/et [Etiology] MH - Humans MH - Male MH - Middle Aged MH - Risk MH - *Substance-Related Disorders/co [Complications] AB - Patients admitted to the Drug De-addiction and Treatment Centre, Postgraduate Institute of Medical Education & Research, Chandigarh, were screened for HIV antibodies. Out of 116 patients, 45 (39%) were injecting drug users (IDUs), 29 (25%) were other drug users and 42 (36%) were primary users of alcohol. One IDU was HIV seropositive (2.2% of the IDUs). Analysis of HIV-related risk behaviour showed that the IDUs were at high risk, because of needle sharing as also because of having multiple sex partners. The potential for HIV infection in these persons practising high-risk behaviour calls for timely preventive measures. RN - 0 (HIV Antibodies) IS - 0971-5916 IL - 0971-5916 PT - Journal Article PP - ppublish LG - English DP - 1993 Nov EZ - 1993/11/01 DA - 1993/11/01 00:01 DT - 1993/11/01 00:00 YR - 1993 ED - 19940503 RD - 20130418 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8144203 <1251. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8126601 TI - Training of residents and medical students in the diagnosis and treatment of dual diagnosis patients. [Review] [31 refs] SO - Journal of Psychoactive Drugs. 25(4):293-300, 1993 Oct-Dec. AS - J Psychoactive Drugs. 25(4):293-300, 1993 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chappel JN FA - Chappel, J N IN - Chappel, J N. Department of Psychiatry and Behavioral Sciences, University of Nevada School of Medicine, Reno 89557-0046. NJ - Journal of psychoactive drugs VO - 25 IP - 4 PG - 293-300 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Diagnosis, Dual (Psychiatry)/px [Psychology] MH - *Education, Medical, Undergraduate MH - Humans MH - *Internship and Residency MH - Mental Disorders/px [Psychology] MH - Mental Disorders/th [Therapy] MH - *Psychiatry/ed [Education] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - Treatment of dual diagnosis patients requires simultaneous treatment of the addictive and the mental disorders. Available data suggest that this does not happen often. In a survey of several psychiatric services, the unit chiefs reported that dual diagnoses were underreported, no plans were present for combined treatment, families were infrequently involved, and few referrals were made for combined treatment. There is a need for competent, experienced clinician teachers who have had positive experience with the treatment of dual disorders. The training of addiction and mental health professionals must include cooperation, understanding, and respect for each other. Cross-training is needed in chemotherapy, psychotherapy, abstinence from alcohol and other addictive drugs, 12-Step programs, spiritual issues, and milieu therapy. Negative attitudes and ignorance must be overcome for this training to take place. Faculty Fellow training programs have provided a beginning in this direction, but have so far involved few professional schools. Some examples of training with regard to referrals, prescribing, and psychotherapy are given. The importance of supervised clinical experience in treating dual diagnosis patients is emphasized. The provision of this experience provides a challenge to specialists in addiction medicine and addiction psychiatry. [References: 31] IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.1993.10472286 [doi] PP - ppublish LG - English DP - 1993 Oct-Dec EZ - 1993/10/01 DA - 1993/10/01 00:01 DT - 1993/10/01 00:00 YR - 1993 ED - 19940414 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8126601 <1252. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7510314 TI - Tangential symbols: using visual symbolization to teach pharmacological principles of drug addiction to international audiences. SO - Journal of Clinical Pharmacology. 33(12):1139-46, 1993 Dec. AS - J Clin Pharmacol. 33(12):1139-46, 1993 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giannini AJ FA - Giannini, A J IN - Giannini, A J. Department of Corporate Medical Director, Chemical Abuse Centers, Inc., Austintown, OH. NJ - Journal of clinical pharmacology VO - 33 IP - 12 PG - 1139-46 PI - Journal available in: Print PI - Citation processed from: Print JC - ht9, 0366372 IO - J Clin Pharmacol SB - Index Medicus CP - England MH - Art MH - *Audiovisual Aids MH - Functional Laterality MH - Humans MH - Language MH - Pharmacists MH - *Pharmacology/ed [Education] MH - Physicians MH - *Substance-Related Disorders/px [Psychology] MH - *Teaching/mt [Methods] AB - Visual art was used to teach the biopsychiatric model of addiction to audiences in the Caribbean, Europe and Mideast. Art slides were tangentially linked to slides of pharmacological data. Stylistically dense art was processed by the intuitive right brain while spare notational pharmacological data was processed by the intellectual (rationalistic) left brain. Simultaneous presentation of these data enhanced attention and retention. This teaching paradigm was based on the nonliterate methods developed by Medieval architects and refined by Italian Renaissance philosopher, Marsilio Ficino. IS - 0091-2700 IL - 0091-2700 PT - Journal Article PP - ppublish LG - English DP - 1993 Dec EZ - 1993/12/01 DA - 1993/12/01 00:01 DT - 1993/12/01 00:00 YR - 1993 ED - 19940413 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=7510314 <1253. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8125466 TI - State-university program in North Carolina honored for exemplary collaboration. SO - Hospital & Community Psychiatry. 45(1):70-1, 1994 Jan. AS - Hosp Community Psychiatry. 45(1):70-1, 1994 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Hospital & community psychiatry VO - 45 IP - 1 PG - 70-1 PI - Journal available in: Print PI - Citation processed from: Print JC - gcj, 0040250 IO - Hosp Community Psychiatry SB - Index Medicus CP - United States MH - *Awards and Prizes MH - Combined Modality Therapy MH - Curriculum MH - Hospitals, Psychiatric MH - Hospitals, State MH - Hospitals, Teaching MH - Humans MH - *Internship and Residency/st [Standards] MH - *Mental Disorders/rh [Rehabilitation] MH - North Carolina MH - *Patient Care Team MH - *Psychiatry/ed [Education] MH - Research MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0022-1597 IL - 0022-1597 PT - Journal Article PP - ppublish LG - English DP - 1994 Jan EZ - 1994/01/01 DA - 1994/01/01 00:01 DT - 1994/01/01 00:00 YR - 1994 ED - 19940412 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8125466 <1254. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8301797 TI - A missed opportunity. Teaching medical students to help their patients successfully quit smoking. SO - JAMA. 271(8):624-6, 1994 Feb 23. AS - JAMA. 271(8):624-6, 1994 Feb 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fiore MC AU - Epps RP AU - Manley MW FA - Fiore, M C FA - Epps, R P FA - Manley, M W IN - Fiore, M C. Center for Tobacco Research and Intervention, University of Wisconsin Medical School, Madison 53606. CM - Comment in: JAMA. 1994 Sep 7;272(9):659-60; PMID: 8064978 NJ - JAMA VO - 271 IP - 8 PG - 624-6 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 - Curriculum MH - *Education, Medical, Undergraduate MH - National Institutes of Health (U.S.) MH - Practice Patterns, Physicians' MH - *Smoking MH - *Smoking Cessation MH - Smoking Prevention MH - Students, Medical MH - United States IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1994 Feb 23 EZ - 1994/02/23 DA - 1994/02/23 00:01 DT - 1994/02/23 00:00 YR - 1994 ED - 19940310 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8301797 <1255. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8300023 TI - Drug-related death--an update. [Review] [26 refs] SO - Forensic Science International. 62(1-2):121-8, 1993 Nov. AS - Forensic Sci Int. 62(1-2):121-8, 1993 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Puschel K FA - Puschel, K IN - Puschel, K. Institut fur Rechtszmedizin, Universitat Hamburg, Germany. NJ - Forensic science international VO - 62 IP - 1-2 PG - 121-8 PI - Journal available in: Print PI - Citation processed from: Print JC - f49, 7902034 IO - Forensic Sci. Int. SB - Index Medicus SB - AIDS/HIV Journals CP - Ireland MH - Alcoholism/bl [Blood] MH - Alcoholism/co [Complications] MH - *Alcoholism/ep [Epidemiology] MH - Cause of Death MH - Cohort Studies MH - Female MH - Forensic Medicine MH - Germany/ep [Epidemiology] MH - *HIV Seroprevalence MH - *HIV-1 MH - *Hepatitis B/ep [Epidemiology] MH - Hepatitis B/et [Etiology] MH - *Hepatitis C/ep [Epidemiology] MH - Hepatitis C/et [Etiology] MH - Humans MH - Male MH - Mass Screening MH - Multicenter Studies as Topic MH - *Population Surveillance MH - Prevalence MH - Prospective Studies MH - Substance Abuse, Intravenous/co [Complications] MH - *Substance Abuse, Intravenous/mo [Mortality] MH - Substance Abuse, Intravenous/pc [Prevention & Control] MH - Urban Population AB - Some epidemiological, morphological and toxicological aspects from a continuous prospective study of drug-related fatalities in Hamburg are described. The lethal risk for intravenous drug addicts (IVDA) has increased (1990: n = 136 drug-related fatalities in Hamburg; 1991: n = 184). Infectious diseases are common. From the epidemiological point of view the HIV-1 prevalence is decreasing; hepatitis C turned out to be a serious medical problem for IVDA. The fatal course of the addiction is mostly caused by heroin overdosage (sometimes in combination with ethyl-alcohol, benzodiazepines and barbiturates); about 40% of the fatalities were alcoholized (20% with a blood alcohol concentration of more than 1%). [References: 26] IS - 0379-0738 IL - 0379-0738 PT - Journal Article PT - Review ID - 0379-0738(93)90056-G [pii] PP - ppublish LG - English DP - 1993 Nov EZ - 1993/11/01 DA - 1993/11/01 00:01 DT - 1993/11/01 00:00 YR - 1993 ED - 19940309 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8300023 <1256. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8282551 TI - A study of substance abuse testing in patient care facilities. SO - Health Care Management Review. 18(4):87-95, 1993. AS - Health Care Manage Rev. 18(4):87-95, 1993. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fenton JW Jr AU - Kinard JL FA - Fenton, J W Jr FA - Kinard, J L IN - Fenton, J W Jr. Francis Marion University in Florence, SC. NJ - Health care management review VO - 18 IP - 4 PG - 87-95 PI - Journal available in: Print PI - Citation processed from: Print JC - g11, 7611530 IO - Health Care Manage Rev SB - Index Medicus CP - United States MH - Confidentiality/lj [Legislation & Jurisprudence] MH - Disabled Persons/lj [Legislation & Jurisprudence] MH - Employment/lj [Legislation & Jurisprudence] MH - Humans MH - Internship and Residency MH - Job Application MH - Medical Staff, Hospital MH - Organizational Policy MH - *Personnel Administration, Hospital/sn [Statistics & Numerical Data] MH - Personnel Selection/sn [Statistics & Numerical Data] MH - Prejudice MH - *Substance Abuse Detection/lj [Legislation & Jurisprudence] MH - Substance Abuse Detection/ut [Utilization] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - United States AB - Drug testing, once practically ignored as a health care management strategy in curbing legal liability potential, is now the norm rather than exception. Most hospitals today conduct drug tests involving employment considerations and "for cause" (e.g., accidents) involving most employees but excluding physicians. Random drug testing is recommended for health care institutions to consider as a strategy designed to reduce illicit drug abuse in such facilities. This recommendation is based on the nature and sensitivity of the health care institution's mission and purpose relative to patient care and safety. IS - 0361-6274 IL - 0361-6274 PT - Journal Article PP - ppublish LG - English DP - 1993 EZ - 1993/01/01 DA - 2001/03/28 10:01 DT - 1993/01/01 00:00 YR - 1993 ED - 19940214 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8282551 <1257. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8270386 TI - Point of view: alcoholic physicians in Israel. SO - Israel Journal of Psychiatry & Related Sciences. 30(2):116-8, 1993. AS - Isr J Psychiatry Relat Sci. 30(2):116-8, 1993. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weiss S FA - Weiss, S IN - Weiss, S. Israel Society for the Prevention of Alcoholism, Ramat Gan Israel. NJ - The Israel journal of psychiatry and related sciences VO - 30 IP - 2 PG - 116-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8108287, gye IO - Isr J Psychiatry Relat Sci SB - Index Medicus CP - Israel MH - *Alcoholism/px [Psychology] MH - Education, Medical MH - Female MH - Humans MH - Israel MH - Male MH - *Physicians/px [Psychology] MH - Students/px [Psychology] AB - Data on alcohol drinking habits among medical students and levels of alcoholism in the general population imply that there are a significant number of alcoholic physicians in Israel. The tendency of the alcoholic doctor to conceal, the tendency of colleagues to deny and protect, and the inadequate education on the effects and consequences of alcohol dependence among physicians in Israel are presented as explanations for the absence of reporting of this phenomenon. IS - 0333-7308 IL - 0333-7308 PT - Journal Article PP - ppublish LG - English DP - 1993 EZ - 1993/01/01 DA - 1993/01/01 00:01 DT - 1993/01/01 00:00 YR - 1993 ED - 19940201 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8270386 <1258. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8245323 TI - Incidence of alcohol abuse in the parents of medical students. SO - Journal of American College Health. 42(2):82-4, 1993 Sep. AS - J Am Coll Health. 42(2):82-4, 1993 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dilts SL AU - House RM Jr AU - Arthur WR AU - Hurley ME FA - Dilts, S L FA - House, R M Jr FA - Arthur, W R FA - Hurley, M E IN - Dilts, S L. Denver General Hospital. NJ - Journal of American college health : J of ACH VO - 42 IP - 2 PG - 82-4 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 - Adult MH - *Alcoholism/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - *Parents/px [Psychology] MH - Pilot Projects MH - *Students, Medical MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - An anonymous self-report survey of the medical students at the University of Colorado Health Sciences Center assessed how many of the students' parents were alcohol abusers. The results indicated that 27% of the student body were children of alcohol abusers, a rate twice that of the general population. This finding has implications for teaching strategies, student substance abuse, prevention efforts during the medical-school years, and provision of appropriate programs through student health services. IS - 0744-8481 IL - 0744-8481 PT - Journal Article ID - 10.1080/07448481.1993.9940465 [doi] PP - ppublish LG - English DP - 1993 Sep EZ - 1993/09/01 DA - 2001/03/28 10:01 DT - 1993/09/01 00:00 YR - 1993 ED - 19940104 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8245323 <1259. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8222029 TI - Psychoactive substance use among American anesthesiologists: a 30-year retrospective study. SO - Canadian Journal of Anaesthesia. 40(10):915-21, 1993 Oct. AS - Can J Anaesth. 40(10):915-21, 1993 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lutsky I AU - Hopwood M AU - Abram SE AU - Jacobson GR AU - Haddox JD AU - Kampine JP FA - Lutsky, I FA - Hopwood, M FA - Abram, S E FA - Jacobson, G R FA - Haddox, J D FA - Kampine, J P IN - Lutsky, I. Department of Anesthesiology, Medical College of Wisconsin, Milwaukee. NJ - Canadian journal of anaesthesia = Journal canadien d'anesthesie VO - 40 IP - 10 PG - 915-21 PI - Journal available in: Print PI - Citation processed from: Print JC - c8l, 8701709 IO - Can J Anaesth SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/et [Etiology] MH - Alcoholism/pc [Prevention & Control] MH - Anesthesiology/ed [Education] MH - *Anesthesiology MH - Divorce/sn [Statistics & Numerical Data] MH - Drug and Narcotic Control MH - Education, Medical, Continuing MH - Family Health MH - Female MH - Humans MH - Life Change Events MH - Male MH - Middle Aged MH - Organizational Policy MH - Physician Impairment/px [Psychology] MH - Physician Impairment/sn [Statistics & Numerical Data] MH - Prevalence MH - Psychotropic Drugs/cl [Classification] MH - *Psychotropic Drugs MH - Retrospective Studies MH - Street Drugs MH - Stress, Physiological/co [Complications] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Wisconsin/ep [Epidemiology] AB - The purpose of this study was to assess the cumulative incidence of substance use among anesthesiologists during training and practice, the effect of stress on drug use, and deterrent efficacy of institutional prevention programmes. The 260 anesthesiologists who had trained at the Medical College of Wisconsin between 1958-1988 were surveyed by mail regarding psychoactive substance use. Analysis of 183 responses focused on demographic and psychosocial factors. Substances used most frequently included: alcohol (91.6%), marijuana (30.8%) and cocaine (9.4%). Twenty-nine (15.8%) anesthesiologists were identified as being substance-dependent: 19 were alcohol-impaired; six were drug-impaired, and four were dependent on both alcohol and drugs. Impairment was more prevalent in anesthesiologists who had completed their training after 1975. Fifty-eight (32%) anesthesiologists had used illicit drugs to "get high"; 11 acknowledged daily use for two weeks or more, with eight admitting dependency. Substance abuse was more common in parents of impaired anesthesiologists (35.7%) than in unimpaired colleagues (8.1%; P < 0.001). The divorce rate for impaired anesthesiologists (24.1%) was greater than for unimpaired anesthesiologists (5.2%; P < 0.001). Increased stress during training was not reflected by increased substance use. Few recalled any drug counseling whatsoever. Seventy percent assessed hospital drug control policies as fair or poor. Younger respondents (born after 1951) were more critical of drug control programmes than their older cohort. Incidents of substance abuse were reported for both residents and faculty. Psychoactive substance abuse remains a serious problem among anesthesiologists. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0832-610X IL - 0832-610X PT - Journal Article ID - 10.1007/BF03010092 [doi] PP - ppublish LG - English DP - 1993 Oct EZ - 1993/10/01 DA - 1993/10/01 00:01 DT - 1993/10/01 00:00 YR - 1993 ED - 19931213 RD - 20170907 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8222029 <1260. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8235897 TI - [An evaluation of a symposium via satellite on alcoholism and drug dependence]. [Spanish] OT - Evaluacion de un simposio via satelite sobre alcoholismo y farmacodependencia. SO - Salud Publica de Mexico. 35(5):500-7, 1993 Sep-Oct. AS - Salud Publica Mex. 35(5):500-7, 1993 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rios-Espinosa E AU - Martinez-Salgado H AU - Ruiz-Tapia R AU - Dominguez-Cherit L FA - Rios-Espinosa, E FA - Martinez-Salgado, H FA - Ruiz-Tapia, R FA - Dominguez-Cherit, L IN - Rios-Espinosa, E. Instituto Nacional de la Nutricion Salvador Zubiran, Mexico. NJ - Salud publica de Mexico VO - 35 IP - 5 PG - 500-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404371, uy1 IO - Salud Publica Mex SB - Index Medicus CP - Mexico MH - *Alcoholism MH - Congresses as Topic/sn [Statistics & Numerical Data] MH - *Congresses as Topic MH - Education, Medical, Continuing/mt [Methods] MH - Education, Medical, Continuing/sn [Statistics & Numerical Data] MH - Evaluation Studies as Topic MH - Humans MH - Mexico MH - Satellite Communications/sn [Statistics & Numerical Data] MH - *Satellite Communications MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - Results of a test given to participants in a symposium on alcoholism and drug abuse are presented. The symposium was broadcast via satellite simultaneously to five cities in Mexico, and included 8 pretaped panels covering topics on alcoholism and drug abuse. The methodology used for broadcasting the symposium allowed the interactive exchange of information between expert lecturers and participants. The quantitative and qualitative evaluation used the pretest-posttest design. Most of the participants were physicians (28.9%) followed by psychologists (25.7%) and social workers (18.1%). The global cognitive change among participants was 6 per cent. Almost 77 per cent of participants had scores between 51 and 70 points (over a possible maximum score of 100) in the pre-evaluation test, and 76.4 per cent had scores between 61 and 80 points in the postevaluation test. Health professionals with 1-3 years of experience had the largest change in scores (9%), followed by those with 3 to 5 years experience (8%). Professionals with 5 to 10 years of experience had a change of 5 per cent. Physicians showed the greatest cognitive change (7%) followed by psychologists and social workers with 5 per cent change. In the qualitative evaluation, 87.6 per cent of participants thought that the educational method used was "Excellent" of "Good". With respect to the satellite transmission, 79.4 per cent of participants thought it was "Excellent" or "Good". It is concluded that this type of educational events are useful in reaching health professionals who otherwise would not have access to specialized and updated information.(ABSTRACT TRUNCATED AT 250 WORDS) IS - 0036-3634 IL - 0036-3634 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - Spanish DP - 1993 Sep-Oct EZ - 1993/09/01 DA - 1993/09/01 00:01 DT - 1993/09/01 00:00 YR - 1993 ED - 19931210 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8235897 <1261. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8397612 TI - The elephant in the waiting room: an alcoholism-awareness tool for medical curricula. SO - Academic Medicine. 68(10):783, 1993 Oct. AS - Acad Med. 68(10):783, 1993 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith CS AU - Phister J AU - Lee DK AU - Kilfoyle M FA - Smith, C S FA - Phister, J FA - Lee, D K FA - Kilfoyle, M NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 68 IP - 10 PG - 783 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 - *Alcoholism/di [Diagnosis] MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans IS - 1040-2446 IL - 1040-2446 PT - Letter PP - ppublish LG - English DP - 1993 Oct EZ - 1993/10/01 DA - 1993/10/01 00:01 DT - 1993/10/01 00:00 YR - 1993 ED - 19931118 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8397612 <1262. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8347366 TI - Demographic and educational differences in smoking in a tobacco-growing state. SO - American Journal of Preventive Medicine. 9(3):155-9, 1993 May-Jun. AS - Am J Prev Med. 9(3):155-9, 1993 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sheridan DP AU - Hornung CA AU - McCutcheon EP AU - Wheeler FC FA - Sheridan, D P FA - Hornung, C A FA - McCutcheon, E P FA - Wheeler, F C IN - Sheridan, D P. University of South Carolina School of Medicine, Department of Family and Preventive Medicine, Columbia 29208. NJ - American journal of preventive medicine VO - 9 IP - 3 PG - 155-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - Adolescent MH - Adult MH - *African Americans MH - Age Factors MH - Aged MH - Agriculture MH - Counseling MH - Demography MH - *Educational Status MH - *European Continental Ancestry Group MH - Female MH - Health Education MH - Humans MH - Life Style MH - Male MH - Middle Aged MH - Physicians MH - Plants, Toxic MH - Prevalence MH - *Smoking/ep [Epidemiology] MH - Smoking Cessation MH - Smoking Prevention MH - South Carolina/ep [Epidemiology] MH - Tobacco AB - National studies have documented an excessive rate of cigarette smoking in black men; however, a 1987 survey conducted in two urban areas in South Carolina documents a high rate of smoking in young white men with fewer than 12 years of education (67%; 95% confidence interval [CI] = 58.3, 75.7). Differences in smoking rates by educational level were significant only for those younger than 40. Young blacks were less likely to smoke and smoked fewer cigarettes than whites. As a result, the population burden of cigarettes in young black men with fewer than 12 years of education was only 27% of the burden carried by their white peers. Television, physicians, and radio were all seen as likely sources of health information to prevent heart disease, but newspapers were less likely to be cited by those younger than 40 or by those with fewer than 12 years of education. Reported physician counseling for smoking cessation did not differ significantly by race, sex, or educational level of the patient, but reported counseling was higher for individuals with a personal history of cardiovascular disease (odds ratio [OR] = 2.32, CI = 1.27, 4.25) and somewhat lower for the elderly. We highlight the population burden of cigarettes, a predictor of the eventual disease burden attributable to smoking, as a useful priority measure for smoking intervention efforts. IS - 0749-3797 IL - 0749-3797 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: U50/CCU 402234 Organization: *PHS HHS* Country: United States LG - English DP - 1993 May-Jun EZ - 1993/05/01 DA - 1993/05/01 00:01 DT - 1993/05/01 00:00 YR - 1993 ED - 19930916 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8347366 <1263. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8349479 TI - Helping-not hurting--residents with substance use disorders. SO - Journal of the American Osteopathic Association. 93(6):649, 1993 Jun. AS - J Am Osteopath Assoc. 93(6):649, 1993 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sells KW AU - Gorby WG FA - Sells, K W FA - Gorby, W G CM - Comment on: J Am Osteopath Assoc. 1993 Feb;93(2):217-20; PMID: 8240473 NJ - The Journal of the American Osteopathic Association VO - 93 IP - 6 PG - 649 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 - Humans MH - *Internship and Residency MH - *Osteopathic Medicine MH - *Professional Impairment MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0098-6151 IL - 0098-6151 PT - Comment PT - Letter PP - ppublish LG - English DP - 1993 Jun EZ - 1993/06/01 DA - 1993/06/01 00:01 DT - 1993/06/01 00:00 YR - 1993 ED - 19930913 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8349479 <1264. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8338910 TI - [Medical advice to consumers of excessive amounts of alcohol]. [Review] [50 refs] [Spanish] OT - El consejo medico a los consumidores excesivos de alcohol. SO - Atencion Primaria. 12(3):166-72, 1993 Jul-Aug. AS - Aten Primaria. 12(3):166-72, 1993 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Auba Llambrich J FA - Auba Llambrich, J IN - Auba Llambrich, J. Barcelones Nord i Maresme, Institut Catala de la Salut, Badalona. NJ - Atencion primaria VO - 12 IP - 3 PG - 166-72 PI - Journal available in: Print PI - Citation processed from: Print JC - 9111075, a5f IO - Aten Primaria SB - Index Medicus CP - Spain MH - *Alcoholism/pc [Prevention & Control] MH - Humans MH - *Patient Education as Topic IS - 0212-6567 IL - 0212-6567 PT - Journal Article PT - Review PP - ppublish LG - Spanish DP - 1993 Jul-Aug EZ - 1993/07/01 DA - 1993/07/01 00:01 DT - 1993/07/01 00:00 YR - 1993 ED - 19930902 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8338910 <1265. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8323655 TI - Comparison of primary care residents' confidence and clinical behavior in treating hypertension versus treating alcoholism. SO - Academic Medicine. 68(7):580-2, 1993 Jul. AS - Acad Med. 68(7):580-2, 1993 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lasswell AB AU - Liepman MR AU - McQuade WH AU - Wolfson MA AU - Levy SM FA - Lasswell, A B FA - Liepman, M R FA - McQuade, W H FA - Wolfson, M A FA - Levy, S M IN - Lasswell, A B. Department of Family Medicine, University of Maryland School of Medicine, Baltimore. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 68 IP - 7 PG - 580-2 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 - *Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - Family Practice/ed [Education] MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Hypertension/px [Psychology] MH - Hypertension/th [Therapy] MH - Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - *Physicians/px [Psychology] MH - Rhode Island MH - Self-Assessment AB - PURPOSE: To compare the self-reported confidence and clinical behaviors of primary care residents in treating alcoholism versus hypertension. AB - METHOD: Eighty-five residents, 36 in family medicine and 49 in primary care internal medicine, representing all years of the three-year training programs at two hospitals affiliated with the Brown University School of Medicine, were surveyed in 1988. Self-report questionnaires elicited demographic data and several responses (ranged on scales of 1, not confident or frequent, to 10, very confident or frequent) about the residents' confidence and frequency of use of clinical behaviors with both alcoholic and hypertensive patients. Paired t-tests were used to compare the responses about hypertension with those about alcoholism. AB - RESULTS: Questionnaires were completed by 54 (63.5%) of the residents. No significant difference was found between the residents' responses by sex or program, but there was a significant difference (p < .0001) between the responses with regard to the two disorders. The residents had more confidence about their management of hypertension (a mean score of 8.81 versus 7.95 for alcoholism). They also reported greater use of appropriate clinical behaviors with hypertensive patients (mean scores in the very confident range of 7.5 to 8.2 compared with means in the moderate range of 4.9 to 7.1 for alcoholism). AB - CONCLUSION: Both the family medicine and the internal medicine residents were significantly more confident in managing all aspects of hypertension than in managing alcoholism, and they reported significantly greater frequency in utilizing appropriate clinical behaviors for hypertension than for alcoholism. IS - 1040-2446 IL - 1040-2446 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1993 Jul EZ - 1993/07/01 DA - 1993/07/01 00:01 DT - 1993/07/01 00:00 YR - 1993 ED - 19930809 RD - 20101118 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8323655 <1266. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8320573 TI - Evaluation of a faculty development program in substance abuse education. SO - Journal of General Internal Medicine. 8(6):301-5, 1993 Jun. AS - J Gen Intern Med. 8(6):301-5, 1993 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bigby J AU - Barnes HN FA - Bigby, J FA - Barnes, H N IN - Bigby, J. Department of Medicine, Harvard Medical School, Boston, MA. NJ - Journal of general internal medicine VO - 8 IP - 6 PG - 301-5 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - *Alcoholism MH - Clinical Competence MH - *Education, Medical, Continuing MH - *Faculty, Medical MH - Female MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internal Medicine/ed [Education] MH - Male MH - *Substance-Related Disorders MH - Teaching AB - OBJECTIVE: To determine whether a faculty development program was effective in increasing clinical skills and the amount of substance abuse teaching of individual general medical faculty. AB - DESIGN: Program participants were evaluated with a structured assessment before and several months after participating in a faculty development program in substance abuse education. AB - PARTICIPANTS: Eighty percent were general internal medicine faculty, who on average devoted 25% of their time to teaching. The remainder of the participants were family medicine, psychiatry, or other internal medicine faculty and nonphysician teachers. AB - INTERVENTION: The participants attended a learner-centered, largely experiential faculty development program in substance abuse education to improve their clinical and teaching skills relevant to substance abuse among patients in the general medical setting. AB - MEASUREMENTS AND MAIN RESULTS: Eighty-six percent of the participants completed the evaluation. The participants reported increased confidence in their clinical skills in recognizing substance abuse, presenting the problem to the patient, and referring the patient for treatment. The participants also reported improved attitudes toward patients and increased teaching about the management of the primary problem of substance abuse, but not at the expense of teaching about medical complications. AB - CONCLUSIONS: Clinically oriented, interactive faculty development courses in substance abuse education can contribute to increased confidence in clinical skills in substance abuse as well as teaching about substance abuse. IS - 0884-8734 IL - 0884-8734 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1993 Jun EZ - 1993/06/01 DA - 1993/06/01 00:01 DT - 1993/06/01 00:00 YR - 1993 ED - 19930805 RD - 20170830 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8320573 <1267. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8316726 TI - [Program of "Prevention and improvement of physicians in the field of drug addiction" (PPMT program)]. [French] OT - Le programme "prevention et perfectionnement des medecins dans le domaine de la toxicomanie" (programme PPMT). SO - Revue Medicale de la Suisse Romande. 113(5):391-2, 1993 May. AS - Rev Med Suisse Romande. 113(5):391-2, 1993 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bertschy G FA - Bertschy, G IN - Bertschy, G. Departement universitaire psychiatrie adulte, Site de Cery, Prilly. NJ - Revue medicale de la Suisse romande VO - 113 IP - 5 PG - 391-2 PI - Journal available in: Print PI - Citation processed from: Print JC - sr5, 0421524 IO - Rev Med Suisse Romande SB - Index Medicus CP - Switzerland MH - *Education, Medical, Continuing MH - Humans MH - *Substance-Related Disorders MH - Switzerland MH - *Teaching/mt [Methods] IS - 0035-3655 IL - 0035-3655 PT - Journal Article PP - ppublish LG - French DP - 1993 May EZ - 1993/05/01 DA - 1993/05/01 00:01 DT - 1993/05/01 00:00 YR - 1993 ED - 19930729 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8316726 <1268. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8316721 TI - [The general practitioner's office: jumping-off point and stumbling block for drug addicts]. [French] OT - Le cabinet du generaliste: point de chute et pierre d'achoppement pour les toxicodependants. SO - Revue Medicale de la Suisse Romande. 113(5):367-70, 1993 May. AS - Rev Med Suisse Romande. 113(5):367-70, 1993 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lobos-Wild R FA - Lobos-Wild, R NJ - Revue medicale de la Suisse romande VO - 113 IP - 5 PG - 367-70 PI - Journal available in: Print PI - Citation processed from: Print JC - sr5, 0421524 IO - Rev Med Suisse Romande SB - Index Medicus CP - Switzerland MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Physician's Role MH - *Physician-Patient Relations MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Switzerland IS - 0035-3655 IL - 0035-3655 PT - Journal Article PP - ppublish LG - French DP - 1993 May EZ - 1993/05/01 DA - 1993/05/01 00:01 DT - 1993/05/01 00:00 YR - 1993 ED - 19930729 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8316721 <1269. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8316720 TI - [Interactions with drug addicts: what is their value for clinical practice?]. [French] OT - Interactions avec les toxicodependants: quels apports pour la pratique? SO - Revue Medicale de la Suisse Romande. 113(5):363-5, 1993 May. AS - Rev Med Suisse Romande. 113(5):363-5, 1993 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wenner M FA - Wenner, M NJ - Revue medicale de la Suisse romande VO - 113 IP - 5 PG - 363-5 PI - Journal available in: Print PI - Citation processed from: Print JC - sr5, 0421524 IO - Rev Med Suisse Romande SB - Index Medicus CP - Switzerland MH - Education, Medical, Continuing MH - Family Practice/ed [Education] MH - Humans MH - *Physician-Patient Relations MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0035-3655 IL - 0035-3655 PT - Journal Article PP - ppublish LG - French DP - 1993 May EZ - 1993/05/01 DA - 1993/05/01 00:01 DT - 1993/05/01 00:00 YR - 1993 ED - 19930729 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8316720 <1270. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8316716 TI - [Drug addiction: a subject of education for the practitioner?]. [French] OT - Toxicomanie: un sujet de formation pour le practicien? SO - Revue Medicale de la Suisse Romande. 113(5):343, 1993 May. AS - Rev Med Suisse Romande. 113(5):343, 1993 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bonard M FA - Bonard, M NJ - Revue medicale de la Suisse romande VO - 113 IP - 5 PG - 343 PI - Journal available in: Print PI - Citation processed from: Print JC - sr5, 0421524 IO - Rev Med Suisse Romande SB - Index Medicus CP - Switzerland MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0035-3655 IL - 0035-3655 PT - Journal Article PP - ppublish LG - French DP - 1993 May EZ - 1993/05/01 DA - 1993/05/01 00:01 DT - 1993/05/01 00:00 YR - 1993 ED - 19930729 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8316716 <1271. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8315621 TI - Australian developments in medical education about alcohol. SO - Journal of the Royal Society of Medicine. 86(6):313-4, 1993 Jun. AS - J R Soc Med. 86(6):313-4, 1993 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Walsh RA AU - Sanson-Fisher RW AU - Reid AL FA - Walsh, R A FA - Sanson-Fisher, R W FA - Reid, A L NJ - Journal of the Royal Society of Medicine VO - 86 IP - 6 PG - 313-4 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/PMC1294477 SB - Index Medicus CP - England MH - *Alcoholism MH - Australia MH - Curriculum MH - *Education, Medical/td [Trends] MH - Education, Medical, Graduate/td [Trends] MH - Education, Medical, Undergraduate/td [Trends] MH - Humans MH - Teaching IS - 0141-0768 IL - 0141-0768 PT - Editorial ID - PMC1294477 [pmc] PP - ppublish LG - English DP - 1993 Jun EZ - 1993/06/01 DA - 1993/06/01 00:01 DT - 1993/06/01 00:00 YR - 1993 ED - 19930729 RD - 20130919 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8315621 <1272. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8505687 TI - Substance abuse and AIDS: a faculty development program for primary care providers. SO - Journal of General Internal Medicine. 8(5):266-8, 1993 May. AS - J Gen Intern Med. 8(5):266-8, 1993 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Connor PG AU - Bigby J AU - Gallagher D FA - O'Connor, P G FA - Bigby, J FA - Gallagher, D IN - O'Connor, P G. Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06510. NJ - Journal of general internal medicine VO - 8 IP - 5 PG - 266-8 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus SB - AIDS/HIV Journals CP - United States MH - *Acquired Immunodeficiency Syndrome MH - Connecticut MH - *Faculty, Medical MH - Humans MH - Massachusetts MH - Physician-Patient Relations MH - *Physicians, Family/ed [Education] MH - Physicians, Family/px [Psychology] MH - Program Development MH - Program Evaluation MH - *Staff Development MH - *Substance-Related Disorders AB - The authors implemented a three-day faculty development program on substance abuse and AIDS for primary care faculty. Objectives included: 1) increased knowledge concerning clinical issues; 2) skill development focusing on provider-patient interactions; and 3) the development of educational approaches for teaching about substance abuse and AIDS. Teaching formats included didactic (40%) and experimental (60%) sessions emphasizing role playing with patients affected by both substance abuse and HIV infection. Four courses have been given to 109 participants, who have rated the course highly in terms of its educational quality (4.4/5.0) and usefulness (4.2/5.0). At six-month follow-up, 75% of the participants reported enhanced teaching as a result of this faculty development program. IS - 0884-8734 IL - 0884-8734 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: STC I1D35 PF00107-01 Organization: (ST) *OHS HRSA HHS* Country: United States LG - English DP - 1993 May EZ - 1993/05/01 DA - 1993/05/01 00:01 DT - 1993/05/01 00:00 YR - 1993 ED - 19930706 RD - 20170831 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8505687 <1273. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8464945 TI - Educational strategies for clinicians. [Review] [25 refs] SO - Primary Care; Clinics in Office Practice. 20(1):241-50, 1993 Mar. AS - Prim Care. 20(1):241-50, 1993 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davis AK AU - Parran TV Jr AU - Graham AV FA - Davis, A K FA - Parran, T V Jr FA - Graham, A V IN - Davis, A K. Department of Medicine, Case Western Reserve University School of Medicine, Cleveland, Ohio. NJ - Primary care VO - 20 IP - 1 PG - 241-50 PI - Journal available in: Print PI - Citation processed from: Print JC - p99, 0430463 IO - Prim. Care SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Curriculum MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - *Internship and Residency MH - *Psychotropic Drugs/ae [Adverse Effects] MH - Street Drugs/ae [Adverse Effects] MH - *Street Drugs MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] AB - Largely because of a lack of training, many primary care physicians are unaware of how they can prevent, detect, or manage substance abuse within their clinical practice. The educational process used to develop a teaching unit can be simplified by initially asking a few directed questions. The answers to these questions determine what needs to be taught while facilitating the subsequent steps of determining learning goals and objectives and selecting appropriate teaching materials and strategies. Evaluating the teaching unit on at least a cursory level provides useful information for future planning. A variety of curriculum manuals and clinical text parts can be readily incorporated into teaching units. These same sources can alternatively be adapted to an individual's own self-directed course of study. Incorporation of experimental educational strategies is especially useful in substance abuse instruction. Including recovering individuals, attendance at self-help group meetings, and role play exercises are all useful experimental strategies for engaging the learner. Tapping into organizational resources and networking with others involved in similar activities enhances one's potential through the sharing of information and through the synergism created by networking with others. [References: 25] RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0095-4543 IL - 0095-4543 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1993 Mar EZ - 1993/03/01 DA - 2001/03/28 10:01 DT - 1993/03/01 00:00 YR - 1993 ED - 19930430 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8464945 <1274. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8456044 TI - Substance use and addiction among medical students, residents, and physicians. [Review] [29 refs] SO - Psychiatric Clinics of North America. 16(1):189-97, 1993 Mar. AS - Psychiatr Clin North Am. 16(1):189-97, 1993 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flaherty JA AU - Richman JA FA - Flaherty, J A FA - Richman, J A IN - Flaherty, J A. Department of Psychiatry, University of Illinois, College of Medicine, Chicago. NJ - The Psychiatric clinics of North America VO - 16 IP - 1 PG - 189-97 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 - Alcoholism/ep [Epidemiology] MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - Physician Impairment/sn [Statistics & Numerical Data] MH - *Physicians/sn [Statistics & Numerical Data] MH - Prevalence MH - Risk Factors MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - When turning to our original questions, we offer the following tentative conclusions: 1. Although medical students as a group have a slightly higher percentage of use of alcohol, the pattern and prevalence of alcohol dependence is very consistent with their age mates in the general population. 2. There appears to be a pattern of increased alcohol problems with age among physicians and attorneys, as opposed to the general US population, which shows a diminution of alcohol-related problems over time. 3. There is no evidence for a marked increase in drug addiction and use of other prescription drugs among physicians. In fact, with the exception of tranquilizers and alcohol and psychedelics, which were used equally by physicians, medical students, residents, and their age mates, most other drug usage was slightly more prevalent in the general population than among students and residents. 4. Of particular concern is the finding of a lack of gender differences in problematic drinking with the pattern of female drinking rates for women approximating that of men by the end of medical school. 5. The most consistent predictive factor in alcoholism among physicians is the same as that in the general population: a family history of alcoholism. 6. Additional predictive factors of physician alcohol-related problems include a narcissistic type personality style that endorses the exploitation of others, a perception of low parental warmth in childhood, and particular stressors in the working or student environment such as being abused by others. Further predictive factors related to occupational stress await the results of ongoing perspective studies. 7. Physicians as a group probably respond more favorably to alcohol and drug addiction programs than do members of the general population. To a great extent, this is directly or indirectly due to the dire consequences of continued use, which include loss of hospital privileges and state licensure. It also would appear that required treatment and monitoring for alcohol and substance abuse has a positive effect on abstinence rates. [References: 29] IS - 0193-953X IL - 0193-953X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PP - ppublish GI - No: R01AA07311 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1993 Mar EZ - 1993/03/01 DA - 1993/03/01 00:01 DT - 1993/03/01 00:00 YR - 1993 ED - 19930420 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8456044 <1275. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8240473 TI - Managing substance use disorders in resident physicians. SO - Journal of the American Osteopathic Association. 93(2):217-20, 1993 Feb. AS - J Am Osteopath Assoc. 93(2):217-20, 1993 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benzer DG FA - Benzer, D G IN - Benzer, D G. McBride Center for the Professional, Milwaukee Psychiatric Hospital, WI. CM - Comment in: J Am Osteopath Assoc. 1993 Jun;93(6):649; PMID: 8349479 NJ - The Journal of the American Osteopathic Association VO - 93 IP - 2 PG - 217-20 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 - Aftercare/og [Organization & Administration] MH - Humans MH - *Internship and Residency MH - Osteopathic Medicine MH - *Physician Impairment MH - Preventive Health Services/og [Organization & Administration] MH - Professional Staff Committees/og [Organization & Administration] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/pc [Prevention & Control] AB - Alcohol and other drug abuse is the leading cause of physician impairment. Prompt identification and early intervention by colleagues are the most effective ways of dealing with this problem in hospital residents. The author offers guidelines for recognizing the progressive signs of trouble inadvertently sent out by abusers, as well as effective ways in which colleagues can intervene. Also offered are steps in evaluation and treatment that can effectively address these illnesses and prevent compromising patient care. IS - 0098-6151 IL - 0098-6151 PT - Journal Article PP - ppublish LG - English DP - 1993 Feb EZ - 1993/02/01 DA - 1993/02/01 00:01 DT - 1993/02/01 00:00 YR - 1993 ED - 19930318 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8240473 <1276. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8429700 TI - [Alcoholism: a black hole in our medical training]. [Spanish] OT - Alcoholismo: un agujero negro en nuestra formacion medica. SO - Medicina Clinica. 100(1):22-3, 1993 Jan 09. AS - Med Clin (Barc). 100(1):22-3, 1993 Jan 09. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Manresa Presas JM FA - Manresa Presas, J M CM - Comment on: Med Clin (Barc). 1993 Jan 9;100(1):5-8; PMID: 8094106 NJ - Medicina clinica VO - 100 IP - 1 PG - 22-3 PI - Journal available in: Print PI - Citation processed from: Print JC - ltq, 0376377 IO - Med Clin (Barc) SB - Index Medicus CP - Spain MH - *Alcoholism/di [Diagnosis] MH - *Education, Medical MH - Female MH - Humans MH - Male IS - 0025-7753 IL - 0025-7753 PT - Comment PT - Editorial PP - ppublish LG - Spanish DP - 1993 Jan 09 EZ - 1993/01/09 DA - 1993/01/09 00:01 DT - 1993/01/09 00:00 YR - 1993 ED - 19930311 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8429700 <1277. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 8424964 TI - Physician certification in addiction medicine 1986-1990: a four-year experience. The Examination Committee of ASAM. SO - Journal of Addictive Diseases. 12(1):123-33, 1993. AS - J Addict Dis. 12(1):123-33, 1993. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schnoll S AU - Durburg J AU - Griffin J AU - Gitlow S AU - Hunter RB AU - Sack J AU - Stimmel B AU - deWit H AU - Jara GB FA - Schnoll, S FA - Durburg, J FA - Griffin, J FA - Gitlow, S FA - Hunter, R B FA - Sack, J FA - Stimmel, B FA - deWit, H FA - Jara, G B NJ - Journal of addictive diseases VO - 12 IP - 1 PG - 123-33 PI - Journal available in: Print PI - Citation processed from: Print JC - a0y, 9107051 IO - J Addict Dis SB - Index Medicus CP - England MH - *Alcoholism MH - *Certification/td [Trends] MH - Curriculum/td [Trends] MH - *Education, Medical/td [Trends] MH - Humans MH - *Substance-Related Disorders MH - United States IS - 1055-0887 IL - 1055-0887 PT - Journal Article ID - 10.1300/J069v12n01_10 [doi] PP - ppublish LG - English DP - 1993 EZ - 1993/01/01 DA - 1993/01/01 00:01 DT - 1993/01/01 00:00 YR - 1993 ED - 19930226 RD - 20080512 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=8424964 <1278. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1490703 TI - Addiction psychiatry: challenges for a new psychiatric subspecialty. SO - Hospital & Community Psychiatry. 43(11):1067-8, 1072, 1992 Nov. AS - Hosp Community Psychiatry. 43(11):1067-8, 1072, 1992 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Frances R FA - Galanter, M FA - Frances, R IN - Galanter, M. Division of Alcohol and Drug Abuse, New York University School of Medicine, New York 10016. NJ - Hospital & community psychiatry VO - 43 IP - 11 PG - 1067-8, 1072 PI - Journal available in: Print PI - Citation processed from: Print JC - gcj, 0040250 IO - Hosp Community Psychiatry SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - Humans MH - Internship and Residency MH - *Psychiatry/ed [Education] MH - *Specialization MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0022-1597 IL - 0022-1597 PT - Journal Article PP - ppublish LG - English DP - 1992 Nov EZ - 1992/11/01 DA - 1992/11/01 00:01 DT - 1992/11/01 00:00 YR - 1992 ED - 19930226 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1490703 <1279. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1426731 TI - Hospital charting of substance use. SO - Family Medicine. 24(8):613-7, 1992 Nov-Dec. AS - Fam Med. 24(8):613-7, 1992 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Graves TG AU - Terlep GT AU - Rudy DR AU - Burge MK FA - Graves, T G FA - Terlep, G T FA - Rudy, D R FA - Burge, M K IN - Graves, T G. Bay Area Family Physicians, New Baltimore, Mich. NJ - Family medicine VO - 24 IP - 8 PG - 613-7 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Aged MH - Alcohol Drinking MH - *Documentation MH - Family Practice MH - Female MH - Humans MH - Inpatients MH - Internal Medicine MH - Internship and Residency MH - Male MH - *Medical Records MH - Middle Aged MH - Retrospective Studies MH - Smoking MH - *Substance-Related Disorders/di [Diagnosis] AB - BACKGROUND: Recent evidence suggests that physicians can help patients reduce or even discontinue cigarette smoking. Physicians may also be able to help patients decrease their use of alcohol or illegal drugs. A prerequisite for helping patients decrease substance use is for physicians to ask patients about their use of cigarettes, alcohol, and illicit drugs. AB - METHODS: We performed a retrospective study of 212 medical records to measure physicians' documentation of patient use of alcohol, cigarettes, and illicit drugs in an inpatient setting. The study compared residents and attending physicians in family practice and internal medicine. AB - RESULTS: Physicians charted cigarette use in 73% of medical records, alcohol use in 70%, and drug use in only 12.5%. Family physicians charted substance use more frequently than internal medicine physicians for alcohol and illicit drugs (P < .05 by Pearson's chi-square analysis) and for cigarettes (P = .07). In each specialty, residents charted substance use more often than attending physicians (P < .01). Attending family physicians (P < .05) charted substance use more often in male than in female patients. This was not found among internal medicine physicians. AB - CONCLUSION: The results of the study suggest that the stage of medical career, medical specialty, and sex of the patient affect the frequency of charting substance abuse. IS - 0742-3225 IL - 0742-3225 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1992 Nov-Dec EZ - 1992/11/01 DA - 1992/11/01 00:01 DT - 1992/11/01 00:00 YR - 1992 ED - 19921210 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1426731 <1280. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1388535 TI - A national model of faculty development in addiction medicine. SO - Academic Medicine. 67(10):691-3, 1992 Oct. AS - Acad Med. 67(10):691-3, 1992 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fleming M AU - Clark K AU - Davis A AU - Brown R AU - Finch J AU - Henry R AU - Sherwood R AU - Politzer R FA - Fleming, M FA - Clark, K FA - Davis, A FA - Brown, R FA - Finch, J FA - Henry, R FA - Sherwood, R FA - Politzer, R IN - Fleming, M. Department of Family Medicine and Practice, University of Wisconsin Medical School (UWMS), Madison 53715. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 67 IP - 10 PG - 691-3 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 - Evaluation Studies as Topic MH - *Faculty MH - *Family Practice/ed [Education] MH - *Internship and Residency MH - *Models, Educational MH - *Substance-Related Disorders MH - United States AB - Increasing the number of faculty with expertise in addiction medicine is one of the challenges facing the medical community in the 1990s. To meet this challenge, the Society of Teachers of Family Medicine created a faculty development course to increase the expertise of family practice faculty involved in teaching residents. The authors describe the development, implementation, and consequences of the five-day intensive course that was taught to 165 participants at ten sites in 1990. The participants' self-reporting before and three months after the course showed significant increases in the numbers of participants who taught addiction medicine in eight of 11 clinical situations. The authors conclude that the course represents a model of faculty development in addiction medicine that is applicable to other specialties and health professions. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 240-89-0038 Organization: *PHS HHS* Country: United States LG - English DP - 1992 Oct EZ - 1992/10/01 DA - 1992/10/01 00:01 DT - 1992/10/01 00:00 YR - 1992 ED - 19921119 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1388535 <1281. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1397820 TI - Increased substance abuse education. SO - Family Medicine. 24(7):488, 1992 Sep-Oct. AS - Fam Med. 24(7):488, 1992 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baxley EG AU - Buehler JR FA - Baxley, E G FA - Buehler, J R CM - Comment on: Fam Med. 1992 May-Jun;24(4):299-302; PMID: 1601241 NJ - Family medicine VO - 24 IP - 7 PG - 488 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - *Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0742-3225 IL - 0742-3225 PT - Comment PT - Letter PP - ppublish LG - English DP - 1992 Sep-Oct EZ - 1992/09/01 DA - 1992/09/01 00:01 DT - 1992/09/01 00:00 YR - 1992 ED - 19921103 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1397820 <1282. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1416177 TI - Controlled substance dispensing and accountability in United States anesthesiology residency programs. SO - Anesthesiology. 77(4):806-11, 1992 Oct. AS - Anesthesiology. 77(4):806-11, 1992 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Klein RL AU - Stevens WC AU - Kingston HG FA - Klein, R L FA - Stevens, W C FA - Kingston, H G IN - Klein, R L. Oregon Health Sciences University, Department of Anesthesiology, Portland 97201-3098. CM - Comment in: Anesthesiology. 1992 Oct;77(4):619-22; PMID: 1416157 NJ - Anesthesiology VO - 77 IP - 4 PG - 806-11 PI - Journal available in: Print PI - Citation processed from: Print JC - 4sg, 1300217 IO - Anesthesiology SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Anesthesia Department, Hospital/st [Standards] MH - *Anesthesiology MH - *Drug and Narcotic Control/mt [Methods] MH - Humans MH - *Internship and Residency MH - *Social Responsibility MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - Controlled substance dependence (CSD) among anesthesiology personnel, particularly residents, has become a matter of increasing concern. Opinions vary as to the effectiveness of controlled substances (CS) accountability in deterring, identifying, or confirming CSD. A survey of program directors of American anesthesiology training programs was conducted in the summer of 1990 to determine the level of CS dispensing and accountability within their programs. The survey demonstrated that CS dispensing and accountability varied considerably among programs, among hospitals associated with individual programs, and within geographically distinct anesthesia delivery areas within the separate hospitals. Nevertheless, most institutions were moving toward improved methods of CS dispensing and providing more and better CS accountability. The presence of significant CSD, particularly among anesthesiology residents, was reconfirmed. We were unable to correlate the level of accountability of CS with the incidence of CSD. It remains to be seen to what extent CS accountability will continue to develop and whether CSD prevalence will then be changed. IS - 0003-3022 IL - 0003-3022 PT - Journal Article PP - ppublish LG - English DP - 1992 Oct EZ - 1992/10/01 DA - 1992/10/01 00:01 DT - 1992/10/01 00:00 YR - 1992 ED - 19921102 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1416177 <1283. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1404198 TI - Barriers to education about alcohol. [Review] [12 refs] SO - Journal of the Royal Society of Medicine. 85(8):476-8, 1992 Aug. AS - J R Soc Med. 85(8):476-8, 1992 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paton A FA - Paton, A IN - Paton, A. Chilton Clinic, Warneford Hospital, Oxford. NJ - Journal of the Royal Society of Medicine VO - 85 IP - 8 PG - 476-8 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/PMC1293594 SB - Index Medicus CP - England MH - Alcoholism/di [Diagnosis] MH - Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Attitude of Health Personnel MH - Attitude to Health MH - *Education, Medical, Undergraduate MH - Health Promotion MH - Humans IS - 0141-0768 IL - 0141-0768 PT - Journal Article PT - Review ID - PMC1293594 [pmc] PP - ppublish LG - English DP - 1992 Aug EZ - 1992/08/01 DA - 1992/08/01 00:01 DT - 1992/08/01 00:00 YR - 1992 ED - 19921102 RD - 20100907 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1404198 <1284. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1404183 TI - Medical education and substance abuse. SO - Journal of the Royal Society of Medicine. 85(8):435-6, 1992 Aug. AS - J R Soc Med. 85(8):435-6, 1992 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fenton GW FA - Fenton, G W NJ - Journal of the Royal Society of Medicine VO - 85 IP - 8 PG - 435-6 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/PMC1293579 SB - Index Medicus CP - England MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Attitude to Health MH - *Education, Medical MH - Humans MH - Physicians, Family IS - 0141-0768 IL - 0141-0768 PT - Editorial ID - PMC1293579 [pmc] PP - ppublish LG - English DP - 1992 Aug EZ - 1992/08/01 DA - 1992/08/01 00:01 DT - 1992/08/01 00:00 YR - 1992 ED - 19921102 RD - 20100907 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1404183 <1285. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1402839 TI - Gender roles and alcohol abuse. Costs of noncaring for future physicians. SO - Journal of Nervous & Mental Disease. 180(10):619-26, 1992 Oct. AS - J Nerv Ment Dis. 180(10):619-26, 1992 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richman JA AU - Rospenda KM FA - Richman, J A FA - Rospenda, K M IN - Richman, J A. Department of Psychiatry, University of Illinois, Chicago 60612. NJ - The Journal of nervous and mental disease VO - 180 IP - 10 PG - 619-26 PI - Journal available in: Print PI - Citation processed from: Print JC - 0375402, jaf IO - J. Nerv. Ment. Dis. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/et [Etiology] MH - Attitude of Health Personnel MH - Cohort Studies MH - Education, Medical MH - Female MH - *Gender Identity MH - Humans MH - Interpersonal Relations MH - Male MH - Models, Psychological MH - Narcissism MH - Personality Inventory MH - Sex Factors MH - Social Support MH - Students, Medical/px [Psychology] AB - Psychiatric epidemiological research has focused disproportionate attention on traditionally female disorders such as depression. This paper shifts epidemiological gears to elaborate and test an etiological model of a traditionally male disorder, that of alcohol abuse. We argue that social-relational deficits (narcissistic orientations) lead to abuse of alcohol for stress reduction purposes, given interpersonally oriented stressors and the incapacity to form social supports. The model was tested in the context of training for a traditionally male occupation encompassing both social-relational demands and limited social supports. A cohort of medical students was surveyed from medical school entrance through a portion of clinical training. Time 1 social-relational deficits were predictive of time 3 alcohol abuse, partially as a function of social support deficits and, to a lesser extent, patient care-related stressors. Moreover, there was an initial gender difference in social-relational deficits and a trend-level gender difference in alcohol abuse that disappeared when social-relational deficits were held constant. By time 3, women did not differ from men in social-relational deficits or alcohol abuse. IS - 0022-3018 IL - 0022-3018 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: R01AA07311 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R29AA07311 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1992 Oct EZ - 1992/10/01 DA - 1992/10/01 00:01 DT - 1992/10/01 00:00 YR - 1992 ED - 19921030 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1402839 <1286. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1530071 TI - Resident physician substance use, by specialty. SO - American Journal of Psychiatry. 149(10):1348-54, 1992 Oct. AS - Am J Psychiatry. 149(10):1348-54, 1992 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hughes PH AU - Baldwin DC Jr AU - Sheehan DV AU - Conard S AU - Storr CL FA - Hughes, P H FA - Baldwin, D C Jr FA - Sheehan, D V FA - Conard, S FA - Storr, C L IN - Hughes, P H. Institute for Research in Psychiatry, University of South Florida, Tampa. NJ - The American journal of psychiatry VO - 149 IP - 10 PG - 1348-54 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Benzodiazepines MH - Cocaine MH - Confidence Intervals MH - Education, Medical MH - Emergency Medicine/ed [Education] MH - Emergency Medicine/sn [Statistics & Numerical Data] MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - Marijuana Abuse/ep [Epidemiology] MH - *Medicine/sn [Statistics & Numerical Data] MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Plants, Toxic MH - Prevalence MH - Psychiatry/ed [Education] MH - Psychiatry/sn [Statistics & Numerical Data] MH - Smoking/ep [Epidemiology] MH - *Specialization MH - *Substance-Related Disorders/ep [Epidemiology] MH - Tobacco MH - United States/ep [Epidemiology] AB - OBJECTIVE: This study compares substance use by medical specialty among resident physicians. AB - METHOD: The authors estimated the prevalence of substance use of 11 medical specialties from a national sample of 1,754 U.S. resident physicians. AB - RESULTS: Emergency medicine and psychiatry residents showed higher rates of substance use than residents in other specialties. Emergency medicine residents reported more current use of cocaine and marijuana, and psychiatry residents reported more current use of benzodiazepines and marijuana. Contrary to recent concerns, anesthesiology residents did not have high rates of substance use. Family/general practice, internal medicine, and obstetrics/gynecology were not among the higher or lower use groups for most substances. Surgeons had lower rates of substance use except for alcohol. Pediatric and pathology residents were least likely to be substance users. AB - CONCLUSIONS: The authors' previous research indicates that residents overall have lower rates of substance use than their age peers in society. Yet resident substance use patterns do differ by specialty. Residents in some specialties are more likely to use specific classes of drugs, to use a greater number of drug classes, and to be daily users of alcohol or cigarettes. RN - 12794-10-4 (Benzodiazepines) RN - I5Y540LHVR (Cocaine) IS - 0002-953X IL - 0002-953X PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1176/ajp.149.10.1348 [doi] PP - ppublish GI - No: DA-04877 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1992 Oct EZ - 1992/10/11 19:15 DA - 2001/03/28 10:01 DT - 1992/10/11 19:15 YR - 1992 ED - 19921020 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1530071 <1287. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10171090 TI - Grass-roots reflections on substance abuse. A community dialogue approach. SO - Second Opinion. 18(1):33-47, 1992 Jul. AS - Second Opin. 18(1):33-47, 1992 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Post SG FA - Post, S G IN - Post, S G. Case Western Reserve University, Cleveland, OH. NJ - Second opinion (Park Ridge, Ill.) VO - 18 IP - 1 PG - 33-47 PI - Journal available in: Print PI - Citation processed from: Print JC - sec, 8704074, 8704074 IO - Second Opin SB - Health Administration Journals CP - United States MH - Adolescent MH - *Community Health Services MH - *Community Participation MH - *Ethics, Medical MH - Health Planning Councils MH - *Health Priorities MH - Humans MH - Ohio MH - Public Opinion MH - Schools, Medical MH - Social Responsibility MH - Street Drugs/ae [Adverse Effects] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] AB - The Greater Cleveland Dialogue brings together people from all walks of life to express their sufferings and opinions. Professional ethicists have a role to play in this process, but chiefly as listeners and interpreters rather than as theoreticians. The ethics that arises from this process is at least as useful as the conclusions that descend deductively from the many rival "first principles" of a more theory-driven approach. If community dialogues provide a partial answer to questions of ethics and health care, they do so because they include the public. Policies related to health care affect the public and must be in tune with public sentiment if they are to be effective. Moreover, a different style of health care ethics emerges from the dialogue process. My view is that a truly public bioethics is ultimately necessary, since the policies our society develops in the area of health care can be meaningful only if they are grounded in the general will. We need to work harder at widening the umbrella of bioethics to include the public, for the sake of the community and for our own education as professionals. Certainly major questions for the future surround the nature of consensus and the process of achieving it. RN - 0 (Street Drugs) IS - 0890-1570 IL - 0890-1570 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1992 Jul EZ - 1992/06/07 DA - 1992/06/07 00:01 DT - 1992/06/07 00:00 YR - 1992 ED - 19921019 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10171090 <1288. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1524861 TI - Physicians' attitudes toward preventive care services: a seven-year prospective cohort study. SO - American Journal of Preventive Medicine. 8(4):241-8, 1992 Jul-Aug. AS - Am J Prev Med. 8(4):241-8, 1992 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Scott CS AU - Neighbor WE AU - Brock DM FA - Scott, C S FA - Neighbor, W E FA - Brock, D M IN - Scott, C S. Department of Medical Education, University of Washington School of Medicine, Seattle 98195. NJ - American journal of preventive medicine VO - 8 IP - 4 PG - 241-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - *Attitude of Health Personnel MH - *Attitude to Health MH - Cohort Studies MH - Humans MH - Internship and Residency MH - Patient Education as Topic MH - *Physicians/px [Psychology] MH - Physicians/sn [Statistics & Numerical Data] MH - Physicians, Family/px [Psychology] MH - Physicians, Family/sn [Statistics & Numerical Data] MH - *Preventive Health Services/sn [Statistics & Numerical Data] MH - Prospective Studies MH - Surveys and Questionnaires MH - Time Factors MH - Washington AB - We report results of a seven-year prospective cohort study of physicians' attitudes about and intentions to provide 27 preventive care services in their future practices. Respondents in the cohort were surveyed three times: first, during orientation to medical school; second, during their third year of medical school; and finally, following completion of their third-year of residency training. The majority of preventive care services were viewed as more important to clinical practice in primary care than in non-primary care specialties. Positive attitudes toward preventive care services generally persisted among both primary and non-primary care physicians. Respondents expressed only fair to medium levels of confidence in the ability of physicians in their specialty areas to provide any of the preventive services examined. Respondents reported low levels of confidence in the ability of primary care physicians to provide nutritional counseling, though they ranked it as important. Respondents were fairly or moderately confident in the ability of primary care physicians to provide counseling about smoking cessation, health, AIDS education, and substance abuse. Participants ranked smoking cessation counseling, health counseling, AIDS education, cancer detection education, and substance abuse counseling and education as very important. In general, physicians were less likely to plan on providing preventive services than they were to expect their residency programs to prepare most or all to provide the services. Findings document the need to prepare physicians better to provide preventive services. IS - 0749-3797 IL - 0749-3797 PT - Journal Article PP - ppublish LG - English DP - 1992 Jul-Aug EZ - 1992/07/01 DA - 1992/07/01 00:01 DT - 1992/07/01 00:00 YR - 1992 ED - 19921016 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1524861 <1289. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1506997 TI - Nicotine dependence and alcoholism epidemiology and treatment. [Review] [37 refs] SO - Journal of Psychoactive Drugs. 24(2):123-9, 1992 Apr-Jun. AS - J Psychoactive Drugs. 24(2):123-9, 1992 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bobo JK FA - Bobo, J K IN - Bobo, J K. Department of Epidemiology, University of Washington, Seattle 98195. NJ - Journal of psychoactive drugs VO - 24 IP - 2 PG - 123-9 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - Animals MH - Humans MH - *Nicotine MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - Nicotine dependence in alcohol-involved adults is a long-ignored treatment problem. The absence of its discussion in the literature is difficult to defend in light of medical and epidemiological data on the cost and prevalence of this dual addition. Most descriptive studies of alcohol abusers published in the past 20 years have reported tobacco use rates of at least 90%. There is a crucial need to educate treatment professionals and their clients about the additional health risks associated with joint nicotine dependence and alcoholism. Historically, certain barriers to active intervention have existed in drug abuse treatment facilities, including (1) concerns that urging clients to quit smoking might have an adverse effect on their maintenance of sobriety, (2) a tendency to minimize the strength and severity of nicotine addition, (3) a lack of informative data on how best to treat smoking in recovering alcoholics, and (4) financial issues related to marketing and insurance compensation. Recent data obtained from recovering alcoholics who have tried to quit smoking and anecdotal reports from alcoholism treatment centers that have begun addressing nicotine addiction are now challenging these barriers. Education, role modeling, environmental control, and development of staff expertise can be incorporated into standard alcoholism treatment programs to jointly treat these paired addictions. [References: 37] RN - 6M3C89ZY6R (Nicotine) IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.1992.10471633 [doi] PP - ppublish LG - English DP - 1992 Apr-Jun EZ - 1992/04/01 DA - 1992/04/01 00:01 DT - 1992/04/01 00:00 YR - 1992 ED - 19920924 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1506997 <1290. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1504642 TI - Pediatricians' perspectives on fetal alcohol syndrome. SO - Journal of Substance Abuse. 4(2):187-95, 1992. AS - J Subst Abuse. 4(2):187-95, 1992. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Morse BA AU - Idelson RK AU - Sachs WH AU - Weiner L AU - Kaplan LC FA - Morse, B A FA - Idelson, R K FA - Sachs, W H FA - Weiner, L FA - Kaplan, L C IN - Morse, B A. Boston University School of Medicine, MA. NJ - Journal of substance abuse VO - 4 IP - 2 PG - 187-95 PI - Journal available in: Print PI - Citation processed from: Print JC - bjp, 9001404 IO - J Subst Abuse SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Education, Medical, Continuing MH - Female MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Fetal Alcohol Spectrum Disorders/pc [Prevention & Control] MH - Humans MH - Infant, Newborn MH - Massachusetts MH - *Pediatrics/ed [Education] MH - Physician-Patient Relations MH - Pregnancy AB - Since the identification of fetal alcohol syndrome (FAS) in 1973, significant inroads have been made towards understanding the effects of alcohol on fetal development. However, it is not clear if these findings are considered clinically relevant by pediatricians. This survey was designed to assess clinical knowledge, practice, and attitudes concerning alcohol-related birth defects. Data were collected in a questionnaire that was mailed to 234 randomly selected Massachusetts pediatricians. Responses suggest that a substantial proportion of pediatricians have knowledge about the effects of alcohol on pregnancy. However, many considered themselves unprepared to deal with this topic. More physicians suspected FAS/FAE than made the diagnosis. Almost three fourths reported they would find professional education in this area helpful. Broader dissemination of research findings in clinically relevant formats and improving the sense of preparedness among pediatricians have the potential to improve the care of children born to heavily drinking pregnant women. IS - 0899-3289 IL - 0899-3289 PT - Journal Article ID - 0899-3289(92)90018-S [pii] PP - ppublish LG - English DP - 1992 EZ - 1992/01/01 DA - 1992/01/01 00:01 DT - 1992/01/01 00:00 YR - 1992 ED - 19920923 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1504642 <1291. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1506945 TI - Quitting smoking: reasons for quitting and predictors of cessation among medical patients. SO - Journal of General Internal Medicine. 7(4):398-404, 1992 Jul-Aug. AS - J Gen Intern Med. 7(4):398-404, 1992 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Duncan CL AU - Cummings SR AU - Hudes ES AU - Zahnd E AU - Coates TJ FA - Duncan, C L FA - Cummings, S R FA - Hudes, E S FA - Zahnd, E FA - Coates, T J IN - Duncan, C L. Department of Medicine, University of California, San Francisco. NJ - Journal of general internal medicine VO - 7 IP - 4 PG - 398-404 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Attitude to Health MH - *Counseling/mt [Methods] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Motivation MH - Nurse-Patient Relations MH - *Patients/px [Psychology] MH - Physician-Patient Relations MH - Prognosis MH - Prospective Studies MH - *Smoking/px [Psychology] MH - Smoking Cessation/mt [Methods] MH - *Smoking Cessation/px [Psychology] MH - Surveys and Questionnaires AB - OBJECTIVE: To describe why medical patients quit smoking and the methods they use. AB - DESIGN: Cross-sectional and prospective cohort design. Patient smokers were enrolled in a study of physician counseling about smoking. One year later, 2,581 of the patients were asked about quit attempts and methods used. Of those, 245 former smokers whose quitting had been biologically validated were interviewed about why and how they had quit. AB - SETTING: Offices of internists and family practitioners in private practice and a health maintenance organization. AB - SUBJECTS: Consecutive sample of ambulatory patients who smoked. AB - MEASUREMENTS AND MAIN RESULTS: Baseline questionnaires included demographic data, smoking history, and symptoms and diagnoses related to smoking. After one year, subjects were interviewed about smoking status and methods used in attempting to quit. Cessation was confirmed by biochemical testing. Those who had quit were asked about reasons for quitting. Seventy-seven percent of successful quitters gave health-related reasons for quitting and the quitters ranked "harmful to health" as the most important reason for quitting. In a multivariate analysis, those who had a college education, who had social pressures to quit, and who had greater confidence in being able to quit were more likely to have quit smoking one year later, while those who smoked their first cigarette within 15 minutes of awakening and who had more diagnoses related to smoking were less likely to have quit smoking one year later. Participation in a treatment program and having been counseled by a physician or nurse practitioner were positively related to successful quitting, while use of filters or mouthpieces was negatively related. AB - CONCLUSIONS: Concerns about health are the most common reason patients give for quitting, and addiction is the most important barrier to quitting. Education, social pressure, provider advice, and formal programs, but not over-the-counter devices, appear to increase the chances that smokers will quit. 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. PP - ppublish GI - No: CA38374 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1992 Jul-Aug EZ - 1992/07/01 DA - 1992/07/01 00:01 DT - 1992/07/01 00:00 YR - 1992 ED - 19920922 RD - 20170831 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1506945 <1292. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1643397 TI - Drug and alcohol medical education: evaluation of a national programme. SO - British Journal of Addiction. 87(7):1041-8, 1992 Jul. AS - Br J Addict. 87(7):1041-8, 1992 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roche AM FA - Roche, A M IN - Roche, A M. Early Intervention Unit, Royal Prince Alfred Hospital, Camperdown, Sydney, Australia. NJ - British journal of addiction VO - 87 IP - 7 PG - 1041-8 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - *Alcoholism MH - Australia MH - Curriculum/td [Trends] MH - *Education, Medical/td [Trends] MH - Humans MH - *Psychotropic Drugs MH - Research MH - *Street Drugs MH - *Substance-Related Disorders AB - In recognition of inadequacies in drug and alcohol medical education, funds were allocated to all Australian medical schools in 1988 to appoint co-ordinators to develop and implement drug and alcohol curricula. This programme was broadly modelled on the Career Teacher Programme successfully implemented in North America in the 1970s and early 1980s. During 1989 all but one of Australia's 10 medical schools made drug and alcohol co-ordinator appointments. Appointees came from diverse backgrounds including general practice, psychiatry, internal medicine, psychology and social work. The present study is a process evaluation and forms the first examination of the programme. Overall, findings indicated the programme to have achieved a 158% increase in drug and alcohol teaching hours, a 383% increase in the number of electives and a 109% increase in student places for electives. These effects occurred even though the average duration of co-ordinators' appointments was only 15 months. Implications of these recent developments are discussed in terms of teaching strategies, clinical experience and the inclusion of key educational issues such as early intervention. Recommendations are made for a continuation of the programme and for future outcome evaluation. RN - 0 (Psychotropic Drugs) RN - 0 (Street Drugs) IS - 0952-0481 IL - 0952-0481 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1992 Jul EZ - 1992/07/01 DA - 1992/07/01 00:01 DT - 1992/07/01 00:00 YR - 1992 ED - 19920910 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1643397 <1293. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1497004 TI - Corporate healthcare costs and smoke-free environments. SO - American Journal of Medicine. 93(1A):48S-54S, 1992 Jul 15. AS - Am J Med. 93(1A):48S-54S, 1992 Jul 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lesmes GR FA - Lesmes, G R IN - Lesmes, G R. Center for Cardiovascular Research, Northeastern Illinois University, Chicago 60625. NJ - The American journal of medicine VO - 93 IP - 1A PG - 48S-54S PI - Journal available in: Print PI - Citation processed from: Print JC - 0267200, 3ju IO - Am. J. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Efficiency/de [Drug Effects] MH - *Employer Health Costs MH - Environmental Health/ec [Economics] MH - *Health Care Costs MH - Humans MH - Leadership MH - Risk Factors MH - Smoking/ae [Adverse Effects] MH - *Smoking/ec [Economics] MH - Smoking Cessation MH - *Tobacco Smoke Pollution/ec [Economics] MH - Tobacco Smoke Pollution/pc [Prevention & Control] AB - Results from two studies were combined to assess potential market impact for programs to reduce health risks, as well as to define how small businesses can better control their healthcare operating expenses, widen their profit margins, and increase their productivity. The most effective solutions resulted from partnerships among the medical, business, and patient communities for the joint implementation of intensive smoking-cessation programs. In the first study, the chief executive officers of 1,100 small businesses in the Chicago area were polled regarding their opinions on healthcare costs. During the 4-year study period, 1986-1990, we observed a significant increase in their recognition of the impact of employee smoking on rising healthcare costs. From this study we identified three profile attributes of small-business leaders. First, these leaders possess a weak knowledge base regarding healthcare cost-containment methods; second, they understand the magnitude of the impact-rising healthcare costs have on corporate profitability; and third, they have a strong level of confidence (85%) that lifestyle modification programs for their employees, such as smoking cessation, can help control healthcare costs. In the second study we found that smoking-cessation programs with physician involvement, addiction assessment and treatment, and behavioral training and follow-up are preferred by those who want to stop smoking. Such programs have also enjoyed the highest level of sustained success. RN - 0 (Tobacco Smoke Pollution) IS - 0002-9343 IL - 0002-9343 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - 0002-9343(92)90628-O [pii] PP - ppublish LG - English DP - 1992 Jul 15 EZ - 1992/07/15 DA - 1992/07/15 00:01 DT - 1992/07/15 00:00 YR - 1992 ED - 19920908 RD - 20170908 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1497004 <1294. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1639550 TI - Relations among stressors, strains, and substance use among resident physicians. SO - International Journal of the Addictions. 27(8):979-94, 1992. AS - Int J Addict. 27(8):979-94, 1992. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jex SM AU - Hughes P AU - Storr C AU - Conard S AU - Baldwin DC Jr AU - Sheehan DV FA - Jex, S M FA - Hughes, P FA - Storr, C FA - Conard, S FA - Baldwin, D C Jr FA - Sheehan, D V IN - Jex, S M. Department of Psychology, Central Michigan University, Mt. Pleasant 48859. NJ - The International journal of the addictions VO - 27 IP - 8 PG - 979-94 PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 IO - Int J Addict SB - Index Medicus CP - United States MH - Adult MH - Benzodiazepines/ae [Adverse Effects] MH - Female MH - Humans MH - *Internship and Residency MH - *Life Change Events MH - Male MH - Middle Aged MH - *Physician Impairment/px [Psychology] MH - Self Medication MH - *Stress, Psychological/co [Complications] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders/px [Psychology] MH - Workload/px [Psychology] AB - This study examined the relationship between work-related stress and substance use among resident physicians in the United States. Unlike previous studies of physician stress, this study distinguished between "stressors" (stressful job conditions) and "strains" (reactions to the work environment) and correlated each of these with substance use. Results indicated that relations among stressors, strains, and substance use were not strong. Strains, however, were more strongly related to substance use than stressors. Additionally, benzodiazepines were more strongly related to strains than other substances, suggesting that they may be used for self-treatment. Other implications of these findings and future research needs are discussed. RN - 12794-10-4 (Benzodiazepines) IS - 0020-773X IL - 0020-773X PT - Journal Article PP - ppublish LG - English DP - 1992 EZ - 1992/01/11 19:15 DA - 2001/03/28 10:01 DT - 1992/01/11 19:15 YR - 1992 ED - 19920901 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1639550 <1295. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1616568 TI - An instrument to evaluate alcohol-abuse interviewing and intervention skills. SO - Academic Medicine. 67(7):482-3, 1992 Jul. AS - Acad Med. 67(7):482-3, 1992 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seale JP AU - Amodei N AU - Littlefield J AU - Ortiz E AU - Bedolla M AU - Yuan CH FA - Seale, J P FA - Amodei, N FA - Littlefield, J FA - Ortiz, E FA - Bedolla, M FA - Yuan, C H IN - Seale, J P. Department of Family Practice (DFP), University of Texas Health Science Center, (UTHSC), San Antonio 78284-7818. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 67 IP - 7 PG - 482-3 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 - *Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Clinical Competence/st [Standards] MH - *Education, Medical/st [Standards] MH - *Educational Measurement/mt [Methods] MH - Educational Measurement/st [Standards] MH - Factor Analysis, Statistical MH - Humans MH - *Interview, Psychological/st [Standards] MH - Observer Variation MH - Reproducibility of Results MH - Videotape Recording/ut [Utilization] AB - At the University of Texas Health Science Center at San Antonio from 1988 through 1990, the authors developed the Alcoholism Intervention Performance Evaluation (AIPE), a rating instrument for the evaluation of alcohol-abuse interviewing and intervention skills. Factor analysis of 51 rating items identified seven factors that accounted for most of the variability among the items; 35 were retained and assigned to the factor with which they correlated most highly, thus resulting in a seven-factor instrument with 35 items. The AIPE overall score had an interrater reliability of .73 (for four raters each rating approximately 30 videotaped simulated-patient interviews) and a test-retest reliability of .89 (for one rater rescoring 20 interviews after one month). The authors suggest that the individual scores for the seven factors can be used to provide instructional feedback to trainees and that the overall score can be used to certify interviewer proficiency. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 1 TO1 AA07486 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: D232PE16016 Organization: (PE) *BHP HRSA HHS* Country: United States LG - English DP - 1992 Jul EZ - 1992/07/01 DA - 1992/07/01 00:01 DT - 1992/07/01 00:00 YR - 1992 ED - 19920806 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1616568 <1296. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1319629 TI - [Experience with subinternship in psychiatry and drug abuse (discussion)]. [Russian] OT - Opyt subordinatury po psikhiatrii i narkologii (obsuzhdenie). SO - Zhurnal Nevropatologii i Psikhiatrii Imeni S - S - Korsakova. 92(1):l37-8, 1992. AS - Zh Nevropatol Psikhiatr Im S S Korsakova. 92(1):l37-8, 1992. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lebedev BA AU - Vanchakova NP FA - Lebedev, B A FA - Vanchakova, N P NJ - Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia : 1952) VO - 92 IP - 1 PG - l37-8 PI - Journal available in: Print PI - Citation processed from: Print JC - y9y, 8710066 IO - Zh Nevropatol Psikhiatr Im S S Korsakova SB - Index Medicus CP - Russia (Federation) MH - *Clinical Clerkship/td [Trends] MH - *Drug and Narcotic Control MH - Humans MH - *Internship and Residency/td [Trends] MH - *Psychiatry/ed [Education] MH - Psychiatry/td [Trends] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/th [Therapy] MH - USSR IS - 0044-4588 IL - 0044-4588 PT - Journal Article PP - ppublish LG - Russian DP - 1992 EZ - 1992/01/01 DA - 1992/01/01 00:01 DT - 1992/01/01 00:00 YR - 1992 ED - 19920727 RD - 20061107 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1319629 <1297. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1601241 TI - Creating a substance abuse network in family medicine: lessons learned. SO - Family Medicine. 24(4):299-302, 1992 May-Jun. AS - Fam Med. 24(4):299-302, 1992 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davis AK AU - Graham AV AU - Coggan PG AU - Finch JN AU - Fleming MF AU - Brown RL AU - Sherwood RA AU - Henry R AU - Schulz J FA - Davis, A K FA - Graham, A V FA - Coggan, P G FA - Finch, J N FA - Fleming, M F FA - Brown, R L FA - Sherwood, R A FA - Henry, R FA - Schulz, J IN - Davis, A K. Department of Family Medicine, Case Western Reserve University. CM - Comment in: Fam Med. 1992 Sep-Oct;24(7):488; PMID: 1397820 NJ - Family medicine VO - 24 IP - 4 PG - 299-302 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - Faculty, Medical MH - Family Practice/ec [Economics] MH - *Family Practice/ed [Education] MH - Family Practice/mt [Methods] MH - Health Policy MH - Health Services Needs and Demand MH - Humans MH - Research MH - Societies, Medical/og [Organization & Administration] MH - *Substance-Related Disorders/th [Therapy] MH - Training Support/ec [Economics] MH - United States AB - Family practice was one of several primary care specialties awarded federal contracts in 1985 to survey substance abuse training needs. Family medicine has since excelled in creating a viable substance abuse network. Key events were the sponsorship of a fellowship program, the formation of the Society of Teachers of Family Medicine (STFM) Substance Abuse Working Group, and the working group's pursuit of externally funded projects. Tangible measures of the network's success include collective funding exceeding $7.3 million, an increase in the number of substance abuse activities at annual STFM conferences, and a nearly four-fold growth in the group's membership and collaborative publications. Key factors underlying the vitality of the network that may be generalizable include: 1) initial emphasis on training family physician faculty; 2) making optimal use of the existing administrative channels within STFM; 3) acquisition of external funding; 4) some continuity of core persons working together; 5) active networking within and outside family medicine; and 6) promotion of individual success. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 1992 May-Jun EZ - 1992/05/01 DA - 1992/05/01 00:01 DT - 1992/05/01 00:00 YR - 1992 ED - 19920716 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1601241 <1298. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1600568 TI - Addiction and the anaesthesia resident. SO - Canadian Journal of Anaesthesia. 39(5 Pt 2):R11-7, 1992 May. AS - Can J Anaesth. 39(5 Pt 2):R11-7, 1992 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Farley WJ FA - Farley, W J IN - Farley, W J. Perspectives Health Program, Hampton, Virginia. NJ - Canadian journal of anaesthesia = Journal canadien d'anesthesie VO - 39 IP - 5 Pt 2 PG - R11-7 PI - Journal available in: Print PI - Citation processed from: Print JC - c8l, 8701709 IO - Can J Anaesth SB - Index Medicus CP - United States MH - *Anesthesiology/ed [Education] MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders AB - Addiction to narcotics appears to be a problem in the specialty of anaesthesia and particularly in anaesthesia residents. In 1992, this problem is perceived to be a treatable disease for which there is help and there is hope. None of us are immune to this disease. One of the key features of this disease is that the person who is afflicted cannot reach out for help. Thus, it is our responsibility as caring, concerned, and hopefully compassionate colleagues to reach out to them. With proper intervention, treatment, support of family, colleagues and department, and with a tightly monitored aftercare contract, addicted anaesthetists can successfully return to the specialty. IS - 0832-610X IL - 0832-610X PT - Journal Article PP - ppublish LG - English LG - French DP - 1992 May EZ - 1992/05/01 DA - 1992/05/01 00:01 DT - 1992/05/01 00:00 YR - 1992 ED - 19920714 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1600568 <1299. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1596346 TI - Impact of a substance abuse curriculum on primary care physicians' attitudes. SO - Academic Medicine. 67(6):414, 1992 Jun. AS - Acad Med. 67(6):414, 1992 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vakkur M AU - Broadhead WE AU - Andolsek KM AU - Magruder K FA - Vakkur, M FA - Broadhead, W E FA - Andolsek, K M FA - Magruder, K IN - Vakkur, M. Duke University School of Medicine, Durham, North Carolina. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 67 IP - 6 PG - 414 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 - *Attitude of Health Personnel MH - Curriculum MH - Female MH - Humans MH - Male MH - *Primary Health Care MH - *Substance-Related Disorders/px [Psychology] IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: R01 AA 07138 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1992 Jun EZ - 1992/06/01 DA - 1992/06/01 00:01 DT - 1992/06/01 00:00 YR - 1992 ED - 19920708 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1596346 <1300. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1595791 TI - Training obstetric and family practice residents to give smoking cessation advice during prenatal care. SO - American Journal of Obstetrics & Gynecology. 166(5):1356-63, 1992 May. AS - Am J Obstet Gynecol. 166(5):1356-63, 1992 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Secker-Walker RH AU - Solomon LJ AU - Flynn BS AU - LePage SS AU - Crammond JE AU - Worden JK AU - Mead PB FA - Secker-Walker, R H FA - Solomon, L J FA - Flynn, B S FA - LePage, S S FA - Crammond, J E FA - Worden, J K FA - Mead, P B IN - Secker-Walker, R H. Office of Health Promotion Research, University of Vermont, Burlington 05405. NJ - American journal of obstetrics and gynecology VO - 166 IP - 5 PG - 1356-63 PI - Journal available in: Print PI - Citation processed from: Print JC - 3ni, 0370476 IO - Am. J. Obstet. Gynecol. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - *Internship and Residency MH - *Obstetrics/ed [Education] MH - Physician's Role MH - Pregnancy MH - *Prenatal Care MH - *Smoking Cessation AB - OBJECTIVE: Our objective was to determine the effectiveness of training obstetric and family practice residents to provide smoking cessation advice. AB - STUDY DESIGN: The effectiveness of the trained residents' advice was assessed from exit interviews of pregnant smokers taking part in a randomized, controlled trial of smoking cessation advice. Exit interview responses were compared by chi 2 analysis. AB - RESULTS: Training resulted in significant changes in the advice provided by the residents, with greater emphasis on gaining a commitment to smoking behavior change, but not in the average time providing the advice, approximately 3 minutes. Adherence to the protocol was maintained at 80%. Significantly more women who received the brief structured advice agreed to stop smoking (54%) or cut down their cigarette consumption (28%) compared with women in the control group (14% and 6%, respectively), p = 0.0001. AB - CONCLUSION: The structured advice consistently provided by the trained residents was effective in gaining commitments from pregnant smokers to change their smoking behavior. IS - 0002-9378 IL - 0002-9378 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, U.S. Gov't, P.H.S. ID - 0002-9378(92)91604-9 [pii] PP - ppublish GI - No: CA22435 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: HL29957 Organization: (HL) *NHLBI NIH HHS* Country: United States LG - English DP - 1992 May EZ - 1992/05/01 DA - 1992/05/01 00:01 DT - 1992/05/01 00:00 YR - 1992 ED - 19920626 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1595791 <1301. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1813608 TI - Educational approaches to prescribing practices and substance abuse. [Review] [21 refs] SO - Journal of Psychoactive Drugs. 23(4):359-63, 1991 Oct-Dec. AS - J Psychoactive Drugs. 23(4):359-63, 1991 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chappel JN FA - Chappel, J N IN - Chappel, J N. University of Nevada. NJ - Journal of psychoactive drugs VO - 23 IP - 4 PG - 359-63 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 Utilization MH - *Drug and Narcotic Control/lj [Legislation & Jurisprudence] MH - *Education, Medical/td [Trends] MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - The history of medical education in treating and prescribing for additive disorders is primarily one of omission. This began to change in the 1970s, leading to positive developments in medical education; however, much still remains to be done. Training in writing prescriptions should cover four areas: (1) prescribing to prevent addiction; (2) prescribing for alcohol or other drug dependent patients; (3) prescribing for withdrawal from alcohol or other drugs; and (4) prescribing for patients in recovery from alcohol or other drug addiction. Other areas of importance to medical education are inappropriate prescribing practices, self-prescribing, and prescribing for dual diagnosis patients. Physicians need to know how to avoid becoming duped, dated, impaired or "script doctors." The educational techniques used in attaining these goals emphasize adult, or andragogical, education, sequencing curricula over the years of medical school and residency training, utilizing a variety of instructional techniques, and evaluating the results after each educational unit. The use of clinical vignettes, patient management problems and simulated patients is recommended. [References: 21] IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.1991.10471607 [doi] PP - ppublish LG - English DP - 1991 Oct-Dec EZ - 1991/10/01 DA - 1991/10/01 00:01 DT - 1991/10/01 00:00 YR - 1991 ED - 19920612 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1813608 <1302. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1579040 TI - [Physicians and nurses are being trained in smoking cessation support within primary health care]. [Swedish] OT - Lakare och sjukskoterskor utbildas i rokslutarstod inom primarvarden. SO - Lakartidningen. 89(19):1697-9, 1992 May 06. AS - Lakartidningen. 89(19):1697-9, 1992 May 06. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gilljam H AU - Post A FA - Gilljam, H FA - Post, A IN - Gilljam, H. Lung-medicinska kliniken, Huddinge sjukhus. NJ - Lakartidningen VO - 89 IP - 19 PG - 1697-9 PI - Journal available in: Print PI - Citation processed from: Print JC - l0n, 0027707 IO - Lakartidningen SB - Index Medicus CP - Sweden MH - Education, Medical, Continuing/ec [Economics] MH - Education, Medical, Continuing/sn [Statistics & Numerical Data] MH - *Education, Medical, Continuing MH - Education, Nursing, Continuing/ec [Economics] MH - Education, Nursing, Continuing/sn [Statistics & Numerical Data] MH - *Education, Nursing, Continuing MH - Humans MH - Primary Health Care/ec [Economics] MH - Primary Health Care/sn [Statistics & Numerical Data] MH - Smoking Cessation/mt [Methods] MH - Smoking Cessation/px [Psychology] MH - *Smoking Cessation MH - Sweden IS - 0023-7205 IL - 0023-7205 PT - Journal Article PP - ppublish LG - Swedish DP - 1992 May 06 EZ - 1992/05/06 DA - 1992/05/06 00:01 DT - 1992/05/06 00:00 YR - 1992 ED - 19920605 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1579040 <1303. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1573285 TI - Pain and addiction: an urgent need for change in nursing education. [Review] [37 refs] SO - Journal of Pain & Symptom Management. 7(2):117-24, 1992 Feb. AS - J Pain Symptom Manage. 7(2):117-24, 1992 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferrell BR AU - McCaffery M AU - Rhiner M FA - Ferrell, B R FA - McCaffery, M FA - Rhiner, M CM - Comment in: J Pain Symptom Manage. 1992 Nov;7(8):439-40; PMID: 1287104 NJ - Journal of pain and symptom management VO - 7 IP - 2 PG - 117-24 PI - Journal available in: Print PI - Citation processed from: Print JC - 8605836, ijj IO - J Pain Symptom Manage SB - Nursing Journal CP - United States MH - *Attitude of Health Personnel MH - *Education, Nursing/st [Standards] MH - Humans MH - *Narcotics/ae [Adverse Effects] MH - Nursing Education Research MH - *Pain/dt [Drug Therapy] MH - Pain/nu [Nursing] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Textbooks as Topic/st [Standards] AB - Lack of education of health care professionals, including nurses, is frequently cited as a major reason for undertreatment of patients with pain. A reason for undertreatment of pain with opioid analgesics is the irrational fear of creating opioid addiction. To characterize the information nurses receive in their basic education that could contribute to misinformation about this issue, the authors reviewed 14 nursing textbooks, published since 1985, including 8 pharmacology texts and 6 medical surgical texts. An analysis of content revealed that only one textbook correctly stated the definition of opioid addiction and its likelihood following use of opioid analgesics for pain control. Almost all of the texts used confusing terminology, and some erroneously promoted the fear of addiction when opioids are used for pain relief. A simple solution to this problem is to encourage nursing educators to use the American Pain Society publication "Guidelines for Analgesic Use" until textbooks have the opportunity to incorporate correct information. [References: 37] RN - 0 (Narcotics) IS - 0885-3924 IL - 0885-3924 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1992 Feb EZ - 1992/02/01 DA - 1992/02/01 00:01 DT - 1992/02/01 00:00 YR - 1992 ED - 19920604 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1573285 <1304. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1570914 TI - Appropriate management of chemical dependency in emergency medicine residents. SO - Annals of Emergency Medicine. 21(5):559-64, 1992 May. AS - Ann Emerg Med. 21(5):559-64, 1992 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Steffen PD AU - Dailey RH FA - Steffen, P D FA - Dailey, R H IN - Steffen, P D. School of Medicine, Department of Medicine, University of California San Francisco. NJ - Annals of emergency medicine VO - 21 IP - 5 PG - 559-64 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 - Algorithms MH - *Emergency Medicine MH - Humans MH - Internship and Residency MH - Physician Impairment/px [Psychology] MH - Stress, Psychological MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders/th [Therapy] AB - When chemical dependency is suspected in an emergency medicine resident physician, prompt and appropriate action must be taken to ensure the best possible outcome for all involved. Although residency program accreditation requires that program directors be able to appropriately deal with a chemically dependent resident, few programs have a formal policy in place, and little if any information exists for the formulation of such a policy. Presented here is a discussion of the disease of chemical dependency and how it affects emergency medicine residents, along with practical recommendations for appropriate management. IS - 0196-0644 IL - 0196-0644 PT - Journal Article ID - S0196-0644(05)82525-9 [pii] PP - ppublish LG - English DP - 1992 May EZ - 1992/05/01 DA - 1992/05/01 00:01 DT - 1992/05/01 00:00 YR - 1992 ED - 19920528 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1570914 <1305. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1569839 TI - Patterns of substance use in the medical profession. SO - Maryland Medical Journal. 41(4):311-4, 1992 Apr. AS - Md Med J. 41(4):311-4, 1992 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hughes PH AU - Storr C AU - Baldwin DC Jr AU - Williams KM AU - Conard S AU - Sheehan D FA - Hughes, P H FA - Storr, C FA - Baldwin, D C Jr FA - Williams, K M FA - Conard, S FA - Sheehan, D IN - Hughes, P H. Institute for Research in Psychiatry, University of South Florida College of Medicine, Tampa. CM - Comment in: Md Med J. 1992 Apr;41(4):284; PMID: 1569833 NJ - Maryland medical journal (Baltimore, Md. : 1985) VO - 41 IP - 4 PG - 311-4 PI - Journal available in: Print PI - Citation processed from: Print JC - man, 8506985 IO - Md Med J SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/ep [Epidemiology] MH - Amphetamines MH - Cannabis MH - Cocaine MH - Female MH - Humans MH - Internship and Residency MH - Male MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Smoking/ep [Epidemiology] MH - Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] AB - National drug use surveys of medical students and resident physicians in 1987 found that medical school was not a time when students began to use drugs, nor was it a time when they engaged in heavy use. Medical students and resident physicians reported lower rates of illicit drug use than their age and gender counterparts. Although males generally were more likely to use substances than females, young male and female physicians resembled one another in their current rates of substance use more than they resembled their gender counterparts in society. RN - 0 (Amphetamines) RN - I5Y540LHVR (Cocaine) IS - 0886-0572 IL - 0886-0572 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: 1-RO1DA04877 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1992 Apr EZ - 1992/04/11 19:15 DA - 2001/03/28 10:01 DT - 1992/04/11 19:15 YR - 1992 ED - 19920522 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1569839 <1306. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1558600 TI - Evaluation of a model curriculum on substance abuse at The Johns Hopkins University School of Medicine. SO - Academic Medicine. 67(4):260-6, 1992 Apr. AS - Acad Med. 67(4):260-6, 1992 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gopalan R AU - Santora P AU - Stokes EJ AU - Moore RD AU - Levine DM FA - Gopalan, R FA - Santora, P FA - Stokes, E J FA - Moore, R D FA - Levine, D M IN - Gopalan, R. Pharmacoepidemiology Unit, Johns Hopkins University School of Medicine, Baltimore, Maryland. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 67 IP - 4 PG - 260-6 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 - Baltimore MH - Clinical Competence/st [Standards] MH - *Curriculum MH - Education, Medical, Undergraduate/mt [Methods] MH - *Education, Medical, Undergraduate/st [Standards] MH - Educational Measurement MH - Evaluation Studies as Topic MH - Health Knowledge, Attitudes, Practice MH - Humans MH - Mass Screening/st [Standards] MH - Medical History Taking/st [Standards] MH - *Models, Theoretical MH - Physician's Role MH - Students, Medical/px [Psychology] MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - Beginning in 1985, The Johns Hopkins University School of Medicine developed a model curriculum on alcohol abuse to enhance the education of medical students in issues related to the abuse of alcohol and other drugs. By 1987, preclinical courses (given in years one and two) reflected the goals of the curriculum; however, integration of the curriculum into the clinical courses (given in years three and four) was only partially successful. This paper reports on nine annual surveys of students (the classes of 1989-1992) that were conducted from 1987 to 1990 to measure the effects of the curriculum, using previously validated instruments to record the students' knowledge, attitudes, beliefs in role responsibility, and confidence in clinical skills. Significant improvements occurred in the students' attitudes, beliefs in role responsibility, and confidence in skills during their preclinical years. These positive changes were stronger, and better sustained during the clinical years, in students who participated in special programs or elective courses focusing on substance abuse; the positive changes were not always sustained in other students. The authors suggest that enhanced experiential sessions, elective programs, and greater emphasis during the clinical years on issues relating to substance abuse are necessary for maintaining the desirable educational outcomes of a substance abuse management curriculum, and that an intensive program against a backdrop of curriculum reform is a useful model. IS - 1040-2446 IL - 1040-2446 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1992 Apr EZ - 1992/04/01 DA - 1992/04/01 00:01 DT - 1992/04/01 00:00 YR - 1992 ED - 19920514 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1558600 <1307. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1556853 TI - Shifts in problem drinking during a life transition: adaptation to medical school training. SO - Journal of Studies on Alcohol. 53(1):17-24, 1992 Jan. AS - J. stud. alcohol. 53(1):17-24, 1992 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richman JA AU - Flaherty JA AU - Pyskoty C FA - Richman, J A FA - Flaherty, J A FA - Pyskoty, C IN - Richman, J A. Department of Psychiatry, University of Illinois, Chicago 60612. NJ - Journal of studies on alcohol VO - 53 IP - 1 PG - 17-24 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - *Adaptation, Psychological MH - Adult MH - Alcohol Drinking/ep [Epidemiology] MH - *Alcohol Drinking/px [Psychology] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/px [Psychology] MH - Child of Impaired Parents/px [Psychology] MH - Cohort Studies MH - Cross-Sectional Studies MH - Female MH - Follow-Up Studies MH - Gender Identity MH - Humans MH - Incidence MH - *Life Change Events MH - Logistic Models MH - Male MH - Personality Development MH - Social Environment MH - *Students, Medical/px [Psychology] MH - United States/ep [Epidemiology] AB - This study addresses the course of alcohol-related problems in future physicians from the perspectives of occupational stress versus selection and life-span developmental frameworks. A cohort of medical students was surveyed at medical school entrance and during the early fall of the second training year. Self-report questionnaires assessed: alcohol-related problems (using a modified time-linked version of the MAST), pretraining psychosocial and psychopathological characteristics and experiences (symptomatic distress, motivations for drinking, personality attributes/deficits, familial history of problem drinking, family disruption and earlier parental bonding) and medical-training characteristics (perceived stressors and levels of social support). On the basis of MAST scores, respondents manifested the following drinking patterns: consistent nonproblem drinking (67.4%), problem exit or remission during medical training (19.4%), problem entrance or onset during medical training (6.3%) and problem chronicity involving problems before and during medical training (6.9%). Female students were overrepresented in the consistent nonproblem group. The major predictors of Time 2 problem onset and chronicity as opposed to problem remission involved pretraining factors: familial history of alcohol problems, Time 1 symptomatic distress and escape motives for drinking. Future reports will depict the prevalence and etiology of problem drinking manifested during the clinical portion of medical training. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: R29AA07311-01 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R29AA07311-02 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1992 Jan EZ - 1992/01/01 DA - 1992/01/01 00:01 DT - 1992/01/01 00:00 YR - 1992 ED - 19920504 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1556853 <1308. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1548546 TI - The effect of patient gender on the prevalence and recognition of alcoholism on a general medicine inpatient service. SO - Journal of General Internal Medicine. 7(1):38-45, 1992 Jan-Feb. AS - J Gen Intern Med. 7(1):38-45, 1992 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Dawson NV AU - Dadheech G AU - Speroff T AU - Smith RL AU - Schubert DS FA - Dawson, N V FA - Dadheech, G FA - Speroff, T FA - Smith, R L FA - Schubert, D S IN - Dawson, N V. Department of Medicine, Case Western Reserve University School of Medicine, MetroHealth Medical Center, Cleveland, OH 44109. NJ - Journal of general internal medicine VO - 7 IP - 1 PG - 38-45 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/pc [Prevention & Control] MH - Cross-Sectional Studies MH - Female MH - Humans MH - Inpatients MH - Internal Medicine/ed [Education] MH - *Internship and Residency MH - Male MH - Mass Screening/mt [Methods] MH - Middle Aged MH - *Physicians MH - Prevalence MH - Referral and Consultation MH - Sex Factors AB - OBJECTIVES: 1) to determine the rate of alcoholism among general internal medicine inpatients, 2) to assess the recognition and referral rates of these patients by their physicians, 3) to determine the effect of patient gender on physician recognition of alcoholism, and 4) to compare the observed alcoholism rates with rates reported in frequently cited studies, controlling for gender distribution. AB - DESIGN: Cross-sectional study, face-to-face interviews. AB - SETTING: A large, county-owned metropolitan teaching hospital. AB - PATIENTS/PARTICIPANTS: Adult patients admitted to an inpatient general medical firm. From among 95 consecutive admissions, 78 patients (81%) entered the study. AB - INTERVENTION: The Michigan Alcoholism Screening Test (MAST) was administered to all study subjects. Chart reviews provided evidence of physician recognition and referral of patients with alcoholism. The observed rate of alcoholism was compared with rates reported in frequently cited studies after stratifying by type of service sampled and alcoholism assessment method used. Rates were then standardized for gender using the direct method. AB - MEASUREMENTS AND MAIN RESULTS: Twenty-two patients (28%) were found to be alcoholic by MAST criteria (scores of 5 or higher). Scores in the range indicative of alcoholism were observed more frequently among the 36 men than among the 42 women (p = 0.002) and varied by age group. Only the interaction between gender and age group was significant (p = 0.023). Sixteen of the 22 patients (73%) with alcoholism by MAST criteria were identified as alcoholic by physician evaluation. Physicians were significantly more likely to identify as alcoholic those patients with MAST scores higher than 29 and tended to more readily identify men who had alcoholism than women. Among physician-identified patients, only about one in five was referred for rehabilitation. The standardized alcoholism rate found (291/1,000) ranked about halfway between the highest and the lowest standardized rates from nine other studies of medicine inpatient services (465/1,000 and 112/1,000). AB - CONCLUSIONS: Patient gender affected the prevalence of alcoholism and influenced its recognition by physicians. Alcoholism by MAST criteria was found in one in eight female and nearly one in two male inpatients. Physician recognition was higher for men and for more severely affected patients. An understanding of gender effects is essential to the appropriate interpretation of the results of screening tests for alcoholism and to understanding differences in reported crude rates of alcoholism among studies. Supplementing clinical impressions with the routine use of standardized methods for detecting alcoholism is recommended. IS - 0884-8734 IL - 0884-8734 PT - Journal Article PP - ppublish LG - English DP - 1992 Jan-Feb EZ - 1992/01/01 DA - 1992/01/01 00:01 DT - 1992/01/01 00:00 YR - 1992 ED - 19920420 RD - 20170831 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1548546 <1309. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1541950 TI - Tar wars--a community-based tobacco education project. SO - Journal of Family Practice. 34(3):267-8, 1992 Mar. AS - J. FAM. PRACT.. 34(3):267-8, 1992 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cain JJ AU - Dudley TE AU - Wilkerson MK FA - Cain, J J FA - Dudley, T E FA - Wilkerson, M K IN - Cain, J J. North Sheridan Family Practice, Broomfield, CO 80020. NJ - The Journal of family practice VO - 34 IP - 3 PG - 267-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Child MH - Colorado MH - *Health Education/mt [Methods] MH - Humans MH - Physicians, Family MH - *Smoking Prevention IS - 0094-3509 IL - 0094-3509 PT - Journal Article PP - ppublish LG - English DP - 1992 Mar EZ - 1992/03/01 DA - 1992/03/01 00:01 DT - 1992/03/01 00:00 YR - 1992 ED - 19920403 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1541950 <1310. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1346939 TI - Rationale for maintenance pharmacotherapy of opiate dependence. [Review] [67 refs] SO - Research Publications - Association for Research in Nervous & Mental Disease. 70:205-30, 1992. AS - Res Publ Assoc Res Nerv Ment Dis. 70:205-30, 1992. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kreek MJ FA - Kreek, M J IN - Kreek, M J. Rockefeller University, New York, New York 10021. NJ - Research publications - Association for Research in Nervous and Mental Disease VO - 70 PG - 205-30 PI - Journal available in: Print PI - Citation processed from: Print JC - r6p, 7505942 IO - Res Publ Assoc Res Nerv Ment Dis SB - Index Medicus CP - United States MH - Brain/de [Drug Effects] MH - Brain/pp [Physiopathology] MH - Combined Modality Therapy MH - Heroin Dependence/pp [Physiopathology] MH - Heroin Dependence/px [Psychology] MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - *Methadone/tu [Therapeutic Use] MH - Neurotransmitter Agents/ph [Physiology] MH - Opioid-Related Disorders/pp [Physiopathology] MH - Opioid-Related Disorders/px [Psychology] MH - *Opioid-Related Disorders/rh [Rehabilitation] MH - Receptors, Neurotransmitter/de [Drug Effects] MH - Receptors, Neurotransmitter/ph [Physiology] MH - Substance Abuse, Intravenous/pp [Physiopathology] MH - Substance Abuse, Intravenous/px [Psychology] MH - *Substance Abuse, Intravenous/rh [Rehabilitation] AB - At this time, 27 years after the initial studies on development of methadone for the maintenance treatment of opiate addiction were begun, it has been shown that [table; see text] methadone meets most criteria for a pharmacologic agent for chronic treatment of an addiction. It is effective after oral dosing: it has a long biological half-life in humans, it causes minimal side effects when used in chronic treatment, and it has no true toxic effects or serious side effects. Also methadone has been shown to be very effective when appropriately used in programs which combine pharmacotherapy with the best elements of "drug free" treatment, that is, counseling and psychological support. In addition to pharmacological treatment, there should be access to, if not on-site, medical and behavioral care as needed, as well as linkage to resources for various aspects of rehabilitation. At this time many of the actions, as well as the specific sites of action, and mechanisms of actions of methadone as used in chronic treatment of opiate addiction have been defined by scientific experimentation, both at the preclinical and clinical levels. It is known that methadone prevents abstinence symptoms, prevents drug hunger or craving, blocks euphorogenic effects of other opiates, and prevents relapse to illicit use of opiates. It is known that the site of action of methadone is at specific opioid receptors. Research to date suggests that there is no demonstrable down-regulation or up-regulation of opioid receptors during chronic opioid agonist perfusion, although chronic administration of the opioid antagonist naltrexone does appear to up-regulate opioid receptors. Clinical studies show that chronic use of methadone allows normalization of release and peripheral levels of one of the classes of endogenous opioids, beta-endorphin, and the related peptides derived from POMC released and processed from the anterior pituitary in humans. Also levels of beta-endorphin in cerebrospinal fluid become normal during chronic maintenance treatment, reflecting apparently normal processing and release of beta-endorphin at brain or hypothalamic sites of POMC production. Available data from studies of beta-endorphin indicate that there is a [table; see text] normalization, rather than disruption, of the endogenous opioid system in general during steady state administration of methadone, as contrasted with intermittent dosing and then abrupt withdrawal of short-acting opiates such as heroin. Although there is still much to be learned about the neurobiology of opiate addiction, at this time we do know a great deal about the effects of opiates and opioids.(ABSTRACT TRUNCATED AT 400 WORDS) [References: 67] RN - 0 (Neurotransmitter Agents) RN - 0 (Receptors, Neurotransmitter) RN - UC6VBE7V1Z (Methadone) IS - 0091-7443 IL - 0091-7443 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PP - ppublish GI - No: 1-P50-DA05130 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: DA-00049 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: M01-RR00102 Organization: (RR) *NCRR NIH HHS* Country: United States LG - English DP - 1992 EZ - 1992/01/01 DA - 1992/01/01 00:01 DT - 1992/01/01 00:00 YR - 1992 ED - 19920326 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1346939 <1311. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1774127 TI - How can we combat excess mortality in Harlem: a one day survey of substance abuse in adult general care. SO - International Journal of Psychiatry in Medicine. 21(4):369-78, 1991. AS - Int J Psychiatry Med. 21(4):369-78, 1991. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cohen MA AU - Aladjem A AU - Horton A AU - Lima J AU - Palacios A AU - Hernandez I AU - Lefer J AU - Mehta P FA - Cohen, M A FA - Aladjem, A FA - Horton, A FA - Lima, J FA - Palacios, A FA - Hernandez, I FA - Lefer, J FA - Mehta, P IN - Cohen, M A. Metropolitan Hospital Center, New York Medical College, New York. NJ - International journal of psychiatry in medicine VO - 21 IP - 4 PG - 369-78 PI - Journal available in: Print PI - Citation processed from: Print JC - 0365646, gsj IO - Int J Psychiatry Med SB - Index Medicus SB - AIDS/HIV Journals CP - United States MH - *Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - Acquired Immunodeficiency Syndrome/mo [Mortality] MH - Alcoholism/ep [Epidemiology] MH - Comprehensive Health Care/og [Organization & Administration] MH - Female MH - *Hospitalization/sn [Statistics & Numerical Data] MH - *Hospitals, Municipal/sn [Statistics & Numerical Data] MH - Humans MH - Male MH - New York City/ep [Epidemiology] MH - Prevalence MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/mo [Mortality] AB - Our hypothesis was that a one-day survey of all patients hospitalized on Adult General Care would demonstrate a need for expanded addiction services in a municipal teaching hospital in East Harlem. We interviewed 276 patients in Adult General Care on February 16, 1990 to assess whether they abused drugs or alcohol or were hospitalized for reasons related to substance use. Of the 276 patients interviewed, 18 percent used alcohol alone, 14 percent used drugs alone, 17 percent used both drugs and alcohol and 2 percent were hospitalized for reasons related to substance use. One hundred forty or 51 percent of all patients were admitted because of substance use and its sequelae or as a result of violence associated with the buying or selling of drugs. The percentage was highest on one medical floor where 89 percent of the patients were substance users and on medical floors in general where the average was 60 percent. Forty patients or 14 percent were known to be HIV seropositive. Given the high mortality in Harlem, the results of our one-day survey indicate a need for expanded addiction services. IS - 0091-2174 IL - 0091-2174 PT - Journal Article ID - 10.2190/PL2W-DGB6-MAWH-V8F0 [doi] PP - ppublish LG - English DP - 1991 EZ - 1991/01/01 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 19920304 RD - 20170214 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1774127 <1312. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1771058 TI - Filling the knowledge gap: a continuing medical education course on prescribing drugs with abuse potential. SO - New York State Journal of Medicine. 91(11 Suppl):40S-42S, 1991 Nov. AS - N Y State J Med. 91(11 Suppl):40S-42S, 1991 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Horvatich PK AU - Schnoll SH FA - Horvatich, P K FA - Schnoll, S H IN - Horvatich, P K. Division of Substance Abuse Medicine, Medical College of Virginia, Virginia Commonwealth University, Richmond 23298-0109. NJ - New York state journal of medicine VO - 91 IP - 11 Suppl PG - 40S-42S PI - Journal available in: Print PI - Citation processed from: Print JC - oba, 0401064 IO - N Y State J Med SB - Index Medicus CP - United States MH - *Drug Prescriptions MH - *Education, Medical, Continuing/mt [Methods] MH - *Pharmaceutical Preparations/ad [Administration & Dosage] MH - Pilot Projects MH - Substance-Related Disorders MH - United States AB - Learning the components of the task of writing a prescription is not the same as learning when to prescribe what drug, in which quantity, dose, and frequency; how to counsel the patient about taking the drug; what to look for while monitoring the patient; and particularly, in the case of controlled drugs, what to do if a patient abuses a medication. Education about prescribing drugs with abuse potential is very limited in medical school, and little exists in the way of continuing medical education. We have designed a two-day continuing medical education course for primary care practitioners that blends a variety of learning experiences and incorporates innovative approaches. This program emphasizes active participation, even within a traditional large group format. Computerized clinical case simulation activities call on participants to draw on their own medical practice experience, and to apply newly acquired knowledge to solve clinical problems before they leave the classroom. The pilot test of the program reinforced how powerful teaching can be when it is led by credible, skillful experts interacting with individuals face-to-face and when it is complemented by small group discussion. Plans for dissemination of this program are under way. RN - 0 (Pharmaceutical Preparations) IS - 0028-7628 IL - 0028-7628 PT - Journal Article PP - ppublish LG - English DP - 1991 Nov EZ - 1991/11/01 DA - 1991/11/01 00:01 DT - 1991/11/01 00:00 YR - 1991 ED - 19920227 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1771058 <1313. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1770388 TI - Prevalence of illicit drug use among prenatal patients and predictive validity of nurses' judgments. SO - Journal of Perinatology. 11(4):330-5, 1991 Dec. AS - J Perinatol. 11(4):330-5, 1991 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wiley K AU - Gibbs B AU - Kahn S AU - Karlman R AU - Tse A AU - Perez-Woods R FA - Wiley, K FA - Gibbs, B FA - Kahn, S FA - Karlman, R FA - Tse, A FA - Perez-Woods, R IN - Wiley, K. Loyola University, Chicago, Illinois. NJ - Journal of perinatology : official journal of the California Perinatal Association VO - 11 IP - 4 PG - 330-5 PI - Journal available in: Print PI - Citation processed from: Print JC - jfp, 8501884 IO - J Perinatol SB - Index Medicus CP - United States MH - Adult MH - Ambulatory Care Facilities MH - Analysis of Variance MH - Chi-Square Distribution MH - Female MH - Humans MH - Internship and Residency MH - Judgment MH - Medical Staff, Hospital MH - Midwestern United States MH - *Nurses/px [Psychology] MH - Pregnancy MH - *Pregnancy Complications/ep [Epidemiology] MH - Pregnancy Complications/ur [Urine] MH - Prevalence MH - Street Drugs/ur [Urine] MH - *Street Drugs MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/ur [Urine] AB - The purposes of this investigation were to: (1) estimate the prevalence of illicit drug use within the prenatal population of a midwestern suburban ambulatory care center; (2) explore the relationship between nurses' judgments of patient illicit drug use and urine toxicology results; and (3) determine if a difference exists between nurses' judgments of illicit drug use by private physicians' patients (PPP) and nurses' judgments of illicit drug use by resident physicians' patients (RPP). For a 16-week period, all new prenatal patients (N = 189) were included in this study; 78 (41%) were in the RPP group and 111 (59%) were in the PPP group. Urine remaining from routine urinalysis was assayed for seven drugs or drug classes. Fourteen (7.5%) subjects tested positive for illicit drugs, 8 (10.3%) in the RPP group, and 6 (5.4%) in the PPP group (chi 2, P greater than .33). Using a Likert-type scale, nurses rated the likelihood of a positive result of each patient's urine test. Nurses' judgments of patient illicit drug use and positive results were related, r = .28. Nurses were more likely (P less than .0001) to suspect residents' patients of illicit drug use than private physicians' patients. RN - 0 (Street Drugs) IS - 0743-8346 IL - 0743-8346 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1991 Dec EZ - 1991/12/01 DA - 1991/12/01 00:01 DT - 1991/12/01 00:00 YR - 1991 ED - 19920227 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1770388 <1314. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1758820 TI - Morphine: myths, morality and economics. SO - Postgraduate Medical Journal. 67 Suppl 2:S70-3, 1991. AS - Postgrad Med J. 67 Suppl 2:S70-3, 1991. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Doyle D FA - Doyle, D IN - Doyle, D. St Columba's Hospice, Edinburgh. NJ - Postgraduate medical journal VO - 67 Suppl 2 PG - S70-3 PI - Journal available in: Print PI - Citation processed from: Print JC - pfx, 0234135 IO - Postgrad Med J SB - Index Medicus CP - England MH - Humans MH - *Morphine/ad [Administration & Dosage] MH - Morphine/ae [Adverse Effects] MH - Morphine/tu [Therapeutic Use] MH - *Pain/dt [Drug Therapy] AB - It is a tragedy that morphine is scarcely available for between 1.3 and 2.5 billion people whilst 3.5 million cancer patients suffer needlessly. In only 10 countries is its consumption rising, in many more only codeine consumption shows an increase, and in many areas even in the Western world prescribing is grossly limited, fears of psychological addiction persist, professional education of doctors and nurses in analgesia remains minimal and too much importance is attached to expensive sophisticated methods of administration. Doctors have a professional and a moral responsibility to press for improved morphine availability in the most useful and economical forms worldwide. RN - 76I7G6D29C (Morphine) IS - 0032-5473 IL - 0032-5473 PT - Journal Article PP - ppublish LG - English DP - 1991 EZ - 1991/01/01 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 19920131 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1758820 <1315. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1728207 TI - Alcohol and other substance abuse and impairment among physicians in residency training. [Review] [29 refs] SO - Annals of Internal Medicine. 116(3):245-54, 1992 Feb 01. AS - Ann Intern Med. 116(3):245-54, 1992 Feb 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Aach RD AU - Girard DE AU - Humphrey H AU - McCue JD AU - Reuben DB AU - Smith JW AU - Wallenstein L AU - Ginsburg J FA - Aach, R D FA - Girard, D E FA - Humphrey, H FA - McCue, J D FA - Reuben, D B FA - Smith, J W FA - Wallenstein, L FA - Ginsburg, J IN - Aach, R D. Mount Sinai Medical Center, Department of Medicine, Cleveland, OH 44106. CM - Comment in: Ann Intern Med. 1992 Aug 1;117(3):267-8; PMID: 1616231 NJ - Annals of internal medicine VO - 116 IP - 3 PG - 245-54 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - Humans MH - *Internship and Residency/og [Organization & Administration] MH - Internship and Residency/sn [Statistics & Numerical Data] MH - Physician Impairment/sn [Statistics & Numerical Data] MH - *Physician Impairment MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States/ep [Epidemiology] AB - Substance abuse and impairment are serious societal problems. Physicians have historically had high rates of substance abuse, which has been viewed as an occupational hazard. Most authorities agree that the rate of alcoholism among practicing physicians is similar to that among control populations and that the rates of other substance abuse are greater, although some studies have shown no difference. Data about substance abuse among residents in training are limited but suggest that the use of benzodiazopines is greater than that among age-matched peers, whereas the use of alcohol is similar between the two groups. Medical institutions, including those with teaching programs, have legal and ethical responsibilities concerning substance abuse among current and future physicians. Many training programs, however, do not provide educational programs on this subject, do not have faculty trained in substance abuse medicine, and do not have a formal system to address the problem of residents who are suspected or known to be substance abusers. This position paper examines the extent of substance abuse, including alcohol abuse, among physicians in residency training. It outlines approaches to the problem and delineates responsibilities of institutions and residency program directors. Recommendations are made to establish an informational program and a clearly defined, organized process to address the problems of substance abuse among residents. Careful and humane approaches can be used to identify and treat residents with substance abuse problems and thus allowing them to complete their training as competent and drug-free professionals. [References: 29] IS - 0003-4819 IL - 0003-4819 PT - Guideline PT - Journal Article PT - Review PP - ppublish LG - English DP - 1992 Feb 01 EZ - 1992/02/01 DA - 1992/02/01 00:01 DT - 1992/02/01 00:00 YR - 1992 ED - 19920127 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1728207 <1316. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10170872 TI - Health maintenance organizations and the treatment of substance abuse. SO - Journal of Ambulatory Care Management. 15(1):56-67, 1992 Jan. AS - J Ambulatory Care Manage. 15(1):56-67, 1992 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lewis BE AU - Phelan A FA - Lewis, B E FA - Phelan, A IN - Lewis, B E. Fallon Clinic, West Boylston, MA. NJ - The Journal of ambulatory care management VO - 15 IP - 1 PG - 56-67 PI - Journal available in: Print PI - Citation processed from: Print JC - h49, 7802876 IO - J Ambul Care Manage SB - Health Administration Journals CP - United States MH - Age Factors MH - Day Care, Medical MH - Education, Medical, Continuing MH - Employment MH - Female MH - *Health Maintenance Organizations/og [Organization & Administration] MH - Humans MH - Male MH - Massachusetts/ep [Epidemiology] MH - Patient Advocacy MH - *Patient Care Planning/og [Organization & Administration] MH - Referral and Consultation MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] AB - The deterioration of substance abusers to the point where they need to be hospitalized generally happens slowly, over a period of years if not decades. During this time, most of their medical care takes place in an ambulatory setting. Primary care physicians are thus in an ideal position to identify and help patients in relatively early stages of the problem. The HMO, with its ability to practice patient-oriented case management and its access to all aspects of the medical care delivery system without additional financial burden to the patient, is particularly suited to provide effective and efficient care. The next challenge for HMOs is to reach patients at much earlier stages of their disease. IS - 0148-9917 IL - 0148-9917 PT - Journal Article PP - ppublish LG - English DP - 1992 Jan EZ - 1991/12/10 DA - 1991/12/10 00:01 DT - 1991/12/10 00:00 YR - 1992 ED - 19920123 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10170872 <1317. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1749977 TI - Awareness of substance abuse in orthopedic patients: a survey of orthopedic surgeons. SO - Southern Medical Journal. 84(12):1455-7, 1991 Dec. AS - South Med J. 84(12):1455-7, 1991 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwartz RH AU - Johnson NP AU - Hornung CA AU - Phelps GL AU - Berg EW FA - Schwartz, R H FA - Johnson, N P FA - Hornung, C A FA - Phelps, G L FA - Berg, E W IN - Schwartz, R H. Department of Pediatrics, Fairfax Hospital, Falls Church, Va. NJ - Southern medical journal VO - 84 IP - 12 PG - 1455-7 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 - Alcoholism/di [Diagnosis] MH - *Alcoholism MH - *Analgesics MH - *Benzodiazepines MH - Drug Prescriptions MH - Education, Medical, Continuing MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Orthopedics MH - Patients MH - Professional Practice MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - We surveyed 178 orthopedic physicians in the Washington, DC, area to ascertain the effect on patient care of previous education in the area of drug and alcohol issues. The return rate was 75%. Of the respondents, 99% were male, average age was 46.7 years (+/- 9.3), and average number of years in practice was 15.2 (+/- 9.6). A majority of respondents indicated that they did not have training in the abuse potential of analgesics (92 [69%]), characteristics of benzodiazepine abuse (77 [58%]), or when to seek the assistance of an addiction medicine specialist for patients with chronic pain (106 [80%]). Only 41 (31%) of the orthopedists indicated that they inquire about alcohol and drug use before prescribing opiates for more than a week. We offer suggestions for self-education for interested physicians. RN - 0 (Analgesics) RN - 12794-10-4 (Benzodiazepines) IS - 0038-4348 IL - 0038-4348 PT - Journal Article PP - ppublish LG - English DP - 1991 Dec EZ - 1991/12/01 DA - 1991/12/01 00:01 DT - 1991/12/01 00:00 YR - 1991 ED - 19920123 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1749977 <1318. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1835774 TI - [Structural characteristics of alcohol prevention in occupational medical care]. [German] OT - Strukturmerkmale der Alkoholpravention in der betriebsarztlichen Betreuung. SO - Offentliche Gesundheitswesen. 53 Suppl 1:25-31, 1991 Aug. AS - Offentl Gesundheitswes. 53 Suppl 1:25-31, 1991 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ott-Gerlach G FA - Ott-Gerlach, G NJ - Das Offentliche Gesundheitswesen VO - 53 Suppl 1 PG - 25-31 PI - Journal available in: Print PI - Citation processed from: Print JC - ofe, 0107170 IO - Offentl Gesundheitswes SB - Index Medicus CP - Germany MH - *Alcoholism/pc [Prevention & Control] MH - *Health Education/td [Trends] MH - Humans MH - *Occupational Diseases/pc [Prevention & Control] MH - Occupational Diseases/rh [Rehabilitation] MH - *Occupational Health Services/td [Trends] MH - *Physician's Role AB - Company doctors or industrial health officers are involved in alcohol prevention in different ways. The measures to be taken range from direct aid to alcohol-dependent employees to educational work directed at the employees as a whole. It often transpires that this preventive range of action is a highly sensitive area within the doctor's medical activism the company. For example, measures to be taken within the framework of an agreement between management and labour may negatively affect the atmosphere of confidence between doctor and workers. The article also points out how important it is for honorary addiction helpers in a company to be supported by the company doctor in their task. IS - 0029-8573 IL - 0029-8573 PT - English Abstract PT - Journal Article PP - ppublish LG - German DP - 1991 Aug EZ - 1991/08/01 DA - 1991/08/01 00:01 DT - 1991/08/01 00:00 YR - 1991 ED - 19920107 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1835774 <1319. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1956107 TI - Clinical interventions in tobacco control. A National Cancer Institute training program for physicians. SO - JAMA. 266(22):3172-3, 1991 Dec 11. AS - JAMA. 266(22):3172-3, 1991 Dec 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Manley M AU - Epps RP AU - Husten C AU - Glynn T AU - Shopland D FA - Manley, M FA - Epps, R P FA - Husten, C FA - Glynn, T FA - Shopland, D IN - Manley, M. Cancer Control Science Program, National Cancer Institute, Bethesda, Md. 20892. CM - Comment in: JAMA. 1991 Dec 11;266(22):3183-4; PMID: 1823545 NJ - JAMA VO - 266 IP - 22 PG - 3172-3 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 - *Education, Medical MH - Humans MH - National Institutes of Health (U.S.) MH - Physician's Role MH - *Smoking Cessation/mt [Methods] MH - Training Support MH - United States IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1991 Dec 11 EZ - 1991/12/11 DA - 1991/12/11 00:01 DT - 1991/12/11 00:00 YR - 1991 ED - 19911230 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1956107 <1320. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1930359 TI - Undergraduate alcohol education. SO - Alcohol & Alcoholism. 26(3):273-5, 1991. AS - Alcohol Alcohol. 26(3):273-5, 1991. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ritson EB FA - Ritson, E B NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 26 IP - 3 PG - 273-5 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Alcoholism/co [Complications] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans IS - 0735-0414 IL - 0735-0414 PT - Editorial PP - ppublish LG - English DP - 1991 EZ - 1991/01/01 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 19911226 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1930359 <1321. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1941272 TI - Inclusion of alcoholism and drug abuse content in curricula of varied health care professions. SO - Journal of the New York State Nurses Association. 22(1):9-12, 1991 Mar. AS - J N Y State Nurses Assoc. 22(1):9-12, 1991 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Long P AU - Gelfand G AU - McGill D FA - Long, P FA - Gelfand, G FA - McGill, D NJ - The Journal of the New York State Nurses' Association VO - 22 IP - 1 PG - 9-12 PI - Journal available in: Print PI - Citation processed from: Print JC - jfh, 7507218 IO - J N Y State Nurses Assoc SB - Nursing Journal CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Dental MH - *Education, Medical MH - *Education, Nursing MH - Humans MH - New York MH - Schools, Dental MH - Schools, Medical MH - Schools, Nursing MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - Alcoholism and drug abuse are prevalent health problems in the United States. Practitioners in nursing, medicine, and dentistry need to be cognizant of the insidious signs of chemical dependency. A descriptive survey using a researcher-designed questionnaire yielded a sample which consisted of 11 medical schools, 2 dental schools, 25 baccalaureate and higher degree nursing programs, and 38 associate degree nursing programs. The survey findings indicated that the curricula for nursing, medicine, and dentistry were inadequate in chemical dependency content. This survey evidenced the need for a stronger educational effort addressing both knowledge of alcoholism/drug abuse and impaired professional practice in the curricula of the health professional programs examined. IS - 0028-7644 IL - 0028-7644 PT - Journal Article PP - ppublish LG - English DP - 1991 Mar EZ - 1991/03/01 DA - 1991/03/01 00:01 DT - 1991/03/01 00:00 YR - 1991 ED - 19911218 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1941272 <1322. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1966681 TI - Contributions to a social conditioning model of cocaine recovery. [Review] [101 refs] SO - International Journal of the Addictions. 25(9A-10A):1141-77, 1990-1991 Aug. AS - Int J Addict. 25(9A-10A):1141-77, 1990-1991 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McAuliffe WE AU - Albert J AU - Cordill-London G AU - McGarraghy TK FA - McAuliffe, W E FA - Albert, J FA - Cordill-London, G FA - McGarraghy, T K IN - McAuliffe, W E. Department of Psychiatry, Harvard Medical School, Cambridge Hospital, Massachusetts 02139. NJ - The International journal of the addictions VO - 25 IP - 9A-10A PG - 1141-77 PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 IO - Int J Addict SB - Index Medicus CP - United States MH - Adaptation, Psychological MH - Aftercare/ec [Economics] MH - Aftercare/og [Organization & Administration] MH - *Aftercare/st [Standards] MH - Behavior Therapy MH - *Cocaine MH - Cost-Benefit Analysis MH - Cues MH - Health Services Needs and Demand MH - Humans MH - Life Style MH - *Models, Psychological MH - Recurrence MH - Self Care MH - Social Adjustment MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - Treatment Outcome AB - This article describes recent developments in a theory of recovery from drug addiction and in the adaptation of Recovery Training and Self Help (RTSH) to cocaine addiction. RTSH is an example of a new element of treatment known as "relapse prevention" (RP), which is an application of the discovery that addiction follows the laws of operant conditioning. We learned, however, that to understand and to treat cocaine addiction, we had to expand upon the conditioning paradigm to include a sociological analysis of the deviant lifestyle from which cocaine addiction stems. The theory presented here postulates three stages of recovery from cocaine addiction. Cocaine addicts can recover as outpatients by (1) initially building "walls" against drug triggers and supplies, (2) extinguishing addiction in the protective community of recovering persons, and (3) gradually lowering the walls and expanding beyond the recovering community to function more fully in conventional society. We have developed an outpatient group treatment system based on this recovery model. The Cocaine Recovery System includes a month-long cessation program, followed by a six-month recovery program, and active participation in the recovering community. A professional and a recovering person colead both the cessation and recovery programs, which feature Recovery Training sessions designed to help cocaine addicts achieve treatment goals and avoid or cope with threats to recovery. Clients in the recovery program also meet weekly for a support session, a weekend recreational activity, and individual counseling. The program also encourages group members to attend 12-step fellowship meetings. Clients achieve difficult lifestyle changes by taking a series of "commitment steps," which increasingly engage the clients in a recovering lifestyle and make relapse more difficult. [References: 101] RN - I5Y540LHVR (Cocaine) IS - 0020-773X IL - 0020-773X PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PT - Review PP - ppublish GI - No: 5 R01 DA04418 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: 5 R18 DA05271 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1990-1991 Aug EZ - 1990/08/01 DA - 1990/08/01 00:01 DT - 1990/08/01 00:00 YR - 1990-1991 ED - 19911217 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1966681 <1323. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1928229 TI - Integrating substance abuse education in the medical student curriculum. SO - American Journal of the Medical Sciences. 302(3):181-4, 1991 Sep. AS - Am J Med Sci. 302(3):181-4, 1991 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Burger MC AU - Spickard WA FA - Burger, M C FA - Spickard, W A IN - Burger, M C. Department of Psychiatry, Vanderbilt University, Nashville, Tennessee 37232-5464. NJ - The American journal of the medical sciences VO - 302 IP - 3 PG - 181-4 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 - *Curriculum MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders MH - United States AB - Physicians miss the diagnosis of substance abuse in significant numbers of patients, partly because of a lack of education about identifying and treating those patients. This article describes an attempt to integrate substance abuse into the curriculum of a traditionally organized medical school. Faculty selection, determination of the skills and knowledge needed, and methods for enriching the curriculum to include substance abuse are described. Problems encountered during the project, benefits of implementing the curriculum changes, and recommendations for other medical schools choosing to implement such a program also are provided. IS - 0002-9629 IL - 0002-9629 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - S0002-9629(15)35852-3 [pii] PP - ppublish GI - No: 87-0018 Organization: *PHS HHS* Country: United States LG - English DP - 1991 Sep EZ - 1991/09/01 DA - 1991/09/01 00:01 DT - 1991/09/01 00:00 YR - 1991 ED - 19911114 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1928229 <1324. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1922285 TI - Addressing psychiatric comorbidity. [Review] [27 refs] SO - NIDA Research Monograph. 106:152-66, 1991. AS - NIDA Res Monogr. 106:152-66, 1991. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Woody GE AU - McLellan AT AU - O'Brien CP AU - Luborsky L FA - Woody, G E FA - McLellan, A T FA - O'Brien, C P FA - Luborsky, L IN - Woody, G E. Drug Dependence Treatment and Research Center, University of Pennsylvania, Philadelphia. NJ - NIDA research monograph VO - 106 PG - 152-66 PI - Journal available in: Print PI - Citation processed from: Print JC - nrm, 8811762 IO - NIDA Res. Monogr. SB - Index Medicus CP - United States MH - Humans MH - *Mental Disorders/co [Complications] MH - Mental Disorders/px [Psychology] MH - Mental Disorders/th [Therapy] MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] AB - Research studies indicate that addressing psychiatric comorbidity can improve treatment for selected groups of substance-abusing patients. However, the chances for implementing the necessary techniques on a large scale are compromised by the absence of professional input and guidance within programs. This is especially true in public programs, which treat some of the most disadvantaged, disturbed, and socially destructive individuals in the entire mental health system. One starting point for upgrading the level of knowledge and training of staff members who work in this large treatment system could be to develop a better and more authoritative information dissemination network. Such a system exists in medicine; physicians are expected to read appropriate journals and to guide their treatment decisions using the data contained in the journals. Standards of practice and methods for modifying current practice are within the tradition of reading new facts, studying old ones, and comparing treatment outcome under different conditions with what is actually being done. No such general system of information-gathering or -sharing exists, particularly in public treatment programs. One of the most flagrant examples of this "educational shortfall" can be found among those methadone programs that adamantly insist on prescribing no more than 30 to 35 mg/day for all patients, in spite of the overwhelming evidence that these dose levels generally are inadequate. In some cases, program directors are unaware of studies that have shown the relationship between dose and outcome. In other cases, they are aware of the studies but do not modify their practices accordingly. This example of inadequate dosing is offered as an example of one situation that could be improved by adherence to a system of authoritative and systematic information dissemination. Many issues in substance abuse treatment do not lend themselves to information dissemination as readily as that of methadone dosing. However, the existence of a general information/education system about substance abuse treatment, combined with adherence to it among care providers, not only would provide helpful data for treatment staff but also might stimulate their curiosity and initiative. These later qualities, along with additions to existing treatment resources, may in the long run serve as the best guarantee for improvement. and maintenance of quality care. [References: 27] IS - 1046-9516 IL - 1046-9516 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1991 EZ - 1991/01/01 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 19911114 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1922285 <1325. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1920109 TI - Fetal alcohol syndrome. SO - Journal of the American Podiatric Medical Association. 81(8):454, 1991 Aug. AS - J Am Podiatr Med Assoc. 81(8):454, 1991 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ward KA AU - Caselli MA FA - Ward, K A FA - Caselli, M A NJ - Journal of the American Podiatric Medical Association VO - 81 IP - 8 PG - 454 PI - Journal available in: Print PI - Citation processed from: Print JC - 8501423, jpa IO - J Am Podiatr Med Assoc SB - Index Medicus CP - United States MH - *Child Abuse/di [Diagnosis] MH - *Education, Medical, Continuing MH - *Fetal Alcohol Spectrum Disorders/di [Diagnosis] MH - Humans MH - Infant, Newborn MH - *Podiatry/ed [Education] IS - 8750-7315 IL - 1930-8264 PT - Letter ID - 10.7547/87507315-81-8-454 [doi] PP - ppublish LG - English DP - 1991 Aug EZ - 1991/08/01 DA - 1991/08/01 00:01 DT - 1991/08/01 00:00 YR - 1991 ED - 19911114 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1920109 <1326. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1912751 TI - Alcohol and other drugs: the response of the political and medical institutions. SO - British Journal of Addiction. 86(8):967-75, 1991 Aug. AS - Br J Addict. 86(8):967-75, 1991 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pittman DJ AU - Staudenmeier WJ Jr AU - Kaplan A FA - Pittman, D J FA - Staudenmeier, W J Jr FA - Kaplan, A IN - Pittman, D J. Department of Psychology, Washington University, St. Louis, MO 63130. NJ - British journal of addiction VO - 86 IP - 8 PG - 967-75 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Female MH - *Health Behavior MH - Humans MH - Infant, Newborn MH - *Politics MH - Pregnancy MH - Smoking/px [Psychology] MH - *Smoking Prevention MH - Social Control, Formal MH - Social Control, Informal MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/px [Psychology] AB - Formal and informal social control in shaping individual behaviors toward the use of alcohol and other drugs is discussed. Emphasis is placed on formal social control as it occurs in two major institutions. The state, which embodies the political and legal structures of the society is discussed in terms of the social control of some of the consequences of drinking, such as public drunkenness, alcoholism, operating vehicles with specific blood alcohol levels, and crime and alcohol use. The medical institution's involvement in alcohol and drug control is discussed in terms of the physician's role in diagnosing alcohol and drug dependent individuals. Two contemporary cases, those of pregnant addicts and alcohol-related organ transplant patients, illustrate the significant interactions between the responses of the political and medical institutions, and the broader influences that help shape these responses. IS - 0952-0481 IL - 0952-0481 PT - Journal Article PP - ppublish LG - English DP - 1991 Aug EZ - 1991/08/11 19:15 DA - 2001/03/28 10:01 DT - 1991/08/11 19:15 YR - 1991 ED - 19911114 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1912751 <1327. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1910406 TI - Pre-employment drug testing of housestaff physicians at a large urban hospital. SO - Academic Medicine. 66(10):618-9, 1991 Oct. AS - Acad Med. 66(10):618-9, 1991 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lewy RM FA - Lewy, R M IN - Lewy, R M. Presbyterian Hospital, Columbia-Presbyterian Medical Center, New York, NY 10032. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 66 IP - 10 PG - 618-9 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 - Employment MH - Hospitals, Urban MH - Humans MH - *Internship and Residency MH - *Medical Staff, Hospital MH - New York City MH - *Physical Examination MH - Street Drugs/ur [Urine] MH - *Substance Abuse Detection AB - In an effort to address drug use and abuse among physicians beginning their graduate medical education. The Presbyterian Hospital at Columbia-Presbyterian Medical Center began a pre-employment drug testing program for housestaff physicians in 1987. Between 1987 and 1990, each of the 791 housestaff physicians beginning training at the hospital received a pre-employment urine toxicology examination. Despite the limitations of pre-employment drug testing, the program did identify two physicians who tested positive for illegal drugs. Based upon their test results and individual clinical evaluations, both physicians were denied a clinical appointment at the hospital. Their clinical training was temporarily interrupted while they received indicated treatment. The author suggests the main value of the program is to provide a focus for addressing issues related to substance abuse during graduate medical education. RN - 0 (Street Drugs) IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 1991 Oct EZ - 1991/10/01 DA - 1991/10/01 00:01 DT - 1991/10/01 00:00 YR - 1991 ED - 19911112 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1910406 <1328. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1891433 TI - Cocaine-induced myocardial infarction. A growing threat to men in their 30s. [Review] [37 refs] SO - Postgraduate Medicine. 90(4):50-5, 1991 Sep 15. AS - Postgrad Med. 90(4):50-5, 1991 Sep 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Amin M AU - Gabelman G AU - Buttrick P FA - Amin, M FA - Gabelman, G FA - Buttrick, P IN - Amin, M. Division of Cardiology, Montefiore Medical Center, Albert Einstein College of Medicine Yeshiva University, Bronx, New York. NJ - Postgraduate medicine VO - 90 IP - 4 PG - 50-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 0401147, pfk IO - Postgrad Med SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Adult MH - Calcium Channel Blockers/tu [Therapeutic Use] MH - *Cocaine MH - Education, Medical, Continuing MH - Electrocardiography MH - Female MH - Humans MH - Male MH - *Myocardial Infarction/ci [Chemically Induced] MH - Myocardial Infarction/dt [Drug Therapy] MH - Myocardial Infarction/ep [Epidemiology] MH - Prognosis MH - *Substance-Related Disorders/co [Complications] AB - A clear association has been established between cocaine use and acute myocardial infarction. Because of the continuing rise in cocaine use in the United States, many more young patients have or will have this disorder. Such patients are usually managed conservatively with calcium channel blockade and have an excellent in-hospital prognosis. If chest pain recurs or stress testing reveals evidence of ischemia, cardiac catheterization should be done. If cocaine use is discontinued, the long-term prognosis of a typical patient with cocaine-induced acute myocardial infarction is excellent in the absence of other chronic illnesses. [References: 37] RN - 0 (Calcium Channel Blockers) RN - I5Y540LHVR (Cocaine) IS - 0032-5481 IL - 0032-5481 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1991 Sep 15 EZ - 1991/09/15 DA - 1991/09/15 00:01 DT - 1991/09/15 00:00 YR - 1991 ED - 19911017 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1891433 <1329. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1880882 TI - Substance use and abuse. SO - JAMA. 266(11):1512-4, 1991 Sep 18. AS - JAMA. 266(11):1512-4, 1991 Sep 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous CM - Comment on: JAMA. 1991 Apr 24;265(16):2102-7; PMID: 1901609 CM - Comment on: JAMA. 1991 Apr 24;265(16):2074-8; PMID: 2013926 CM - Comment on: JAMA. 1991 Apr 24;265(16):2110-1; PMID: 2013931 CM - Comment on: JAMA. 1991 Apr 24;265(16):2069-73; PMID: 2013925 NJ - JAMA VO - 266 IP - 11 PG - 1512-4 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 - Alcoholism MH - Humans MH - Internship and Residency MH - *Physician Impairment MH - Students, Medical MH - *Substance-Related Disorders IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Letter PP - ppublish LG - English DP - 1991 Sep 18 EZ - 1991/09/18 DA - 1991/09/18 00:01 DT - 1991/09/18 00:00 YR - 1991 ED - 19911001 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1880882 <1330. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2059276 TI - Residents' diagnosis of alcohol abuse in the ambulatory-care clinic. SO - Academic Medicine. 66(7):426, 1991 Jul. AS - Acad Med. 66(7):426, 1991 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wayland MT AU - Hardwicke MB FA - Wayland, M T FA - Hardwicke, M B IN - Wayland, M T. Division of Biomedical Investigations, St. John Hospital and Medical Center, Detroit, MI 48236-2172. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 66 IP - 7 PG - 426 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 - *Alcoholism/di [Diagnosis] MH - Alcoholism/pc [Prevention & Control] MH - Ambulatory Care MH - Humans MH - *Internship and Residency MH - Michigan MH - Surveys and Questionnaires IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 1991 Jul EZ - 1991/07/01 DA - 1991/07/01 00:01 DT - 1991/07/01 00:00 YR - 1991 ED - 19910808 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2059276 <1331. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2040113 TI - Substance use by pregnant adolescents. [Review] [37 refs] SO - Clinics in Perinatology. 18(1):125-38, 1991 Mar. AS - Clin Perinatol. 18(1):125-38, 1991 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kokotailo PK AU - Adger H Jr FA - Kokotailo, P K FA - Adger, H Jr IN - Kokotailo, P K. Department of Pediatrics, University of Wisconsin, Medical School, Madison. NJ - Clinics in perinatology VO - 18 IP - 1 PG - 125-38 PI - Journal available in: Print PI - Citation processed from: Print JC - dhh, 7501306 IO - Clin Perinatol SB - Index Medicus CP - United States MH - Adolescent MH - Female MH - Humans MH - Pregnancy MH - *Pregnancy in Adolescence MH - Prevalence MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States/ep [Epidemiology] AB - Alcohol and other drug use by adolescents and adolescent pregnancy are both considered to be major problems in the United States. The risk-taking behaviors of early sexual activity and substance use are associated and are part of a larger problem behavior constellation. Although substance use by adolescents and adolescent pregnancy have both been well documented and studied, substance use by pregnant adolescents is just beginning to be studied systemically. Current studies show significant substance use both by self-report and objective testing among pregnant adolescents, with self-report alone underestimating use. Early risk profiles show several significant risk factors for alcohol and drug use by pregnant adolescents. Future directions for work with substance abuse with pregnant adolescents include changes in practice behavior by physicians and other health providers, and family education and support regarding sexuality and substance use. Further research is needed to determine prevalence of substance use among pregnant adolescents, how better screening and early intervention can be implemented, and the long-term effects of substance use on the adolescent and her baby. [References: 37] IS - 0095-5108 IL - 0095-5108 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1991 Mar EZ - 1991/03/01 DA - 2001/03/28 10:01 DT - 1991/03/01 00:00 YR - 1991 ED - 19910710 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2040113 <1332. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2038979 TI - Postgraduate medical fellowship training in alcoholism and drug abuse: national consensus standards. [Review] [7 refs] SO - American Journal of Drug & Alcohol Abuse. 17(1):1-12, 1991. AS - Am J Drug Alcohol Abuse. 17(1):1-12, 1991. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Kaufman E AU - Schnoll S AU - Burns J FA - Galanter, M FA - Kaufman, E FA - Schnoll, S FA - Burns, J IN - Galanter, M. Department of Psychiatry, New York University School of Medicine, New York 10016. NJ - The American journal of drug and alcohol abuse VO - 17 IP - 1 PG - 1-12 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 - Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum/st [Standards] MH - *Education, Medical, Graduate/st [Standards] MH - *Fellowships and Scholarships/st [Standards] MH - Humans MH - *Psychiatry/ed [Education] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - This paper describes the historical background of the Consensus Standards for Postgraduate Medical Fellowships in Alcoholism and Drug Abuse, developed for the American Academy of Psychiatrists in Alcoholism and Addictions and the Association for Medical Education and Research in Substance Abuse. These standards were prepared by a National Advisory Committee of the Center for Medical Fellowships in Alcoholism and Drug Abuse, which includes 23 leading figures in academic medical training in the addiction field. The standards define general information, facilities and resources, the educational program, and the specific knowledge and skills appropriate to fellowship training. The standards were designed to provide a model for optimal training for residency affiliated fellowships to be used by faculty, trainees, and organizations setting training standards. [References: 7] IS - 0095-2990 IL - 0095-2990 PT - Consensus Development Conference PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Review PP - ppublish LG - English DP - 1991 EZ - 1991/01/01 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 19910703 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2038979 <1333. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1823121 TI - Preventing alcohol problems: the challenge for medical education. SO - CMAJ Canadian Medical Association Journal. 144(11):1388, 1991 Jun 01. AS - CMAJ. 144(11):1388, 1991 Jun 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hajela R FA - Hajela, R CM - Comment on: CMAJ. 1990 Nov 15;143(10):1060-9; PMID: 2224674 CM - Comment on: CMAJ. 1990 Nov 15;143(10):1042-7; PMID: 2224671 NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 144 IP - 11 PG - 1388 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1335668 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/th [Therapy] MH - Humans MH - Incidence MH - Ontario MH - Surveys and Questionnaires IS - 0820-3946 IL - 0820-3946 PT - Comment PT - Letter ID - PMC1335668 [pmc] PP - ppublish LG - English DP - 1991 Jun 01 EZ - 1991/06/01 DA - 1991/06/01 00:01 DT - 1991/06/01 00:00 YR - 1991 ED - 19910627 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1823121 <1334. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2014009 TI - Substance abuse education. Physician/lawyer teams in schools complement MSMS efforts. SO - Michigan Medicine. 90(2):14-8, 1991 Feb. AS - Mich Med. 90(2):14-8, 1991 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Skutar C FA - Skutar, C NJ - Michigan medicine VO - 90 IP - 2 PG - 14-8 PI - Journal available in: Print PI - Citation processed from: Print JC - mx2, 0017314 IO - Mich Med SB - Index Medicus CP - United States MH - Child MH - Humans MH - Michigan MH - *Physicians MH - *School Health Services/ma [Manpower] MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0026-2293 IL - 0026-2293 PT - Journal Article PP - ppublish LG - English DP - 1991 Feb EZ - 1991/02/01 DA - 1991/02/01 00:01 DT - 1991/02/01 00:00 YR - 1991 ED - 19910516 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2014009 <1335. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2013931 TI - Substance use rates among medical students and resident physicians. SO - JAMA. 265(16):2110-1, 1991 Apr 24. AS - JAMA. 265(16):2110-1, 1991 Apr 24. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J FA - Westermeyer, J CM - Comment in: JAMA. 1991 Sep 18;266(11):1512-4; PMID: 1880882 CM - Comment on: JAMA. 1991 Apr 24;265(16):2074-8; PMID: 2013926 CM - Comment on: JAMA. 1991 Apr 24;265(16):2069-73; PMID: 2013925 NJ - JAMA VO - 265 IP - 16 PG - 2110-1 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 - Adult MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Physician Impairment/sn [Statistics & Numerical Data] MH - *Students, Medical/sn [Statistics & Numerical Data] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States/ep [Epidemiology] IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Editorial PP - ppublish LG - English DP - 1991 Apr 24 EZ - 1991/04/24 DA - 1991/04/24 00:01 DT - 1991/04/24 00:00 YR - 1991 ED - 19910510 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2013931 <1336. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2013925 TI - Resident physician substance use in the United States. SO - JAMA. 265(16):2069-73, 1991 Apr 24. AS - JAMA. 265(16):2069-73, 1991 Apr 24. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hughes PH AU - Conard SE AU - Baldwin DC Jr AU - Storr CL AU - Sheehan DV FA - Hughes, P H FA - Conard, S E FA - Baldwin, D C Jr FA - Storr, C L FA - Sheehan, D V IN - Hughes, P H. Department of Psychiatry and Behavioral Medicine, University of South Florida, Tampa 33613. CM - Comment in: JAMA. 1991 Apr 24;265(16):2110-1; PMID: 2013931 CM - Comment in: JAMA. 1991 Sep 18;266(11):1512-4; PMID: 1880882 NJ - JAMA VO - 265 IP - 16 PG - 2069-73 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 - Adult MH - Age Factors MH - Alcohol Drinking MH - Female MH - Humans MH - *Internship and Residency/sn [Statistics & Numerical Data] MH - Male MH - Marijuana Abuse MH - Narcotics MH - *Physician Impairment/sn [Statistics & Numerical Data] MH - Sex Factors MH - Smoking MH - Street Drugs MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - A national survey was conducted to determine patterns of drug use among 3000 American resident physicians. Sixty percent (1785) of the residents surveyed responded. This report evaluates the prevalence of drug use among the respondents, when they initiated drug use, and their reasons for current use. Substance use rates are compared with other studies of resident physicians and with a sample of their nonphysician age peers surveyed the same year. Heavy substance use patterns were not observed among resident physicians. They had significantly lower rates of use for most psychoactive substances than their peers in the general population but did report higher rates of past-month use of alcohol and benzodiazepines. A sizable minority began using benzodiazepines and prescription opiates during their residency years-the stage in physicians' training when they first receive prescribing privileges. Current users of benzodiazepines and opiates used these drugs primarily for self-treatment rather than recreation. These two substances are often associated with impairment at later stages in the physician's career. RN - 0 (Narcotics) RN - 0 (Street Drugs) IS - 0098-7484 IL - 0098-7484 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: 1 R01 DA04877 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1991 Apr 24 EZ - 1991/04/24 DA - 2001/03/28 10:01 DT - 1991/04/24 00:00 YR - 1991 ED - 19910510 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2013925 <1337. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2000211 TI - Substance abuse education: an essential supplement to medical school's curriculum.[Erratum appears in Ohio Med 1991 Apr;87(4):170] SO - Ohio Medicine. 87(2):75-6, 1991 Feb. AS - Ohio Med. 87(2):75-6, 1991 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Uva JL FA - Uva, J L NJ - Ohio medicine : journal of the Ohio State Medical Association VO - 87 IP - 2 PG - 75-6 PI - Journal available in: Print PI - Citation processed from: Print JC - ohi, 8703563 IO - Ohio Med SB - Index Medicus CP - United States MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - *Substance-Related Disorders IS - 0892-2454 IL - 0892-2454 PT - Journal Article PP - ppublish LG - English DP - 1991 Feb EZ - 1991/02/01 DA - 1991/02/01 00:01 DT - 1991/02/01 00:00 YR - 1991 ED - 19910411 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2000211 <1338. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1999752 TI - Can residents be trained to counsel patients about quitting smoking? Results from a randomized trial. SO - Journal of General Internal Medicine. 6(1):9-17, 1991 Jan-Feb. AS - J Gen Intern Med. 6(1):9-17, 1991 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Strecher VJ AU - O'Malley MS AU - Villagra VG AU - Campbell EE AU - Gonzalez JJ AU - Irons TG AU - Kenney RD AU - Turner RC AU - Rogers CS AU - Lyles MF AU - et al FA - Strecher, V J FA - O'Malley, M S FA - Villagra, V G FA - Campbell, E E FA - Gonzalez, J J FA - Irons, T G FA - Kenney, R D FA - Turner, R C FA - Rogers, C S FA - Lyles, M F IN - Strecher, V J. Department of Medicine, School of Medicine, University of North Carolina, Chapel Hill 27599-7400. CM - Comment in: J Gen Intern Med. 1991 Jan-Feb;6(1):94-5; PMID: 1999753 NJ - Journal of general internal medicine VO - 6 IP - 1 PG - 9-17 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - *Counseling/ed [Education] MH - Evaluation Studies as Topic MH - Family Practice/ed [Education] MH - Humans MH - Internal Medicine/ed [Education] MH - *Internship and Residency MH - Pediatrics/ed [Education] MH - *Physician-Patient Relations MH - *Smoking Prevention MH - *Teaching/mt [Methods] AB - STUDY OBJECTIVE: To evaluate the effectiveness of two teaching interventions to increase residents' performance of smoking cessation counseling. AB - DESIGN: Randomized controlled factorial trial. AB - SETTING: Eleven residency programs, in internal medicine (six), family medicine (three), and pediatrics (two). Programs were located in three university medical centers and four university-affiliated community hospitals. AB - PARTICIPANTS: 261 residents who saw ambulatory care patients at least one half-day per week, and 937 returning patients aged 17 to 75 years who reported having smoked five or more cigarettes in the preceding seven days. Of the 937, 843 were eligible for follow-up, and 659 (78%) were interviewed by phone at six months. AB - INTERVENTIONS: Two interventions (tutorial and prompt) and four groups. The tutorial was a two-hour educational program in minimal-contact smoking cessation counseling for residents. The prompt was a chart-based reminder to assist physician counseling. One group of residents received the tutorial; one, the prompt; and one, both. A fourth group received no intervention. AB - MEASUREMENT AND RESULTS: Six months after the intervention, physician self-reports showed that residents in the tutorial + prompt and tutorial-only groups had used more counseling techniques (1.5-1.9) than had prompt-only or control residents (0.9). Residents in all three intervention groups advised more patients to quit smoking (76-79%) than did control group residents (69%). The tutorial had more effect on counseling practices than did the prompt. Physician confidence, perceived preparedness, and perceived success followed similar patterns. Exit interviews with 937 patients corroborated physician self-reports of counseling practices. Six months later, self-reported and biochemically verified patient quitting rates for residents in the three intervention groups (self-reported: 5.3-8.2%; biochemically verified: 3.4-5.7%) were higher than those for residents in the control group (self-reported: 5.2%; biochemically verified: 1.7%), though the differences were not statistically significant. AB - CONCLUSION: A simple and feasible educational intervention can increase residents' smoking cessation counseling. IS - 0884-8734 IL - 0884-8734 PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: PE54004 Organization: (PE) *BHP HRSA HHS* Country: United States GI - No: R03-CA43994 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1991 Jan-Feb EZ - 1991/01/01 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 19910411 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1999752 <1339. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2001138 TI - Physicians' effectiveness in assessing risk for human immunodeficiency virus infection. SO - Archives of Internal Medicine. 151(3):561-4, 1991 Mar. AS - Arch Intern Med. 151(3):561-4, 1991 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferguson KJ AU - Stapleton JT AU - Helms CM FA - Ferguson, K J FA - Stapleton, J T FA - Helms, C M IN - Ferguson, K J. Offices of Consultation and Research in Medical Education, University of Iowa College of Medicine, Iowa City 52242. NJ - Archives of internal medicine VO - 151 IP - 3 PG - 561-4 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 SB - AIDS/HIV Journals CP - United States MH - Acquired Immunodeficiency Syndrome/di [Diagnosis] MH - *Acquired Immunodeficiency Syndrome/ep [Epidemiology] MH - *Attitude of Health Personnel MH - Clinical Competence MH - Counseling MH - Data Collection MH - Education, Medical MH - Humans MH - Medical History Taking MH - *Physician-Patient Relations MH - *Practice Patterns, Physicians' MH - Risk Factors MH - Sexual Behavior MH - Substance-Related Disorders/di [Diagnosis] AB - An American Medical Association committee recently recommended that physicians routinely screen patients for behaviors that put patients at risk for human immunodeficiency virus infection, yet there is evidence that this screening does not occur routinely. Faculty, fellows, and residents at a teaching hospital in a midwestern state with a low prevalence of acquired immunodeficiency syndrome were surveyed regarding their experience in screening for human immunodeficiency virus, their training related to substance abuse and human sexuality, and their confidence and ease in addressing such topics with their patients. Results indicated that only 11% routinely screened patients for high-risk behaviors. While most physicians had received training in human sexuality, most had not received training in substance abuse screening. Those trained felt more confident in addressing substance abuse and human sexuality and felt more comfortable in caring for patients known to be infected with human immunodeficiency virus. A concerted effort to encourage human immunodeficiency virus risk assessment by physicians is needed. This should include training opportunities in screening and counseling patients about sexual activities and substance abuse. IS - 0003-9926 IL - 0003-9926 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: BRT 0000-33-02-0 Organization: *PHS HHS* Country: United States LG - English DP - 1991 Mar EZ - 1991/03/01 DA - 1991/03/01 00:01 DT - 1991/03/01 00:00 YR - 1991 ED - 19910410 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2001138 <1340. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1997028 TI - Substance abuse by anesthesiology residents. SO - Academic Medicine. 66(3):164-6, 1991 Mar. AS - Acad Med. 66(3):164-6, 1991 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lutsky I AU - Abram SE AU - Jacobson GR AU - Hopwood M AU - Kampine JP FA - Lutsky, I FA - Abram, S E FA - Jacobson, G R FA - Hopwood, M FA - Kampine, J P IN - Lutsky, I. Department of Anesthesiology, Medical College of Wisconsin, Milwaukee 53226. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 66 IP - 3 PG - 164-6 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 - Adolescent MH - Adult MH - *Anesthesiology/ed [Education] MH - Child MH - Cross-Sectional Studies MH - Evaluation Studies as Topic MH - Humans MH - *Internship and Residency MH - *Psychotropic Drugs MH - Stress, Psychological/co [Complications] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Surveys and Questionnaires MH - Wisconsin/ep [Epidemiology] AB - A 1989 cross-sectional substance abuse survey of 260 former anesthesiology residents of the Medical College of Wisconsin (MCW) during the previous 30 years yielded 183 responses (70.3%). Over three-fourths (77.2%) of those who responded reported that they had used alcohol when they were residents; 20.0% had used marijuana; and 15.7% had used cocaine. Forty-three of the 178 respondents had used unprescribed psychoactive drugs. Twenty-nine (15.8%) had been self-admitted problematic substance abusers during their residencies: 23, alcohol dependent and six, drug dependent; among the latter were four with a dual (alcohol and drug) dependency. More than 85% considered the drug policy information available during their residencies had been inadequate; institutional drug-control policies were rated "fair-to-poor" by more than 70%. Thirty-five of the residents had observed their teachers using alcohol and/or other drugs to the detriment of their teaching; approximately one-third of these infractions had gone unreported. RN - 0 (Psychotropic Drugs) IS - 1040-2446 IL - 1040-2446 PT - Comparative Study PT - Journal Article PP - ppublish LG - English DP - 1991 Mar EZ - 1991/03/01 DA - 1991/03/01 00:01 DT - 1991/03/01 00:00 YR - 1991 ED - 19910403 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1997028 <1341. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2289055 TI - Development of a district training strategy. SO - British Journal of Addiction. 85(12):1563-70, 1990 Dec. AS - Br J Addict. 85(12):1563-70, 1990 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Tober G AU - Raistrick D FA - Tober, G FA - Raistrick, D IN - Tober, G. Leeds Addiction Unit, UK. NJ - British journal of addiction VO - 85 IP - 12 PG - 1563-70 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - Humans MH - *Physicians, Family/ed [Education] MH - *Psychiatry/ed [Education] MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United Kingdom AB - This paper reiterates the need for training in addiction for primary care workers and proposes motivational and structural explanatory frameworks to further our understanding of the difficulties in recruitment of staff from the variety of occupational groups to substance misuse training. This analysis is applied to inform the design and delivery of training locally. The basic tenets of a district training strategy are derived from this analysis and the training strategy for the two Leeds District Health Authorities is described. The strategy is based upon identification of the specific occupational needs of each primary care worker group at each stage of their career, and upon the utilization of available resources to fulfil their training needs in the occupation specific context. The different occupational groups have different roles to play in the prevention and management of substance misuse and the specific skills required will be closely tied into their particular role and based upon pre-existing skills. The resources for and methods of implementing the strategy are described. IS - 0952-0481 IL - 0952-0481 PT - Journal Article PP - ppublish LG - English DP - 1990 Dec EZ - 1990/12/01 DA - 1990/12/01 00:01 DT - 1990/12/01 00:00 YR - 1990 ED - 19910403 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2289055 <1342. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2285841 TI - Teaching about substance abuse in medical school. SO - British Journal of Addiction. 85(11):1451-5, 1990 Nov. AS - Br J Addict. 85(11):1451-5, 1990 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Waller JA AU - Casey R FA - Waller, J A FA - Casey, R IN - Waller, J A. Department of Medicine, University of Vermont, Burlington 05405. NJ - British journal of addiction VO - 85 IP - 11 PG - 1451-5 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - *Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Curriculum/td [Trends] MH - *Education, Medical/td [Trends] MH - Humans MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Vermont AB - Physicians often fail to diagnose and treat (or treat properly) alcoholism and other chemical dependence in patients. This failure may result from inadequate training, a sense of futility about effectiveness of treatment, belief that this is a social problem rather than disease or denial because the physician him/herself is from a family with substance abuse. A survey of 81 first year medical students identified six (7%) with past or present patterns suggesting abuse of alcohol or other drugs, five (6%) reporting both personal and immediate family abuse patterns, and 25 (31%) who reported such patterns in parents, grandparents or siblings. Students who are adult children of alcoholics (ACOAs) often need emotional support while learning about alcoholism and its treatment. Medical school training about substance abuse must take these needs into consideration and provide services approved by, but insulated from, the dean's office to help students cope with effects of personal or family substance abuse. IS - 0952-0481 IL - 0952-0481 PT - Journal Article PP - ppublish LG - English DP - 1990 Nov EZ - 1990/11/01 DA - 1990/11/01 00:01 DT - 1990/11/01 00:00 YR - 1990 ED - 19910328 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2285841 <1343. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2283947 TI - [Attitudes, knowledge and methods of assistance used by general practitioners in Novara in treating drug addicts. Study of 100 doctors]. [Italian] OT - Atteggiamenti, conoscenza e modalitaa assistenziali dei medici di base della cittaa di Novara verso i soggetti tossicodipendenti. Studio su 100 medici. SO - Minerva Psichiatrica. 31(3):145-9, 1990 Jul-Sep. AS - Minerva Psichiatr. 31(3):145-9, 1990 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Furlan PM AU - Laguzzi S AU - Rosa M AU - Barboni S AU - Roagna G AU - Scarso G FA - Furlan, P M FA - Laguzzi, S FA - Rosa, M FA - Barboni, S FA - Roagna, G FA - Scarso, G IN - Furlan, P M. U.S.S.L. n. 34 - Ospedale San Luigi Gonzaga-Orbassano, Universitaa di Torino. NJ - Minerva psichiatrica VO - 31 IP - 3 PG - 145-9 PI - Journal available in: Print PI - Citation processed from: Print JC - mg4, 7707981 IO - Minerva Psichiatr SB - Index Medicus CP - Italy MH - Attitude of Health Personnel MH - Family Practice MH - Humans MH - Italy MH - *Substance-Related Disorders/th [Therapy] AB - The study examines the relationship between the general practitioner and the drug addict and aims to evaluate some aspects of the work of the health service, above all with reference to the methods of assistance, attitudes and knowledge relating to the problem of treating drug addicts. A questionnaire was sent to 100 general practitioners in Novara; it consisted of 15 questions relation to the doctor's opinion of the drug addict, the methods and place of intervention, the doctor's judgement regarding his/her own preparation and function, and the frequency of contact with drug addicts. The findings show that the majority of doctors have a positive attitude towards the problem, but that there is also a widespread feeling of impotency, dislike, loneliness, disinformation, and in addiction a feeling of educational inadequacy on the subject. IS - 0374-9320 IL - 0374-9320 PT - English Abstract PT - Journal Article PP - ppublish LG - Italian DP - 1990 Jul-Sep EZ - 1990/07/01 DA - 1990/07/01 00:01 DT - 1990/07/01 00:00 YR - 1990 ED - 19910315 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2283947 <1344. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1986085 TI - "Crack" use by American middle-class adolescent polydrug abusers. SO - Journal of Pediatrics. 118(1):150-5, 1991 Jan. AS - J Pediatr. 118(1):150-5, 1991 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwartz RH AU - Luxenberg MG AU - Hoffmann NG FA - Schwartz, R H FA - Luxenberg, M G FA - Hoffmann, N G IN - Schwartz, R H. Department of Pediatrics, Fairfax Hospital, Falls Church, Virginia. NJ - The Journal of pediatrics VO - 118 IP - 1 PG - 150-5 PI - Journal available in: Print PI - Citation processed from: Print JC - jlz, 0375410 IO - J. Pediatr. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Cocaine/ae [Adverse Effects] MH - *Cocaine/aa [Analogs & Derivatives] MH - Female MH - Humans MH - Male MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/px [Psychology] MH - United States/ep [Epidemiology] AB - A 77-item questionnaire on cocaine and "crack" use patterns, and on the addictive, medical, and criminal consequences of such use, was completed by 464 largely white, middle-class, suburban, teenage drug abusers registered in seven geographically disparate outpatient treatment facilities. Of the 130 (28%) who smoked crack, 87 (67%) were designated as "experimenters" (use of crack 1 to 9 times); 20 (15%) were in an intermediate group (smoked crack 10 to 50 times); and 23 (18%) were heavy users (smoked crack more than 50 times). Sixty percent of heavy users progressed from initiation of crack use to its use at least once a week in less than 3 months. Almost 50% of the 87 experimenters and nearly all the 23 heavy users recalled preoccupation with thoughts of crack, rapid loss of the ability to modulate their use of the drug, and rapid development of pharmacologic tolerance. Suspiciousness, mistrust, and depressed mood were associated with the increasing use of crack. Seizures occurred in none of those who used cocaine by snorting it intranasally (without ever smoking crack), in contrast to 1% of the experimenters and 9% of the 43 respondents who had smoked crack at least 10 times. Seven percent of the 87 experimenters versus almost one fourth of the 43 who smoked crack more frequently had injected cocaine intravenously. The use of crack by middle-class adolescents is associated with rapid addiction and with serious behavioral and medical complications. RN - I5Y540LHVR (Cocaine) IS - 0022-3476 IL - 0022-3476 PT - Journal Article PP - ppublish LG - English DP - 1991 Jan EZ - 1991/01/01 DA - 1991/01/01 00:01 DT - 1991/01/01 00:00 YR - 1991 ED - 19910214 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1986085 <1345. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2176030 TI - [Changes in the profile of teaching psychiatry and narcotism to medical students]. [Russian] OT - Ob izmenenii profilia prepodavaniia psikhiatrii i narkologii studentam lechebnykh spetsial'nostei. SO - Zhurnal Nevropatologii i Psikhiatrii Imeni S - S - Korsakova. 90(9):127, 1990. AS - Zh Nevropatol Psikhiatr Im S S Korsakova. 90(9):127, 1990. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shcherbina EA AU - Komissarova RA FA - Shcherbina, E A FA - Komissarova, R A NJ - Zhurnal nevropatologii i psikhiatrii imeni S.S. Korsakova (Moscow, Russia : 1952) VO - 90 IP - 9 PG - 127 PI - Journal available in: Print PI - Citation processed from: Print JC - y9y, 8710066 IO - Zh Nevropatol Psikhiatr Im S S Korsakova SB - Index Medicus CP - Russia (Federation) MH - Curriculum MH - *Drug and Narcotic Control MH - *Education, Medical MH - Humans MH - *Internship and Residency MH - Medicine/td [Trends] MH - *Opioid-Related Disorders/px [Psychology] MH - *Psychiatry/ed [Education] MH - Psychiatry/td [Trends] MH - *Specialization MH - Teaching/mt [Methods] MH - *Teaching/td [Trends] MH - USSR IS - 0044-4588 IL - 0044-4588 PT - Journal Article PP - ppublish LG - Russian DP - 1990 EZ - 1990/01/01 DA - 1990/01/01 00:01 DT - 1990/01/01 00:00 YR - 1990 ED - 19910207 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2176030 <1346. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2232058 TI - Substance abuse and anesthesiology training. SO - JAMA. 264(21):2741-2, 1990 Dec 05. AS - JAMA. 264(21):2741-2, 1990 Dec 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Matsumura JS FA - Matsumura, J S CM - Comment on: JAMA. 1990 Jun 13;263(22):3060-2; PMID: 2342218 NJ - JAMA VO - 264 IP - 21 PG - 2741-2 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 - *Anesthesiology/ed [Education] MH - Humans MH - *Internship and Residency MH - Physician Impairment MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Letter PP - ppublish LG - English DP - 1990 Dec 05 EZ - 1990/12/05 DA - 1990/12/05 00:01 DT - 1990/12/05 00:00 YR - 1990 ED - 19901226 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2232058 <1347. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2224678 TI - Medical education for alcohol and other drug abuse in the United States. [Review] [22 refs] SO - CMAJ Canadian Medical Association Journal. 143(10):1091-6, 1990 Nov 15. AS - CMAJ. 143(10):1091-6, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lewis DC FA - Lewis, D C IN - Lewis, D C. Brown University Center for Alcohol and Addiction Studies, Providence, RI. NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1091-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452493 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Academic Medical Centers/og [Organization & Administration] MH - *Alcoholism/pc [Prevention & Control] MH - Clinical Competence/st [Standards] MH - Communication MH - *Curriculum/td [Trends] MH - *Education, Medical/og [Organization & Administration] MH - Humans MH - *Physician's Role MH - Pilot Projects MH - Program Evaluation MH - Rhode Island MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - Initiatives by individuals, private foundations and government have led to improvements in the United States in medical education dealing with alcohol and drug-related problems. Progress has been made, particularly in the past 5 years, in developing new medical school curricula and in faculty development. Greater activity by national professional organizations has helped raise the priority of training in alcohol- and drug-related areas for undergraduate and postgraduate medical education. As an example, Project ADEPT (Alcohol and Drug Education for Physician Training in primary care) at Brown University in Providence, Rhode Island, is described. The importance of positive and motivated faculty role models and of skills training is emphasized. [References: 22] IS - 0820-3946 IL - 0820-3946 PT - Journal Article PT - Review ID - PMC1452493 [pmc] PP - ppublish LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20131002 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2224678 <1348. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2224679 TI - An agenda for action. SO - CMAJ Canadian Medical Association Journal. 143(10):1097-8, 1990 Nov 15. AS - CMAJ. 143(10):1097-8, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ashley MJ AU - Brewster JM AU - Chow YC AU - Rankin JG AU - Single E AU - Skinner HA FA - Ashley, M J FA - Brewster, J M FA - Chow, Y C FA - Rankin, J G FA - Single, E FA - Skinner, H A IN - Ashley, M J. Department of Preventive Medicine and Biostatistics, Faculty of Medicine, University of Toronto. NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1097-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452509 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Alcoholism/pc [Prevention & Control] MH - Canada MH - Clinical Competence/st [Standards] MH - *Curriculum/td [Trends] MH - *Education, Medical/og [Organization & Administration] MH - Humans MH - *Leadership MH - *Schools, Medical/og [Organization & Administration] IS - 0820-3946 IL - 0820-3946 PT - Journal Article ID - PMC1452509 [pmc] PP - ppublish LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2224679 <1349. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2224677 TI - The development of medical education on alcohol- and drug-related problems at the University of Toronto. SO - CMAJ Canadian Medical Association Journal. 143(10):1083-91, 1990 Nov 15. AS - CMAJ. 143(10):1083-91, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rankin JG FA - Rankin, J G IN - Rankin, J G. Addiction Research Foundation Clinical Institute, Toronto, Ont. NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1083-91 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452514 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Academic Medical Centers MH - *Alcoholism/pc [Prevention & Control] MH - *Curriculum/td [Trends] MH - *Education, Medical/og [Organization & Administration] MH - Education, Medical, Graduate/og [Organization & Administration] MH - Education, Medical, Undergraduate/og [Organization & Administration] MH - Humans MH - Internship and Residency/og [Organization & Administration] MH - Ontario MH - *Physician's Role MH - Social Responsibility MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Time Factors AB - Medical education on alcohol- and drug-related problems at the University of Toronto covers undergraduate, residency and graduate programs, a result of collaboration since 1959 between the university and the Addiction Research Foundation of Ontario. An undergraduate core curriculum, developed in the early 1970s, is offered in year 2; it has been supplemented by electives, selectives and comprehensive clinics. The undergraduate program is rated highly by students; since 1978, 3024 have completed the core program. Residency training started in 1974 and is available through electives lasting from 1 to 12 months in internal medicine, psychiatry, and family and community medicine. To date, 370 residents have completed one of these electives; 129 have completed graduate programs in which their theses concerned alcohol- and drug-related topics, and there have been an additional 13 research and postdoctoral fellows. Despite the progress, there is still a need to improve and expand the undergraduate and residency programs and to develop an effective program of continuing medical education. The goals should be to ensure that, as far as possible, all medical graduates from the University of Toronto have the knowledge, attitudes, skills and behaviours needed to contribute effectively to the prevention and treatment of alcohol- and drug-related problems in their chosen field of practice and to avoid problems from their personal use of alcohol and other drugs. IS - 0820-3946 IL - 0820-3946 PT - Comparative Study PT - Journal Article ID - PMC1452514 [pmc] PP - ppublish LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2224677 <1350. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2224676 TI - Preventing alcohol problems: survey of Canadian medical schools. SO - CMAJ Canadian Medical Association Journal. 143(10):1076-82, 1990 Nov 15. AS - CMAJ. 143(10):1076-82, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brewster JM AU - Single E AU - Ashley MJ AU - Chow YC AU - Skinner HA AU - Rankin JG FA - Brewster, J M FA - Single, E FA - Ashley, M J FA - Chow, Y C FA - Skinner, H A FA - Rankin, J G IN - Brewster, J M. Addiction Research Foundation of Ontario, Toronto. NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1076-82 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452512 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Alcoholism/pc [Prevention & Control] MH - Canada MH - Clinical Competence/st [Standards] MH - Communication MH - Curriculum MH - Education, Medical, Graduate/og [Organization & Administration] MH - Evaluation Studies as Topic MH - Government Agencies MH - Humans MH - *Physician's Role MH - *Schools, Medical/og [Organization & Administration] MH - Surveys and Questionnaires AB - In preparation for a national conference on medical education in the prevention of alcohol problems, a survey of conference participants was conducted. Participants were undergraduate and postgraduate representatives from each Canadian medical school and representatives from 11 provincial and territorial alcohol and other drug agencies. There was agreement that physicians and medical schools have important roles in prevention and treatment of alcohol problems, with "traditional" medical roles seen as the most important. Current training is variable and was seen as inadequate, with more time devoted to treatment than prevention. To correct this situation, renewed priorities and faculty leadership are needed. Respondents felt that there should be uniform standards for assessing undergraduate students' skills in dealing with alcohol problems. Provincial alcohol and other drug agencies are underused in medical education in the prevention and treatment of alcohol problems. IS - 0820-3946 IL - 0820-3946 PT - Journal Article ID - PMC1452512 [pmc] PP - ppublish LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2224676 <1351. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2224675 TI - Brief intervention strategies for harmful drinkers: new directions for medical education. [Review] [31 refs] SO - CMAJ Canadian Medical Association Journal. 143(10):1070-6, 1990 Nov 15. AS - CMAJ. 143(10):1070-6, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Babor TF FA - Babor, T F IN - Babor, T F. Department of Psychiatry, University of Connecticut Health Center, Farmington 06032. NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1070-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452497 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/th [Therapy] MH - Attitude to Health MH - *Behavior Therapy/mt [Methods] MH - Communication MH - Curriculum MH - *Education, Medical/td [Trends] MH - Humans MH - Life Style MH - Motivation MH - *Physician's Role MH - Program Evaluation MH - Social Problems MH - Time Factors AB - Recent advances in the technology of behavioural interventions for harmful drinkers have created a new role for clinical practice and new challenges for medical education. Several reports from expert committees have recommended new initiatives in the secondary prevention of alcohol problems through physician-based interventions at the primary care level. The conceptual and scientific bases for these recommendations are discussed in terms of recent studies of harmful and hazardous drinkers. The behavioural principles thought to account for the effectiveness of brief interventions are explained. Despite these promising developments, difficulties are inherent in the introduction of new technologies, especially behavioural technologies, into medical practice. A major challenge to medical education will be the development of academic programs that not only teach skills and competencies in secondary prevention but also deal with the socialization of physicians as behavioural practitioners. [References: 31] IS - 0820-3946 IL - 0820-3946 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review ID - PMC1452497 [pmc] PP - ppublish GI - No: R01-AA03510 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20161019 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2224675 <1352. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2224672 TI - The role of medical schools in the prevention of alcohol-related problems. SO - CMAJ Canadian Medical Association Journal. 143(10):1048-53, 1990 Nov 15. AS - CMAJ. 143(10):1048-53, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Negrete JC FA - Negrete, J C IN - Negrete, J C. Alcohol and Drug Dependency Unit, Montreal General Hospital. NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1048-53 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452478 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Alcoholics Anonymous MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - *Alcoholism/pc [Prevention & Control] MH - Alcoholism/px [Psychology] MH - Attitude of Health Personnel MH - Canada MH - Clinical Competence/st [Standards] MH - *Curriculum MH - Education, Medical/td [Trends] MH - Evaluation Studies as Topic MH - Family Health MH - Global Health MH - Health Education MH - Humans MH - *Physician's Role MH - Prevalence MH - *Schools, Medical/og [Organization & Administration] MH - Schools, Medical/td [Trends] AB - There is agreement that physicians can play a major role in the prevention of alcohol problems among their patients and that medical schools should prepare physicians for this role by teaching three major subject areas: knowledge, attitudes and clinical skills. Despite this agreement and the acknowledged high prevalence of alcohol problems in clinical populations, medical school coverage of these problems is not proportional to their importance. Barriers to adequate coverage of alcohol problems are traditional attitudes, confusion as to whether such problems are "medical" and lack of adequate faculty role models. These problems could be remedied by encouragement and training of interested faculty members, establishment of substance abuse centres in university medical schools, integration of alcohol-related material with relevant topics in all departments and inclusion of alcohol-related questions on medical qualifying exams. IS - 0820-3946 IL - 0820-3946 PT - Journal Article ID - PMC1452478 [pmc] PP - ppublish LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20141120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2224672 <1353. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2224665 TI - Preventing alcohol problems: preparing physicians for their roles and responsibilities. SO - CMAJ Canadian Medical Association Journal. 143(10):1005-6, 1990 Nov 15. AS - CMAJ. 143(10):1005-6, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rankin JG AU - Ashley MJ AU - Brewster JM AU - Chow YC AU - Single E AU - Skinner HA FA - Rankin, J G FA - Ashley, M J FA - Brewster, J M FA - Chow, Y C FA - Single, E FA - Skinner, H A NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1005-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452498 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Alcoholism/pc [Prevention & Control] MH - *Attitude of Health Personnel MH - Canada MH - Education, Medical MH - Humans MH - *Physician's Role MH - *Social Responsibility IS - 0820-3946 IL - 0820-3946 PT - Editorial ID - PMC1452498 [pmc] PP - ppublish LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20131002 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2224665 <1354. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1977509 TI - Preventing alcohol problems: the challenge for medical education. Proceedings of a national conference. Niagara-on-the-Lake, October 16-17, 1989. SO - CMAJ Canadian Medical Association Journal. 143(10):1041-98, 1990 Nov 15. AS - CMAJ. 143(10):1041-98, 1990 Nov 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 143 IP - 10 PG - 1041-98 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1452513 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Alcoholism/pc [Prevention & Control] MH - Canada MH - *Education, Medical MH - Humans IS - 0820-3946 IL - 0820-3946 PT - Congresses PT - Overall PT - Research Support, Non-U.S. Gov't ID - PMC1452513 [pmc] PP - ppublish LG - English DP - 1990 Nov 15 EZ - 1990/11/15 DA - 1990/11/15 00:01 DT - 1990/11/15 00:00 YR - 1990 ED - 19901213 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=1977509 <1355. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2239863 TI - Pediatrician's knowledge and practices regarding parental use of alcohol. SO - American Journal of Diseases of Children. 144(11):1234-7, 1990 Nov. AS - Am J Dis Child. 144(11):1234-7, 1990 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Greer SW AU - Bauchner H AU - Zuckerman B FA - Greer, S W FA - Bauchner, H FA - Zuckerman, B IN - Greer, S W. Division of General Pediatrics, Boston City Hospital, MA 02118. NJ - American journal of diseases of children (1960) VO - 144 IP - 11 PG - 1234-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 3gs, 0370471 IO - Am. J. Dis. Child. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - Education, Medical, Continuing MH - Family Practice/mt [Methods] MH - *Health Knowledge, Attitudes, Practice MH - Humans MH - Medical History Taking MH - *Parents MH - Pediatrics/ed [Education] MH - *Pediatrics/mt [Methods] MH - *Physicians/px [Psychology] MH - Surveys and Questionnaires AB - Problems with alcohol are common in the United States but are too frequently ignored by physicians, particularly those working with children. We explored pediatricians' knowledge and practices regarding parental use of alcohol and compared these attributes with those of family practitioners. Child health care providers attending three continuing medical education courses in general pediatrics were surveyed using a closed-item questionnaire. One hundred ninety (69%) of the participants responded, including 90 pediatricians and 39 family practitioners. Forty-six percent of responding pediatricians, compared with 90% of family practitioners, stated that they ask about problems with alcohol in taking a routine family history. Thirty-eight percent of pediatricians who knew the frequency of alcoholism, compared with 47% of those who did not, indicated that they include it in taking a routine family history. Forty-six percent of pediatricians who have experienced a problem with alcohol in their own family, compared with 20% of pediatricians without such personal experience, routinely address the issue of alcohol use with parents and children. Similar analyses among the family practitioners revealed no significant differences. We conclude that fewer than half of pediatricians ask about problems with alcohol in taking a family history. The likelihood of asking about such problems was not influenced by the health care provider's knowledge of alcoholism, but it was influenced by the provider's personal family history of problems with alcohol. Because of the important morbidity associated with alcohol use in families, and because intervention can improve functioning and adaptation of the child, training and Continuing Medical Education courses should address this issue. IS - 0002-922X IL - 0002-922X PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: MCJ 009094 Organization: *PHS HHS* Country: United States LG - English DP - 1990 Nov EZ - 1990/11/01 DA - 1990/11/01 00:01 DT - 1990/11/01 00:00 YR - 1990 ED - 19901210 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2239863 <1356. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2228939 TI - A model curriculum for substance abuse education in child and adolescent psychiatry training programs. SO - Journal of the American Academy of Child & Adolescent Psychiatry. 29(5):817-20, 1990 Sep. AS - J Am Acad Child Adolesc Psychiatry. 29(5):817-20, 1990 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Halikas JA FA - Halikas, J A IN - Halikas, J A. Department of Psychiatry, University of Minnesota, Minneapolis 55455. NJ - Journal of the American Academy of Child and Adolescent Psychiatry VO - 29 IP - 5 PG - 817-20 PI - Journal available in: Print PI - Citation processed from: Print JC - hg5, 8704565 IO - J Am Acad Child Adolesc Psychiatry SB - Index Medicus CP - United States MH - Adolescent MH - *Adolescent Psychiatry/ed [Education] MH - Child MH - *Child Psychiatry/ed [Education] MH - Curriculum MH - Humans MH - *Internship and Residency MH - Minnesota MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Child psychiatry training recognizes substance abuse as a problem requiring an educational effort to provide fellows with adequate clinical skills to manage these patients. The components of a substance abuse educational module which may be integrated into existing child psychiatry fellowships are presented, with a discussion of practical problems raised by the expansion of child psychiatry into this neglected area. IS - 0890-8567 IL - 0890-8567 PT - Journal Article ID - S0890-8567(09)64692-X [pii] ID - 10.1097/00004583-199009000-00023 [doi] PP - ppublish LG - English DP - 1990 Sep EZ - 1990/09/01 DA - 1990/09/01 00:01 DT - 1990/09/01 00:00 YR - 1990 ED - 19901207 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2228939 <1357. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2228938 TI - Alcoholism and substance abuse teaching in child psychiatry residency programs. SO - Journal of the American Academy of Child & Adolescent Psychiatry. 29(5):813-6, 1990 Sep. AS - J Am Acad Child Adolesc Psychiatry. 29(5):813-6, 1990 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - 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. Department of Psychiatry, Fairfax Hospital, Falls Church, Virginia 22046. NJ - Journal of the American Academy of Child and Adolescent Psychiatry VO - 29 IP - 5 PG - 813-6 PI - Journal available in: Print PI - Citation processed from: Print JC - hg5, 8704565 IO - J Am Acad Child Adolesc Psychiatry SB - Index Medicus CP - United States MH - *Adolescent Psychiatry/ed [Education] MH - *Alcoholism/rh [Rehabilitation] MH - Child MH - *Child Psychiatry/ed [Education] MH - Curriculum MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Virginia AB - In order to determine the needs and goals of substance abuse teaching, vis-a-vis child psychiatry training, a questionnaire was sent to the training directors at every child psychiatry program accredited by the Accreditation Council of Graduate Medical Examination. The results demonstrated that most child psychiatry programs schedule at least some didactic time specifically for substance abuse topics. However, only 59% of the training directors felt that their fellows were adequately educated to identify and at least initially manage a drug abusing adolescent. IS - 0890-8567 IL - 0890-8567 PT - Journal Article ID - S0890-8567(09)64691-8 [pii] ID - 10.1097/00004583-199009000-00022 [doi] PP - ppublish LG - English DP - 1990 Sep EZ - 1990/09/01 DA - 1990/09/01 00:01 DT - 1990/09/01 00:00 YR - 1990 ED - 19901207 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2228938 <1358. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2239643 TI - Recommended core educational guidelines on alcoholism and substance abuse for family practice residents. American Academy of Family Physicians. SO - American Family Physician. 42(5):1437-8, 1990 Nov. AS - Am Fam Physician. 42(5):1437-8, 1990 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - American family physician VO - 42 IP - 5 PG - 1437-8 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 - *Alcoholism MH - Curriculum MH - *Family Practice/ed [Education] MH - Health Knowledge, Attitudes, Practice MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders IS - 0002-838X IL - 0002-838X PT - Guideline PT - Journal Article PP - ppublish LG - English DP - 1990 Nov EZ - 1990/11/01 DA - 1990/11/01 00:01 DT - 1990/11/01 00:00 YR - 1990 ED - 19901204 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2239643 <1359. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2216620 TI - Substance abuse education in pediatrics. SO - Pediatrics. 86(4):555-60, 1990 Oct. AS - Pediatrics. 86(4):555-60, 1990 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Adger H Jr AU - McDonald EM AU - DeAngelis C FA - Adger, H Jr FA - McDonald, E M FA - DeAngelis, C IN - Adger, H Jr. Johns Hopkins University School of Medicine, Department of Pediatrics, Baltimore, MD 21205. NJ - Pediatrics VO - 86 IP - 4 PG - 555-60 PI - Journal available in: Print PI - Citation processed from: Print JC - oxv, 0376422 IO - Pediatrics SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - Attitude of Health Personnel MH - Curriculum MH - Education, Medical, Undergraduate MH - Humans MH - Internship and Residency MH - *Pediatrics/ed [Education] MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - Historically, physicians have received little formal education related to alcohol or other drug abuse and dependence. A survey of all pediatric programs in the United States was conducted to assess the current status of alcohol/drug education in pediatrics. At the medical student and residency training levels, only 44% and 40% of programs, respectively, required any formal instruction, and only 27% and 34%, respectively, offered an elective for medical students or residents. Although most respondents endorsed the inclusion of both required and elective alcohol and drug education in the curriculum, few programs that did not include it already had a future plan for it. Major impediments identified were curriculum time constraints (86% medical student level, 68% resident level) and the lack of a qualified instructor (55% medical student level, 50% resident level). The survey results suggest a strong need for development of faculty and structured alcohol and drug abuse educational plans specific to pediatrics. IS - 0031-4005 IL - 0031-4005 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: ADM 281-86-0009 Organization: (AD) *ADAMHA HHS* Country: United States LG - English DP - 1990 Oct EZ - 1990/10/01 DA - 2001/03/28 10:01 DT - 1990/10/01 00:00 YR - 1990 ED - 19901121 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2216620 <1360. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2215297 TI - Early diagnosis of substance abuse: evaluation of a course of computer-assisted instruction. SO - Medical Education. 24(5):438-46, 1990 Sep. AS - Med Educ. 24(5):438-46, 1990 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown RL AU - Carlson BL FA - Brown, R L FA - Carlson, B L IN - Brown, R L. Department of Family Medicine, Jefferson Medical College, Philadelphia, Pennsylvania. NJ - Medical education VO - 24 IP - 5 PG - 438-46 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Adult MH - Attitude of Health Personnel MH - *Clinical Clerkship MH - *Computer-Assisted Instruction MH - *Curriculum MH - Family Practice/ed [Education] MH - Humans MH - Philadelphia MH - Students, Medical MH - *Substance-Related Disorders/di [Diagnosis] AB - A computer-assisted, experiential course of instruction on early diagnosis of substance abuse was developed and compared to three existing substance abuse curricula for third-year medical students on family medicine clerkships. The experimental course, requiring 2 hours of teacher contact, consisted of three computer-assisted instruction modules, active discussion, role play, opportunities for applying new knowledge and clinical skills, and modelling of clinical interest by a family doctor. The three comparison educational programmes were a one-week immersion experience on a substance abuse in-patient unit, 1-4 hours of lecture, and no formal teaching. For 6 months, all third-year medical students at Jefferson Medical College were exposed to one of these courses, and to the same required readings on substance abuse, on their required family medicine rotations at different clerkship sites. They completed end-of-rotation questionnaires assessing their knowledge, satisfaction with substance abuse teaching, and motivation for continued learning. Groups were similar with regard to demographic variables, academic performance, and previous curricular and extra-curricular exposure to substance abuse. Despite a possible selection bias favouring the immersion experience, the computer-assisted course resulted in higher levels of knowledge on early diagnosis, but similar attitudes and satisfaction. The computer-assisted and immersion courses produced more favourable outcomes than lecture-based teaching and no formal teaching. Compared to no formal teaching, lecture did not produce measurable effect. The results suggest that a computer-assisted, experiential substance abuse course, based on relevant and practical goals, can efficiently augment knowledge and motivation for further learning of third-year medical students. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1990 Sep EZ - 1990/09/01 DA - 1990/09/01 00:01 DT - 1990/09/01 00:00 YR - 1990 ED - 19901119 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2215297 <1361. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2213933 TI - Alcohol intoxication, injuries, and dangerous behaviors--and the revolving emergency department door. SO - Journal of Trauma-Injury Infection & Critical Care. 30(10):1252-8, 1990 Oct. AS - J Trauma. 30(10):1252-8, 1990 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lowenstein SR AU - Weissberg MP AU - Terry D FA - Lowenstein, S R FA - Weissberg, M P FA - Terry, D IN - Lowenstein, S R. Emergency Medicine Clinical Research Center, University of Colorado Health Science Center, Denver. NJ - The Journal of trauma VO - 30 IP - 10 PG - 1252-8 PI - Journal available in: Print PI - Citation processed from: Print JC - kaf, 0376373 IO - J Trauma SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Alcoholic Intoxication/co [Complications] MH - Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - Counseling MH - *Dangerous Behavior MH - Education, Medical, Continuing MH - Emergency Medicine/ed [Education] MH - Female MH - Humans MH - Male MH - Psychotherapy/mt [Methods] MH - Referral and Consultation MH - Violence MH - *Wounds and Injuries/et [Etiology] MH - Wounds and Injuries/pc [Prevention & Control] AB - Suicides, homicides, motor vehicle crashes, and other violent deaths and injuries are linked inextricably to alcoholism. The association of injury and alcoholism should be particularly obvious to Emergency Department (ED) physicians. We sought to determine the extent to which intoxicated patients in an ED were properly diagnosed, counselled, and referred for substance abuse care. We reviewed the charts of 153 consecutive patients seen in a teaching hospital ED who had blood alcohol levels above 100 mg%. Most were male (70%), white (62%), young (mean age, 34 years) and severely intoxicated (mean BAL, 245; range, 109-558 mg%). Forty-six per cent of visits were for trauma; half of the patients were victims of violent assaults. The intoxicated patients received extensive medical and surgical management: an average of five tests or X-rays were performed per patient; 75% received at least one medication; at discharge 48% were referred for followup to medical or surgical clinics. In contrast, few patients were evaluated for dangerous behaviors or referred for treatment of alcoholism: only 19 patients (12.5%) were asked about depression, suicide, or homicide; 15% were advised to stop drinking; 13% received a referral to a psychiatrist, mental health worker, or alcohol rehabilitation facility. Forty-seven per cent of patients received "stat" intravenous thiamine (although the Wernicke-Korsakoff syndrome is rare). In contrast, only 16% received a stat on-site psychiatric consultation (although dangerous behaviors are common in alcoholics). There was a strong, statistically significant negative association between the occurrence of an injury and the decision to initiate treatment and referrals for alcoholism.(ABSTRACT TRUNCATED AT 250 WORDS) IS - 0022-5282 IL - 0022-5282 PT - Journal Article PP - ppublish LG - English DP - 1990 Oct EZ - 1990/10/01 DA - 1990/10/01 00:01 DT - 1990/10/01 00:00 YR - 1990 ED - 19901116 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2213933 <1362. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2399576 TI - [Consumption of alcohol and tobacco during pregnancy by health advisors. An investigation of nurses, nurses' aides, physicians and school teachers]. [Danish] OT - Sundhedsradgiveres brug af alkohol og tobak under graviditeten. En undersogelse af sygeplejersker, sygehjaelpere, laeger og skolelaerere. SO - Ugeskrift for Laeger. 152(29):2101-4, 1990 Jul 16. AS - Ugeskr Laeger. 152(29):2101-4, 1990 Jul 16. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frische JG AU - Pereira A Da C AU - Olsen J AU - Poulsen AO AU - Kirchheiner JH FA - Frische, J G FA - Pereira A Da, C FA - Olsen, J FA - Poulsen, A O FA - Kirchheiner, J H IN - Frische, J G. Institut for Samfundsmedicin, afdelingen for socialmedicin, Odense. NJ - Ugeskrift for laeger VO - 152 IP - 29 PG - 2101-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 0141730, wm8 IO - Ugeskr. Laeg. SB - Index Medicus CP - Denmark MH - Adult MH - Alcohol Drinking/px [Psychology] MH - *Alcohol Drinking MH - Attitude of Health Personnel MH - Attitude to Health MH - Denmark/ep [Epidemiology] MH - Female MH - *Health Education MH - Humans MH - Nurses/px [Psychology] MH - Nurses' Aides/px [Psychology] MH - Physicians, Women/px [Psychology] MH - Pregnancy/px [Psychology] MH - *Pregnancy MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - Teaching/ma [Manpower] AB - Health staff and elementary school teachers are key persons in prophylactic activity which is based on personal contact between the advisor and recipient. It is conceivable that their own habits play a part in how prophylactic information is distributed. This investigation describes how groups such as these consume alcohol and tobacco during pregnancy. As part of a local community experiment in which pregnant women in Odense participated in an information campaign from April 1985 to April 1987, information was collected concerning the habits of pregnant women until the 36th week of pregnancy. This information was collected in self-completed questionnaires which were sent anonymously to the Department of Social Medicine in Odense University. 87% out of the 13,815 pregnant women who attended midwives' clinics from April 1984 to April 1987 in Odense and Aalborg were included in the investigation. The following groups were selected for further analysis: nurses (627 women), nursing aides (492 women), doctors (85 women) and school teachers (468 women) and the group of office workers (1,136 women) was employed for comparison. The investigation revealed that school teachers, doctors and nurses had higher average consumption of alcohol during pregnancy than office workers. On the other hand, these groups has fewer episodes with consumption of eight or more drinks on a single occasion. Similarly, elementary school teachers, and the health groups (with the exception of nursing aides) smoked less. This investigation provided no evidence that these selected groups altered their habits on account of the informative campaigns which were directed to all pregnant women in the Odense region. IS - 0041-5782 IL - 0041-5782 PT - Comparative Study PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - Danish DP - 1990 Jul 16 EZ - 1990/07/16 DA - 1990/07/16 00:01 DT - 1990/07/16 00:00 YR - 1990 ED - 19901016 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2399576 <1363. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2392425 TI - An evaluation of a physician training program on patient smoking cessation. SO - Progress in Clinical & Biological Research. 339:27-48, 1990. AS - Prog Clin Biol Res. 339:27-48, 1990. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Giovino GA AU - Cummings KM AU - Koenigsberg MR AU - Sciandra RC FA - Giovino, G A FA - Cummings, K M FA - Koenigsberg, M R FA - Sciandra, R C IN - Giovino, G A. Roswell Park Memorial Institute, Buffalo, New York 14263. NJ - Progress in clinical and biological research VO - 339 PG - 27-48 PI - Journal available in: Print PI - Citation processed from: Print JC - pz5, 7605701 IO - Prog. Clin. Biol. Res. SB - Index Medicus CP - United States MH - Adult MH - Evaluation Studies as Topic MH - *Family Practice/ed [Education] MH - Female MH - Follow-Up Studies MH - Humans MH - Internship and Residency MH - Male MH - Middle Aged MH - Outcome and Process Assessment (Health Care) MH - Physician's Role MH - Prognosis MH - *Smoking Prevention IS - 0361-7742 IL - 0361-7742 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 263MD409931 Organization: (MD) *NIMHD NIH HHS* Country: United States GI - No: 263MD427932 Organization: (MD) *NIMHD NIH HHS* Country: United States LG - English DP - 1990 EZ - 1990/01/01 DA - 1990/01/01 00:01 DT - 1990/01/01 00:00 YR - 1990 ED - 19900928 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2392425 <1364. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2390596 TI - Teaching medical students about alcohol. SO - BMJ. 301(6744):134-5, 1990 Jul 21. AS - BMJ. 301(6744):134-5, 1990 Jul 21. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ritson EB FA - Ritson, E B NJ - BMJ (Clinical research ed.) VO - 301 IP - 6744 PG - 134-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 8900488, bmj, 101090866 IO - BMJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1663529 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - *Alcoholism MH - *Attitude of Health Personnel MH - *Education, Medical, Undergraduate MH - Humans MH - Teaching MH - United Kingdom IS - 0959-8138 IL - 0959-535X PT - Editorial ID - PMC1663529 [pmc] PP - ppublish LG - English DP - 1990 Jul 21 EZ - 1990/07/21 DA - 1990/07/21 00:01 DT - 1990/07/21 00:00 YR - 1990 ED - 19900928 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2390596 <1365. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2200732 TI - Computer-assisted curriculum for medical students on early diagnosis of substance abuse. SO - Family Medicine. 22(4):288-92, 1990 Jul-Aug. AS - Fam Med. 22(4):288-92, 1990 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown RL AU - Byrne K FA - Brown, R L FA - Byrne, K IN - Brown, R L. Department of Family Medicine, Jefferson Medical College, Philadelphia. NJ - Family medicine VO - 22 IP - 4 PG - 288-92 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - *Curriculum MH - *Diagnosis, Computer-Assisted MH - *Education, Medical MH - Evaluation Studies as Topic MH - Humans MH - *Physicians, Family/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] AB - A computer-assisted curriculum on early diagnosis of substance abuse was developed for third-year medical students on their required family medicine rotation. Three computer-assisted instruction modules on early diagnosis, attitudes, and screening questionnaires were followed by two conferences: 1) a discussion and review session, and 2) a tutorial and role playing on engaging patients with substance abuse in treatment. Finally, students identified an ambulatory patient at risk for substance abuse and performed an evaluation. All 33 unselected students gave high ratings to all of the learning activities and the entire curriculum. Almost all were satisfied with the emphasis on substance abuse in their clerkship and expressed motivation to learn more. Student acceptance of teaching on substance abuse can be attained by a curriculum in which goals, objectives, and expectations are delineated clearly; in which the content is clinically relevant; which uses computer-assisted instruction, role playing, and a clinical exercise to stimulate problem-solving and skill development; in which conferences are discussion oriented; and for which pretests are used to promote learner receptivity. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1990 Jul-Aug EZ - 1990/07/01 DA - 1990/07/01 00:01 DT - 1990/07/01 00:00 YR - 1990 ED - 19900918 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2200732 <1366. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2381350 TI - Drug and alcohol medical education in Australia: on the map at last. SO - Medical Journal of Australia. 152(9):503, 1990 May 07. AS - Med J Aust. 152(9):503, 1990 May 07. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roche AM FA - Roche, A M NJ - The Medical journal of Australia VO - 152 IP - 9 PG - 503 PI - Journal available in: Print PI - Citation processed from: Print JC - 0400714, m26 IO - Med. J. Aust. SB - Index Medicus CP - Australia MH - *Alcoholism MH - Australia MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders IS - 0025-729X IL - 0025-729X PT - Letter PP - ppublish LG - English DP - 1990 May 07 EZ - 1990/05/07 DA - 1990/05/07 00:01 DT - 1990/05/07 00:00 YR - 1990 ED - 19900907 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2381350 <1367. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2372362 TI - An experiential training program and medical students' attitudes toward patients with chemical dependency. SO - Academic Medicine. 65(6):421-2, 1990 Jun. AS - Acad Med. 65(6):421-2, 1990 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Oldham SB AU - Sipe F FA - Oldham, S B FA - Sipe, F IN - Oldham, S B. Department of Medicine, University of Southern California, School of Medicine, Los Angeles. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 65 IP - 6 PG - 421-2 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 - *Attitude of Health Personnel MH - California MH - Curriculum MH - Education, Medical MH - Humans MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 1990 Jun EZ - 1990/06/01 DA - 1990/06/01 00:01 DT - 1990/06/01 00:00 YR - 1990 ED - 19900824 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2372362 <1368. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2115685 TI - [Value and justification of screening for alcoholism]. [Review] [60 refs] [French] OT - Valeur et justification du depistage de l'alcoolisme. SO - Schweizerische Medizinische Wochenschrift. Journal Suisse de Medecine. 120(27-28):1014-24, 1990 Jul 10. AS - Schweiz Med Wochenschr. 120(27-28):1014-24, 1990 Jul 10. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Yersin B FA - Yersin, B IN - Yersin, B. Departement de medecine interne, CHUV, Lausanne. NJ - Schweizerische medizinische Wochenschrift VO - 120 IP - 27-28 PG - 1014-24 PI - Journal available in: Print PI - Citation processed from: Print JC - uei, 0404401 IO - Schweiz Med Wochenschr SB - Index Medicus CP - Switzerland MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ec [Economics] MH - Alcoholism/pc [Prevention & Control] MH - Cost-Benefit Analysis MH - Costs and Cost Analysis MH - Education, Medical, Continuing MH - Health Education MH - Humans MH - Medical History Taking MH - Neuropsychological Tests MH - Physical Examination MH - Switzerland AB - The Swiss are heavy alcohol consumers. Since alcohol consumption is a risk-associated behavior, it is not surprising that alcohol-related medical and psychosocial morbidities are frequently observed. Related costs are therefore also substantial. To reduce alcohol-associated morbidities and related costs, it is essential that the physician's role include both health education counseling to patients (to reduce alcohol consumption) and systematic alcohol abuse and dependence screening. This study reviews current knowledge of alcoholism screening. It emphasizes the validity of some screening instruments such as standardized questionnaires, the accuracy of which appears to be superior to that of other commonly used tests such as biological markers of alcohol intake. However, there are numerous gaps in scientific knowledge of these screening instruments, due mainly to methodological problems in studies of this subject. The results of these studies are fragmentary since they are frequently generalized without caution from studies performed in non-medical patients. While these gaps are even more serious when the effectiveness and thus the justification of alcoholism screening is reviewed, recent studies have proposed more precise methods of screening and therapy, particularly for use in multidisciplinary medical settings. The leading role of physicians in building and studying the effectiveness of these models should be emphasized, since it is well-known that alcoholics are frequently medical patients. Another factor in favour of screening for alcohol problems is the favorable trend in medical costs for alcoholics under treatment. To allow development of alcoholism screening programs by physicians, it is indispensable that their medical education provide adequate information regarding this important health matter. Medical research on the issue of alcoholism screening should be also developed; cost-effectiveness analysis of such programs should be a priority, in oder to convince public health agencies, insurance companies and physicians themselves of the necessity of such efforts. [References: 60] IS - 0036-7672 IL - 0036-7672 PT - English Abstract PT - Journal Article PT - Review PP - ppublish LG - French DP - 1990 Jul 10 EZ - 1990/07/10 DA - 1990/07/10 00:01 DT - 1990/07/10 00:00 YR - 1990 ED - 19900824 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2115685 <1369. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2359301 TI - Alcohol-related problems of future physicians prior to medical training. SO - Journal of Studies on Alcohol. 51(4):296-300, 1990 Jul. AS - J. stud. alcohol. 51(4):296-300, 1990 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Richman JA AU - Flaherty JA FA - Richman, J A FA - Flaherty, J A IN - Richman, J A. Department of Psychiatry, University of Illinois, Chicago 60612. NJ - Journal of studies on alcohol VO - 51 IP - 4 PG - 296-300 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - Adult MH - *Alcohol Drinking MH - Cohort Studies MH - *Education, Medical, Graduate MH - Female MH - Humans MH - Life Change Events MH - Male MH - Parent-Child Relations MH - Personality MH - *Physician Impairment MH - Sex Factors MH - Social Support MH - Surveys and Questionnaires AB - Time 1 data are presented from an ongoing longitudinal study of drinking patterns and problems of future physicians from medical school entrance through 2.5 years of training. The data in this report address the prevalence and psychosocial correlates of alcohol-related problems experienced prior to medical school training. A group of 167 students (91% of the cohort) was surveyed. Self-report questionnaires included: alcohol-related problems (the MAST), earlier parent-child relationships, personality characteristics (external locus of control, self-esteem, dependency, masculinity-femininity), life events, social supports, motivations for drinking and symptomatic distress. The male students manifested a higher mean level of alcohol problems, and the sexes differed at the trend level when the MAST was scored to distinguish "problem" from "nonproblem" drinkers (with 18.4% of the students reporting 5 or more problem points and 7.4% reporting 4 problem points). The significant correlates of alcohol problems included: perceived lack of earlier maternal affectivity (for men) and perceived lack of earlier paternal affectivity (for women), and lack of emotional support (for men). Moreover, escape motives for men were the motives most highly correlated with alcohol problems. Symptomatic distress (anxiety and hostility) was significantly correlated with alcohol-related problems in men but not women. Future reports will depict the psychosocial experiences and alcohol-related problems manifested by this cohort during medical training. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: R29AA07311-01 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 1990 Jul EZ - 1990/07/01 DA - 1990/07/01 00:01 DT - 1990/07/01 00:00 YR - 1990 ED - 19900802 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2359301 <1370. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10170547 TI - Physician substance abuse: prevention through reeducation. SO - Journal of Continuing Education in the Health Professions. 10(1):35-46, 1990. AS - J Contin Educ Health Prof. 10(1):35-46, 1990. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Kane Martin K AU - Mazmanian PE FA - O'Kane Martin, K FA - Mazmanian, P E IN - O'Kane Martin, K. Virginia Commonwealth University, Richmond 23298. NJ - The Journal of continuing education in the health professions VO - 10 IP - 1 PG - 35-46 PI - Journal available in: Print PI - Citation processed from: Print JC - jhp, 8805847 IO - J Contin Educ Health Prof SB - Health Administration Journals CP - United States MH - Attitude of Health Personnel MH - *Education, Medical, Continuing MH - Humans MH - *Medical Staff, Hospital/px [Psychology] MH - *Physician Impairment MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States AB - Physicians may be far more likely than other professionals and the general public to experience problems with drug and alcohol dependence. The availability of drugs, difficulty of detection, reluctance to confront addictive behaviors, unwillingness to admit weakness, and the lack of ways to detect and manage impaired physicians exacerbate the complexities of preventing and treating the problem. This literature review explores the complicating factors and suggests that prevention can be enhanced through medical education, candid disclosure of facts, acceptance, and understanding of substance abuse as a medical disorder. IS - 0894-1912 IL - 0894-1912 PT - Journal Article PP - ppublish LG - English DP - 1990 EZ - 1989/12/10 DA - 1989/12/10 00:01 DT - 1989/12/10 00:00 YR - 1990 ED - 19900629 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=10170547 <1371. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2342218 TI - Success of reentry into anesthesiology training programs by residents with a history of substance abuse. SO - JAMA. 263(22):3060-2, 1990 Jun 13. AS - JAMA. 263(22):3060-2, 1990 Jun 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Menk EJ AU - Baumgarten RK AU - Kingsley CP AU - Culling RD AU - Middaugh R FA - Menk, E J FA - Baumgarten, R K FA - Kingsley, C P FA - Culling, R D FA - Middaugh, R IN - Menk, E J. Department of Anesthesia, Brooke Army Medical Center, Fort Sam Houston, Tex 78234-6200. CM - Comment in: JAMA. 1990 Dec 5;264(21):2741-2; PMID: 2232058 NJ - JAMA VO - 263 IP - 22 PG - 3060-2 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 - *Anesthesiology/ed [Education] MH - Humans MH - *Internship and Residency MH - Narcotics MH - Private Practice MH - Substance-Related Disorders/mo [Mortality] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Surveys and Questionnaires MH - United States/ep [Epidemiology] AB - To determine incidence and outcome of reentry into anesthesiology training programs by residents with histories of substance abuse, a survey was sent to the 159 US anesthesiology training programs. One hundred thirteen (71%) responded, with 82 (73%) submitting at least one case report of substance abuse. A total of 180 case reports were submitted, including 26 in which the resident died as a result of substance abuse. The prevalence of substance abuse among trainees was 2%. Sixty-one (74%) of the responding training programs submitted a total of 113 case reports of resident reentry into anesthesiology training. The success rate of reentry in the parenteral opioid abuser group was 34% (27/79). The success rate of reentry for the nonopioid abuser group was 70% (16/23). There were 14 cases of suicide or lethal overdose among trainees who were allowed to reenter anesthesiology training. Death as the initial relapse symptom occurred in 16% (13/79) of the parenteral opioid abusers who were allowed to reenter anesthesiology training. This study suggests that drug rehabilitation followed by redirection into another specialty may be the most prudent course for the anesthesiology trainee who abuses parenteral opioids. RN - 0 (Narcotics) IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1990 Jun 13 EZ - 1990/06/13 DA - 1990/06/13 00:01 DT - 1990/06/13 00:00 YR - 1990 ED - 19900628 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2342218 <1372. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2340189 TI - A mini-workshop to train medical students to use a patient-centered approach to smoking cessation. SO - American Journal of Preventive Medicine. 6(1):28-33, 1990 Jan-Feb. AS - Am J Prev Med. 6(1):28-33, 1990 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allen SS AU - Bland CJ AU - Dawson SJ FA - Allen, S S FA - Bland, C J FA - Dawson, S J IN - Allen, S S. Department of Family Practice and Community Health, University of Minnesota School of Medicine, Minneapolis 55455. NJ - American journal of preventive medicine VO - 6 IP - 1 PG - 28-33 PI - Journal available in: Print PI - Citation processed from: Print JC - 8704773, apl IO - Am J Prev Med SB - Index Medicus CP - Netherlands MH - Analysis of Variance MH - Attitude of Health Personnel MH - Clinical Competence MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Family Practice/ed [Education] MH - Humans MH - *Patient Education as Topic MH - Preventive Medicine/ed [Education] MH - *Smoking Prevention MH - Students, Medical/px [Psychology] AB - Leaders in preventive medicine and medical education have called for more attention to preventive medicine in medical education curricula. This study describes the implementation of a training program designed to introduce preventive medicine skills into the medical school curriculum. The specific issue addressed was smoking cessation. A two-hour workshop on the patient-centered approach to smoking intervention was presented to medical students during the family medicine rotation of the second-year clinical medicine course sequence. Two of the four student groups in the family medicine clinical rotation received the training and were afforded practice opportunity with at least one smoking patient at the clinical site. The other two groups went through the usual rotation with no special instruction or clinical emphasis on preventive interventions. Second-year medical students expressed positive perceptions of preventive medicine as assessed by self-rating on attributes important to successful preventive practice. These positive perceptions were retained by both groups after the clinical experience. Students with the workshop training were more confident in their smoking intervention skills and performed better overall on an objective clinical evaluation of intervention skills. IS - 0749-3797 IL - 0749-3797 PT - Journal Article PP - ppublish LG - English DP - 1990 Jan-Feb EZ - 1990/01/01 DA - 1990/01/01 00:01 DT - 1990/01/01 00:00 YR - 1990 ED - 19900628 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2340189 <1373. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2335356 TI - Trends of tobacco smoking among physicians, journalists and teachers in Bahrain. SO - Hygie. 9(1):13-5, 1990 Mar. AS - Hygie. 9(1):13-5, 1990 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - al-Khateeb M FA - al-Khateeb, M IN - al-Khateeb, M. Ministry of Health, State of Bahrain. NJ - Hygie VO - 9 IP - 1 PG - 13-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 8304186, ger IO - Hygie SB - Index Medicus CP - France MH - Adult MH - Bahrain/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Physicians MH - *Publishing MH - *Smoking/ep [Epidemiology] MH - Smoking/td [Trends] MH - *Teaching IS - 0751-7149 IL - 0751-7149 PT - Journal Article PP - ppublish LG - English DP - 1990 Mar EZ - 1990/03/01 DA - 1990/03/01 00:01 DT - 1990/03/01 00:00 YR - 1990 ED - 19900608 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2335356 <1374. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2327847 TI - Cocaine and marijuana use by medical students before and during medical school.[Erratum appears in Arch Intern Med 1991 Jan;151(1):196] SO - Archives of Internal Medicine. 150(4):883-6, 1990 Apr. AS - Arch Intern Med. 150(4):883-6, 1990 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schwartz RH AU - Lewis DC AU - Hoffmann NG AU - Kyriazi N FA - Schwartz, R H FA - Lewis, D C FA - Hoffmann, N G FA - Kyriazi, N IN - Schwartz, R H. Department of Child Health and Development, George Washington University Health Science Center, Washington, DC. NJ - Archives of internal medicine VO - 150 IP - 4 PG - 883-6 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 - Alcoholism/ep [Epidemiology] MH - *Cocaine MH - District of Columbia/ep [Epidemiology] MH - Female MH - Humans MH - Male MH - *Marijuana Smoking/ep [Epidemiology] MH - Schools, Medical MH - Smoking/ep [Epidemiology] MH - *Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires AB - A survey of alcohol and other drug-use patterns of 300 second- and third-year students at a mid-Atlantic private medical school was undertaken in 1987. Two hundred sixty-three (88%) of the medical students surveyed completed the anonymous questionnaire. Tobacco use decreased from 11% before to 4% during medical school. Before entry into medical school, 21% of the respondents had smoked marijuana 10 times or more, usually at least monthly, while 9% had smoked marijuana 10 times or more during medical school. Six percent had smoked marijuana daily in high school or college, while 1% smoked marijuana daily in medical school. Few students who used cocaine before medical school abstained from it during medical school. Cocaine was used by 17% of the respondents before and during medical school. Frequent use of cocaine (greater than 10 times) during medical school, reported by 5% of the students, was directly related to excessive alcohol intake, tobacco dependence, frequent use of marijuana before and during medical school, and medical and behavioral problems related to alcohol and other drug use. Less than 25% of medical schools have a formal policy aimed at identifying impaired students, and only 12% have formal treatment protocols for helping impaired students. We propose that all medical schools initiate programs to diagnose alcohol and other drug-abuse problems in medical student candidates and in the students themselves, and that intervention for any alcohol or other drug problem be encouraged and supported by formal medical school policies designed to help the impaired student. RN - I5Y540LHVR (Cocaine) IS - 0003-9926 IL - 0003-9926 PT - Journal Article PP - ppublish LG - English DP - 1990 Apr EZ - 1990/04/01 DA - 1990/04/01 00:01 DT - 1990/04/01 00:00 YR - 1990 ED - 19900514 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2327847 <1375. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2321230 TI - [Post-education in clinical problems of narcotics abuse]. [Norwegian] OT - Etterutdanning i kliniske rusmiddelproblemer. SO - Tidsskrift for Den Norske Laegeforening. 110(8):973-5, 1990 Mar 20. AS - Tidsskr Nor Laegeforen. 110(8):973-5, 1990 Mar 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fauske S FA - Fauske, S IN - Fauske, S. Hjellestad-Klinikken. NJ - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke VO - 110 IP - 8 PG - 973-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 0413423, 101086543, vrv IO - Tidsskr. Nor. Laegeforen. SB - Index Medicus CP - Norway MH - Alcoholism MH - *Clinical Medicine/ed [Education] MH - *Education, Medical, Continuing/td [Trends] MH - Norway MH - *Substance-Related Disorders AB - Since 1985 the Hjellestad Clinic, in cooperation with the Norwegian Directorate for the Prevention of Alcohol and Drug Problems, has offered five 40 hour courses a year for primary health care workers in order to provide them with the necessary knowledge dealing with drug- and alcohol-related issues in the local community. The focus is on early detection and simple intervention strategies. Since 1989 on we have offered two additional courses on special topics such as family, drug and alcohol problems, management of drug- and alcohol-related crises in the local community etc. The article discusses a new speciality in the "treatment of addictive behaviours". IS - 0029-2001 IL - 0029-2001 PT - English Abstract PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - Norwegian DP - 1990 Mar 20 EZ - 1990/03/20 DA - 1990/03/20 00:01 DT - 1990/03/20 00:00 YR - 1990 ED - 19900509 RD - 20080716 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2321230 <1376. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2321229 TI - [Education of medical students in substance abuse]. [Norwegian] OT - Rusmiddelundervisning for medisinstudenter. SO - Tidsskrift for Den Norske Laegeforening. 110(8):970-2, 1990 Mar 20. AS - Tidsskr Nor Laegeforen. 110(8):970-2, 1990 Mar 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kvamme JM AU - Fauske S FA - Kvamme, J M FA - Fauske, S IN - Kvamme, J M. Institutt for allmennmedisin, Bergen. NJ - Tidsskrift for den Norske laegeforening : tidsskrift for praktisk medicin, ny raekke VO - 110 IP - 8 PG - 970-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 0413423, 101086543, vrv IO - Tidsskr. Nor. Laegeforen. SB - Index Medicus CP - Norway MH - Alcoholism MH - Curriculum MH - *Education, Medical/td [Trends] MH - Humans MH - Norway MH - Substance-Related Disorders AB - A substantial amount of resources available to the health services in Norway are spent on alcohol- and drug-related disorders. Physicians play an important role in preventing, diagnosing and treating these disorders. We have reviewed the curricula used at our four Norwegian medical schools for education in this field. The curricula are characterized by lack of specified educational goals and are somewhat limited, seen in relation to the extent of the alcohol- and drug-related problems. With reference to a structured educational programme at Karolinska Sjukhuset, Stockholm, we propose a new Norwegian model for alcohol- and drug related medical education. This model focuses especially on early identification of problems and intervention in harmful alcohol consumption. IS - 0029-2001 IL - 0029-2001 PT - English Abstract PT - Journal Article PP - ppublish LG - Norwegian DP - 1990 Mar 20 EZ - 1990/03/20 DA - 1990/03/20 00:01 DT - 1990/03/20 00:00 YR - 1990 ED - 19900509 RD - 20080716 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2321229 <1377. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2319974 TI - Smoking among young doctors in Hong Kong: a message to medical educators. SO - Medical Education. 24(2):158-63, 1990 Mar. AS - Med Educ. 24(2):158-63, 1990 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cheng KK AU - Lam TH FA - Cheng, K K FA - Lam, T H IN - Cheng, K K. Department of Community Medicine, University of Hong Kong. NJ - Medical education VO - 24 IP - 2 PG - 158-63 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - Adult MH - Attitude of Health Personnel MH - Education, Medical, Undergraduate MH - Female MH - Hong Kong/ep [Epidemiology] MH - Humans MH - Male MH - *Physicians MH - *Smoking/ep [Epidemiology] AB - A survey was conducted using a self-administered questionnaire to examine the smoking habits, attitudes and practices of 151 doctors in their pre-registration year. The response rate was 88%. Over 80% of the respondents had never smoked. Less than 7% of the men smoked daily and none of the women smoked. Despite a very low smoking rate among the respondents, there were shortcomings in attitudes and practices. The study demonstrated that even in a place like Hong Kong, where the social climate on smoking is already changing in a healthy direction, significant deficiencies in our graduates can still arise if teaching on smoking and its control is undertaken in an uncoordinated manner. We argue that a specific course on the important aspects of smoking and health should be introduced into all undergraduate curricula. This is of special importance in countries where smoking is one the increase and where governmental actions on smoking control are inadequate in comparison with the marketing efforts of powerful multinational tobacco companies. Considering the magnitude of smoking as a global health problem, it is the very least that medical educators should do in combating this pandemic. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PP - ppublish LG - English DP - 1990 Mar EZ - 1990/03/01 DA - 1990/03/01 00:01 DT - 1990/03/01 00:00 YR - 1990 ED - 19900509 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2319974 <1378. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2317588 TI - Evaluation of an alcohol education package for non-specialist health care and social workers. SO - British Journal of Addiction. 85(2):223-33, 1990 Feb. AS - Br J Addict. 85(2):223-33, 1990 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gorman DM AU - Werner JM AU - Jacobs LM AU - Duffy SW FA - Gorman, D M FA - Werner, J M FA - Jacobs, L M FA - Duffy, S W IN - Gorman, D M. Drinking Problem Service, Brookfields Hospital, Cambridge, United Kingdom. NJ - British journal of addiction VO - 85 IP - 2 PG - 223-33 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/px [Psychology] MH - Alcoholism/rh [Rehabilitation] MH - *Attitude of Health Personnel MH - Curriculum MH - Education, Medical, Continuing MH - Female MH - Follow-Up Studies MH - Humans MH - *Inservice Training/mt [Methods] MH - Male MH - *Patient Care Team MH - *Social Work, Psychiatric/ed [Education] AB - A quasi-experimental non-equivalent control group design was used to assess the influence of a two-day experiential alcohol education package for non-specialist health care and social workers. Four pairs of teams took part in the study: general practice; accident and emergency; medicine for the elderly; and social work. The dual foci of the evaluation were agents' knowledge and attitudes, and these were assessed using a modified version of the Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ). For both variables, the one-month follow-up scores of the education teams were significantly higher than those of the comparisons, although the effect was stronger in the case of therapeutic attitudes than knowledge. There were also significant differences in improvement in attitude scores, with significant effects being observed in the general practice, medicine for the elderly and social work teams but not the accident and emergency. At 6 months, the level of fall-off in improvement varied and this, along with the pattern of change evident in the five components which comprise the AAPPQ attitude scale, was examined and discussed in relation to previous research in this field of inquiry. IS - 0952-0481 IL - 0952-0481 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1990 Feb EZ - 1990/02/01 DA - 1990/02/01 00:01 DT - 1990/02/01 00:00 YR - 1990 ED - 19900502 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2317588 <1379. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2314676 TI - Counseling medical patients about cigarette smoking: a comparison of the impact of training on nurse practitioners and physicians. SO - Nurse Practitioner. 15(3):10-3, 17-8, 1990 Mar. AS - Nurse Pract. 15(3):10-3, 17-8, 1990 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zahnd EG AU - Coates TJ AU - Richard RJ AU - Cummings SR FA - Zahnd, E G FA - Coates, T J FA - Richard, R J FA - Cummings, S R IN - Zahnd, E G. Division of General Internal Medicine, University of California, San Francisco. CM - Comment in: Nurse Pract. 1990 Aug;15(8):7-8; PMID: 2398970 NJ - The Nurse practitioner VO - 15 IP - 3 PG - 10-3, 17-8 PI - Journal available in: Print PI - Citation processed from: Print JC - oa1, 7603663 IO - Nurse Pract SB - Index Medicus SB - Nursing Journal CP - United States MH - Adult MH - Counseling/ed [Education] MH - Counseling/mt [Methods] MH - *Counseling/st [Standards] MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Nurse Practitioners MH - Patient Education as Topic/mt [Methods] MH - Patient Education as Topic/st [Standards] MH - *Practice Patterns, Physicians' MH - San Francisco MH - *Smoking Prevention AB - Health providers believe that eliminating smoking is an important health promotion goal, but physicians and nurse practitioners may differ in the implementation of that belief. To determine whether nurse practitioners or physicians were more likely to counsel smokers to quit smoking, 12 internal medicine nurse practitioners (100 percent female) and 40 internal medicine physicians (30 percent female) were studied at four San Francisco Bay-area Kaiser Permanente Medical Centers, both before and after training in smoking-cessation counseling. In addition, exit phone surveys of at least 15 smokers per participant were completed as soon as possible following an office visit to the participant (269 nurse practitioner patients; 948 physician patients). It was found that nurse practitioners discussed smoking with patients more often than did physicians (64 percent vs. 50 percent; p less than 0.001), asked patients more often whether they were interested in quitting (49 percent vs. 40 percent; p less than 0.01), distributed more smoking-cessation literature to patients (37 percent vs. 25 percent; p less than 0.001) and made more follow-up appointments about smoking (36 percent vs. 19 percent; p less than 0.001). These differences in counseling behavior between the two groups were not explained by differences in patient characteristics of the two groups. The authors concluded that, given the same training, nurse practitioners are more likely to counsel smokers about quitting than are physicians. IS - 0361-1817 IL - 0361-1817 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: CA37364A Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1990 Mar EZ - 1990/03/01 DA - 1990/03/01 00:01 DT - 1990/03/01 00:00 YR - 1990 ED - 19900419 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2314676 <1380. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2308284 TI - Educational factors in substance abuse for physicians. SO - Journal - South Carolina Medical Association. 86(1):64-5, 1990 Jan. AS - J S C Med Assoc. 86(1):64-5, 1990 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Johnson NP AU - Lindsay AB AU - Tumblin M FA - Johnson, N P FA - Lindsay, A B FA - Tumblin, M IN - Johnson, N P. Department of Neuropsychiatry and Behavioral Science, School of Medicine, University of South Carolina, Columbia 29208. NJ - Journal of the South Carolina Medical Association (1975) VO - 86 IP - 1 PG - 64-5 PI - Journal available in: Print PI - Citation processed from: Print JC - k0n, 7503045 IO - J S C Med Assoc SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Clinical Competence MH - Curriculum MH - *Education, Medical, Continuing MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0038-3139 IL - 0038-3139 PT - Journal Article PP - ppublish LG - English DP - 1990 Jan EZ - 1990/01/01 DA - 1990/01/01 00:01 DT - 1990/01/01 00:00 YR - 1990 ED - 19900406 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2308284 <1381. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2302305 TI - Teaching critical thinking in the context of substance abuse in a psychiatry clerkship.[Erratum appears in Acad Med 1990 Apr;65(4):233] SO - Academic Medicine. 65(2):89, 1990 Feb. AS - Acad Med. 65(2):89, 1990 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Regan-Smith MG AU - West DA FA - Regan-Smith, M G FA - West, D A NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 65 IP - 2 PG - 89 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 - *Clinical Clerkship MH - *Education, Medical, Undergraduate MH - Humans MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders/di [Diagnosis] MH - Thinking IS - 1040-2446 IL - 1040-2446 PT - Journal Article PP - ppublish LG - English DP - 1990 Feb EZ - 1990/02/01 DA - 1990/02/01 00:01 DT - 1990/02/01 00:00 YR - 1990 ED - 19900326 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2302305 <1382. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2304230 TI - The attitudes of students and house staff toward alcoholism. SO - JAMA. 263(9):1198-9, 1990 Mar 02. AS - JAMA. 263(9):1198-9, 1990 Mar 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous CM - Comment on: JAMA. 1989 Jun 2;261(21):3115-20; PMID: 2716143 NJ - JAMA VO - 263 IP - 9 PG - 1198-9 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 - *Alcoholism MH - *Attitude of Health Personnel MH - Attitude to Health MH - Humans MH - *Internship and Residency MH - *Students, Medical IS - 0098-7484 IL - 0098-7484 PT - Comment PT - Letter PP - ppublish LG - English DP - 1990 Mar 02 EZ - 1990/03/02 DA - 1990/03/02 00:01 DT - 1990/03/02 00:00 YR - 1990 ED - 19900319 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2304230 <1383. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2611438 TI - Undergraduate medical school training in psychoactive drugs and rational prescribing in the United Kingdom. SO - British Journal of Addiction. 84(12):1539-42, 1989 Dec. AS - Br J Addict. 84(12):1539-42, 1989 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Falkowski J AU - Ghodse AH FA - Falkowski, J FA - Ghodse, A H NJ - British journal of addiction VO - 84 IP - 12 PG - 1539-42 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - Curriculum MH - *Education, Medical MH - Humans MH - *Psychotropic Drugs MH - *Substance-Related Disorders/et [Etiology] MH - United Kingdom AB - The present study examines the extent and form of teaching on psychoactive drugs and the rational prescribing of them given to undergraduate medical students in the United Kingdom. All the 21 schools which replied taught on psychoactive drugs. The average was 15.4 hours of formal teaching (lectures, seminars, tutorials). The teaching on psychoactive drugs compares favourably with the average of 4.2 hours teaching given on alcohol related problems and 3.5 hours on drug dependence. It emerged that there was a great deal of variation in the amount of teaching on psychoactive drugs and many schools felt their teaching on rational prescribing was inadequate. There is a need to promote better co-ordination between medical school departments and to identify the key concepts which all medical schools teach. These steps would help to ensure improved teaching on psychoactive drugs and rational prescribing. RN - 0 (Psychotropic Drugs) IS - 0952-0481 IL - 0952-0481 PT - Journal Article PP - ppublish LG - English DP - 1989 Dec EZ - 1989/12/01 DA - 1989/12/01 00:01 DT - 1989/12/01 00:00 YR - 1989 ED - 19900228 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2611438 <1384. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2297293 TI - Smoking cessation training for medicine residents. SO - Archives of Internal Medicine. 150(1):225, 1990 Jan. AS - Arch Intern Med. 150(1):225, 1990 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Villagra VG AU - Sidorov JE AU - Traugh D FA - Villagra, V G FA - Sidorov, J E FA - Traugh, D CM - Comment on: Arch Intern Med. 1988 May;148(5):1039-45; PMID: 3365074 NJ - Archives of internal medicine VO - 150 IP - 1 PG - 225 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 - Humans MH - *Internship and Residency MH - *Smoking Prevention IS - 0003-9926 IL - 0003-9926 PT - Letter PT - Comment PP - ppublish LG - English DP - 1990 Jan EZ - 1990/01/01 DA - 1990/01/01 00:01 DT - 1990/01/01 00:00 YR - 1990 ED - 19900212 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2297293 <1385. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2607754 TI - School tobacco policy: a medical perspective. SO - Journal of School Health. 59(9):398-400, 1989 Nov. AS - J Sch Health. 59(9):398-400, 1989 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DiFranza JR FA - DiFranza, J R IN - DiFranza, J R. Family Practice Residency Program, University of Massachusetts Medical Center, Fitchburg 01420. NJ - The Journal of school health VO - 59 IP - 9 PG - 398-400 PI - Journal available in: Print PI - Citation processed from: Print JC - k13, 0376370 IO - J Sch Health SB - Index Medicus SB - Nursing Journal CP - United States MH - Adolescent MH - Child MH - Health Education MH - *Health Promotion/mt [Methods] MH - Humans MH - Parents MH - *Schools/st [Standards] MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 0022-4391 IL - 0022-4391 PT - Journal Article PP - ppublish LG - English DP - 1989 Nov EZ - 1989/11/01 DA - 1989/11/01 00:01 DT - 1989/11/01 00:00 YR - 1989 ED - 19900212 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2607754 <1386. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2687482 TI - A 12-step treatment approach for marijuana (Cannabis) dependence. [Review] [70 refs] SO - Journal of Substance Abuse Treatment. 6(4):241-50, 1989. AS - J Subst Abuse Treat. 6(4):241-50, 1989. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Miller NS AU - Gold MS AU - Pottash AC FA - Miller, N S FA - Gold, M S FA - Pottash, A C IN - Miller, N S. New York Hospital/Cornell Medical Center, White Plains. NJ - Journal of substance abuse treatment VO - 6 IP - 4 PG - 241-50 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 - Alcoholics Anonymous MH - Humans MH - Marijuana Abuse/px [Psychology] MH - *Marijuana Abuse/rh [Rehabilitation] MH - *Psychotherapy/mt [Methods] AB - Marijuana (Cannabis) dependence (addiction) is a disorder for which treatment is essential and relatively sophisticated. A basic assumption in the treatment model is that marijuana addiction involves pathological processes in the physical, mental (cognitive), and emotional (mood) states of the addicted individual. These pathological processes constitute a disease entity that is diagnosable, treatable, and has a predictable course. One approach for the treatment of marijuana addiction involves physicians, psychologists, counselors, and social workers who treat the disease of marijuana addiction. We present this approach to treatment of marijuana addiction as representative of a popular method but not as the only modality available. [References: 70] IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1989 EZ - 1989/01/01 DA - 1989/01/01 00:01 DT - 1989/01/01 00:00 YR - 1989 ED - 19900112 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2687482 <1387. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2589703 TI - Substance abuse education in residency training programs in emergency medicine. NIAAA Task Force of the American College of Emergency Physicians. SO - Annals of Emergency Medicine. 18(12):1344-7, 1989 Dec. AS - Ann Emerg Med. 18(12):1344-7, 1989 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Taliaferro EH AU - Rund DA AU - Brown CG AU - Goldfrank LR AU - Jorden RC AU - Ling LJ AU - Gallery ME FA - Taliaferro, E H FA - Rund, D A FA - Brown, C G FA - Goldfrank, L R FA - Jorden, R C FA - Ling, L J FA - Gallery, M E IN - Taliaferro, E H. NIAAA Task Force of the American College of Emergency Physicians, Dallas, Texas 75261-9911. NJ - Annals of emergency medicine VO - 18 IP - 12 PG - 1344-7 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 - Attitude of Health Personnel MH - Curriculum MH - *Emergency Medicine/ed [Education] MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - The emergency department is the focal point for many social ills, not the least of which is substance abuse. We conducted a study to determine to what degree substance abuse education is taught in emergency medicine residency training programs. A set of educational objectives was developed by a task force composed of representatives of the American College of Emergency Physicians, the Society of Teachers of Emergency Medicine, and the University Association for Emergency Medicine. A questionnaire then was sent to the directors of all emergency medicine residency programs accredited by the Accreditation Council for Graduate Medical Education to determine the degree to which those objectives are covered in residency training. A 62% response rate was achieved. The data revealed that such topics as narcotic prescription law, patterns of risk, and issues pertaining to substance abuse by physicians were covered by fewer than half of the programs responding. Respondents were generally satisfied with the adequacy of training of residents and faculty in the area of substance abuse; however, they were dissatisfied with the adequacy of available training materials. Recommendations for changes in graduate curriculum as well as avenues for further research are provided. IS - 0196-0644 IL - 0196-0644 PT - Journal Article PP - ppublish LG - English DP - 1989 Dec EZ - 1989/12/01 DA - 1989/12/01 00:01 DT - 1989/12/01 00:00 YR - 1989 ED - 19900111 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2589703 <1388. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2685206 TI - Training physicians about smoking cessation: a controlled trial in private practice. SO - Journal of General Internal Medicine. 4(6):482-9, 1989 Nov-Dec. AS - J Gen Intern Med. 4(6):482-9, 1989 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cummings SR AU - Richard RJ AU - Duncan CL AU - Hansen B AU - Vander Martin R AU - Gerbert B AU - Coates TJ FA - Cummings, S R FA - Richard, R J FA - Duncan, C L FA - Hansen, B FA - Vander Martin, R FA - Gerbert, B FA - Coates, T J IN - Cummings, S R. Division of General Internal Medicine, University of California, San Francisco 94143-0320. NJ - Journal of general internal medicine VO - 4 IP - 6 PG - 482-9 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - Clinical Competence/st [Standards] MH - *Counseling/st [Standards] MH - *Education, Medical, Continuing/mt [Methods] MH - Follow-Up Studies MH - Humans MH - *Patient Education as Topic/st [Standards] MH - Physician-Patient Relations MH - *Private Practice/st [Standards] MH - Randomized Controlled Trials as Topic MH - *Smoking Prevention AB - STUDY OBJECTIVE: To test the hypotheses that physicians in private practice who receive a continuing education program (entitled "Quit for Life") about how to counsel smokers to quit would counsel smokers more effectively and have higher rates of long-term smoking cessation among their patients. AB - DESIGN: Randomized trial with blinded assessment of principal outcomes. AB - SETTING: Private practices of internal medicine and family practice. AB - SUBJECTS: Forty-four physicians randomly assigned to receive training (24) or serve as controls (20) and consecutive samples of smokers visiting each physician (19.6 patients per experimental and 22.3 per control physician). AB - INTERVENTIONS: Physicians received three hours of training about how to help smokers quit. Physicians and their office staffs were also given self-help booklets to distribute to smokers and were urged to use a system of stickers on charts as reminders to counsel smokers about quitting. AB - MEASUREMENTS AND MAIN RESULTS: Based on telephone interviews with patients, physicians in the experimental group were more likely to discuss smoking with patients who smoked (64% vs. 44%), spent more time counseling smokers about quitting (7.5 vs. 5.2 minutes), helped more smokers set dates to quit smoking (29% vs. 5% of smokers), gave out more self-help booklets (37% vs. 9%), and were more likely to make a follow-up appointment about quitting smoking (19% vs. 11% of those counseled) than physicians in the control group. One year later, the rates of biochemically confirmed, long-term (greater than or equal to 9 months) abstinence from smoking were similar among patients in the experimental (3.2%) and control (2.5%) groups (95% confidence interval for the 0.7% difference: -1.7 to +3.1%). AB - CONCLUSIONS: The authors conclude that this continuing education program substantially changed the way physicians counseled smokers, but had little or no impact on rates of long-term smoking cessation among their patients. There is a need for more effective strategies to help physicians help their patients to quit smoking. IS - 0884-8734 IL - 0884-8734 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: CA38337 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1989 Nov-Dec EZ - 1989/11/01 DA - 1989/11/01 00:01 DT - 1989/11/01 00:00 YR - 1989 ED - 19900103 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2685206 <1389. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2587688 TI - [Medical and psychosocial effects of methadone substitution in HIV infected substance-dependent patients]. [German] OT - Medizinische und psychosoziale Effekte der Methadon-Substitution HIV-infizierter Drogenabhangiger. SO - Psychotherapie, Psychosomatik, Medizinische Psychologie. 39(11):381-9, 1989 Nov. AS - Psychother Psychosom Med Psychol. 39(11):381-9, 1989 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Walger P AU - Baumgart P AU - Wilke G AU - Kupfer U AU - von Eiff M AU - Dorst KG FA - Walger, P FA - Baumgart, P FA - Wilke, G FA - Kupfer, U FA - von Eiff, M FA - Dorst, K G NJ - Psychotherapie, Psychosomatik, medizinische Psychologie VO - 39 IP - 11 PG - 381-9 PI - Journal available in: Print PI - Citation processed from: Print JC - qhb, 8002823 IO - Psychother Psychosom Med Psychol SB - Index Medicus SB - AIDS/HIV Journals CP - Germany MH - Adult MH - Female MH - Follow-Up Studies MH - *HIV Infections/pc [Prevention & Control] MH - HIV Infections/tm [Transmission] MH - *Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Male MH - *Methadone/tu [Therapeutic Use] MH - Prospective Studies MH - Risk Factors MH - *Social Adjustment MH - *Substance Abuse, Intravenous/rh [Rehabilitation] AB - After an average observation time of 12 months we can confirm that methadone substitution on an outpatient basis has proved significantly useful for a majority of chronically intravenously opiate-dependent HIV-infected patients of the stages CDC IV or WR 3-6 if methadone is given under controlled conditions, the improvement consisting in an amelioration of certain medical and psychosocial parameters. In 25 out of 30 patients methadone substitution resulted in termination of the previously existing intravenous heroin addiction. In the further course of treatment one of these 25 patients could then be induced to undergo a methadone withdrawal course followed by long-term withdrawal therapy. Since the patients were no longer dependent on heroin, they were no longer compelled to procure it under all circumstances, so that crime and prostitution connected with the pressure to obtain heroin by all means were now superfluous. This provided the most important prerequisites for medical and social care for the patients. The decisive factors determining the effectivity of substitution and hence a successful stabilisation are the integration of the patient in a network of care including the family doctor, outpatient HIV care by a relevant clinic, drug advice centre of AIDS help, and a Public Health Office. This also guarantees that the patients act responsibly in respect of their AIDS infection. In very few patients the permanent success of the treatment was at high risk due to unsatisfactory social care, lack of social security measures, progression of the underlying disease, a too low methadone dosage level, and partnership conflicts. RN - UC6VBE7V1Z (Methadone) IS - 0937-2032 IL - 0937-2032 PT - English Abstract PT - Journal Article PP - ppublish LG - German DP - 1989 Nov EZ - 1989/11/01 DA - 1989/11/01 00:01 DT - 1989/11/01 00:00 YR - 1989 ED - 19891227 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2587688 <1390. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2814645 TI - [Role of medical personnel of therapeutic-preventive establishments in antialcoholic campaign]. [Russian] OT - Rol' meditsinskikh rabotnikov lechebno-profilakticheskikh uchrezhdenii v antialkogol'noi propagande. SO - Sovetskoe Zdravookhranenie. (9):38-41, 1989 AS - Sov Zdravookhr. (9):38-41, 1989 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Purina EA AU - Lozovskaia AS FA - Purina, E A FA - Lozovskaia, A S NJ - Sovetskoe zdravookhranenie IP - 9 PG - 38-41 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404526, uwk IO - Sov Zdravookhr SB - Index Medicus CP - Russia (Federation) MH - Adult MH - *Alcoholism/pc [Prevention & Control] MH - Female MH - *Health Education MH - *Health Manpower MH - Humans MH - Male MH - Middle Aged MH - Surveys and Questionnaires IS - 0038-5239 IL - 0038-5239 PT - Journal Article PP - ppublish LG - Russian DP - 1989 EZ - 1989/01/01 DA - 1989/01/01 00:01 DT - 1989/01/01 00:00 YR - 1989 ED - 19891219 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2814645 <1391. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2681630 TI - Nicotine dependence and alcoholism epidemiology and treatment. [Review] [37 refs] SO - Journal of Psychoactive Drugs. 21(3):323-9, 1989 Jul-Sep. AS - J Psychoactive Drugs. 21(3):323-9, 1989 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bobo JK FA - Bobo, J K IN - Bobo, J K. Department of Epidemiology, University of Washington, Seattle 98195. NJ - Journal of psychoactive drugs VO - 21 IP - 3 PG - 323-9 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - Humans MH - *Smoking/ep [Epidemiology] MH - *Substance-Related Disorders/ep [Epidemiology] AB - Nicotine dependence in alcohol-involved adults is a long-ignored treatment problem. The absence of its discussion in the literature is difficult to defend in light of medical and epidemiological data on the cost and prevalence of this dual addiction. Most descriptive studies of alcohol abusers published in the past 20 years have reported tobacco use rates of at least 90%. There is a crucial need to educate treatment professionals and their clients about the additional health risks associated with joint nicotine dependence and alcoholism. Historically, certain barriers to active intervention have existed in drug abuse treatment facilities, including (1) concerns that urging clients to quit smoking might have an adverse effect on their maintenance of sobriety, (2) a tendency to minimize the strength and severity of nicotine addiction, (3) a lack of informative data on how best to treat smoking in recovering alcoholics, and (4) financial issues related to marketing and insurance compensation. Recent data obtained from recovering alcoholics who have tried to quit smoking and anecdotal reports from alcoholism treatment centers that have begun addressing nicotine addiction are now challenging these barriers. Education, role modeling, environmental control, and development of staff expertise can be incorporated into standard alcoholism treatment programs to jointly treat these paired addictions. [References: 37] IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Review ID - 10.1080/02791072.1989.10472174 [doi] PP - ppublish LG - English DP - 1989 Jul-Sep EZ - 1989/07/01 DA - 1989/07/01 00:01 DT - 1989/07/01 00:00 YR - 1989 ED - 19891218 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2681630 <1392. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2789524 TI - The medical profession has achieved a major change in its smoking behaviour; how might undergraduate medical education achieve a similar change in doctors' drinking habits?. SO - Alcohol & Alcoholism. 24(4):339-45, 1989. AS - Alcohol Alcohol. 24(4):339-45, 1989. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Talbot K FA - Talbot, K IN - Talbot, K. Dean's Office, Charing Cross and Westminster Medical School, London, U.K. NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 24 IP - 4 PG - 339-45 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - *Alcoholism/pc [Prevention & Control] MH - *Curriculum MH - *Education, Medical MH - England MH - Health Behavior MH - Humans MH - Interpersonal Relations MH - Male MH - *Physicians MH - *Smoking IS - 0735-0414 IL - 0735-0414 PT - Journal Article PP - ppublish LG - English DP - 1989 EZ - 1989/01/01 DA - 1989/01/01 00:01 DT - 1989/01/01 00:00 YR - 1989 ED - 19891109 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2789524 <1393. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2676031 TI - Reports from research centres--20. Alcohol research at the Hjellestad Clinic. [Review] [90 refs] SO - British Journal of Addiction. 84(9):999-1009, 1989 Sep. AS - Br J Addict. 84(9):999-1009, 1989 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Laberg JC AU - Fauske S AU - Loberg T FA - Laberg, J C FA - Fauske, S FA - Loberg, T NJ - British journal of addiction VO - 84 IP - 9 PG - 999-1009 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Follow-Up Studies MH - Humans MH - Norway MH - Research MH - Risk Factors AB - Treatment and research efforts at the Hjellestad Clinic are based on a biobehavioural model of the addictions. The treatment program encompasses life-style changes and relapse prevention, and extensive assessment for the purpose of the treatment choices. The clinic is treating nearly 1500 patients a year. Psychological and medical research projects have included experimental drinking studies, psychopharmacological and biomedical studies, treatment evaluations, studies of neuropsychological assessment, studies of personality subtypes, studies of violence related to alcohol and drugs, and investigations of women alcoholics. A new research laboratory houses an experimental bar, and state-of-the-art facilities for psychophysiological and neuropsychological testing. The Hjellestad Clinic is the only Norwegian centre for clinical and experimental research on the addictions from a psycho-physiological as well as behavioral and cognitive perspective. In addition, a national educational program offers theoretical and practical training for professionals and paraprofessionals in the addictions in co-operation with the University of Bergen. Training in the addictions and internships for psychology students at the University of Bergen is provided at the Clinic. The centre has established connections with centres in Scandinavia, England, Canada and the U.S., through visiting scholars and study trips. (The centre has an especially strong liaison with the Rutgers Center of Alcohol Studies.) [References: 90] IS - 0952-0481 IL - 0952-0481 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1989 Sep EZ - 1989/09/01 DA - 1989/09/01 00:01 DT - 1989/09/01 00:00 YR - 1989 ED - 19891101 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2676031 <1394. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3255180 TI - [Medical teachers' opinion on various sources of information related to smoking control (data from a questionnaire survey)]. [Russian] OT - Mnenie prepodavatelei meditsinskogo instituta o razlichnykh istochnikakh informatsii po bo'rbe s kureniem (po dannym anketnogo oprosa). SO - Sovetskoe Zdravookhranenie. (12):25-8, 1988 AS - Sov Zdravookhr. (12):25-8, 1988 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kiselev VIa FA - Kiselev, V Ia NJ - Sovetskoe zdravookhranenie IP - 12 PG - 25-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404526, uwk IO - Sov Zdravookhr SB - Index Medicus CP - Russia (Federation) MH - Bashkiria MH - *Faculty, Medical MH - Female MH - Health Education/og [Organization & Administration] MH - *Health Education/st [Standards] MH - Humans MH - *Information Services/st [Standards] MH - Male MH - *Mass Media/st [Standards] MH - *Public Opinion MH - *Smoking Prevention MH - Surveys and Questionnaires IS - 0038-5239 IL - 0038-5239 PT - Journal Article PP - ppublish LG - Russian DP - 1988 EZ - 1988/01/01 DA - 1988/01/01 00:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19890912 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3255180 <1395. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2755926 TI - [Does medical education change behavior, attitude and knowledge in relation to smoking? A survey of medical students in the 1st and next to last year of study]. [German] OT - Verandert das Medizinstudium Verhalten, Meinung und Wissen uber das Rauchen? Eine Umfrage unter Medizinstudenten im ersten und vorletzten Studienjahr. SO - Pneumologie. 43(6):284-9, 1989 Jun. AS - Pneumologie. 43(6):284-9, 1989 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gillmann-Blum D AU - Castillo-Hofer C AU - Schmidtmann I AU - Ferlinz R FA - Gillmann-Blum, D FA - Castillo-Hofer, C FA - Schmidtmann, I FA - Ferlinz, R NJ - Pneumologie (Stuttgart, Germany) VO - 43 IP - 6 PG - 284-9 PI - Journal available in: Print PI - Citation processed from: Print JC - pne, 8906641 IO - Pneumologie SB - Index Medicus CP - Germany MH - Adult MH - *Attitude of Health Personnel MH - Female MH - Germany, West MH - Humans MH - Male MH - *Smoking/px [Psychology] MH - Smoking Prevention MH - *Students, Medical/px [Psychology] AB - Among the 831 students in the first and last-but-one year of medical studies, 21% were smokers, 4% occasional smokers, 63% non-smokers and 5% former smokers. There were no statistically significant difference in smoking habits between the first and fifth years of study. The different semesters did, however, reveal significant differences with respect to their evaluation of smoking as a health hazard, their knowledgability as to the causal effects of smoking in diverse diseases, the readiness of the doctors-to-be to counsel their patients to avoid smoking, self assessment of their knowledge about smoker counselling methods, their support for the ban on cigarette advertising, and further education in the field of smoker counselling. Significant difference were to be seen between smokers, former smokers and non-smokers with respect to their personal evaluation of their smoking habits over the next five years, the assessment of smoking as a hazard to health, and the subjective burdening of smoking, the question as to the example-setting and instructive role of the physician with respect to smoking, and the question of statutory measures affecting smoking. IS - 0934-8387 IL - 0934-8387 PT - Journal Article PP - ppublish LG - German DP - 1989 Jun EZ - 1989/06/01 DA - 1989/06/01 00:01 DT - 1989/06/01 00:00 YR - 1989 ED - 19890831 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2755926 <1396. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3252741 TI - [The university and the training of professionals to deal with drug dependencies]. [Spanish] OT - La universidad y la formacion de profesionales en drogodependencias. SO - Anales de la Real Academia Nacional de Medicina. 105(4):415-30, 1988. AS - An R Acad Nac Med (Madr). 105(4):415-30, 1988. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fernandez PL FA - Fernandez, P L NJ - Anales de la Real Academia Nacional de Medicina VO - 105 IP - 4 PG - 415-30 PI - Journal available in: Print PI - Citation processed from: Print JC - 4lm, 7505188 IO - An R Acad Nac Med (Madr) SB - Index Medicus CP - Spain MH - *Education, Medical MH - Humans MH - *Social Sciences/ed [Education] MH - Spain MH - *Substance-Related Disorders/th [Therapy] IS - 0034-0634 IL - 0034-0634 PT - Journal Article PP - ppublish LG - Spanish DP - 1988 EZ - 1988/01/01 DA - 1988/01/01 00:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19890809 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3252741 <1397. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2720184 TI - Undergraduate training in substance abuse in the United Kingdom. SO - British Journal of Addiction. 84(2):197-202, 1989 Feb. AS - Br J Addict. 84(2):197-202, 1989 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glass IB FA - Glass, I B NJ - British journal of addiction VO - 84 IP - 2 PG - 197-202 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - *Substance-Related Disorders MH - United Kingdom AB - During 1987 thirteen departments in each of 28 medical schools were surveyed about the training their undergraduate medical students received in substance abuse. There was a 70% response rate, and of the departments that responded, 54% provided formal teaching (lectures, seminars, symposia), on average 14 hours over the 5 year training. Forty-three per cent of the major clinical specialities provided clinical exposure to addiction problems, but only 21% of clinical and non-clinical departments ensured that students were examined on the topic. There is a need to focus teaching in addiction behaviour either by co-ordinated effort over all departments, or by integration within departments. It is pressing to review and revise the medical curriculum because of the escalation of substance abuse, the need for resources, the pivotal role of the medical profession and the relation of drug abuse to the acquired immunodeficiency syndrome. The development of a 'core' curriculum which demarcates key topics, and which encompasses and links pre-clinical and clinical training in addiction behaviour would be valuable. IS - 0952-0481 IL - 0952-0481 PT - Journal Article PP - ppublish LG - English DP - 1989 Feb EZ - 1989/02/01 DA - 1989/02/01 00:01 DT - 1989/02/01 00:00 YR - 1989 ED - 19890629 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2720184 <1398. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2720183 TI - The integration of an educational program into a treatment facility. SO - British Journal of Addiction. 84(2):191-5, 1989 Feb. AS - Br J Addict. 84(2):191-5, 1989 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Schuckit MA AU - Berger F FA - Schuckit, M A FA - Berger, F NJ - British journal of addiction VO - 84 IP - 2 PG - 191-5 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - Alcoholism/rh [Rehabilitation] MH - *Alcoholism/th [Therapy] MH - California MH - *Education, Medical MH - Education, Medical, Undergraduate MH - Humans MH - Internship and Residency MH - *Psychiatry/ed [Education] MH - Students, Medical AB - This paper reviews the integration of an active teaching program into a busy treatment facility. All first and second year medical students at the University of California, San Diego take part in a series of didactic lectures and small group discussions, while third and fourth year students have the opportunity of joining a treatment team for 4 to 6 weeks. All psychiatric residents spend a minimum of 8 weeks working on the unit, and one fourth year resident is chosen to work with the staff for a year. The interactions between treatment teams and students in various stages of development help maximize enthusiasm and the commitment to the best patient care possible. IS - 0952-0481 IL - 0952-0481 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 05226 Organization: *PHS HHS* Country: United States LG - English DP - 1989 Feb EZ - 1989/02/01 DA - 1989/02/01 00:01 DT - 1989/02/01 00:00 YR - 1989 ED - 19890629 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2720183 <1399. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2716143 TI - Knowledge, attitudes, and reported practices of medical students and house staff regarding the diagnosis and treatment of alcoholism. SO - JAMA. 261(21):3115-20, 1989 Jun 02. AS - JAMA. 261(21):3115-20, 1989 Jun 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Geller G AU - Levine DM AU - Mamon JA AU - Moore RD AU - Bone LR AU - Stokes EJ FA - Geller, G FA - Levine, D M FA - Mamon, J A FA - Moore, R D FA - Bone, L R FA - Stokes, E J IN - Geller, G. Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205. CM - Comment in: JAMA. 1990 Mar 2;263(9):1198-9; PMID: 2304230 NJ - JAMA VO - 261 IP - 21 PG - 3115-20 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 - Alcoholism/di [Diagnosis] MH - *Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Baltimore MH - Curriculum MH - Hospitals, University MH - Humans MH - *Internship and Residency MH - Physician's Role MH - *Students, Medical/px [Psychology] AB - Although alcoholism is prevalent in both general and inpatient populations, barriers to its timely diagnosis and effective treatment exist. These are often attributed to physicians' inadequate understanding and skill development and negative attitudes toward the disease. All Johns Hopkins' medical students and house staff, during 1986 through 1987, received a self-administered survey of their attitudes, skills, perceived role responsibility, knowledge, and reported practices with regard to alcoholism. Results indicate a strong relationship between perceived role responsibility, confidence in skills, and reported screening and referral practices among students and house staff. Knowledge levels strengthened the association between skills and practices for medical students. House staff perceived less of a responsibility for screening than medical students. There was a trend toward lower confidence and more negative attitudes among house staff than medical students. The results point to areas where educational interventions can be improved to enhance quality of care and outcomes for this major chronic disease. IS - 0098-7484 IL - 0098-7484 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1989 Jun 02 EZ - 1989/06/02 DA - 1989/06/02 00:01 DT - 1989/06/02 00:00 YR - 1989 ED - 19890621 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2716143 <1400. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2711914 TI - New mandatory course in alcohol and drug dependence for medical students at the Karolinska Institute. SO - Advances in Alcohol & Substance Abuse. 8(1):55-66, 1989. AS - Adv Alcohol Subst Abuse. 8(1):55-66, 1989. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Toraker P AU - Rydberg US FA - Toraker, P FA - Rydberg, U S IN - Toraker, P. Karolinska Institute, Department of Psychiatry, Huddinge University Hospital, Sweden. NJ - Advances in alcohol & substance abuse VO - 8 IP - 1 PG - 55-66 PI - Journal available in: Print PI - Citation processed from: Print JC - 8107172, 2nz IO - Adv Alcohol Subst Abuse SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Sweden AB - Traditionally, instruction concerning alcohol and drug dependence has been insignificant in medical schools. The Karolinska Institute in Stockholm, Sweden, decided to introduce a special course starting in the academic year of 1983-84. It is given 4 times a year and is of a comprehensive nature. It comprises 2 weeks, 1 week of lectures and 1 week of clinical training and is followed by a separate examination. The first 7 courses from the fall of 1983 to the spring of 1985 are described and evaluated here. Evidently, the new course is much appreciated by the students and there is also a marked shift in opinion towards a more positive attitude in coping with these problems. IS - 0270-3106 IL - 0270-3106 PT - Journal Article ID - 10.1300/J251v08n01_04 [doi] PP - ppublish LG - English DP - 1989 EZ - 1989/01/01 DA - 1989/01/01 00:01 DT - 1989/01/01 00:00 YR - 1989 ED - 19890526 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2711914 <1401. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3241308 TI - Alcohol and drug taking among medical students at a Nigerian university campus: Part 2. Sociodemographic factors of etiologic significance. SO - Journal of the National Medical Association. 80(2):191-5, 1988 Feb. AS - J Natl Med Assoc. 80(2):191-5, 1988 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ihezue UH FA - Ihezue, U H NJ - Journal of the National Medical Association VO - 80 IP - 2 PG - 191-5 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/PMC2625735 SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Alcoholism/ec [Economics] MH - *Alcoholism/et [Etiology] MH - Female MH - Humans MH - Male MH - Nigeria MH - Socioeconomic Factors MH - *Students, Medical MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/et [Etiology] AB - In a survey of Nigerian undergraduate medical students, alcohol and drug users were classified as frequent users, casual users, and nonusers. Place of residence during session and family structure recorded no significant contribution to the development of substance abuse. Male sex, poor performance on examinations, drug taking among close friends and peers, and a family background of lower socioeconomic status emerged as sociodemographic factors correlating positively with the presence of substance abuse. Health education, controlled distribution of drugs and alcohol, stringent regulatory provisions against their use, and a permanent Commission on Substance Abuse with full judicial powers are suggested as measures that may help control the abuse of psychoactive substances and the hazard they pose to public health. IS - 0027-9684 IL - 0027-9684 PT - Journal Article ID - PMC2625735 [pmc] PP - ppublish LG - English DP - 1988 Feb EZ - 1988/02/01 DA - 1988/02/01 00:01 DT - 1988/02/01 00:00 YR - 1988 ED - 19890522 RD - 20151225 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3241308 <1402. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2925031 TI - Alcoholics anonymous in medical school education. SO - Family Medicine. 21(2):146-7, 1989 Mar-Apr. AS - Fam Med. 21(2):146-7, 1989 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Karnitschnig A FA - Karnitschnig, A IN - Karnitschnig, A. Department of Family and Community Medicine, Eastern Virginia Medical School, Norfolk. NJ - Family medicine VO - 21 IP - 2 PG - 146-7 PI - Journal available in: Print PI - Citation processed from: Print JC - fal, 8306464 IO - Fam Med SB - Index Medicus CP - United States MH - *Alcoholics Anonymous MH - Attitude MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - *Schools, Medical MH - *Students, Medical/px [Psychology] AB - The Department of Family and Community Medicine at Eastern Virginia Medical School has implemented a program introducing second-year medical students to Alcoholics Anonymous. This report reflects the results of the students' experience. All students felt they would be able to use Alcoholics Anonymous more effectively in caring for their patients. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 1989 Mar-Apr EZ - 1989/03/01 DA - 1989/03/01 00:01 DT - 1989/03/01 00:00 YR - 1989 ED - 19890505 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2925031 <1403. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2930094 TI - Training physicians in counseling about smoking cessation. A randomized trial of the "Quit for Life" program. SO - Annals of Internal Medicine. 110(8):640-7, 1989 Apr 15. AS - Ann Intern Med. 110(8):640-7, 1989 Apr 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cummings SR AU - Coates TJ AU - Richard RJ AU - Hansen B AU - Zahnd EG AU - VanderMartin R AU - Duncan C AU - Gerbert B AU - Martin A AU - Stein MJ FA - Cummings, S R FA - Coates, T J FA - Richard, R J FA - Hansen, B FA - Zahnd, E G FA - VanderMartin, R FA - Duncan, C FA - Gerbert, B FA - Martin, A FA - Stein, M J IN - Cummings, S R. University of California, San Francisco. NJ - Annals of internal medicine VO - 110 IP - 8 PG - 640-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - *Counseling/ed [Education] MH - *Education, Medical, Continuing MH - Health Maintenance Organizations MH - Humans MH - Internal Medicine MH - Motivation MH - Patient Education as Topic/mt [Methods] MH - Physician's Role MH - Random Allocation MH - San Francisco MH - Smoking/px [Psychology] MH - *Smoking Prevention MH - Surveys and Questionnaires AB - STUDY OBJECTIVE: To test whether physicians who receive a continuing education program ("Quit for Life") about how to counsel smokers to quit would counsel smokers more effectively and have higher rates of long-term smoking cessation among their patients who smoke. AB - DESIGN: Randomized trial with blinded assessment of principal outcomes. AB - SETTING: Four health maintenance organization medical centers in northern California. AB - SUBJECTS: Eighty-one internists assigned by blinded randomization to receive training (40) or serve as controls (41). Consecutive samples of smokers visiting each physician (mean, 25.6 patients per experimental and 25.2 per control physician). AB - INTERVENTIONS: Internists received 3 hours of training about how to help smokers quit. Physicians and their office staff also were given self-help booklets to distribute free to smokers and were urged to use a system of stickers on charts to remind physicians to counsel smokers about quitting. AB - MEASUREMENTS AND MAIN RESULTS: On the basis of telephone interviews with patients after visiting the physician, we determined that internists who attended the Quit for Life program discussed smoking with more patients who smoked, spent more time counseling them about smoking, helped more patients set dates to quit smoking, gave out more self-help booklets, and made more follow-up appointments to discuss smoking than did internists in the control group. One year later, the rate of biochemically confirmed, long-term (greater than or equal to 9 months) abstinence from smoking was 1% higher among all patients of trained internists than among patients of controls (95% CI, -0.1% to +2.3%), and 2.2% (+0.2% to +4.3%) higher among the patients who most wanted to quit smoking. AB - CONCLUSIONS: This continuing education program substantially changed the way physicians counseled smokers. As a result, a few more patients who wanted to quit smoking achieved long-term abstinence. IS - 0003-4819 IL - 0003-4819 PT - Clinical Trial PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: CA38337 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1989 Apr 15 EZ - 1989/04/15 DA - 1989/04/15 00:01 DT - 1989/04/15 00:00 YR - 1989 ED - 19890426 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2930094 <1404. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2921452 TI - Characteristics, diagnosis, and treatment of alcoholism in elderly patients. SO - Journal of the American Geriatrics Society. 37(4):310-6, 1989 Apr. AS - J Am Geriatr Soc. 37(4):310-6, 1989 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Curtis JR AU - Geller G AU - Stokes EJ AU - Levine DM AU - Moore RD FA - Curtis, J R FA - Geller, G FA - Stokes, E J FA - Levine, D M FA - Moore, R D IN - Curtis, J R. Department of Medicine, Johns Hopkins University, Baltimore, Maryland. CM - Comment in: J Am Geriatr Soc. 1989 Dec;37(12):1204; PMID: 2592726 NJ - Journal of the American Geriatrics Society VO - 37 IP - 4 PG - 310-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503062, h6v IO - J Am Geriatr Soc SB - Index Medicus CP - United States MH - Age Factors MH - Aged MH - Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Algorithms MH - Faculty, Medical MH - Female MH - Humans MH - Internship and Residency MH - Male MH - Middle Aged MH - Psychological Tests AB - The purpose of this study is to examine the ability of physicians to diagnose alcoholism in the elderly patient and to define characteristics specific to the elderly patient with alcoholism. During a 3-month period, all new admissions to the medical service of The Johns Hopkins Hospital were screened for alcoholism with two screening tests (the CAGE questionnaire and Short Michigan Alcohol Screening Test). The prevalence of screen-positive alcoholism was 27% in patients under 60 years of age and 21% in patients 60 years and older. Elderly patients with alcoholism were more likely to be black (P less than .01), but did not differ significantly in any other way from elderly patients who did not have alcoholism. Although 60% of screen-positive young patients with alcoholism were identified by their houseofficers, only 37% of elderly patients with screen-positive alcoholism were so identified (P less than .05). The elderly patients with alcoholism were significantly less likely to be diagnosed by their houseofficer if they were white, female, or had completed high school (P less than .01). Even when diagnosed, elderly patients with alcoholism were less likely than younger patients with alcoholism to have treatment recommended by their houseofficers (P less than .05) and, if treatment were recommended, it was less likely to be initiated (P less than .05). These data suggest that current medical education is deficient in providing physicians with the skills to detect and treat elderly patients with alcoholism. IS - 0002-8614 IL - 0002-8614 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: 5T35 HL07606 Organization: (HL) *NHLBI NIH HHS* Country: United States GI - No: RR05378-27 Organization: (RR) *NCRR NIH HHS* Country: United States LG - English DP - 1989 Apr EZ - 1989/04/01 DA - 1989/04/01 00:01 DT - 1989/04/01 00:00 YR - 1989 ED - 19890417 RD - 20080310 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2921452 <1405. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2646961 TI - A study of physicians certified in alcohol and drug dependence. SO - Alcoholism: Clinical & Experimental Research. 13(1):1-2, 1989 Feb. AS - Alcohol Clin Exp Res. 13(1):1-2, 1989 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Bean-Bayog M FA - Galanter, M FA - Bean-Bayog, M NJ - Alcoholism, clinical and experimental research VO - 13 IP - 1 PG - 1-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 35x, 7707242 IO - Alcohol. Clin. Exp. Res. SB - Index Medicus CP - England MH - *Alcoholism/rh [Rehabilitation] MH - *Certification MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0145-6008 IL - 0145-6008 PT - Editorial PP - ppublish LG - English DP - 1989 Feb EZ - 1989/02/01 DA - 1989/02/01 00:01 DT - 1989/02/01 00:00 YR - 1989 ED - 19890414 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2646961 <1406. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3265785 TI - [Prevalence of smoking and its motivation among students of 2 institutions of higher learning in Bialystok]. [Polish] OT - Rozpowszechnienie i motywacja palenia tytoniu wsrod studentow dwoch wyzszych uczelni Bialegostoku. SO - Pneumonologia Polska. 56(6):273-7, 1988 Jun. AS - Pneumonol Pol. 56(6):273-7, 1988 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fabczak J AU - Kowal E FA - Fabczak, J FA - Kowal, E NJ - Pneumonologia polska VO - 56 IP - 6 PG - 273-7 PI - Journal available in: Print PI - Citation processed from: Print JC - paf, 7605692 IO - Pneumonol Pol SB - Index Medicus CP - Poland MH - Adult MH - Cross-Sectional Studies MH - Engineering MH - Female MH - Humans MH - Male MH - *Motivation MH - Poland MH - *Smoking/ep [Epidemiology] MH - Smoking/px [Psychology] MH - *Students/px [Psychology] MH - Students, Medical/px [Psychology] IS - 0376-4761 IL - 0376-4761 PT - Comparative Study PT - English Abstract PT - Journal Article PP - ppublish LG - Polish DP - 1988 Jun EZ - 1988/06/01 DA - 1988/06/01 00:01 DT - 1988/06/01 00:00 YR - 1988 ED - 19890406 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3265785 <1407. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3226349 TI - Teaching doctors to take alcohol histories: a limited success story. SO - Medical Education. 22(6):539-42, 1988 Nov. AS - Med Educ. 22(6):539-42, 1988 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rowland N AU - Maynard AK AU - Kennedy PF AU - Wintersgill W AU - Stone WD FA - Rowland, N FA - Maynard, A K FA - Kennedy, P F FA - Wintersgill, W FA - Stone, W D IN - Rowland, N. Centre for Health Economics, University of York, UK. NJ - Medical education VO - 22 IP - 6 PG - 539-42 PI - Journal available in: Print PI - Citation processed from: Print JC - mz3, 7605655 IO - Med Educ SB - Index Medicus CP - England MH - *Alcoholism/di [Diagnosis] MH - *Education, Medical, Continuing MH - England MH - Female MH - Humans MH - Male MH - *Medical History Taking MH - Medical Staff, Hospital AB - Doctors often lack the knowledge and skills to identify and assess those who drink to excess and are unsure of what their preventive and educational role should be. As part of a prospective study of early identification and intervention with general hospital patients who drink to excess, we were interested to discover whether brief education about alcohol-related problems and training in the use of a quick and efficient alcohol screening questionnaire would improve doctors' alcohol history-taking and thus their identification of those at risk. The case notes of every fifth admission to orthopaedic and medical wards at the York District Hospital were studied before and after doctor education. Recorded information on both alcohol and tobacco increased over the period reviewed, reflecting perhaps doctors' growing awareness of the health-threatening aspects of these drugs. While there was no major change in doctors' alcohol history-taking, with two thirds of case notes making no mention, or only vague mention, of alcohol, there was a significant post-education increase in the number of patients for whom detailed drinking histories were recorded, but no significant changes in tobacco histories. Small but significant improvements such as these are important in view of the size of the medical problems arising from the use of alcohol. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1988 Nov EZ - 1988/11/01 DA - 1988/11/01 00:01 DT - 1988/11/01 00:00 YR - 1988 ED - 19890404 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3226349 <1408. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3224197 TI - Substance abuse and professional education: a tops-down or bottoms-up approach?. SO - British Journal of Addiction. 83(9):999-1001, 1988 Sep. AS - Br J Addict. 83(9):999-1001, 1988 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glass IB FA - Glass, I B NJ - British journal of addiction VO - 83 IP - 9 PG - 999-1001 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - *Education, Medical/td [Trends] MH - Humans MH - Specialization/td [Trends] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United Kingdom IS - 0952-0481 IL - 0952-0481 PT - Journal Article PP - ppublish LG - English DP - 1988 Sep EZ - 1988/09/01 DA - 1988/09/01 00:01 DT - 1988/09/01 00:00 YR - 1988 ED - 19890329 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3224197 <1409. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3228081 TI - Pharmacist involvement in a chemical-dependency rehabilitation program. SO - American Journal of Hospital Pharmacy. 45(10):2099-101, 1988 Oct. AS - Am J Hosp Pharm. 45(10):2099-101, 1988 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haynes M FA - Haynes, M IN - Haynes, M. CareUnit Hospital of Kirkland, WA 98034. NJ - American journal of hospital pharmacy VO - 45 IP - 10 PG - 2099-101 PI - Journal available in: Print PI - Citation processed from: Print JC - 3i0, 0370474 IO - Am J Hosp Pharm SB - Index Medicus CP - United States MH - Education, Pharmacy MH - Hospital Bed Capacity, under 100 MH - Humans MH - *Patient Care Team MH - Patient Education as Topic MH - *Pharmacists MH - *Pharmacy Service, Hospital MH - Students, Pharmacy MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Washington AB - Pharmacist involvement in a small hospital for the treatment and rehabilitation of patients with chemical dependency is described. The pharmacist's primary responsibilities include provision of pharmaceutical services to meet the medical needs of patients during detoxification; development of detoxification protocols for management of withdrawal from drugs of abuse; education of patients and their families, other clinical staff members, and pharmacy students about the pathophysiology of addiction, treatment options, and the foundations of recovery; medication and addiction counseling; and multidisciplinary team support of recovery. To successfully fulfill this complex role, the pharmacist must have specialized education on alcoholism and addiction, develop good communications skills, and learn the dynamics of recovery support groups. The pharmacist employed at this hospital spends about 70% of her time with pharmaceutical services and 30% with counseling services. A pharmacist working in a chemical-dependency rehabilitation program has a unique opportunity to affect positively the physical and emotional health of the recovering individual by taking on responsibilities beyond those traditionally associated with pharmacy practice. IS - 0002-9289 IL - 0002-9289 PT - Journal Article PP - ppublish LG - English DP - 1988 Oct EZ - 1988/10/01 DA - 1988/10/01 00:01 DT - 1988/10/01 00:00 YR - 1988 ED - 19890328 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3228081 <1410. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3219169 TI - Physicians need better training on prescribing nicotine gum: study. SO - Boletin - Asociacion Medica de Puerto Rico. 80(11):445-6, 1988 Nov. AS - Bol Asoc Med P R. 80(11):445-6, 1988 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Boletin de la Asociacion Medica de Puerto Rico VO - 80 IP - 11 PG - 445-6 PI - Journal available in: Print PI - Citation processed from: Print JC - ab4, 7505267 IO - Bol Asoc Med P R SB - Index Medicus CP - Puerto Rico MH - *Chewing Gum MH - Humans MH - Nicotine/ad [Administration & Dosage] MH - *Nicotine/tu [Therapeutic Use] MH - *Practice Patterns, Physicians' MH - *Smoking Prevention RN - 0 (Chewing Gum) RN - 6M3C89ZY6R (Nicotine) IS - 0004-4849 IL - 0004-4849 PT - News PP - ppublish LG - English DP - 1988 Nov EZ - 1988/11/01 DA - 1988/11/01 00:01 DT - 1988/11/01 00:00 YR - 1988 ED - 19890323 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3219169 <1411. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3219455 TI - An acupuncture programme for the treatment of drug-addicted persons. SO - Bulletin on Narcotics. 40(1):35-41, 1988. AS - Bull Narc. 40(1):35-41, 1988. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Smith MO AU - Khan I FA - Smith, M O FA - Khan, I IN - Smith, M O. Substance Abuse Division, Lincoln Hospital, New York, New York. NJ - Bulletin on narcotics VO - 40 IP - 1 PG - 35-41 PI - Journal available in: Print PI - Citation processed from: Print JC - 2984719r, bq7 IO - Bull Narc SB - Index Medicus CP - United States MH - *Acupuncture Therapy MH - Alcoholism/th [Therapy] MH - Education, Medical MH - Homeostasis MH - Hospitals, Municipal MH - Humans MH - New York MH - Societies MH - Substance Withdrawal Syndrome/th [Therapy] MH - *Substance-Related Disorders/th [Therapy] AB - Over the past 13 years, Lincoln Hospital, New York City, has used acupuncture as the primary method of treatment for drug-addicted persons. The programme receives, on a daily out-patient basis, 200 drug-addicted persons for detoxification. Acupuncture relieves withdrawal symptoms, prevents the craving for drugs and increases the rate of participation of patients in long-term treatment programmes. The best results have been obtained by treating patients in an open-group setting, using acupuncture points in the external ear with needles without electrical stimulation. The same points are used at each visit, regardless of the type of drug to which the person is addicted. This method is also used for the treatment of persons suffering from stress. The National Acupuncture Detoxification Association (NADA) has conducted successful training programmes for physicians and related staff in using the technique and philosophy of traditional Chinese acupuncture. These training programmes usually include courses in counseling skills, ethical responsibilities and sterilization procedures that are appropriate to local conditions. NADA has begun to operate a pilot programme to treat approximately 1,000 drug abusers and people who are under a high level of stress, which may lead them to the abuse of drugs. It is assumed that acupuncture, in conjunction with other drug-demand reduction programmes, can make a significant impact on the illicit demand for drugs by reaching this entire range of patients. IS - 0007-523X IL - 0007-523X PT - Journal Article PP - ppublish LG - English DP - 1988 EZ - 1988/01/01 DA - 1988/01/01 00:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19890322 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3219455 <1412. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2915278 TI - Substance abuse education during internal medicine training. SO - Journal of General Internal Medicine. 4(1):74-6, 1989 Jan-Feb. AS - J Gen Intern Med. 4(1):74-6, 1989 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bigby J FA - Bigby, J IN - Bigby, J. Department of Medicine, Brigham and Women's Hospital, Boston, MA 02115. NJ - Journal of general internal medicine VO - 4 IP - 1 PG - 74-6 PI - Journal available in: Print PI - Citation processed from: Print JC - jgi, 8605834 IO - J Gen Intern Med SB - Index Medicus CP - United States MH - *Education, Medical MH - Humans MH - *Internal Medicine/ed [Education] MH - *Substance-Related Disorders MH - United States IS - 0884-8734 IL - 0884-8734 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: ADM 281-85-0013 Organization: (AD) *ADAMHA HHS* Country: United States LG - English DP - 1989 Jan-Feb EZ - 1989/01/01 DA - 1989/01/01 00:01 DT - 1989/01/01 00:00 YR - 1989 ED - 19890314 RD - 20170831 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2915278 <1413. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3265296 TI - Substance use and abuse among senior medical students in 23 medical schools. SO - Research in medical education:proceedings of the annual Conference. 27:262-7, 1988. AS - Res Med Educ. 27:262-7, 1988. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baldwin DC Jr AU - Conard S AU - Hughes P AU - Achenbach KE AU - Sheehan DV FA - Baldwin, D C Jr FA - Conard, S FA - Hughes, P FA - Achenbach, K E FA - Sheehan, D V IN - Baldwin, D C Jr. Office of Education Research, American Medical Association, Chicago, IL 60610. NJ - Research in medical education : proceedings of the ... annual Conference. Conference on Research in Medical Education VO - 27 PG - 262-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 101287181 IO - Res Med Educ SB - Index Medicus CP - United States MH - Alcoholism/ep [Epidemiology] MH - Cross-Sectional Studies MH - *Education, Medical, Undergraduate MH - Female MH - Humans MH - Male MH - *Physician Impairment MH - *Psychotropic Drugs MH - Smoking/ep [Epidemiology] MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States AB - The current study represents the first large-scale study of substance use and abuse among 2,046 senior medical students at 23 nationally distributed medical schools. With the exception of alcohol and tranquilizers, medical students use less of all such substances than do age-related cohorts from the general population. RN - 0 (Psychotropic Drugs) PT - Journal Article PP - ppublish LG - English DP - 1988 EZ - 1988/01/01 DA - 2001/03/28 10:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19890306 RD - 20060914 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3265296 <1414. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3265295 TI - Substance use and the resident physician: a national study. SO - Research in medical education:proceedings of the annual Conference. 27:256-61, 1988. AS - Res Med Educ. 27:256-61, 1988. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Conard SE AU - Hughes P AU - Baldwin D AU - Achenbach K AU - Sheehan D FA - Conard, S E FA - Hughes, P FA - Baldwin, D FA - Achenbach, K FA - Sheehan, D IN - Conard, S E. St. Paul Family Practice Center, Dallas, Tx. NJ - Research in medical education : proceedings of the ... annual Conference. Conference on Research in Medical Education VO - 27 PG - 256-61 PI - Journal available in: Print PI - Citation processed from: Print JC - 101287181 IO - Res Med Educ SB - Index Medicus CP - United States MH - Cross-Sectional Studies MH - Education, Medical MH - Humans MH - *Internship and Residency MH - *Physician Impairment MH - *Psychotropic Drugs MH - Specialization MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States AB - A national study of substance use and abuse among resident physicians indicates that except for tranquilizers and barbiturates most illicit use of drugs began prior to medical school and residency. Relatively few residents were aware of substance abuse policies or educational programs in their institutions. RN - 0 (Psychotropic Drugs) PT - Journal Article PP - ppublish LG - English DP - 1988 EZ - 1988/01/01 DA - 1988/01/01 00:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19890306 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3265295 <1415. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2912253 TI - Subspecialty training in alcoholism and drug abuse. SO - American Journal of Psychiatry. 146(1):8-9, 1989 Jan. AS - Am J Psychiatry. 146(1):8-9, 1989 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M FA - Galanter, M NJ - The American journal of psychiatry VO - 146 IP - 1 PG - 8-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - *Specialization MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0002-953X IL - 0002-953X PT - Editorial ID - 10.1176/ajp.146.1.8 [doi] PP - ppublish LG - English DP - 1989 Jan EZ - 1989/01/01 DA - 1989/01/01 00:01 DT - 1989/01/01 00:00 YR - 1989 ED - 19890213 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2912253 <1416. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2912248 TI - The current status of psychiatric education in alcoholism and drug abuse. SO - American Journal of Psychiatry. 146(1):35-9, 1989 Jan. AS - Am J Psychiatry. 146(1):35-9, 1989 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Kaufman E AU - Taintor Z AU - Robinowitz CB AU - Meyer RE AU - Halikas J FA - Galanter, M FA - Kaufman, E FA - Taintor, Z FA - Robinowitz, C B FA - Meyer, R E FA - Halikas, J IN - Galanter, M. Department of Psychiatry, New York University School of Medicine, NY 10016. NJ - The American journal of psychiatry VO - 146 IP - 1 PG - 35-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States AB - The authors conducted a survey of psychiatric education in alcoholism and drug abuse in the United States. Ninety-seven percent of 106 undergraduate training programs and 91% of 169 residency programs offered curriculum units in this field. Most of these programs also provided supervised clinical care. Areas of reported faculty dissatisfaction included problems with attitude and interest of psychiatric faculty and with the amount of curriculum time allotted. The authors conclude that although the amount of curriculum time devoted to training in alcoholism and drug abuse is growing, further investment in developing faculty and fellowships is warranted to increase the quality of teaching commitment. IS - 0002-953X IL - 0002-953X PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1176/ajp.146.1.35 [doi] PP - ppublish GI - No: ADM-281-85-0011 Organization: (AD) *ADAMHA HHS* Country: United States LG - English DP - 1989 Jan EZ - 1989/01/01 DA - 1989/01/01 00:01 DT - 1989/01/01 00:00 YR - 1989 ED - 19890213 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2912248 <1417. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2909780 TI - Prevalence, detection, and treatment of alcoholism in hospitalized patients. SO - JAMA. 261(3):403-7, 1989 Jan 20. AS - JAMA. 261(3):403-7, 1989 Jan 20. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moore RD AU - Bone LR AU - Geller G AU - Mamon JA AU - Stokes EJ AU - Levine DM FA - Moore, R D FA - Bone, L R FA - Geller, G FA - Mamon, J A FA - Stokes, E J FA - Levine, D M IN - Moore, R D. Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD. CM - Comment in: JAMA. 1989 Aug 11;262(6):772; PMID: 2746828 NJ - JAMA VO - 261 IP - 3 PG - 403-7 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 - Adult MH - Aged MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - Education, Medical MH - Educational Status MH - Female MH - Hospital Departments MH - *Hospitalization MH - Humans MH - Male MH - Middle Aged MH - Smoking/ep [Epidemiology] MH - Socioeconomic Factors AB - As part of an institution-wide program to enhance the education of physicians in diagnosing and treating alcohol dependence and abuse, a comprehensive survey was conducted in which all new admissions to the adult inpatient services of The Johns Hopkins Hospital were screened for alcoholism. The prevalence of screen-positive alcoholism, by department, was as follows: medicine (25%), psychiatry (30%), neurology (19%), obstetrics-gynecology (12.5%), and surgery (23%). Detection rates by the house staff and faculty physicians caring for those patients who screened positively were less than 25% in surgery and obstetrics-gynecology, between 25% and 50% in neurology and medicine, and greater than 50% in psychiatry. However, physicians were less likely to identify as alcoholic those patients with higher incomes, higher education, or private medical insurance; women; and those who denied heavy alcohol intake. Physician-instituted treatment rates for those patients diagnosed by the physician as having nonrecovered alcoholism were less than 50% in surgery and obstetrics-gynecology, between 50% and 75% in medicine and neurology, and 100% in psychiatry. The extent to which the physicians intervened while the patient was hospitalized correlated with the patient's reported change in alcohol use after discharge. Recommendations based on these data are being incorporated into the medical education curriculum. IS - 0098-7484 IL - 0098-7484 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1989 Jan 20 EZ - 1989/01/20 DA - 1989/01/20 00:01 DT - 1989/01/20 00:00 YR - 1989 ED - 19890207 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2909780 <1418. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3189259 TI - Substance abuse among medical trainees: current problems and evolving resources. SO - American Journal of Drug & Alcohol Abuse. 14(3):393-404, 1988. AS - Am J Drug Alcohol Abuse. 14(3):393-404, 1988. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Westermeyer J FA - Westermeyer, J IN - Westermeyer, J. Alcohol-Drug Treatment Program, University of Minnesota, Minneapolis 55455. NJ - The American journal of drug and alcohol abuse VO - 14 IP - 3 PG - 393-404 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/px [Psychology] MH - Female MH - Humans MH - Male MH - *Self-Help Groups MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders AB - Substance abuse among medical students and residents, while not new, has increased in frequency, appears earlier, and is more apt to involve illicit drugs. In addition to these pathological changes, certain mental health resources for medical students have declined (although there is considerable variability from one location to another). These changes have stimulated certain innovative approaches to such problems. Both these recent problems as well as recent responses for dealing with them are presented. IS - 0095-2990 IL - 0095-2990 PT - Case Reports PT - Journal Article PP - ppublish LG - English DP - 1988 EZ - 1988/01/01 DA - 1988/01/01 00:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19881130 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3189259 <1419. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3172155 TI - Substance abuse policies and programs at U.S. medical schools. SO - Journal of Medical Education. 63(10):759-61, 1988 Oct. AS - J Med Educ. 63(10):759-61, 1988 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rowley BD AU - Baldwin DC Jr FA - Rowley, B D FA - Baldwin, D C Jr IN - Rowley, B D. Office of Education Research, American Medical Association, Chicago, Illinois. NJ - Journal of medical education VO - 63 IP - 10 PG - 759-61 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Health Policy MH - Humans MH - Puerto Rico MH - *Schools, Medical/og [Organization & Administration] MH - Student Health Services/og [Organization & Administration] MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1988 Oct EZ - 1988/10/01 DA - 2001/03/28 10:01 DT - 1988/10/01 00:00 YR - 1988 ED - 19881108 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3172155 <1420. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3172154 TI - Substance use by fourth-year students at 13 U.S. medical schools. SO - Journal of Medical Education. 63(10):747-58, 1988 Oct. AS - J Med Educ. 63(10):747-58, 1988 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Conard S AU - Hughes P AU - Baldwin DC Jr AU - Achenbach KE AU - Sheehan DV FA - Conard, S FA - Hughes, P FA - Baldwin, D C Jr FA - Achenbach, K E FA - Sheehan, D V IN - Conard, S. Center for the Study of Impaired Professionals, University of South Florida, Tampa. NJ - Journal of medical education VO - 63 IP - 10 PG - 747-58 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Alcohol Drinking MH - Attitude of Health Personnel MH - Cocaine MH - Female MH - Humans MH - Male MH - Marijuana Smoking/ep [Epidemiology] MH - Sampling Studies MH - Schools, Medical MH - Smoking/ep [Epidemiology] MH - Students, Medical/px [Psychology] MH - *Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - United States AB - Fourth-year medical students at 13 medical schools in different regions of the United States received an anonymous questionnaire designed to examine their current and prior use of 11 substances and their attitudes toward substance use among physicians. Of 1,427 questionnaires distributed, 41 percent were returned. The questionnaire and distribution method were derived from an ongoing survey on drug use in order to permit comparison of the medical students with a national sample of age- and sex-matched cohorts. The rates of substance use during the 30 days preceding receipt of the questionnaire were: alcohol, 87.8 percent; marijuana, 17.3 percent; cigarettes, 9.0 percent; cocaine, 5.6 percent; heroin, 0.0 percent; other opiates, 0.9 percent; LSD, 0.2 percent; other psychedelics, 0.5 percent; barbiturates, 0.5 percent; tranquilizers, 2.2 percent; and amphetamines, 1.2 percent. Compared with their age and sex cohorts nationally, the medical students reported less use of marijuana, cocaine, cigarettes, LSD, barbiturates, and amphetamines. However, their use of other opiates was approximately the same and their use of tranquilizers and alcohol was slightly higher than that of the other cohorts. Data on their sources of knowledge about drug abuse indicate the need for greater attention to this issue in the medical curriculum. RN - I5Y540LHVR (Cocaine) IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1988 Oct EZ - 1988/10/01 DA - 2001/03/28 10:01 DT - 1988/10/01 00:00 YR - 1988 ED - 19881108 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3172154 <1421. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3172153 TI - Substance abuse units taught by four specialties in medical schools and residency programs. SO - Journal of Medical Education. 63(10):739-46, 1988 Oct. AS - J Med Educ. 63(10):739-46, 1988 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Davis AK AU - Cotter F AU - Czechowicz D FA - Davis, A K FA - Cotter, F FA - Czechowicz, D IN - Davis, A K. Substance Abuse Faculty Development Program, Society of Teachers of Family Medicine, Kansas City, Missouri. NJ - Journal of medical education VO - 63 IP - 10 PG - 739-46 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Curriculum MH - Data Collection MH - *Education, Medical, Undergraduate MH - Family Practice MH - Humans MH - Internal Medicine MH - *Internship and Residency MH - *Medicine MH - Pediatrics MH - Psychiatry MH - Puerto Rico MH - Schools, Medical MH - *Specialization MH - *Substance-Related Disorders MH - Teaching/mt [Methods] AB - Four medical specialty organizations conducted a survey of 294 departments in 98 medical schools and 1,124 residency programs to identify the number and type of curriculum units on substance abuse offered by these specialties. A curriculum unit was defined as a formal block of teaching on substance abuse. A total of 251 (85 percent) of the medical school departments and 828 (74 percent) of the residency programs responded. Of those, 175 (70 percent) of the medical school departments and 479 (58 percent) of the residency programs reported offering at least one curriculum unit on substance abuse. There was considerable variation among the four specialties in the number and percentage of departments or programs reporting such units. Overall, a majority of the units addressed both alcohol and other drugs, were required, and included a clinical component. Evaluations of content and teaching strategies are needed to examine the quality and adequacy of substance abuse training. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1988 Oct EZ - 1988/10/01 DA - 1988/10/01 00:01 DT - 1988/10/01 00:00 YR - 1988 ED - 19881108 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3172153 <1422. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3454577 TI - The impact of a continuing education package for smoking cessation on physicians' clinical behavior and patient smoking. SO - Research in medical education:proceedings of the annual Conference. 26:14-9, 1987. AS - Res Med Educ. 26:14-9, 1987. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lindsay-McIntyre E AU - Wilson D AU - Best JA AU - Gilbert JR AU - Taylor W AU - Willms D AU - Singer J FA - Lindsay-McIntyre, E FA - Wilson, D FA - Best, J A FA - Gilbert, J R FA - Taylor, W FA - Willms, D FA - Singer, J IN - Lindsay-McIntyre, E. McMaster University, Hamilton, Ontario, Canada. NJ - Research in medical education : proceedings of the ... annual Conference. Conference on Research in Medical Education VO - 26 PG - 14-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 101287181 IO - Res Med Educ SB - Index Medicus CP - United States MH - *Education, Medical, Continuing MH - Humans MH - Physician's Role MH - *Physicians, Family/ed [Education] MH - *Smoking Prevention PT - Journal Article PP - ppublish LG - English DP - 1987 EZ - 1987/01/01 DA - 1987/01/01 00:01 DT - 1987/01/01 00:00 YR - 1987 ED - 19880922 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3454577 <1423. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3331511 TI - Symposium: Substance use and abuse among medical students. [Review] [9 refs] SO - Research in medical education:proceedings of the annual Conference. 26:275-82, 1987. AS - Res Med Educ. 26:275-82, 1987. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Research in medical education : proceedings of the ... annual Conference. Conference on Research in Medical Education VO - 26 PG - 275-82 PI - Journal available in: Print PI - Citation processed from: Print JC - 101287181 IO - Res Med Educ SB - Index Medicus CP - United States MH - Humans MH - *Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - United States PT - Journal Article PT - Review PP - ppublish LG - English DP - 1987 EZ - 1987/01/01 DA - 1987/01/01 00:01 DT - 1987/01/01 00:00 YR - 1987 ED - 19880922 RD - 20060914 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3331511 <1424. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3389623 TI - [Medico-psychologic aspects of medical information on AIDS: the example of drug-dependent prisoners]. [French] OT - Aspects medico-psychologiques de l'information medicale en matiere de SIDA: l'exemple des toxicomanes detenus. SO - Annales Medico-Psychologiques. 146(3):222-9, 1988 Mar. AS - Ann Med Psychol (Paris). 146(3):222-9, 1988 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benezech M AU - Rager P AU - Lavenu ME AU - Beylot J AU - Bourgeois M FA - Benezech, M FA - Rager, P FA - Lavenu, M E FA - Beylot, J FA - Bourgeois, M IN - Benezech, M. Service Medico-Psychologique Regional des Prisons, C.H.U. de Bordeaux. NJ - Annales medico-psychologiques VO - 146 IP - 3 PG - 222-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 5jc, 2984692r IO - Ann Med Psychol (Paris) SB - Index Medicus SB - AIDS/HIV Journals CP - France MH - *Acquired Immunodeficiency Syndrome/px [Psychology] MH - Acquired Immunodeficiency Syndrome/tm [Transmission] MH - HIV Seropositivity MH - Heroin Dependence/px [Psychology] MH - Humans MH - Neurocognitive Disorders/px [Psychology] MH - *Patient Education as Topic MH - *Prisoners/px [Psychology] MH - Risk Factors MH - Social Responsibility MH - *Substance-Related Disorders/px [Psychology] IS - 0003-4487 IL - 0003-4487 PT - Journal Article PP - ppublish LG - French DP - 1988 Mar EZ - 1988/03/01 DA - 1988/03/01 00:01 DT - 1988/03/01 00:00 YR - 1988 ED - 19880804 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3389623 <1425. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3286871 TI - Evaluation of a continuing medical education program for primary care physicians on the management of alcoholism. SO - Journal of Medical Education. 63(6):482-4, 1988 Jun. AS - J Med Educ. 63(6):482-4, 1988 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown RL FA - Brown, R L IN - Brown, R L. Department of Family Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania. NJ - Journal of medical education VO - 63 IP - 6 PG - 482-4 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Computer-Assisted Instruction MH - *Education, Medical, Continuing MH - Evaluation Studies as Topic MH - Feedback MH - Humans MH - *Physicians, Family/ed [Education] MH - Problem Solving MH - Washington IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1988 Jun EZ - 1988/06/01 DA - 1988/06/01 00:01 DT - 1988/06/01 00:00 YR - 1988 ED - 19880630 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3286871 <1426. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2896657 TI - Changing perspectives in substance abuse and the physician's role. SO - IMJ - Illinois Medical Journal. 173(4):255-8, 1988 Apr. AS - IMJ Ill Med J. 173(4):255-8, 1988 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Daghestani AN FA - Daghestani, A N NJ - IMJ. Illinois medical journal VO - 173 IP - 4 PG - 255-8 PI - Journal available in: Print PI - Citation processed from: Print JC - haj, 7703940 IO - IMJ Ill Med J SB - Index Medicus CP - United States MH - Adolescent MH - Aged MH - Education, Medical MH - Education, Medical, Continuing MH - Female MH - Humans MH - Male MH - Physician's Role MH - Self-Help Groups MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/th [Therapy] PT - Journal Article PP - ppublish LG - English DP - 1988 Apr EZ - 1988/04/01 DA - 1988/04/01 00:01 DT - 1988/04/01 00:00 YR - 1988 ED - 19880617 RD - 20140530 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=2896657 <1427. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3361622 TI - Alcoholism training in a family medicine residency. SO - Journal of Substance Abuse Treatment. 5(1):19-22, 1988. AS - J Subst Abuse Treat. 5(1):19-22, 1988. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Confusione M AU - Leonard K AU - Jaffe A FA - Confusione, M FA - Leonard, K FA - Jaffe, A IN - Confusione, M. State University of New York, Stony Brook, Department of Family Medicine 11790. NJ - Journal of substance abuse treatment VO - 5 IP - 1 PG - 19-22 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 - *Alcoholism MH - Attitude of Health Personnel MH - *Family Practice/ed [Education] MH - *Internship and Residency MH - New York AB - The literature in alcoholism education for the health professions reveals that despite some strides in the development of training programs, both medical students and practicing physicians exhibit negative attitudes toward alcoholics that may adversely affect the care offered to these patients. This paper presents a program of alcoholism identification and management training for family practice residents which has been developed to supplement an existing drug abuse treatment program. Residents spend four half-day sessions engaged in seminars, outpatient experiences, and inpatient rotations under the direction of a clinical psychologist specializing in substance abuse and under the direction of the medical staff of a voluntary hospital well-known as a center of alcoholism treatment. Training activities include participation in group therapy sessions with alcoholic patients, interviewing patients in the early stages of rehabilitation, participation in an adolescent alcoholism treatment program and attendance in seminars on the prevention, identification, and treatment of alcoholism. Residents' evaluations of the experience reveal overall satisfaction with the program and their roles in its conduct, but they indicate a need for more active roles in the hands-on management of emergency cases. IS - 0740-5472 IL - 0740-5472 PT - Journal Article PP - ppublish LG - English DP - 1988 EZ - 1988/01/01 DA - 1988/01/01 00:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19880531 RD - 20001218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3361622 <1428. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3365074 TI - A residents' training program for the development of smoking intervention skills. SO - Archives of Internal Medicine. 148(5):1039-45, 1988 May. AS - Arch Intern Med. 148(5):1039-45, 1988 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ockene JK AU - Quirk ME AU - Goldberg RJ AU - Kristeller JL AU - Donnelly G AU - Kalan KL AU - Gould B AU - Greene HL AU - Harrison-Atlas R AU - Pease J AU - et al FA - Ockene, J K FA - Quirk, M E FA - Goldberg, R J FA - Kristeller, J L FA - Donnelly, G FA - Kalan, K L FA - Gould, B FA - Greene, H L FA - Harrison-Atlas, R FA - Pease, J IN - Ockene, J K. Department of Medicine, University of Massachusetts Medical School, Worcester 01655. CM - Comment in: Arch Intern Med. 1990 Jan;150(1):225; PMID: 2297293 NJ - Archives of internal medicine VO - 148 IP - 5 PG - 1039-45 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 - Attitude of Health Personnel MH - Family Practice/ed [Education] MH - *Health Promotion/ed [Education] MH - Humans MH - *Internship and Residency MH - Massachusetts MH - *Physician's Role MH - *Role MH - *Smoking Prevention AB - This article describes the results of a three-hour training program that teaches residents a patient-centered counseling approach to smoking cessation, emphasizing questioning and exploring feelings, rather than providing information. Fifty internal medicine and family practice residents affiliated with a university medical center were assessed before and after training using questionnaires and videotape documenting changes in their knowledge about smoking, attitudes concerning intervention, and intervention skills. The residents showed a significant increase in knowledge and perceived themselves as having significantly more influence on their patients who smoke after completion of the training program. Counseling skills improved significantly in the use of questions and exploring feelings as judged by blind evaluation of videotapes. The results of this three-hour training program suggest that physicians in training are responsive to the teaching of specialized skills deemed important for promoting health behavior changes in their patients. IS - 0003-9926 IL - 0003-9926 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: CA38360-03 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1988 May EZ - 1988/05/01 DA - 1988/05/01 00:01 DT - 1988/05/01 00:00 YR - 1988 ED - 19880527 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3365074 <1429. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3346632 TI - Alcoholics remaining anonymous: resident diagnosis of alcoholism in a family practice center. SO - Journal of Family Practice. 26(3):293-6, 1988 Mar. AS - J. FAM. PRACT.. 26(3):293-6, 1988 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Woodall HE FA - Woodall, H E IN - Woodall, H E. Family Practice Residency Program, Charlotte Memorial Hospital and Medical Center, North Carolina. NJ - The Journal of family practice VO - 26 IP - 3 PG - 293-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/ep [Epidemiology] MH - Family Practice/ed [Education] MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Sex Factors MH - Surveys and Questionnaires AB - Family practice residents rarely detect more than one half of the alcoholic patients they see. This study examines detection rates in terms of the patient's presenting complaint, the clinical encounter, and the resident's attitudes. Over four months 218 patients of the family practice center of a large community hospital completed a survey that included the Short Michigan Alcoholism Screening Test (SMAST). Chart audits of each patient's visit assessed each resident's behavior in recording questions about the patient's use of alcohol. After the first four months, each resident completed a survey of his or her experiences and attitudes concerning alcoholism. Using the SMAST scores and chart audits, 25 of the 218 patients were identified as alcoholic. The residents detected only 12 of the 25 alcoholics. Of 51 patients who presented for physical examinations, the residents recorded asking only 28 about their drinking; of 157 patients who presented for more limited visits, the residents recorded asking only six about their drinking. Residents rated the alcoholic patient as less motivated, more dangerous, less hopeful, and much sicker than the average person. First-year residents rated alcoholics much more negatively than did upper-level residents. The SMAST again proved to be much more effective than clinical interviews in detecting alcoholism in patients. IS - 0094-3509 IL - 0094-3509 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 2-D15-PE54008 Organization: (PE) *BHP HRSA HHS* Country: United States LG - English DP - 1988 Mar EZ - 1988/03/01 DA - 1988/03/01 00:01 DT - 1988/03/01 00:00 YR - 1988 ED - 19880419 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3346632 <1430. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3346898 TI - Alcoholism education. SO - Journal of Medical Education. 63(3):204, 1988 Mar. AS - J Med Educ. 63(3):204, 1988 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Siegel BJ AU - Fitzgerald FT FA - Siegel, B J FA - Fitzgerald, F T NJ - Journal of medical education VO - 63 IP - 3 PG - 204 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholics Anonymous MH - *Alcoholism/th [Therapy] MH - *Education, Medical MH - Humans MH - United States IS - 0022-2577 IL - 0022-2577 PT - Letter PP - ppublish LG - English DP - 1988 Mar EZ - 1988/03/01 DA - 1988/03/01 00:01 DT - 1988/03/01 00:00 YR - 1988 ED - 19880415 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3346898 <1431. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3346894 TI - Institution-wide program for impaired residents at a major teaching hospital. SO - Journal of Medical Education. 63(3):182-8, 1988 Mar. AS - J Med Educ. 63(3):182-8, 1988 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lohr KM AU - Engbring NH FA - Lohr, K M FA - Engbring, N H IN - Lohr, K M. University of Tennessee, Memphis, College of Medicine. NJ - Journal of medical education VO - 63 IP - 3 PG - 182-8 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/ec [Economics] MH - *Alcoholism/th [Therapy] MH - *Hospitals, Teaching/og [Organization & Administration] MH - Humans MH - Insurance, Psychiatric MH - *Internship and Residency MH - Outcome and Process Assessment (Health Care) MH - *Physician Impairment MH - Professional Staff Committees MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/th [Therapy] MH - Wisconsin AB - An institution-wide program for residents impaired by alcohol, other drugs, or emotional problems was established in 1983 at the Medical College of Wisconsin Affiliated Hospitals. The goal of the program was to help impaired house staff members to continue their training in a nonpunitive environment. An approach to reviewing allegations of impairment and a legal agreement between the hospital and the recovering resident were implemented. Because no residents were reported for impairment during its first two years, the program's emphasis was shifted from an investigative to an educational, assistive role. Major problems in carrying out the program have been the program's lack of authority to ensure cooperation by program directors and by impaired residents; a widespread unfamiliarity with intervention procedures despite efforts to inform residents, their spouses, faculty members, and administrators about the program; and misconceptions that the program is punitive. Further impediments are lack of a budget to provide educational activities, inadequate socializing between the faculty and the house staff that would enable faculty members to recognize early signs of impairment; and inadequate health insurance coverage for long-term treatment. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1988 Mar EZ - 1988/03/01 DA - 1988/03/01 00:01 DT - 1988/03/01 00:00 YR - 1988 ED - 19880415 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3346894 <1432. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3437479 TI - The Sidney Cohen lectureship in drug abuse medicine. Alcohol, brain, and society. SO - Journal of Substance Abuse Treatment. 4(3-4):145-9, 1987. AS - J Subst Abuse Treat. 4(3-4):145-9, 1987. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Noble EP FA - Noble, E P IN - Noble, E P. Department of Psychiatry and Biobehavioral Sciences, University of California, Los Angeles 90024. NJ - Journal of substance abuse treatment VO - 4 IP - 3-4 PG - 145-9 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 - Alcoholism/pp [Physiopathology] MH - Brain/de [Drug Effects] MH - *Brain/ph [Physiology] MH - Electroencephalography MH - *Ethanol/pd [Pharmacology] MH - Humans MH - Socioeconomic Factors RN - 3K9958V90M (Ethanol) IS - 0740-5472 IL - 0740-5472 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1987 EZ - 1987/01/01 DA - 1987/01/01 00:01 DT - 1987/01/01 00:00 YR - 1987 ED - 19880407 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3437479 <1433. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3344930 TI - University of Alabama School of Medicine. Policy on impaired students and faculty with special reference to substance abuse. SO - Alabama Journal of Medical Sciences. 25(1):84-90, 1988 Jan. AS - Ala J Med Sci. 25(1):84-90, 1988 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pittman JA Jr AU - Scott CW FA - Pittman, J A Jr FA - Scott, C W NJ - The Alabama journal of medical sciences VO - 25 IP - 1 PG - 84-90 PI - Journal available in: Print PI - Citation processed from: Print JC - 35h, 0376521, 0376521 IO - Ala J Med Sci SB - Index Medicus CP - United States MH - Alabama MH - *Faculty, Medical MH - Humans MH - *Policy Making MH - *Schools, Medical/og [Organization & Administration] MH - *Students, Medical MH - *Substance-Related Disorders IS - 0002-4252 IL - 0002-4252 PT - Journal Article PP - ppublish LG - English DP - 1988 Jan EZ - 1988/01/01 DA - 2001/03/28 10:01 DT - 1988/01/01 00:00 YR - 1988 ED - 19880330 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med3&AN=3344930 <1434. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2963353 TI - The drug addict as chronic patient. [Review] [56 refs] SO - Psychiatric Medicine. 3(4):427-44, 1985. AS - Psychiatr Med. 3(4):427-44, 1985. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lucas JJ AU - Loutsch E AU - Frances RJ FA - Lucas, J J FA - Loutsch, E FA - Frances, R J IN - Lucas, J J. Cornell University Medical College, White Plains, New York. NJ - Psychiatric medicine VO - 3 IP - 4 PG - 427-44 PI - Journal available in: Print PI - Citation processed from: Print JC - q9y, 8301688 IO - Psychiatr Med SB - Index Medicus CP - United States MH - Adolescent MH - Aged MH - Chronic Disease MH - Cognition Disorders/co [Complications] MH - Disabled Persons/px [Psychology] MH - Ethics MH - Humans MH - Mental Disorders/co [Complications] MH - Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/th [Therapy] AB - From the above discussion, it is clear that the chronic drug addict is in need of a careful diagnostic work-up, a team approach, a highly sophisticated model of illness, and treatment targeted to his or her special needs. . Given the high prevalence and social costs of addictions, it is obvious that increased support for training and research, prevention, and treatment is needed within psychiatry and medicine. [References: 56] IS - 0732-0868 IL - 0732-0868 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1985 EZ - 1985/01/01 DA - 1985/01/01 00:01 DT - 1985/01/01 00:00 YR - 1985 ED - 19880318 RD - 20051116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2963353 <1435. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3432709 TI - Determinants of smoking cessation among physicians and teachers from northeastern Italy. SO - Revue d Epidemiologie et de Sante Publique. 35(5):393-400, 1987. AS - Rev Epidemiol Sante Publique. 35(5):393-400, 1987. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Serraino D AU - Talamini R AU - Franceschi S FA - Serraino, D FA - Talamini, R FA - Franceschi, S IN - Serraino, D. Servizio di Epidemiologia, Centro di Riferimento Oncologico, Aviano, Italy. NJ - Revue d'epidemiologie et de sante publique VO - 35 IP - 5 PG - 393-400 PI - Journal available in: Print PI - Citation processed from: Print JC - rst, 7608039 IO - Rev Epidemiol Sante Publique SB - Index Medicus CP - France MH - Adult MH - Age Factors MH - Female MH - Humans MH - Italy MH - Male MH - Middle Aged MH - *Physicians MH - Sex Factors MH - *Smoking/ep [Epidemiology] MH - Surveys and Questionnaires MH - *Teaching AB - Determinants of smoking cessation among 909 physicians and teachers from the Northeast of Italy were investigated between March and November 1985. Men were heavier smokers than women and showed a larger cessation rate (46% of men and 32% of women who had ever smoked were ex-smokers). The stronger determinants of smoking cessation turned out to be a high number of cigarettes smoked per day, and (especially for men) a relatively old age. From the study, it appears that smoking cessation in Italy is not motivated by disease prevention considerations but is the result of disease-linked symptoms. Antismoking campaigns should, therefore, more strongly emphasize the advantages (especially short-term ones) of quitting smoking while one is still well. For their exemplar role, physicians and teachers are on the front line of antismoking action: convincing them to stop smoking is, thus, an obvious priority. IS - 0398-7620 IL - 0398-7620 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1987 EZ - 1987/01/01 DA - 1987/01/01 00:01 DT - 1987/01/01 00:00 YR - 1987 ED - 19880315 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3432709 <1436. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3696656 TI - Medical student impairment--a growing problem?. SO - Ohio Medicine. 83(11):778-9, 1987 Nov. AS - Ohio Med. 83(11):778-9, 1987 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hollaway S FA - Hollaway, S NJ - Ohio medicine : journal of the Ohio State Medical Association VO - 83 IP - 11 PG - 778-9 PI - Journal available in: Print PI - Citation processed from: Print JC - ohi, 8703563 IO - Ohio Med SB - Index Medicus CP - United States MH - Humans MH - Ohio MH - Schools, Medical MH - *Students, Medical MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders IS - 0892-2454 IL - 0892-2454 PT - Journal Article PP - ppublish LG - English DP - 1987 Nov EZ - 1987/11/01 DA - 1987/11/01 00:01 DT - 1987/11/01 00:00 YR - 1987 ED - 19880127 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3696656 <1437. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3479157 TI - Substance use by internes and residents: an analysis of personal, social and professional differences. SO - British Journal of Addiction. 82(10):1091-9, 1987 Oct. AS - Br J Addict. 82(10):1091-9, 1987 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Myers T AU - Weiss E FA - Myers, T FA - Weiss, E NJ - British journal of addiction VO - 82 IP - 10 PG - 1091-9 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus CP - England MH - Adult MH - Alcohol Drinking MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - Medicine MH - Ontario MH - Specialization MH - *Substance-Related Disorders/ep [Epidemiology] IS - 0952-0481 IL - 0952-0481 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1987 Oct EZ - 1987/10/01 DA - 1987/10/01 00:01 DT - 1987/10/01 00:00 YR - 1987 ED - 19880115 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3479157 <1438. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3669224 TI - Wernicke's syndrome: what we don't teach. SO - JAMA. 258(18):2530, 1987 Nov 13. AS - JAMA. 258(18):2530, 1987 Nov 13. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sands GH AU - Mulloy K FA - Sands, G H FA - Mulloy, K NJ - JAMA VO - 258 IP - 18 PG - 2530 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 - Educational Measurement MH - Humans MH - *Internship and Residency MH - *Nutrition Disorders/co [Complications] MH - *Wernicke Encephalopathy/di [Diagnosis] MH - Wernicke Encephalopathy/et [Etiology] IS - 0098-7484 IL - 0098-7484 PT - Letter PP - ppublish LG - English DP - 1987 Nov 13 EZ - 1987/11/13 DA - 1987/11/13 00:01 DT - 1987/11/13 00:00 YR - 1987 ED - 19871209 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3669224 <1439. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2822872 TI - Substance abuse education in schools of nursing: a national survey. SO - Journal of Nursing Education. 26(7):282-7, 1987 Sep. AS - J Nurs Educ. 26(7):282-7, 1987 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hoffman AL AU - Heinemann ME FA - Hoffman, A L FA - Heinemann, M E IN - Hoffman, A L. School of Nursing, Department of Psychosocial Nursing, University of Washington, Seattle. NJ - The Journal of nursing education VO - 26 IP - 7 PG - 282-7 PI - Journal available in: Print PI - Citation processed from: Print JC - jen, 7705432 IO - J Nurs Educ SB - Index Medicus SB - Nursing Journal CP - United States MH - *Curriculum MH - *Education, Nursing MH - Education, Nursing, Associate MH - Education, Nursing, Baccalaureate MH - Education, Nursing, Diploma Programs MH - Humans MH - Schools, Nursing MH - *Substance-Related Disorders MH - United States AB - A concern whether the expansion of knowledge in substance abuse nursing and the contemporary prevalence of substance use disorders had influenced current educational offerings in schools of nursing provided an impetus for this national survey. The purpose of the study was to obtain information about current curricular offerings in substance abuse by schools of nursing. A total of 1,035 questionnaires were mailed to schools of nursing. Respondents included 336 schools representing a 36% return rate. The sample included 154 baccalaureate (46%), 126 associate degree (38%), and 56 diploma (17%) programs. All but one state (Alaska) of the U.S. were part of the sample. The questionnaire used for this study was adapted from one developed for a survey of alcohol and drug abuse content taught in medical schools (Pokorney & Solomon, 1983). Modifications were limited to placing questions in a nursing context. All responding schools included substance abuse in curricular offerings with the largest number (N = 192; 57%) reporting the teaching of alcohol and drug content in a combined manner. The number of required hours of instruction reported most frequently was one to five (N = 242; 72%), which did not differ significantly for the three types of programs. The relatively small number of required hours of instruction would seem disproportionate to the scope and prevalence of substance abuse problems present in patient populations. IS - 0148-4834 IL - 0148-4834 PT - Journal Article PP - ppublish LG - English DP - 1987 Sep EZ - 1987/09/01 DA - 1987/09/01 00:01 DT - 1987/09/01 00:00 YR - 1987 ED - 19871208 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2822872 <1440. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2889936 TI - Alcohol and medical education. SO - Lancet. 2(8566):1028, 1987 Oct 31. AS - Lancet. 2(8566):1028, 1987 Oct 31. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Roche A AU - Saunders JB FA - Roche, A FA - Saunders, J B NJ - Lancet (London, England) VO - 2 IP - 8566 PG - 1028 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 - *Alcoholism MH - *Attitude of Health Personnel MH - Australia MH - *Education, Medical, Graduate MH - *Education, Medical, Undergraduate MH - Humans IS - 0140-6736 IL - 0140-6736 PT - Letter ID - S0140-6736(87)92592-X [pii] PP - ppublish LG - English DP - 1987 Oct 31 EZ - 1987/10/31 DA - 1987/10/31 00:01 DT - 1987/10/31 00:00 YR - 1987 ED - 19871207 RD - 20170920 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2889936 <1441. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3668901 TI - Problem drinking. SO - Journal of the Royal College of General Practitioners. 36(293):541, 1986 Dec. AS - J R Coll Gen Pract. 36(293):541, 1986 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gray DP FA - Gray, D P NJ - The Journal of the Royal College of General Practitioners VO - 36 IP - 293 PG - 541 PI - Journal available in: Print PI - Citation processed from: Print JC - jv9, 7503107 IO - J R Coll Gen Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1960656 SB - Index Medicus CP - England MH - *Alcoholism/pc [Prevention & Control] MH - Education, Medical, Undergraduate MH - Family Practice/ed [Education] MH - Female MH - Humans MH - Male MH - United Kingdom IS - 0035-8797 IL - 0035-8797 PT - Editorial ID - PMC1960656 [pmc] PP - ppublish LG - English DP - 1986 Dec EZ - 1986/12/01 DA - 1986/12/01 00:01 DT - 1986/12/01 00:00 YR - 1986 ED - 19871124 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3668901 <1442. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3656387 TI - Use of psychoactive substances by residents. SO - Journal of Medical Education. 62(10):852-4, 1987 Oct. AS - J Med Educ. 62(10):852-4, 1987 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Maddux JF AU - Timmerman IM AU - Costello RM FA - Maddux, J F FA - Timmerman, I M FA - Costello, R M IN - Maddux, J F. Department of Psychiatry, University of Texas Health Science Center at San Antonio. NJ - Journal of medical education VO - 62 IP - 10 PG - 852-4 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Academic Medical Centers MH - Female MH - Humans MH - *Internship and Residency MH - Male MH - *Physicians/px [Psychology] MH - *Psychotropic Drugs MH - *Substance-Related Disorders/ep [Epidemiology] MH - Texas RN - 0 (Psychotropic Drugs) IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1987 Oct EZ - 1987/10/01 DA - 1987/10/01 00:01 DT - 1987/10/01 00:00 YR - 1987 ED - 19871117 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3656387 <1443. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3657660 TI - An initiative for teaching about alcohol and other drugs in Australian medical schools.[Erratum appears in Med J Aust 1987 Nov 16;147(10):524] SO - Medical Journal of Australia. 147(7):339-41, 1987 Oct 05. AS - Med J Aust. 147(7):339-41, 1987 Oct 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gladstone W AU - Webster IW AU - Rotem A FA - Gladstone, W FA - Webster, I W FA - Rotem, A IN - Gladstone, W. University of New South Wales, Kensington. NJ - The Medical journal of Australia VO - 147 IP - 7 PG - 339-41 PI - Journal available in: Print PI - Citation processed from: Print JC - 0400714, m26 IO - Med. J. Aust. SB - Index Medicus CP - Australia MH - *Alcoholism MH - Australia MH - Curriculum MH - *Education, Medical, Undergraduate MH - Fiji MH - Humans MH - New Zealand MH - Papua New Guinea MH - Schools, Medical MH - *Substance-Related Disorders AB - Education in Australian medical schools is presently under review, including teaching about alcohol and other drugs. In August 1986, the Alcohol and Drug Foundation, Australia (ADFA) presented to the Deans of Australasian medical faculties (including those of Fiji, Papua New Guinea, and New Zealand) a number of options to develop the alcohol and other drugs content of medical courses. It was proposed that a coordinator of education in alcohol and other drugs be appointed in medical faculties; this proposal had been modelled on the US Career Teacher Training Program in Alcohol and Drug Abuse. The Deans expressed interest in ADFA's proposal. This paper discusses the role of undergraduate medical education in alcohol and other drugs, and the background to, and some guide-lines from, the ADFA proposal. IS - 0025-729X IL - 0025-729X PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1987 Oct 05 EZ - 1987/10/05 DA - 1987/10/05 00:01 DT - 1987/10/05 00:00 YR - 1987 ED - 19871112 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3657660 <1444. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3628158 TI - Alcohol education for doctors. SO - Postgraduate Medical Journal. 62(733):983-4, 1986 Nov. AS - Postgrad Med J. 62(733):983-4, 1986 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Paton A FA - Paton, A NJ - Postgraduate medical journal VO - 62 IP - 733 PG - 983-4 PI - Journal available in: Print PI - Citation processed from: Print JC - pfx, 0234135 IO - Postgrad Med J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2418979 SB - Index Medicus CP - England MH - *Alcoholism/th [Therapy] MH - Counseling/ed [Education] MH - *Education, Medical, Continuing MH - Humans MH - United Kingdom IS - 0032-5473 IL - 0032-5473 PT - Editorial ID - PMC2418979 [pmc] PP - ppublish LG - English DP - 1986 Nov EZ - 1986/11/01 DA - 1986/11/01 00:01 DT - 1986/11/01 00:00 YR - 1986 ED - 19871008 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3628158 <1445. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3622974 TI - The effect of an inpatient chemical dependency rotation on residents' clinical behavior. SO - Family Medicine. 19(4):276-80, 1987 Jul-Aug. AS - Fam Med. 19(4):276-80, 1987 Jul-Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mulry JT AU - Brewer ML AU - Spencer DL FA - Mulry, J T FA - Brewer, M L FA - Spencer, D L NJ - Family medicine VO - 19 IP - 4 PG - 276-80 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 - *Clinical Competence MH - *Family Practice/ed [Education] MH - Humans MH - *Internship and Residency MH - Medical Audit MH - *Substance-Related Disorders AB - The effect of a rotation in a chemical dependency unit on subsequent resident diagnoses in the family practice clinic was investigated by clinic audit. A significant increase in diagnoses of alcoholism (56 vs. 18, P less than .05) and chemical dependency (114 vs. 49, P less than .001) was found in the year following initiation of the rotation. An inpatient rotation immediately increases resident recognition of addictive illness in the model clinic. IS - 0742-3225 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 1987 Jul-Aug EZ - 1987/07/01 DA - 1987/07/01 00:01 DT - 1987/07/01 00:00 YR - 1987 ED - 19871002 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3622974 <1446. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3475473 TI - Substance use, eating behaviors, and social impairment of medical students. SO - Journal of Medical Education. 62(8):651-7, 1987 Aug. AS - J Med Educ. 62(8):651-7, 1987 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Herzog DB AU - Borus JF AU - Hamburg P AU - Ott IL AU - Concus A FA - Herzog, D B FA - Borus, J F FA - Hamburg, P FA - Ott, I L FA - Concus, A NJ - Journal of medical education VO - 62 IP - 8 PG - 651-7 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adaptation, Psychological MH - Adult MH - Depression/px [Psychology] MH - Feeding and Eating Disorders/ep [Epidemiology] MH - *Feeding and Eating Disorders/px [Psychology] MH - Female MH - Humans MH - Longitudinal Studies MH - Male MH - Psychological Tests MH - Risk MH - *Social Behavior MH - Stress, Psychological MH - *Students, Medical/px [Psychology] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/px [Psychology] AB - Self-report instruments assessing substance use, eating behaviors, social adjustment, and depression were distributed to all 329 first- and second-year medical students at a private northeastern university. Two-hundred students (61 percent) completed the questionnaires. Thirty-five students (17.5 percent) were found to be at risk for substance (alcohol and psychoactive drugs) abuse, of whom 13 were found to be at high risk. Thirty-three students (16.5 percent) were found to be at risk for an eating disorder, of whom only one was at high risk. Risk for eating disorders was greater for the female students, but risk for substance abuse was not related to gender. Psychosocial impairment and depression were associated with risk for either eating disorders or substance abuse. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1987 Aug EZ - 1987/08/01 DA - 1987/08/01 00:01 DT - 1987/08/01 00:00 YR - 1987 ED - 19870910 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3475473 <1447. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2885647 TI - What doctors know about alcoholism. SO - Lancet. 2(8552):196, 1987 Jul 25. AS - Lancet. 2(8552):196, 1987 Jul 25. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Lancet (London, England) VO - 2 IP - 8552 PG - 196 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 - *Alcoholism MH - *Education, Medical, Graduate/st [Standards] MH - Humans MH - *Physicians MH - United Kingdom IS - 0140-6736 IL - 0140-6736 PT - Editorial ID - S0140-6736(87)90773-2 [pii] PP - ppublish LG - English DP - 1987 Jul 25 EZ - 1987/07/25 DA - 1987/07/25 00:01 DT - 1987/07/25 00:00 YR - 1987 ED - 19870824 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2885647 <1448. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3599038 TI - Residents' attitudes, knowledge, and behavior regarding diagnosis and treatment of alcoholism. SO - Journal of Medical Education. 62(6):497-503, 1987 Jun. AS - J Med Educ. 62(6):497-503, 1987 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Warburg MM AU - Cleary PD AU - Rohman M AU - Barnes HN AU - Aronson M AU - Delbanco TL FA - Warburg, M M FA - Cleary, P D FA - Rohman, M FA - Barnes, H N FA - Aronson, M FA - Delbanco, T L NJ - Journal of medical education VO - 62 IP - 6 PG - 497-503 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ 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 - Behavior MH - Humans MH - Internal Medicine/ed [Education] MH - *Internship and Residency MH - Massachusetts MH - *Physicians/px [Psychology] AB - Few studies have addressed the variables that affect physicians' practice behavior in treating alcoholism. In the study reported here, the authors hypothesized that alcohol-related training and experience would influence practice behavior more significantly than attitudes or knowledge. In order to assess the most important predictors of practice behavior, the authors conducted a survey of 163 junior and senior medical residents at five training hospitals affiliated with Harvard Medical School. Of these residents, 123 responded (75 percent). Negative attitudes toward alcoholics and knowledge of alcoholism were not significantly related to the residents' estimates of the prevalence of alcoholism among their patients, to their rate of treating alcoholic patients, or to their rate of referring patients for alcoholism therapy. There was a significant relationship between having supervised clinical experience in alcoholism and these three behaviors. These results are consistent with the authors' hypothesis that changing physicians' practice in treating alcoholics may be best achieved by providing relevant clinical experience in alcoholism. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1987 Jun EZ - 1987/06/01 DA - 1987/06/01 00:01 DT - 1987/06/01 00:00 YR - 1987 ED - 19870727 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3599038 <1449. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3583874 TI - Adolescent health care: perceptions and needs of the practicing physician. SO - Journal of Adolescent Health Care. 8(3):239-45, 1987 May. AS - J Adolesc Health Care. 8(3):239-45, 1987 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Orr DP AU - Weiser SP AU - Dian DA AU - Maurana CA FA - Orr, D P FA - Weiser, S P FA - Dian, D A FA - Maurana, C A NJ - Journal of adolescent health care : official publication of the Society for Adolescent Medicine VO - 8 IP - 3 PG - 239-45 PI - Journal available in: Print PI - Citation processed from: Print JC - 8100395, ham, 8100395 IO - J Adolesc Health Care SB - Index Medicus CP - United States MH - Adolescent MH - Adolescent Medicine/ed [Education] MH - *Adolescent Medicine MH - Adult MH - Child MH - Counseling MH - Education, Medical, Continuing MH - Family Planning Services/ed [Education] MH - Family Practice MH - Gynecology MH - Humans MH - Internal Medicine MH - Obstetrics MH - Pediatrics MH - *Physicians MH - Psychiatry AB - Three hundred thirty-one Indiana physicians practicing general-family medicine (GP-FP), obstetrics-gynecology (OB-GYN), pediatrics (PED), internal medicine (IM), and psychiatry (PSYCH) were surveyed as to their perceptions about adolescent health and their perceived need for specific adolescent services and Continuing Medical Education (CME). Significant differences were noted in all specialty areas that were not accounted for by the sex or age of the physician. The majority of GP-FP and PED reported that adolescents (aged 11-19 years) made up at least 10% of their practice compared to fewer than 5% of IM practices. Fewer than 7% of the respondents had had no training about adolescent medicine; most (47.5%) had received some CME in adolescent medicine. Family planning was the service least likely to be: provided by PED, IM, and PSYCH, (p less than 0.0001); considered serious for these physicians' adolescent patients (p less than 0.0001); and of interest for CME by all physicians (p less than 0.0001). All specialities believed their adolescent patients to be minimally troubled by the most common problems of youth (p less than 0.0001), but did accurately perceive youth as having psychosocial and medical problems. Training about substance abuse, counseling, learning problems, and eating disorders were most desired. Few respondents wanted individualized, in-person training. The implications of these results are discussed. IS - 0197-0070 IL - 0197-0070 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1987 May EZ - 1987/05/01 DA - 1987/05/01 00:01 DT - 1987/05/01 00:00 YR - 1987 ED - 19870717 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3583874 <1450. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3586041 TI - Attitudes and smoking habits of physicians at the Lagos University Teaching Hospital. SO - Journal of the National Medical Association. 79(4):430-2, 1987 Apr. AS - J Natl Med Assoc. 79(4):430-2, 1987 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bandele EO AU - Osadiaye JA FA - Bandele, E O FA - Osadiaye, J A NJ - Journal of the National Medical Association VO - 79 IP - 4 PG - 430-2 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/PMC2625503 SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - Hospitals, Teaching MH - Humans MH - *Medical Staff, Hospital/px [Psychology] MH - Nigeria MH - *Smoking AB - The attitudes and smoking habits of 333 doctors at the Lagos University Teaching Hospital were studied. Sixty eight percent were nonsmokers, while 24 percent were currently smoking, and 8 percent were ex-smokers. Surgeons (26 percent) and obstetricians and gynecologists (24 percent) accounted for most of the current smokers.The majority of doctors in Lagos were well informed on the health risks of smoking, but an insufficient number of them are currently giving advice on smoking cessation to their patients. There is a need to further educate doctors in Lagos on the important role physicians can play in smoking-cessation efforts. IS - 0027-9684 IL - 0027-9684 PT - Journal Article ID - PMC2625503 [pmc] PP - ppublish LG - English DP - 1987 Apr EZ - 1987/04/01 DA - 1987/04/01 00:01 DT - 1987/04/01 00:00 YR - 1987 ED - 19870701 RD - 20151225 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3586041 <1451. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3553640 TI - A review of medical education in alcohol and other drug abuse. SO - JAMA. 257(21):2945-8, 1987 Jun 05. AS - JAMA. 257(21):2945-8, 1987 Jun 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lewis DC AU - Niven RG AU - Czechowicz D AU - Trumble JG FA - Lewis, D C FA - Niven, R G FA - Czechowicz, D FA - Trumble, J G NJ - JAMA VO - 257 IP - 21 PG - 2945-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 7501160 IO - JAMA SB - Core Clinical Journals (AIM) SB - Index Medicus SB - History of Medicine Journals CP - United States MH - Alcoholism/hi [History] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Attitude of Health Personnel MH - Education, Medical/td [Trends] MH - *Education, Medical MH - Forecasting MH - History, 18th Century MH - History, 19th Century MH - History, 20th Century MH - Humans MH - Substance-Related Disorders/hi [History] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States IS - 0098-7484 IL - 0098-7484 PT - Historical Article PT - Journal Article PP - ppublish LG - English DP - 1987 Jun 05 EZ - 1987/06/05 DA - 1987/06/05 00:01 DT - 1987/06/05 00:00 YR - 1987 ED - 19870617 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3553640 <1452. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3573018 TI - Effect of a course on students' attitudes toward substance abuse and its treatment. SO - Journal of Medical Education. 62(5):394-400, 1987 May. AS - J Med Educ. 62(5):394-400, 1987 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chappel JN AU - Veach TL FA - Chappel, J N FA - Veach, T L NJ - Journal of medical education VO - 62 IP - 5 PG - 394-400 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - Nevada MH - *Students, Medical/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - From 1978 through 1982, pretests and posttests of second-year medical students' attitudes toward substance abuse and its treatment showed that positive attitude change could be achieved during a substance abuse course. When the course was scheduled in competition with demanding basic science courses, however, the students' attitudes did not become as positive as or became more negative than when the course was part of a less demanding schedule. The course used lectures and reading assignments to provide information on substance abuse and used patient contact to change attitudes toward substance abusers and treatment. Emphasis was placed on patient management problems and small-group discussions. The changes in the students' attitudes are assumed by the authors to be positive, but the link between these attitudes and good clinical practice has not been demonstrated. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1987 May EZ - 1987/05/01 DA - 1987/05/01 00:01 DT - 1987/05/01 00:00 YR - 1987 ED - 19870615 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3573018 <1453. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3563631 TI - [Role of institutes for advanced training in raising physician competence in narcology]. [Russian] OT - Rol' institutov usovershenstvovaniia v povyshenii kvalifikatsii vrachei po voprosam narkologii. SO - Sovetskoe Zdravookhranenie. (2):40-4, 1987 AS - Sov Zdravookhr. (2):40-4, 1987 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Simbirtsev SA AU - Bederova NA FA - Simbirtsev, S A FA - Bederova, N A NJ - Sovetskoe zdravookhranenie IP - 2 PG - 40-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404526, uwk IO - Sov Zdravookhr SB - Index Medicus CP - Russia (Federation) MH - *Alcoholism/pc [Prevention & Control] MH - *Education, Medical, Continuing/td [Trends] MH - Humans MH - *Psychiatry/ed [Education] MH - Schools, Medical MH - USSR IS - 0038-5239 IL - 0038-5239 PT - English Abstract PT - Journal Article PP - ppublish LG - Russian DP - 1987 EZ - 1987/01/01 DA - 1987/01/01 00:01 DT - 1987/01/01 00:00 YR - 1987 ED - 19870521 RD - 20161018 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3563631 <1454. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3806030 TI - Smoking counseling practices of recently trained family physicians. SO - Journal of Family Practice. 24(2):195-7, 1987 Feb. AS - J. FAM. PRACT.. 24(2):195-7, 1987 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Goldstein B AU - Fischer PM AU - Richards JW Jr AU - Goldstein A AU - Shank JC FA - Goldstein, B FA - Fischer, P M FA - Richards, J W Jr FA - Goldstein, A FA - Shank, J C NJ - The Journal of family practice VO - 24 IP - 2 PG - 195-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Attitude of Health Personnel MH - *Counseling MH - Humans MH - Internship and Residency MH - Iowa MH - *Physicians, Family/px [Psychology] MH - *Smoking MH - Time Factors IS - 0094-3509 IL - 0094-3509 PT - Journal Article PP - ppublish LG - English DP - 1987 Feb EZ - 1987/02/01 DA - 2001/03/28 10:01 DT - 1987/02/01 00:00 YR - 1987 ED - 19870317 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3806030 <1455. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3813755 TI - Recognition of alcoholism and substance abuse in primary care patients. SO - Archives of Internal Medicine. 147(2):349-52, 1987 Feb. AS - Arch Intern Med. 147(2):349-52, 1987 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coulehan JL AU - Zettler-Segal M AU - Block M AU - McClelland M AU - Schulberg HC FA - Coulehan, J L FA - Zettler-Segal, M FA - Block, M FA - McClelland, M FA - Schulberg, H C NJ - Archives of internal medicine VO - 147 IP - 2 PG - 349-52 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 - *Alcoholism/di [Diagnosis] MH - *Family Practice/ed [Education] MH - Follow-Up Studies MH - Humans MH - *Internal Medicine/ed [Education] MH - *Internship and Residency MH - *Interview, Psychological MH - Outpatient Clinics, Hospital MH - Psychotic Disorders/di [Diagnosis] MH - Regression Analysis MH - *Substance-Related Disorders/di [Diagnosis] AB - Alcohol and other substance abuse are frequently seen in primary medical practice but are underdiagnosed. Forty-two (14%) of 294 adult primary care patients suffered from alcohol or other substance abuse, as diagnosed by a structured psychiatric interview. Primary care physicians identified 17 (40%) of these patients, as well as another patient identified during a six-month follow-up period, as having a substance abuse problem at initial clinical evaluation. Clinically identified substance abusers were older, more likely to be married, and more often used multiple drugs. They more frequently had antisocial personality disorders, while patients not clinically recognized were often depressed. Logistic regression analysis indicated that the presence of antisocial personality, the absence of a coexisting depressive disorder, and better social functioning scores were the factors most strongly associated with clinical recognition. The study suggests clinical judgment issues, which may be useful to physicians in training to improve their recognition and treatment of substance abuse disorders. IS - 0003-9926 IL - 0003-9926 PT - Comparative Study PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: MH-35352 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 1987 Feb EZ - 1987/02/01 DA - 1987/02/01 00:01 DT - 1987/02/01 00:00 YR - 1987 ED - 19870309 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3813755 <1456. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3779702 TI - Education programs on smoking prevention and smoking cessation for students and housestaff in U.S. medical schools. SO - Cancer Detection & Prevention. 9(5-6):417-20, 1986. AS - Cancer Detect Prev. 9(5-6):417-20, 1986. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Horton J FA - Horton, J NJ - Cancer detection and prevention VO - 9 IP - 5-6 PG - 417-20 PI - Journal available in: Print PI - Citation processed from: Print JC - cnz, 7704778 IO - Cancer Detect. Prev. SB - Index Medicus CP - England MH - Canada MH - Curriculum MH - *Education, Medical MH - Humans MH - Internship and Residency MH - *Smoking Prevention MH - United States AB - To determine the extent and characteristics of educational programs relating to smoking in U.S. medical schools, surveys of educational curricula were performed in 1983 and 1984. The first survey showed that 34% of medical schools had no course offerings on smoking for medical students, and very few addressed smoking prevention and smoking cessation. In the following year, the percentage of schools with curriculum courses on smoking prevention and smoking cessation had risen to 64% and 56%, respectively. Planned education programs for housestaff, however, were present in only 30% and 25% of medical school-affiliated programs. Only one housestaff program (5%) was present in the group of medical schools that had no educational programs on smoking prevention or cessation for its medical students. More emphasis on education regarding smoking prevention and smoking cessation in U.S. medical schools and in housestaff training programs is required. IS - 0361-090X IL - 0361-090X PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1986 EZ - 1986/01/01 DA - 1986/01/01 00:01 DT - 1986/01/01 00:00 YR - 1986 ED - 19870106 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3779702 <1457. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3767040 TI - A departmental policy addressing chemical substance abuse. SO - Anesthesiology. 65(4):414-7, 1986 Oct. AS - Anesthesiology. 65(4):414-7, 1986 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lecky JH AU - Aukburg SJ AU - Conahan TJ 3rd AU - Geer RT AU - Ominsky AJ AU - Gross J AU - Muravchick S AU - Wollman H FA - Lecky, J H FA - Aukburg, S J FA - Conahan, T J 3rd FA - Geer, R T FA - Ominsky, A J FA - Gross, J FA - Muravchick, S FA - Wollman, H NJ - Anesthesiology VO - 65 IP - 4 PG - 414-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 4sg, 1300217 IO - Anesthesiology SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Anesthesiology/st [Standards] MH - Humans MH - *Physician Impairment MH - Schools, Medical MH - *Substance-Related Disorders/ep [Epidemiology] AB - Substance abuse is a major socioeconomic problem. However, the ready availability of potent narcotic and sedative drugs probably constitutes a unique risk for anesthesiologists. Until recently, few anesthesia departments were prepared to recognize or safely manage afflicted colleagues. Because we felt it important to educate our staff and residents and to have a response mechanism established prior to the advent of a substance abuse problem, a departmental committee was formed to develop a Substance Abuse Policy. The policy has served to increase our general awareness and to direct our actions effectively when dealing with physician impairment. It is presented here in the belief that other departments might find it useful in tailoring their approach to this problem. IS - 0003-3022 IL - 0003-3022 PT - Journal Article PP - ppublish LG - English DP - 1986 Oct EZ - 1986/10/01 DA - 1986/10/01 00:01 DT - 1986/10/01 00:00 YR - 1986 ED - 19861114 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3767040 <1458. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3530292 TI - The 1985 Dent memorial lecture. 'I need heroin'. Thirty years' experience of drug dependence and of the medical challenges at local, national, international and political level. What next?. SO - British Journal of Addiction. 81(4):461-72, 1986 Aug. AS - Br J Addict. 81(4):461-72, 1986 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Connell PH FA - Connell, P H NJ - British journal of addiction VO - 81 IP - 4 PG - 461-72 PI - Journal available in: Print PI - Citation processed from: Print JC - bjd, 8804404 IO - Br J Addict SB - Index Medicus SB - History of Medicine Journals CP - England MH - History, 20th Century MH - Humans MH - Legislation, Drug MH - State Medicine MH - *Substance-Related Disorders/hi [History] MH - Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/th [Therapy] MH - United Kingdom MH - World Health Organization IS - 0952-0481 IL - 0952-0481 PT - Historical Article PT - Journal Article PP - ppublish LG - English DP - 1986 Aug EZ - 1986/08/01 DA - 1986/08/01 00:01 DT - 1986/08/01 00:00 YR - 1986 ED - 19861107 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3530292 <1459. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3837303 TI - [Teaching of alcoholism in Chilean medical schools: a curriculum survey]. [Spanish] OT - Ensenanza sobre alcoholismo en las escuelas de medicina Chilenas: una encuesta curricular. SO - Revista Medica de Chile. 113(12):1188-93, 1985 Dec. AS - Rev Med Chil. 113(12):1188-93, 1985 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Florenzano R AU - Pemjean A AU - Orpinas P AU - Feuerhake O AU - Fuentealba C AU - Valdes M AU - Manzi J FA - Florenzano, R FA - Pemjean, A FA - Orpinas, P FA - Feuerhake, O FA - Fuentealba, C FA - Valdes, M FA - Manzi, J NJ - Revista medica de Chile VO - 113 IP - 12 PG - 1188-93 PI - Journal available in: Print PI - Citation processed from: Print JC - shd, 0404312 IO - Rev Med Chil SB - Index Medicus CP - Chile MH - *Alcoholism MH - Chile MH - *Curriculum MH - *Education, Medical MH - Humans IS - 0034-9887 IL - 0034-9887 PT - English Abstract PT - Journal Article PP - ppublish LG - Spanish DP - 1985 Dec EZ - 1985/12/01 DA - 1985/12/01 00:01 DT - 1985/12/01 00:00 YR - 1985 ED - 19860917 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3837303 <1460. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3728055 TI - Alcoholics and drug addicts at the emergency room of the hospital. Analysis of the staff behavior and patients' progressions. SO - Acta Psychiatrica Belgica. 86(2):103-10, 1986 Mar-Apr. AS - Acta Psychiatr Belg. 86(2):103-10, 1986 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Corten P AU - Pelc I FA - Corten, P FA - Pelc, I NJ - Acta psychiatrica Belgica VO - 86 IP - 2 PG - 103-10 PI - Journal available in: Print PI - Citation processed from: Print IO - Acta Psychiatr Belg SB - Index Medicus CP - Belgium MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Emergencies MH - *Emergency Service, Hospital/ma [Manpower] MH - Hospitalization MH - Humans MH - Internship and Residency MH - Psychiatric Department, Hospital MH - Referral and Consultation MH - Social Control, Formal MH - *Substance-Related Disorders/th [Therapy] AB - The statistical analysis of a large sample (1.707 cases) was carried out using objective variables. These variables consist of the key points in the progression of alcoholics and drug addicts within two emergency departments situated in general hospitals. This study pinpoints a lack of therapeutic work at the emergency room where neither medical diagnoses nor psychopathological analyses seem to be done. IS - 0300-8967 IL - 0300-8967 PT - Journal Article PP - ppublish LG - English DP - 1986 Mar-Apr EZ - 1986/03/01 DA - 1986/03/01 00:01 DT - 1986/03/01 00:00 YR - 1986 ED - 19860814 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3728055 <1461. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3723576 TI - A division of substance abuse medicine in a teaching hospital. SO - Journal of Medical Education. 61(7):606-8, 1986 Jul. AS - J Med Educ. 61(7):606-8, 1986 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lerner WD AU - Forbes RO AU - Merlin SI AU - Barr MA FA - Lerner, W D FA - Forbes, R O FA - Merlin, S I FA - Barr, M A NJ - Journal of medical education VO - 61 IP - 7 PG - 606-8 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Education, Medical MH - Hospitals, Teaching/og [Organization & Administration] MH - *Hospitals, Teaching MH - Internship and Residency MH - *Substance-Related Disorders MH - Virginia IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1986 Jul EZ - 1986/07/01 DA - 1986/07/01 00:01 DT - 1986/07/01 00:00 YR - 1986 ED - 19860801 RD - 20001218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3723576 <1462. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3719482 TI - Learning to deal with drug-dependent patients: one physician's reflections. SO - CMAJ Canadian Medical Association Journal. 135(1):23-6, 1986 Jul 01. AS - CMAJ. 135(1):23-6, 1986 Jul 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Grosser N FA - Grosser, N NJ - CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne VO - 135 IP - 1 PG - 23-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 9711805 IO - CMAJ PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1491128 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Counseling MH - Education, Medical, Continuing MH - Humans MH - Licensure, Medical MH - Narcotics/ad [Administration & Dosage] MH - Ontario MH - Substance-Related Disorders/ed [Education] MH - *Substance-Related Disorders AB - Physicians with a contemporary education may not be adequately trained to deal effectively with drug-dependent patients. This paper details the problems that one physician encountered with such individuals in his practice. A retraining program was set up in which he received basic education in drug dependence and became involved in individual counselling with drug abusers and in research studies on alcoholism and drug abuse. Physicians must exercise caution when prescribing medications that are potentially addictive. They must have a responsible attitude in their care of drug-dependent patients. The assessment and treatment of such patients should be carried out only by a multidisciplinary team of health care professionals. These principles are best inculcated by the proper exposure of medical students to substance-abuse problems and by the availability of appropriate courses and studies in this area to practising physicians. RN - 0 (Narcotics) IS - 0820-3946 IL - 0820-3946 PT - Journal Article ID - PMC1491128 [pmc] PP - ppublish LG - English DP - 1986 Jul 01 EZ - 1986/07/01 DA - 1986/07/01 00:01 DT - 1986/07/01 00:00 YR - 1986 ED - 19860729 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3719482 <1463. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3459029 TI - Teaching alcoholism and substance abuse: a medical malfeasance?. SO - North Carolina Medical Journal. 47(4):209-11, 1986 Apr. AS - N C Med J. 47(4):209-11, 1986 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barefoot SW FA - Barefoot, S W NJ - North Carolina medical journal VO - 47 IP - 4 PG - 209-11 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 - *Alcoholism MH - Curriculum MH - Humans MH - North Carolina MH - *Psychiatry/ed [Education] MH - *Public Health/ed [Education] MH - *Substance-Related Disorders IS - 0029-2559 IL - 0029-2559 PT - Journal Article PP - ppublish LG - English DP - 1986 Apr EZ - 1986/04/01 DA - 1986/04/01 00:01 DT - 1986/04/01 00:00 YR - 1986 ED - 19860707 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3459029 <1464. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3714663 TI - A survey of physicians' views and practices on patient education for smoking cessation. SO - Preventive Medicine. 15(1):92-8, 1986 Jan. AS - Prev Med. 15(1):92-8, 1986 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rimer BK AU - Strecher VJ AU - Keintz MK AU - Engstrom PF FA - Rimer, B K FA - Strecher, V J FA - Keintz, M K FA - Engstrom, P F NJ - Preventive medicine VO - 15 IP - 1 PG - 92-8 PI - Journal available in: Print PI - Citation processed from: Print JC - pm4, 0322116 IO - Prev Med SB - Index Medicus CP - United States MH - Chewing Gum MH - Humans MH - *Patient Education as Topic/mt [Methods] MH - *Physician's Role MH - *Role MH - *Smoking Prevention MH - Surveys and Questionnaires AB - A two-wave panel survey of physicians in southeastern Pennsylvania assessed the smoking intervention strategies physicians use with their patients, their intention to prescribe nicotine chewing gum (Nicorette), and their subsequent prescribing of Nicorette. The most frequently employed health education strategies were counseling, counseling in combination with written materials or referral, and recommendation to stop smoking, with significant differences among specialty groups. Most of the responding physicians (87%) were aware of nicotine chewing gum; of those aware, 71% reported an intention to prescribe it for their patients who smoke. Physicians' prescription patterns differed by specialty: family practitioners were most inclined to prescribe Nicorette. Forty-seven percent of physicians had no follow-up data on the patients for whom they had prescribed Nicorette. The survey data reported here demonstrate that physicians are willing to adopt a new smoking cessation practice. The challenge is to incorporate this practice into a cost-effective smoking cessation intervention which can be integrated into the routine of patient care. RN - 0 (Chewing Gum) IS - 0091-7435 IL - 0091-7435 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: P50 CA 34856-01 Organization: (CA) *NCI NIH HHS* Country: United States LG - English DP - 1986 Jan EZ - 1986/01/01 DA - 1986/01/01 00:01 DT - 1986/01/01 00:00 YR - 1986 ED - 19860701 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3714663 <1465. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3457928 TI - Drug abuse in oral and maxillofacial training programs. SO - Journal of Oral & Maxillofacial Surgery. 44(6):458-62, 1986 Jun. AS - J Oral Maxillofac Surg. 44(6):458-62, 1986 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosenberg M FA - Rosenberg, M NJ - Journal of oral and maxillofacial surgery : official journal of the American Association of Oral and Maxillofacial Surgeons VO - 44 IP - 6 PG - 458-62 PI - Journal available in: Print PI - Citation processed from: Print JC - jic, 8206428 IO - J. Oral Maxillofac. Surg. SB - Core Clinical Journals (AIM) SB - Dental Journals SB - Index Medicus CP - United States MH - Anesthetics MH - Humans MH - Hypnotics and Sedatives MH - *Internship and Residency MH - *Occupational Diseases/et [Etiology] MH - Occupational Diseases/rh [Rehabilitation] MH - *Substance-Related Disorders/et [Etiology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Surgery, Oral/ed [Education] MH - *Surgery, Oral MH - Time Factors MH - United States AB - Concern about drug dependence in other medical specialties involving constant exposure to anesthetic and sedative drugs prompted a survey of oral and maxillofacial surgery programs. One hundred sixteen programs were surveyed; 78.5% responded, and 51% of the responding programs reported at least one suspected incident of drug dependence. Twenty-six confirmed cases were reported. Meperidine and fentanyl were the most frequently abused substances. Behavioral changes and information supplied by co-workers were the most frequent reasons for confrontation of residents suspected of drug abuse by superiors. Detailed follow-up information was often sketchy and unavailable. Drug abuse may be more common than usually thought in oral and maxillofacial surgery programs and on the same level as that observed in anesthesia training programs. RN - 0 (Anesthetics) RN - 0 (Hypnotics and Sedatives) IS - 0278-2391 IL - 0278-2391 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - S027823918600099X [pii] PP - ppublish LG - English DP - 1986 Jun EZ - 1986/06/01 DA - 1986/06/01 00:01 DT - 1986/06/01 00:00 YR - 1986 ED - 19860625 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3457928 <1466. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3834105 TI - The weekend intervention program at Wright State University School of Medicine, Dayton, Ohio. SO - Journal of Substance Abuse Treatment. 2(4):233-7, 1985. AS - J Subst Abuse Treat. 2(4):233-7, 1985. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Siegal HA AU - Moore DC FA - Siegal, H A FA - Moore, D C NJ - Journal of substance abuse treatment VO - 2 IP - 4 PG - 233-7 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 - *Alcoholic Intoxication/rh [Rehabilitation] MH - *Automobile Driving MH - Counseling MH - Health Education MH - Humans MH - Ohio MH - Referral and Consultation MH - Schools, Medical IS - 0740-5472 IL - 0740-5472 PT - Journal Article PP - ppublish LG - English DP - 1985 EZ - 1985/01/01 DA - 1985/01/01 00:01 DT - 1985/01/01 00:00 YR - 1985 ED - 19860609 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3834105 <1467. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3959288 TI - Alcohol abuse, other drug abuse, and mental disorders in medical practice. Prevalence, costs, recognition, and treatment. SO - JAMA. 255(15):2054-7, 1986 Apr 18. AS - JAMA. 255(15):2054-7, 1986 Apr 18. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kamerow DB AU - Pincus HA AU - Macdonald DI FA - Kamerow, D B FA - Pincus, H A FA - Macdonald, D I NJ - JAMA VO - 255 IP - 15 PG - 2054-7 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 - Alcoholism/ec [Economics] MH - *Alcoholism/ep [Epidemiology] MH - Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Attitude to Health MH - Costs and Cost Analysis MH - Humans MH - Mental Disorders/ec [Economics] MH - *Mental Disorders/ep [Epidemiology] MH - Mental Disorders/th [Therapy] MH - Mental Health Services/ut [Utilization] MH - Primary Health Care MH - Substance-Related Disorders/ec [Economics] MH - *Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/th [Therapy] MH - United States AB - Millions of Americans suffer and die of alcohol abuse, other drug abuse, and mental disorders that go undiagnosed and untreated. Studies showing that up to 19% of the US adult population have these disorders also have found that only one fifth of those affected have sought help for them in the previous six months. Many of these persons have disorders that are treatable with modern medications and therapy. Because more than half of all persons with these disorders obtain all of their care from the general medical sector, a great potential exists in primary care for prevention, detection, treatment, and referral of these patients. Primary care physicians, however, have not been very successful at diagnosing and treating substance abuse and mental disorders because of inadequate training, patients' attitudes, and the constraints of the health care system. Recommendations to improve this situation include continued research, improved physician education, and increased emphasis on care of these disorders by organized medicine. Although tobacco use is also a major health problem, data relating to nicotine addiction were not included in this report. IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1986 Apr 18 EZ - 1986/04/18 DA - 1986/04/18 00:01 DT - 1986/04/18 00:00 YR - 1986 ED - 19860501 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3959288 <1468. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3941426 TI - Evaluation of a program to teach medical students about alcoholism. SO - Journal of Medical Education. 61(1):67-9, 1986 Jan. AS - J Med Educ. 61(1):67-9, 1986 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Siegal HA AU - Markert RJ AU - Vojtech DL FA - Siegal, H A FA - Markert, R J FA - Vojtech, D L NJ - Journal of medical education VO - 61 IP - 1 PG - 67-9 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - *Education, Medical MH - Humans MH - Students, Medical IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1986 Jan EZ - 1986/01/01 DA - 1986/01/01 00:01 DT - 1986/01/01 00:00 YR - 1986 ED - 19860213 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3941426 <1469. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3941421 TI - Underdiagnosis of alcoholism by residents in an ambulatory medical practice. SO - Journal of Medical Education. 61(1):46-52, 1986 Jan. AS - J Med Educ. 61(1):46-52, 1986 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Moore RD AU - Malitz FE FA - Moore, R D FA - Malitz, F E NJ - Journal of medical education VO - 61 IP - 1 PG - 46-52 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcohol Drinking MH - *Alcoholism/di [Diagnosis] MH - Ambulatory Care MH - Female MH - Humans MH - Hypertension/di [Diagnosis] MH - *Internship and Residency MH - Liver Diseases/di [Diagnosis] MH - Male MH - Middle Aged AB - Alcoholism is a widespread illness which in its early stages can be treated effectively. It is important, therefore, that medical residents be able to diagnose alcoholism prior to end-stage disease and organ damage. To assess the ability of residents to diagnose alcoholism, a survey was conducted of 95 patients from the ambulatory care internal medicine practice of the Johns Hopkins Hospital. The patients' alcohol consumption was measured by a self-report questionnaire, and the patients answered an alcoholism questionnaire, the responses to which have been shown to correlate with alcoholism. The questionnaire contains four questions, one each on cutting down on alcohol consumption, annoyance at criticism of alcohol consumption, guilty feelings about alcohol consumption, and use of alcohol early in the day. The answers to the questionnaire were compared with the residents' diagnoses of alcoholism on the medical record. Alcoholism was diagnosed by the residents in only 11 of the 20 patients (55 percent) who had given three or more yes answers on the alcoholism questionnaire and in only 14 of the 31 patients (45 percent) who had given two or more yes answers. (Yes answers indicate that patients suffer from alcoholism.) The residents' diagnosis of alcoholism correlated with signs of physical damage or dependence. These results demonstrate a moderate underdiagnosis of alcoholism by residents in the ambulatory care setting and suggest that diagnosing alcoholism in early stages of the disease should be made a part of the training curriculum. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1986 Jan EZ - 1986/01/01 DA - 1986/01/01 00:01 DT - 1986/01/01 00:00 YR - 1986 ED - 19860213 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3941421 <1470. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 2866221 TI - Endogenous opioids and related peptides: from molecular biology to clinical medicine. The Sir Henry Dale lecture for 1985. SO - Journal of Endocrinology. 107(2):147-57, 1985 Nov. AS - J Endocrinol. 107(2):147-57, 1985 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Imura H AU - Kato Y AU - Nakai Y AU - Nakao K AU - Tanaka I AU - Jingami H AU - Koh T AU - Yoshimasa T AU - Tsukada T AU - Suda M AU - et al FA - Imura, H FA - Kato, Y FA - Nakai, Y FA - Nakao, K FA - Tanaka, I FA - Jingami, H FA - Koh, T FA - Yoshimasa, T FA - Tsukada, T FA - Suda, M NJ - The Journal of endocrinology VO - 107 IP - 2 PG - 147-57 PI - Journal available in: Print PI - Citation processed from: Print JC - i1j, 0375363 IO - J. Endocrinol. SB - Index Medicus CP - England MH - Animals MH - Base Sequence MH - Cloning, Molecular MH - Endorphins/me [Metabolism] MH - *Endorphins/ph [Physiology] MH - Enkephalins/me [Metabolism] MH - Enkephalins/pd [Pharmacology] MH - Female MH - Humans MH - Locomotion/de [Drug Effects] MH - Male MH - *Neurotransmitter Agents/ph [Physiology] MH - Pituitary Gland/de [Drug Effects] MH - Pituitary Gland/me [Metabolism] MH - Protein Conformation MH - Protein Precursors/me [Metabolism] MH - Protein Precursors/pd [Pharmacology] MH - RNA, Messenger/me [Metabolism] MH - Rats MH - Sexual Behavior, Animal/de [Drug Effects] AB - Advances in techniques in molecular biology have facilitated the research into endogenous opioids and related peptides in several ways. The organization and expression of genes and the primary structure of three precursor proteins of opioid peptides have been elucidated. These studies predicted the presence of potentially bioactive peptides, which has been confirmed by later studies. Advances in techniques in protein chemistry have helped to elucidate the distribution and molecular forms of endogenous opioids and related peptides in the body, and the processing of precursor proteins. Studies on the function of these peptides have shown a broad spectrum of actions. Leumorphin, a newly identified peptide, has been shown to exhibit unique biological activities. In spite of extensive studies, the physiological and pathophysiological significance of opioid peptide systems are not yet completely understood. This is mainly due to the paucity of our knowledge about opioid receptors. Further studies on the subtypes of opioid receptors will help to elucidate all aspects of the function of endogenous opioids and related peptides. RN - 0 (Endorphins) RN - 0 (Enkephalins) RN - 0 (Neurotransmitter Agents) RN - 0 (Protein Precursors) RN - 0 (RNA, Messenger) RN - 93443-35-7 (preproenkephalin) IS - 0022-0795 IL - 0022-0795 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1985 Nov EZ - 1985/11/01 DA - 1985/11/01 00:01 DT - 1985/11/01 00:00 YR - 1985 ED - 19851224 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=2866221 <1471. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3904501 TI - Postgraduate certification in alcohol and drug dependence. SO - Alcoholism: Clinical & Experimental Research. 9(5):387-9, 1985 Sep-Oct. AS - Alcohol Clin Exp Res. 9(5):387-9, 1985 Sep-Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M FA - Galanter, M NJ - Alcoholism, clinical and experimental research VO - 9 IP - 5 PG - 387-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 35x, 7707242 IO - Alcohol. Clin. Exp. Res. SB - Index Medicus CP - England MH - *Alcoholism MH - *Certification/st [Standards] MH - *Education, Medical, Graduate/st [Standards] MH - Humans MH - *Medicine/st [Standards] MH - *Specialization MH - Specialty Boards MH - *Substance-Related Disorders MH - United States IS - 0145-6008 IL - 0145-6008 PT - Journal Article PP - ppublish LG - English DP - 1985 Sep-Oct EZ - 1985/09/01 DA - 1985/09/01 00:01 DT - 1985/09/01 00:00 YR - 1985 ED - 19851218 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3904501 <1472. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4044079 TI - The intervention approach to drunk driver rehabilitation. Part I. Its evolution, operations, and impact. SO - International Journal of the Addictions. 20(5):661-73, 1985 May. AS - Int J Addict. 20(5):661-73, 1985 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Siegal HA FA - Siegal, H A NJ - The International journal of the addictions VO - 20 IP - 5 PG - 661-73 PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 IO - Int J Addict SB - Index Medicus CP - United States MH - Accidents, Traffic/pc [Prevention & Control] MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/rh [Rehabilitation] MH - *Automobile Driving MH - Combined Modality Therapy MH - Counseling MH - Crisis Intervention MH - Curriculum MH - Education, Medical MH - Humans AB - In the campaign against drunk driving, the "third-generation" Weekend Intervention Program (WIP) met its clinical goals and was superior to education and treatment programs when treating DWI recidivists. Even in the face of the harsher legal climate in the case of WIP, this new intervention approach produced a lower recidivism rate than the control group. These positive findings suggest the need for further research with larger cell samples. IS - 0020-773X IL - 0020-773X PT - Journal Article PP - ppublish LG - English DP - 1985 May EZ - 1985/05/01 DA - 1985/05/01 00:01 DT - 1985/05/01 00:00 YR - 1985 ED - 19851114 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=4044079 <1473. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3862986 TI - The underemphasis on smoking in medical education. SO - New York State Journal of Medicine. 85(7):299-301, 1985 Jul. AS - N Y State J Med. 85(7):299-301, 1985 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ginzel KH FA - Ginzel, K H NJ - New York state journal of medicine VO - 85 IP - 7 PG - 299-301 PI - Journal available in: Print PI - Citation processed from: Print JC - oba, 0401064 IO - N Y State J Med SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Child MH - Curriculum MH - *Education, Medical MH - Humans MH - Pharmacology MH - *Smoking MH - *Substance-Related Disorders MH - Textbooks as Topic MH - United States IS - 0028-7628 IL - 0028-7628 PT - Journal Article PP - ppublish LG - English DP - 1985 Jul EZ - 1985/07/01 DA - 1985/07/01 00:01 DT - 1985/07/01 00:00 YR - 1985 ED - 19851105 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3862986 <1474. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6537630 TI - [Smoking habits among the teachers of a medical teaching institute]. [French] OT - L'habitude de fumer chez les enseignants d'un institut superieur d'enseignement medical. SO - Revista Medico-Chirurgicala a Societatii de Medici Si Naturalisti Din Iasi. 88(4):639-48, 1984 Oct-Dec. AS - Rev Med Chir Soc Med Nat Iasi. 88(4):639-48, 1984 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ionescu C AU - Mihaescu T AU - Mihaescu P FA - Ionescu, C FA - Mihaescu, T FA - Mihaescu, P NJ - Revista medico-chirurgicala a Societatii de Medici si Naturalisti din Iasi VO - 88 IP - 4 PG - 639-48 PI - Journal available in: Print PI - Citation processed from: Print JC - shp, 0413735 IO - Rev Med Chir Soc Med Nat Iasi SB - Index Medicus CP - Romania MH - Adult MH - Attitude to Health MH - Female MH - Humans MH - Male MH - Middle Aged MH - Romania MH - *Schools, Medical MH - *Smoking MH - Smoking Prevention MH - Surveys and Questionnaires MH - *Teaching/ma [Manpower] IS - 0048-7848 IL - 0048-7848 PT - Comparative Study PT - Journal Article PP - ppublish LG - French DP - 1984 Oct-Dec EZ - 1984/10/01 DA - 1984/10/01 00:01 DT - 1984/10/01 00:00 YR - 1984 ED - 19851022 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6537630 <1475. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4032445 TI - Substance-abuse education in medical school: past, present, and future. SO - Journal of Medical Education. 60(9):707-11, 1985 Sep. AS - J Med Educ. 60(9):707-11, 1985 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Helwick SA FA - Helwick, S A NJ - Journal of medical education VO - 60 IP - 9 PG - 707-11 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism MH - Curriculum MH - *Education, Medical MH - Humans MH - Physician Impairment MH - *Substance-Related Disorders MH - United States AB - In this article, the author presents an overview of substance-abuse education in U.S. medical schools. In the early 1970s, two nationwide conferences prompted an awareness of the need for improved medical education in substance abuse. The Council on Mental Health and the Committee on Alcohol and Drug Dependency, both of the American Medical Association, presented general guidelines for a curriculum in substance abuse. During the same era, the federal government sponsored a career teacher training program in drug abuse and alcoholism, and private foundation funding supported educational endeavors that resulted in long-term materials for teaching in medical schools. Three current programs that are improving drug-abuse education are described. These developments are good examples of efforts that should be considered for any medical school curriculum. Goals for the future should include some attempt to modify the institutions, both medical schools and hospitals, where patterns leading to physician impairment may develop. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1985 Sep EZ - 1985/09/01 DA - 1985/09/01 00:01 DT - 1985/09/01 00:00 YR - 1985 ED - 19851004 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=4032445 <1476. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3894664 TI - A review of the recent literature relating to the training of medical students in alcoholism. [Review] [27 refs] SO - Journal of Medical Education. 60(8):618-26, 1985 Aug. AS - J Med Educ. 60(8):618-26, 1985 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hanlon MJ FA - Hanlon, M J NJ - Journal of medical education VO - 60 IP - 8 PG - 618-26 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcohol Drinking MH - Alcoholics Anonymous MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Attitude of Health Personnel MH - Clinical Competence MH - Curriculum MH - *Education, Medical MH - Humans MH - Internship and Residency MH - Students, Medical MH - Substance-Related Disorders MH - United States AB - The author in this paper reviews the recent literature relating to the education of medical students in the area of alcoholism. These articles, from the 1960s, 1970s, and 1980s, are divided into the following topics: attitudes toward alcoholism, measurement of increased knowledge about alcoholism, the status of training in alcoholism, descriptions of alcoholism training programs, and methodological approaches to assessing such programs. While teaching in alcoholism is increasing, the training needs to be expanded even more. The focus of the training should be on experiential/clinical approaches rather than on the more prevalent approach of using lectures in nonclinical settings and should be on changing medical students' attitudes so they will be more understanding of alcoholics and more optimistic about their treatment. [References: 27] IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Review PP - ppublish LG - English DP - 1985 Aug EZ - 1985/08/01 DA - 1985/08/01 00:01 DT - 1985/08/01 00:00 YR - 1985 ED - 19850912 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3894664 <1477. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4023709 TI - The neglected disease in medical education. SO - Science. 229(4715):741-2, 1985 Aug 23. AS - Science. 229(4715):741-2, 1985 Aug 23. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Holden C FA - Holden, C NJ - Science (New York, N.Y.) VO - 229 IP - 4715 PG - 741-2 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404511, uj7 IO - Science SB - Index Medicus CP - United States MH - *Alcoholism/ed [Education] MH - Education, Medical MH - Humans IS - 0036-8075 IL - 0036-8075 PT - News PP - ppublish LG - English DP - 1985 Aug 23 EZ - 1985/08/23 DA - 1985/08/23 00:01 DT - 1985/08/23 00:00 YR - 1985 ED - 19850911 RD - 20070319 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=4023709 <1478. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4009673 TI - Views of medical students and residents on education in alcohol and drug abuse. SO - Journal of Medical Education. 60(7):562-4, 1985 Jul. AS - J Med Educ. 60(7):562-4, 1985 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fassler D FA - Fassler, D NJ - Journal of medical education VO - 60 IP - 7 PG - 562-4 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - *Education, Medical MH - Humans MH - *Internship and Residency MH - *Students, Medical MH - Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Vermont IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1985 Jul EZ - 1985/07/01 DA - 1985/07/01 00:01 DT - 1985/07/01 00:00 YR - 1985 ED - 19850809 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=4009673 <1479. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3891838 TI - H. Newell Martin--a remarkable career destroyed by neurasthenia and alcoholism. SO - Journal of the History of Medicine & Allied Sciences. 40(2):133-66, 1985 Apr. AS - J Hist Med Allied Sci. 40(2):133-66, 1985 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fye WB FA - Fye, W B NJ - Journal of the history of medicine and allied sciences VO - 40 IP - 2 PG - 133-66 PI - Journal available in: Print 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 - *Alcoholism/hi [History] MH - Biology/hi [History] MH - History, 19th Century MH - Humans MH - Male MH - Maryland MH - *Neurasthenia/hi [History] MH - Schools, Medical/hi [History] MH - United States MH - Universities/hi [History] PN - Martin HN IS - 0022-5045 IL - 0022-5045 PT - Biography PT - Historical Article PT - Journal Article PP - ppublish LG - English DP - 1985 Apr EZ - 1985/04/01 DA - 1985/04/01 00:01 DT - 1985/04/01 00:00 YR - 1985 ED - 19850731 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3891838 <1480. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6532465 TI - Alcohol education and the medical student. SO - Alcohol & Alcoholism. 19(4):291-6, 1984. AS - Alcohol Alcohol. 19(4):291-6, 1984. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Clare AW FA - Clare, A W NJ - Alcohol and alcoholism (Oxford, Oxfordshire) VO - 19 IP - 4 PG - 291-6 PI - Journal available in: Print PI - Citation processed from: Print JC - aal, 8310684 IO - Alcohol Alcohol. SB - Index Medicus CP - England MH - Alcoholism/co [Complications] MH - Alcoholism/di [Diagnosis] MH - Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Medical MH - Family Practice MH - Female MH - Humans MH - Male MH - Medical History Taking MH - Students, Medical AB - The development of a more sophisticated aetiological model of alcohol abuse and dependence has certain advantages when it comes to teaching medical students about the subject. The move away from a simplistic, unicausal model of disease coincides with more sophisticated notions of disease in medicine in general and alcoholism in particular can now be seen as a paradigm for many disorders. While the new model implicitly recognises the important role of non-medical professionals in the detection and management of alcohol-related problems, the protean manifestations of alcohol in general and specialised medical settings demands that tomorrow's doctors have an appropriately sophisticated model of the disorder and the abilities and skills necessary for its detection and management. IS - 0735-0414 IL - 0735-0414 PT - Journal Article PP - ppublish LG - English DP - 1984 EZ - 1984/01/01 DA - 1984/01/01 00:01 DT - 1984/01/01 00:00 YR - 1984 ED - 19850620 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6532465 <1481. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3918614 TI - Deaths of drug addicts in the United Kingdom 1967-81. SO - British Medical Journal Clinical Research Ed.. 290(6466):425-8, 1985 Feb 09. AS - Br Med J (Clin Res Ed). 290(6466):425-8, 1985 Feb 09. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ghodse AH AU - Sheehan M AU - Taylor C AU - Edwards G FA - Ghodse, A H FA - Sheehan, M FA - Taylor, C FA - Edwards, G NJ - British medical journal (Clinical research ed.) VO - 290 IP - 6466 PG - 425-8 PI - Journal available in: Print PI - Citation processed from: Print JC - b4x, 8302911 IO - Br Med J (Clin Res Ed) PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1417745 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Actuarial Analysis MH - Adult MH - Age Factors MH - Drug Therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Sex Factors MH - *Substance-Related Disorders/mo [Mortality] MH - United Kingdom AB - A search of the Home Office index of notified drug addicts identified 1499 deaths during 1967-81, of which 226 (15%) were of therapeutic addicts--that is, patients who had become addicted during medical treatment with a notifiable drug--and 1273 (85%) were of non-therapeutic addicts. The crude mortality fell from 23.5/1000/year for the period 1968-70 to 18.4/1000/year for 1978-80. Altogether 416 addicts aged under 50 at notification died after 1972, which was 16 times the number of deaths expected in a population with a similar age and sex composition. A more detailed examination of the cohorts of addicts notified each year showed little variation between them in the first two years of follow up. Nineteen addicts (1.6%) had died by 31 December of the year of their notification and 39 (3.3%) one year later. These figures may be an indication of the clinical course of addiction. Most deaths of non-therapeutic addicts in which a drug was implicated (939 cases (74%] were due to medically prescribed drugs--barbiturates at first and later opiates such as dipipanone hydrochloride and dextromoramide. Heroin was implicated in only 65 (7%) of these deaths. The Home Office index is a valuable source for identifying drugs of abuse and serious problems of addiction. The fact that prescribed drugs are causing the death of so many addicts demands a response from the medical profession. IS - 0267-0623 IL - 0267-0623 PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. ID - PMC1417745 [pmc] PP - ppublish LG - English DP - 1985 Feb 09 EZ - 1985/02/09 DA - 1985/02/09 00:01 DT - 1985/02/09 00:00 YR - 1985 ED - 19850328 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3918614 <1482. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 3871549 TI - Course and outcome of drug abuse and medical and social conditions in selected young drug abusers. SO - Acta Psychiatrica Scandinavica. 71(1):48-66, 1985 Jan. AS - Acta Psychiatr Scand. 71(1):48-66, 1985 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Benson G FA - Benson, G NJ - Acta psychiatrica Scandinavica VO - 71 IP - 1 PG - 48-66 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370364 IO - Acta Psychiatr Scand SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Alcoholism/rh [Rehabilitation] MH - Ambulatory Care MH - Antidepressive Agents MH - Commitment of Mentally Ill MH - Female MH - Follow-Up Studies MH - Humans MH - Male MH - Marijuana Abuse/rh [Rehabilitation] MH - *Social Conditions MH - *Social Environment MH - Social Welfare MH - Solvents MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - Sweden AB - The course and outcome of drug abuse and medical and social conditions were investigated by following--in some aspects for up to 10 years--selected groups of young drug abusers who had had contact with health care and social welfare authorities in Gothenburg at the end of the 1960's. The follow-up was carried out by studying different registers and through interviews. The abusers were compared with a control group matched in terms of sex, age and daily sickness allowance. Abuse of cannabis predominated (2:1) over heavier drugs (primarily central stimulants i.v.) in the out-patient materials, while the reverse was the case in the in-patient material. About 40% of the drug users were interviewed and judged to be representative of their groups. After 4-6 years, 36-49% of the males and 23-48% of the females in the different materials were found registered as drug abusers; 22-38% of the men and 11-19% of the women were found after 8-10 years. According to the interviews, drug abuse persisted in 56-71% of the men and 26-60% of the women after 4-6 years and in 44-69% of the men and 13-36% of the women after 7-9 years. Abuse of cannabis persisted more often than abuse of heavier drugs, and had a lower mortality. Between 40 and 55% of drug abuse in the out-patient material, as well as among males in the social welfare material, was hidden during the follow-up period. The hidden abuse involved primarily cannabis; abuse of heavier drugs was generally known to the health care or social welfare authorities. Repeated or lengthy sick leave was more common than in the control group. In-patient adult psychiatric treatment was common among those in the health care material, although 40% of those in the social welfare material had also received such treatment. A diagnosis of drug abuse clearly predominated. Treatment of hepatitis was noted for 30-40%. More than 90% of drug abusers were registered with the social welfare authorities compared with less than half of the controls. Possession of driving licence was less common and the males had less often completed basic military training. The majority of those not registered for drug abuse after 4-6 years were employed or studying, and had considerably less need for social welfare and sick leave than those who were registered.(ABSTRACT TRUNCATED AT 400 WORDS) RN - 0 (Antidepressive Agents) RN - 0 (Solvents) IS - 0001-690X IL - 0001-690X PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1985 Jan EZ - 1985/01/01 DA - 1985/01/01 00:01 DT - 1985/01/01 00:00 YR - 1985 ED - 19850321 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=3871549 <1483. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6524508 TI - Alcohol, substance use, and other risk-factors of impairment in a sample of physicians-in-training. SO - Advances in Alcohol & Substance Abuse. 4(2):67-87, 1984. AS - Adv Alcohol Subst Abuse. 4(2):67-87, 1984. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - McAuliffe WE AU - Rohman M AU - Wechsler H FA - McAuliffe, W E FA - Rohman, M FA - Wechsler, H NJ - Advances in alcohol & substance abuse VO - 4 IP - 2 PG - 67-87 PI - Journal available in: Print PI - Citation processed from: Print JC - 8107172, 2nz IO - Adv Alcohol Subst Abuse SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/px [Psychology] MH - Cannabis MH - Cocaine MH - Epidemiologic Methods MH - Female MH - Health MH - Humans MH - Male MH - Middle Aged MH - Models, Psychological MH - *Physician Impairment MH - Risk MH - Smoking MH - Socioeconomic Factors MH - Stress, Psychological/co [Complications] MH - *Students, Medical/px [Psychology] MH - *Substance-Related Disorders/px [Psychology] AB - This article examines survey data on alcohol and drug use, stress and other risk factors of impairment in nonclinical samples of physicians and medical students. Previously unpublished data on a sample of physicians-in-training showed they were healthy nonsmokers, experiencing many feelings of job stress, but were generally light drinkers and suffered few adverse effects of drinking. Young physicians and medical students were not very different from comparable non-physician populations in their use of recreational and therapeutic drugs, although the medical professionals had slightly below average use rates. Regression analyses found that recreational drug use and drinking stemmed mainly from sensation seeking, whereas therapeutic drug use was stress-related. RN - I5Y540LHVR (Cocaine) IS - 0270-3106 IL - 0270-3106 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1300/J251v04n02_07 [doi] PP - ppublish GI - No: AA03616-01 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: IR01DA02933 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1984 EZ - 1984/01/01 DA - 1984/01/01 00:01 DT - 1984/01/01 00:00 YR - 1984 ED - 19850228 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6524508 <1484. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6515465 TI - [Report on damage to health induced by drugs and their use. Study of a group of medical students and pre-graduate medical interns]. [Spanish] OT - La informacion sobre el dano a la salud producido por las drogas y su uso. Estudio en un grupo de estudiantes de medicina y medicos internos de pregrado. SO - Salud Publica de Mexico. 26(6):553-60, 1984 Nov-Dec. AS - Salud Publica Mex. 26(6):553-60, 1984 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bustamante Montes LP FA - Bustamante Montes, L P NJ - Salud publica de Mexico VO - 26 IP - 6 PG - 553-60 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404371, uy1 IO - Salud Publica Mex SB - Index Medicus CP - Mexico MH - Adult MH - Female MH - *Health Education MH - Humans MH - *Internship and Residency MH - Male MH - Mexico MH - *Students, Medical MH - *Substance-Related Disorders/co [Complications] MH - Substance-Related Disorders/ep [Epidemiology] IS - 0036-3634 IL - 0036-3634 PT - English Abstract PT - Journal Article PP - ppublish LG - Spanish DP - 1984 Nov-Dec EZ - 1984/11/01 DA - 1984/11/01 00:01 DT - 1984/11/01 00:00 YR - 1984 ED - 19850206 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6515465 <1485. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6503291 TI - Impediments to Alcohol Education. SO - Journal of Studies on Alcohol. 45(5):453-9, 1984 Sep. AS - J. stud. alcohol. 45(5):453-9, 1984 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kinney J AU - Price TR AU - Bergen BJ FA - Kinney, J FA - Price, T R FA - Bergen, B J NJ - Journal of studies on alcohol VO - 45 IP - 5 PG - 453-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - Alcoholism/co [Complications] MH - *Alcoholism/th [Therapy] MH - Curriculum MH - *Education, Medical MH - *Health Education/mt [Methods] MH - Humans MH - Specialization MH - United States AB - Two major forces mitigate against alcoholism education within the medical school curriculum. One relates to the structure and organization of academic medicine with its emphasis on disease states and pathophysiology; sophisticated and technologically complex diagnostic and treatment modalities; and an acute illness, cure-oriented focus rather than a chronic illness, adaptational approach to illness. The second constellation of factors relates to the alcoholism field's failure to identify with other issues in medical education that similarly challenge the Flexnerian curriculum; the lack of a conceptual basis for defining the physician-alcoholism specialist in relation to other medical disciplines; the clinical treatment field's competing craft and professional orientations; and the absence of a scientific vocabulary suited to the existing biopsychosocial paradigms. It is suggested that these impediments could be overcome if the alcoholism field defined the model for managing chronic illness that is implicit in alcoholism treatment. IS - 0096-882X IL - 0096-882X PT - Journal Article PP - ppublish LG - English DP - 1984 Sep EZ - 1984/09/01 DA - 1984/09/01 00:01 DT - 1984/09/01 00:00 YR - 1984 ED - 19841228 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6503291 <1486. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6492111 TI - Early detection and outpatient management of alcoholism: a curriculum for medical residents. SO - Journal of Medical Education. 59(11 Pt 1):904-6, 1984 Nov. AS - J Med Educ. 59(11 Pt 1):904-6, 1984 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barnes HN AU - O'Neill SF AU - Aronson MD AU - Delbanco TL FA - Barnes, H N FA - O'Neill, S F FA - Aronson, M D FA - Delbanco, T L NJ - Journal of medical education VO - 59 IP - 11 Pt 1 PG - 904-6 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - Curriculum MH - Education, Medical MH - Humans MH - *Internship and Residency MH - *Outpatients MH - *Patients IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1984 Nov EZ - 1984/11/01 DA - 1984/11/01 00:01 DT - 1984/11/01 00:00 YR - 1984 ED - 19841219 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6492111 <1487. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6481322 TI - Alcoholism curriculum development: an examination of the process. SO - Journal of Family Practice. 19(4):527-32, 1984 Oct. AS - J. FAM. PRACT.. 19(4):527-32, 1984 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coggan PG AU - Davis AK AU - Hadac R FA - Coggan, P G FA - Davis, A K FA - Hadac, R NJ - The Journal of family practice VO - 19 IP - 4 PG - 527-32 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - Clinical Clerkship MH - *Curriculum MH - *Education, Medical, Undergraduate MH - *Family Practice/ed [Education] MH - Humans MH - Pilot Projects MH - Washington AB - Alcoholism is one of several topics that may be integrated into family medicine clerkship teaching. This article focuses on the process of curriculum development in alcoholism. The process is traced from its beginnings in a third-year clerkship to its integration into the medical school curriculum and other areas of medical education. Strengths and pitfalls in this project are discussed. Enlisting community support and field testing newly developed strategies are emphasized as successful methods. Less successful in this project, though equally important, are faculty development and long-term evaluation. Recommendations for curriculum development in similar projects are made. IS - 0094-3509 IL - 0094-3509 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1984 Oct EZ - 1984/10/01 DA - 1984/10/01 00:01 DT - 1984/10/01 00:00 YR - 1984 ED - 19841115 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6481322 <1488. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6471320 TI - An approach to alcoholism in a university medical center complex. SO - JAMA. 252(14):1894-7, 1984 Oct 12. AS - JAMA. 252(14):1894-7, 1984 Oct 12. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Spickard WA AU - Tucker PJ FA - Spickard, W A FA - Tucker, P J NJ - JAMA VO - 252 IP - 14 PG - 1894-7 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 - *Academic Medical Centers MH - Adult MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/rh [Rehabilitation] MH - Education, Medical MH - Education, Nursing MH - Faculty MH - Female MH - Humans MH - Male MH - Middle Aged MH - *Occupational Health Services MH - Tennessee AB - We developed a three-part approach to the problem of alcoholism among the employees and faculty of the Vanderbilt University and Medical Center. This included identification of faculty and staff with problem drinking, guidance of those identified for rehabilitation, and an educational program for students. Forty university employees (37 staff and three faculty) with problem drinking were identified and referred for rehabilitation. The principles of employee assistance used successfully in industry were applied in this employee group. The 65% "job rehabilitation" rate is comparable with that achieved in industrial employee assistance programs. Identification and rehabilitation of faculty in the university required special approaches. The educational program for students as part of the medical school elective curriculum was attended by most of the first- and second-year medical students. IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1984 Oct 12 EZ - 1984/10/12 DA - 1984/10/12 00:01 DT - 1984/10/12 00:00 YR - 1984 ED - 19841025 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6471320 <1489. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6471307 TI - Learning to treat those with alcohol problems. SO - JAMA. 252(14):1830-1, 1835, 1984 Oct 12. AS - JAMA. 252(14):1830-1, 1835, 1984 Oct 12. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Simmons K FA - Simmons, K NJ - JAMA VO - 252 IP - 14 PG - 1830-1, 1835 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 - *Alcoholism/th [Therapy] MH - *Education, Medical MH - Humans MH - United States IS - 0098-7484 IL - 0098-7484 PT - News PP - ppublish LG - English DP - 1984 Oct 12 EZ - 1984/10/12 DA - 1984/10/12 00:01 DT - 1984/10/12 00:00 YR - 1984 ED - 19841025 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6471307 <1490. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6744159 TI - Alcoholism: education and treatment. SO - Canadian Medical Association Journal. 131(2):98-9, 1984 Jul 15. AS - Can Med Assoc J. 131(2):98-9, 1984 Jul 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Canadian Medical Association journal VO - 131 IP - 2 PG - 98-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 0414110, ckw IO - Can Med Assoc J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1483261 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Alcoholism/th [Therapy] MH - Canada MH - Curriculum MH - *Education, Medical MH - Humans IS - 0008-4409 IL - 0008-4409 PT - Letter ID - PMC1483261 [pmc] PP - ppublish LG - English DP - 1984 Jul 15 EZ - 1984/07/15 DA - 1984/07/15 00:01 DT - 1984/07/15 00:00 YR - 1984 ED - 19840906 RD - 20130924 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6744159 <1491. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6726770 TI - Knowledge of medical students, residents, and attending physicians about opiate abuse. SO - Journal of Medical Education. 59(6):501-7, 1984 Jun. AS - J Med Educ. 59(6):501-7, 1984 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Shine D AU - Demas P FA - Shine, D FA - Demas, P NJ - Journal of medical education VO - 59 IP - 6 PG - 501-7 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Analysis of Variance MH - Attitude of Health Personnel MH - Educational Measurement MH - Hospitals, Teaching MH - Humans MH - *Internship and Residency MH - *Medical Staff, Hospital/px [Psychology] MH - Medicine MH - New York City MH - *Opioid-Related Disorders/px [Psychology] MH - Specialization MH - *Students, Medical/px [Psychology] MH - Urban Population AB - A questionnaire concerning knowledge of opiate abuse and attitudes about abusers was administered to 94 randomly selected physicians and medical students at a large urban teaching hospital. Physicians from four clinical departments and at each level of residency training and medical students in the final year were represented. The mean knowledge score was 3.3 out of a possible 12. Neither the level of training nor specialty was related to test score for the group as a whole. However, family practitioners gained knowledge with increasing experience, while medical and surgical specialists scored lower as they advanced in training. On the attitude section, physicians had strong but individualistic views about drug abuse. Level of training, specialty, and knowledge test score were on the whole unrelated to attitude. The results indicated that physicians at every level of training might benefit from improved teaching in the area of opiate abuse. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1984 Jun EZ - 1984/06/01 DA - 1984/06/01 00:01 DT - 1984/06/01 00:00 YR - 1984 ED - 19840725 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6726770 <1492. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6692220 TI - Alcoholism in medical school curricula. SO - Canadian Medical Association Journal. 130(4):340, 1984 Feb 15. AS - Can Med Assoc J. 130(4):340, 1984 Feb 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sobol I FA - Sobol, I NJ - Canadian Medical Association journal VO - 130 IP - 4 PG - 340 PI - Journal available in: Print PI - Citation processed from: Print JC - 0414110, ckw IO - Can Med Assoc J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1876127 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - *Alcoholism MH - Canada MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans IS - 0008-4409 IL - 0008-4409 PT - Letter ID - PMC1876127 [pmc] PP - ppublish LG - English DP - 1984 Feb 15 EZ - 1984/02/15 DA - 1984/02/15 00:01 DT - 1984/02/15 00:00 YR - 1984 ED - 19840320 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6692220 <1493. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6692216 TI - How can we teach students about alcoholism?. SO - Canadian Medical Association Journal. 130(3):305-8, 1984 Feb 01. AS - Can Med Assoc J. 130(3):305-8, 1984 Feb 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Korcok M FA - Korcok, M NJ - Canadian Medical Association journal VO - 130 IP - 3 PG - 305-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 0414110, ckw IO - Can Med Assoc J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1875347 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - Canada MH - Curriculum MH - *Education, Medical MH - Humans MH - Social Problems MH - United States IS - 0008-4409 IL - 0008-4409 PT - Comparative Study PT - Journal Article ID - PMC1875347 [pmc] PP - ppublish LG - English DP - 1984 Feb 01 EZ - 1984/02/01 DA - 1984/02/01 00:01 DT - 1984/02/01 00:00 YR - 1984 ED - 19840319 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6692216 <1494. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6607002 TI - The distal splenorenal shunt in alcoholic patients. A training program's experience. SO - American Surgeon. 50(1):49-51, 1984 Jan. AS - Am Surg. 50(1):49-51, 1984 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Barry BE AU - Williams JW AU - Watkins GM FA - Barry, B E FA - Williams, J W FA - Watkins, G M NJ - The American surgeon VO - 50 IP - 1 PG - 49-51 PI - Journal available in: Print PI - Citation processed from: Print JC - 43e, 0370522 IO - Am Surg SB - Index Medicus CP - United States MH - Adult MH - Aged MH - *Alcoholism/co [Complications] MH - Alcoholism/mo [Mortality] MH - Esophageal and Gastric Varices/et [Etiology] MH - Esophageal and Gastric Varices/mo [Mortality] MH - *Esophageal and Gastric Varices/su [Surgery] MH - Female MH - Follow-Up Studies MH - Gastrointestinal Hemorrhage/et [Etiology] MH - Gastrointestinal Hemorrhage/su [Surgery] MH - Humans MH - Internship and Residency MH - Male MH - Middle Aged MH - Portasystemic Shunt, Surgical/mo [Mortality] MH - *Portasystemic Shunt, Surgical MH - Splenorenal Shunt, Surgical/mo [Mortality] MH - *Splenorenal Shunt, Surgical AB - Eighteen alcoholic patients who had bled from esophageal varices underwent elective distal splenorenal shunt. None died in surgery, and morbidity was minimal. Two-year survival for the group was 84 per cent. All five patients who have abstained from alcohol remain alive. IS - 0003-1348 IL - 0003-1348 PT - Journal Article PP - ppublish LG - English DP - 1984 Jan EZ - 1984/01/01 DA - 1984/01/01 00:01 DT - 1984/01/01 00:00 YR - 1984 ED - 19840223 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6607002 <1495. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10264318 TI - Health education in the general practice consultation: doctors' advice on diet, alcohol and smoking. SO - Health Education Journal. 42(2):57-63, 1983. AS - Health Educ J. 42(2):57-63, 1983. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Boulton MG AU - Williams A FA - Boulton, M G FA - Williams, A NJ - Health education journal VO - 42 IP - 2 PG - 57-63 PI - Journal available in: Print PI - Citation processed from: Print JC - 0374646, g1z, 17320250r IO - Health Educ J SB - Health Administration Journals CP - England MH - Alcohol Drinking MH - Diet MH - *Family Practice MH - *Health Education MH - Humans MH - Smoking MH - United Kingdom IS - 0017-8969 IL - 0017-8969 PT - Journal Article PP - ppublish LG - English DP - 1983 EZ - 1982/12/12 DA - 1982/12/12 00:01 DT - 1982/12/12 00:00 YR - 1983 ED - 19840220 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=10264318 <1496. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6645548 TI - Evaluation of training programs for health professionals in substance misuse. A review. SO - Journal of Studies on Alcohol. 44(5):885-99, 1983 Sep. AS - J. stud. alcohol. 44(5):885-99, 1983 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ewan CE AU - Whaite A FA - Ewan, C E FA - Whaite, A NJ - Journal of studies on alcohol VO - 44 IP - 5 PG - 885-99 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Behavior Therapy/ed [Education] MH - Education, Medical MH - *Health Occupations/ed [Education] MH - Humans MH - Personality MH - *Substance-Related Disorders/rh [Rehabilitation] AB - Evaluation of programs to train health professionals to deal more effectively with substance misuse and the criteria and instruments which have been used in assessing the programs' effectiveness are reviewed. The shortcomings of many such evaluation efforts are discussed and directions for future efforts are suggested. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1983 Sep EZ - 1983/09/01 DA - 1983/09/01 00:01 DT - 1983/09/01 00:00 YR - 1983 ED - 19840127 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6645548 <1497. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6631593 TI - Postgraduate substance abuse teaching: cognitive knowledge before and long after a required course. SO - Journal of Psychoactive Drugs. 15(3):221-3, 1983 Jul-Sep. AS - J Psychoactive Drugs. 15(3):221-3, 1983 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cushman P Jr FA - Cushman, P Jr NJ - Journal of psychoactive drugs VO - 15 IP - 3 PG - 221-3 PI - Journal available in: Print PI - Citation processed from: Print JC - jlp, 8113536 IO - J Psychoactive Drugs SB - Index Medicus CP - United States MH - *Family Practice/ed [Education] MH - Humans MH - *Internship and Residency MH - *Substance-Related Disorders MH - Wisconsin IS - 0279-1072 IL - 0279-1072 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. ID - 10.1080/02791072.1983.10471952 [doi] PP - ppublish GI - No: T01-DA 07181 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1983 Jul-Sep EZ - 1983/07/01 DA - 2001/03/28 10:01 DT - 1983/07/01 00:00 YR - 1983 ED - 19831220 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6631593 <1498. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6631924 TI - Evaluating alcoholism and drug abuse knowledge in medical education: a collaborative project. SO - Journal of Medical Education. 58(11):859-63, 1983 Nov. AS - J Med Educ. 58(11):859-63, 1983 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Griffin JB Jr AU - Hill IK AU - Jones JJ AU - Keeley KA AU - Krug RS AU - Pokorny A FA - Griffin, J B Jr FA - Hill, I K FA - Jones, J J FA - Keeley, K A FA - Krug, R S FA - Pokorny, A NJ - Journal of medical education VO - 58 IP - 11 PG - 859-63 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - Curriculum MH - *Education, Medical, Undergraduate MH - *Educational Measurement/mt [Methods] MH - Humans MH - *Substance-Related Disorders AB - A series of six modular examinations, each representing a substance abuse problem, were developed by a National Institute on Drug Abuse task force working with consultants from the National Board of Medical Examiners (NBME). Each examination contained a patient management problem and multiple-choice questions. The examinations were administered to 629 third- and fourth-year U.S. medical students, and the results indicated that students performed less well in this area than on the traditional content of the NBME examinations. Students performed better on items related to pharmacologic effects of drugs of abuse, Alcoholics Anonymous, and the treatment of delirium tremens. Students did less well on items related to metabolic and biochemical areas; emergency room treatment of drug-overdosed, comatose patients; and legal issues in substance abuse. As a result of these data, a syllabus explaining each item in the available modules was developed, score-reporting to participating schools was modified, and the modules were shortened. Implications for medical education in substance abuse are discussed. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish GI - No: 3 T15 DA07320-01S1 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 1983 Nov EZ - 1983/11/01 DA - 2001/03/28 10:01 DT - 1983/11/01 00:00 YR - 1983 ED - 19831217 RD - 20071114 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6631924 <1499. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6864975 TI - Drug abuse in anesthesia training programs. A survey: 1970 through 1980. SO - JAMA. 250(7):922-5, 1983 Aug 19. AS - JAMA. 250(7):922-5, 1983 Aug 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ward CF AU - Ward GC AU - Saidman LJ FA - Ward, C F FA - Ward, G C FA - Saidman, L J NJ - JAMA VO - 250 IP - 7 PG - 922-5 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 - Alcoholism/ep [Epidemiology] MH - *Anesthesiology/ed [Education] MH - Anesthetics/ur [Urine] MH - *Anesthetics MH - *Education, Medical, Graduate MH - Fentanyl/ur [Urine] MH - Humans MH - Meperidine/ur [Urine] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - United States AB - Experience at our institution with drug dependence among anesthesia residents, coupled with a lack of published data, prompted us to survey US anesthesia training programs. Two hundred eighty-nine programs were surveyed, 247 (85.5%) responded, and 184 (74%) of these programs had at least one suspected incident of drug dependence to report. Three hundred thirty-four confirmed persons were reported, including a substantial number of instructors. Meperidine and fentanyl were the most frequently mentioned drugs. Behavior changes were frequently noted by staff personnel, and in general such changes led directly to detection. After confirmation of abuse, the majority of impaired anesthetists were referred for psychiatric care, with few in need of actual detoxification. Detailed follow-up was available for about 40% of the total; 71 persons were offered a return to their original place of employment, while 30 persons died of drug overdose. Chemical impairment may be more common than usually thought in anesthesia, perhaps in part because of drug availability. RN - 0 (Anesthetics) RN - 9E338QE28F (Meperidine) RN - UF599785JZ (Fentanyl) IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1983 Aug 19 EZ - 1983/08/19 DA - 1983/08/19 00:01 DT - 1983/08/19 00:00 YR - 1983 ED - 19830826 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6864975 <1500. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6854601 TI - Alcoholism education in the medical curriculum. SO - Journal of Medical Education. 58(5):430-1, 1983 May. AS - J Med Educ. 58(5):430-1, 1983 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mendelson JH AU - Mello NK FA - Mendelson, J H FA - Mello, N K NJ - Journal of medical education VO - 58 IP - 5 PG - 430-1 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - Curriculum MH - *Education, Medical MH - Humans IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1983 May EZ - 1983/05/01 DA - 1983/05/01 00:01 DT - 1983/05/01 00:00 YR - 1983 ED - 19830708 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6854601 <1501. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6834410 TI - Teaching medical students about substance abuse in a weekend intervention program. SO - Journal of Medical Education. 58(4):322-7, 1983 Apr. AS - J Med Educ. 58(4):322-7, 1983 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Siegal H AU - Rudisill JR FA - Siegal, H FA - Rudisill, J R NJ - Journal of medical education VO - 58 IP - 4 PG - 322-7 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/th [Therapy] MH - Counseling MH - *Education, Medical MH - Humans MH - Students, Medical MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - Teaching AB - The authors of this article describe a new approach, called the Weekend Intervention Program, used to teach about alcoholism and substance abuse. The new program makes it possible for medical students to see the process of treatment and intervention unfold. The program places medical students under professional supervision in close, intense contact with drug and alcohol abusers. The program strongly reinforces the instruction presented in both basic science and clinical courses. More than 100 students have participated in the program, and they report it to be an intensely rewarding, valuable experience. The program requires no new resources and is cost-effective. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1983 Apr EZ - 1983/04/01 DA - 1983/04/01 00:01 DT - 1983/04/01 00:00 YR - 1983 ED - 19830505 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6834410 <1502. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6834409 TI - A follow-up survey of drug abuse and alcoholism teaching in medical schools. SO - Journal of Medical Education. 58(4):316-21, 1983 Apr. AS - J Med Educ. 58(4):316-21, 1983 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pokorny AD AU - Solomon J FA - Pokorny, A D FA - Solomon, J NJ - Journal of medical education VO - 58 IP - 4 PG - 316-21 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - Curriculum MH - *Education, Medical MH - Follow-Up Studies MH - Humans MH - Schools, Medical MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Teaching MH - United States AB - The authors sent a questionnaire regarding the teaching of drug abuse and alcoholism to a stratified random sample of 40 U.S. medical schools, and 35 provided usable replies. The findings are summarized and are contrasted with replies received five years earlier from the same schools. During these five years, there were notable improvements in the teaching of these topics, as reflected by increases in required teaching hours, percentage of total required hours, number of elective courses offered, and number of affiliated clinical programs. The effect of the presence of a career teacher in the addictions is also evaluated. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1983 Apr EZ - 1983/04/01 DA - 1983/04/01 00:01 DT - 1983/04/01 00:00 YR - 1983 ED - 19830505 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6834409 <1503. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6822790 TI - Alcohol education for family practice residents. SO - Journal of Family Practice. 16(2):223-4, 1983 Feb. AS - J. FAM. PRACT.. 16(2):223-4, 1983 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Montgomery FA FA - Montgomery, F A NJ - The Journal of family practice VO - 16 IP - 2 PG - 223-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - Education, Medical, Continuing MH - *Family Practice/ed [Education] MH - Humans MH - *Internship and Residency IS - 0094-3509 IL - 0094-3509 PT - Letter PP - ppublish LG - English DP - 1983 Feb EZ - 1983/02/01 DA - 1983/02/01 00:01 DT - 1983/02/01 00:00 YR - 1983 ED - 19830324 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6822790 <1504. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6817131 TI - [Achievement sport, recreational drug use and preventive medicine]. [German] OT - Leistungssport, Genussmittelkonsum und Praventivmedizin. SO - MMW - Munchener Medizinische Wochenschrift. 124(48):1087-8, 1982 Dec 03. AS - MMW Munch Med Wochenschr. 124(48):1087-8, 1982 Dec 03. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Biener K FA - Biener, K NJ - MMW, Munchener medizinische Wochenschrift VO - 124 IP - 48 PG - 1087-8 PI - Journal available in: Print PI - Citation processed from: Print JC - nmm, 7801805 IO - MMW Munch Med Wochenschr SB - Index Medicus CP - Germany MH - *Alcohol Drinking MH - Germany, West MH - Humans MH - Physical Endurance/de [Drug Effects] MH - *Smoking Prevention MH - *Sports MH - *Substance-Related Disorders/pc [Prevention & Control] IS - 0341-3098 IL - 0341-3098 PT - Journal Article PP - ppublish LG - German DP - 1982 Dec 03 EZ - 1982/12/03 DA - 1982/12/03 00:01 DT - 1982/12/03 00:00 YR - 1982 ED - 19830225 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6817131 <1505. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6757156 TI - Training health professionals in substance abuse: a review. [Review] [46 refs] SO - International Journal of the Addictions. 17(7):1211-29, 1982 Oct. AS - Int J Addict. 17(7):1211-29, 1982 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ewan CE AU - Whaite A FA - Ewan, C E FA - Whaite, A NJ - The International journal of the addictions VO - 17 IP - 7 PG - 1211-29 PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 IO - Int J Addict SB - Index Medicus CP - United States MH - Attitude of Health Personnel MH - Education, Medical MH - Education, Medical, Continuing MH - Education, Nursing MH - *Health Occupations/ed [Education] MH - Humans MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders MH - United States AB - Alcohol- and drug-related problems are a major component of the work of health professionals. Most professionals are inadequately trained to handle the problems they will confront in this field. The need for training in aspects of substance abuse is widely accepted. This paper is a review of reports of such training programs in English-speaking countries. The programs have been reviewed in four categories: (1) courses for practitioners and teachers of health professionals, (2) courses for medical students, (3) courses for nurses and nursing students, and (4) courses for other health professionals. Many programs have achieved their objectives, but documentation for many of them is insufficient to provide guidance for future program development. In general, knowledge gain is easily demonstrated, but changes in attitudes and skills require special conditions in training. [References: 46] IS - 0020-773X IL - 0020-773X PT - Journal Article PT - Review PP - ppublish LG - English DP - 1982 Oct EZ - 1982/10/01 DA - 1982/10/01 00:01 DT - 1982/10/01 00:00 YR - 1982 ED - 19830214 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6757156 <1506. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7144181 TI - A perspective on medical students' perceptions of alcoholics and alcoholism. SO - Journal of Studies on Alcohol. 43(5):488-96, 1982 May. AS - J. stud. alcohol. 43(5):488-96, 1982 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kinney J AU - Bergen BJ AU - Price TR FA - Kinney, J FA - Bergen, B J FA - Price, T R NJ - Journal of studies on alcohol VO - 43 IP - 5 PG - 488-96 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - *Alcoholism MH - *Attitude of Health Personnel MH - Education, Medical MH - Humans MH - Identification (Psychology) MH - Motivation MH - Physician's Role MH - *Students, Medical/px [Psychology] MH - United States IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1982 May EZ - 1982/05/01 DA - 1982/05/01 00:01 DT - 1982/05/01 00:00 YR - 1982 ED - 19830127 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7144181 <1507. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7120584 TI - Medical school uncorks alcoholism education. SO - JAMA. 248(14):1686-8, 1982 Oct 08. AS - JAMA. 248(14):1686-8, 1982 Oct 08. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gonzalez ER FA - Gonzalez, E R NJ - JAMA VO - 248 IP - 14 PG - 1686-8 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 - Alcoholism/px [Psychology] MH - *Alcoholism MH - *Curriculum MH - Humans MH - New Hampshire MH - *Schools, Medical MH - United States IS - 0098-7484 IL - 0098-7484 PT - News PP - ppublish LG - English DP - 1982 Oct 08 EZ - 1982/10/08 DA - 1982/10/08 00:01 DT - 1982/10/08 00:00 YR - 1982 ED - 19821203 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7120584 <1508. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7108925 TI - Alcoholism in residency program candidates. SO - Journal of Medical Education. 57(9):692-5, 1982 Sep. AS - J Med Educ. 57(9):692-5, 1982 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - MacDonald RA AU - MacDonald BE FA - MacDonald, R A FA - MacDonald, B E NJ - Journal of medical education VO - 57 IP - 9 PG - 692-5 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/px [Psychology] MH - *Alcoholism MH - Humans MH - *Internship and Residency MH - *Physician Impairment MH - Substance-Related Disorders/px [Psychology] MH - Surveys and Questionnaires MH - United States AB - Recognition of physician impairment due to alcoholism and drug dependency is increasing. Medical students who are in the early phases of the disease are being recognized and treated more frequently today. Yet students who achieve sobriety are confronted with a generally hostile reaction from directors of residency training programs. In this article, the authors report on results of a survey of policies and attitudes of a sample group of program directors and suggest that there is a need to adopt policies for accepting residency applicants that take into consideration the fact that favourable outcomes are provided by treatment of alcohol- and drug-dependent medical students and physicians. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1982 Sep EZ - 1982/09/01 DA - 1982/09/01 00:01 DT - 1982/09/01 00:00 YR - 1982 ED - 19821012 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7108925 <1509. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7086379 TI - Training in drug abuse in a family medicine residency. SO - Journal of Family Practice. 15(1):189-90, 1982 Jul. AS - J. FAM. PRACT.. 15(1):189-90, 1982 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Confusione M AU - Jaffe A AU - Rosen MG FA - Confusione, M FA - Jaffe, A FA - Rosen, M G NJ - The Journal of family practice VO - 15 IP - 1 PG - 189-90 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Curriculum MH - *Family Practice/ed [Education] MH - Humans MH - Inactivation, Metabolic MH - *Internship and Residency MH - *Opium MH - *Substance-Related Disorders/di [Diagnosis] MH - Substance-Related Disorders/th [Therapy] RN - 8008-60-4 (Opium) IS - 0094-3509 IL - 0094-3509 PT - Journal Article PP - ppublish LG - English DP - 1982 Jul EZ - 1982/07/01 DA - 1982/07/01 00:01 DT - 1982/07/01 00:00 YR - 1982 ED - 19820826 RD - 20141120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7086379 <1510. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7086752 TI - Anti-smoking education in Oxfordshire general practices. SO - Journal of the Royal College of General Practitioners. 32(236):179-83, 1982 Mar. AS - J R Coll Gen Pract. 32(236):179-83, 1982 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jamrozik K AU - Fowler G FA - Jamrozik, K FA - Fowler, G NJ - The Journal of the Royal College of General Practitioners VO - 32 IP - 236 PG - 179-83 PI - Journal available in: Print PI - Citation processed from: Print JC - jv9, 7503107 IO - J R Coll Gen Pract PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1972289 SB - Index Medicus CP - England MH - Community Health Nursing MH - England MH - *Health Education MH - Humans MH - Physician's Role MH - Physicians, Family MH - *Smoking Prevention AB - A postal questionnaire survey of 360 Oxfordshire general practitioners and health visitors on the subject of anti-smoking education was conducted in May-June 1980. Two mailings produced a response rate of 87 per cent. Involvement in anti-smoking education was felt to be more relevant for the doctors than for the health visitors. Health visitors thought that health education officers had a major role to play; they were also more likely than doctors to use literature as an aid in counselling smokers. In general, the mass media were not thought to be effective in helping individual smokers to give up the habit. Both doctors and health visitors were in favour of their professional organizations exerting pressure on Parliament, but only one respondent had ever written to an MP about smoking. IS - 0035-8797 IL - 0035-8797 PT - Comparative Study PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC1972289 [pmc] PP - ppublish LG - English DP - 1982 Mar EZ - 1982/03/01 DA - 1982/03/01 00:01 DT - 1982/03/01 00:00 YR - 1982 ED - 19820814 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7086752 <1511. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6979025 TI - Substance abuse, public health and the pediatrician. SO - Paediatrician. 11(3-4):178-96, 1982. AS - Paediatrician. 11(3-4):178-96, 1982. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Monopolis S AU - Savage C FA - Monopolis, S FA - Savage, C NJ - Paediatrician VO - 11 IP - 3-4 PG - 178-96 PI - Journal available in: Print PI - Citation processed from: Print JC - 8511837, 0352330, oot IO - Paediatrician SB - Index Medicus CP - Switzerland MH - Adolescent MH - Child MH - Family MH - Health Education MH - Humans MH - Marijuana Abuse/px [Psychology] MH - *Pediatrics MH - Physician's Role MH - *Physician-Patient Relations MH - Public Health MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders/px [Psychology] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Substance-Related Disorders/th [Therapy] AB - Substance abuse is a major public health problem affecting increasing numbers of children and adolescents. It is important to consider the various etiologic factors and the detrimental effects on individuals and social welfare. Intervention refers to early diagnosis, treatment, rehabilitation, and resocialization, as well as prevention, education, and alternatives. Its effectiveness depends on: the recognition of the problem as biopsychosocial; a humanistic/holistic approach; and collaboration of family, school, work, etc., with the physician and the patient. Training in substance abuse will prepare the pediatrician to meets his responsibilities as clinician, school consultant, family counselor, public health worker, and community educator. PT - Journal Article PP - ppublish LG - English DP - 1982 EZ - 1982/01/01 DA - 1982/01/01 00:01 DT - 1982/01/01 00:00 YR - 1982 ED - 19820719 RD - 20140724 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6979025 <1512. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7200147 TI - Drug abuse training as part of a family medicine clerkship. SO - Journal of Medical Education. 57(5):409-11, 1982 May. AS - J Med Educ. 57(5):409-11, 1982 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Confusione M AU - Jaffe A AU - Rosen MG FA - Confusione, M FA - Jaffe, A FA - Rosen, M G NJ - Journal of medical education VO - 57 IP - 5 PG - 409-11 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Education, Medical MH - *Family Practice/ed [Education] MH - Humans MH - *Substance-Related Disorders/ed [Education] IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1982 May EZ - 1982/05/01 DA - 1982/05/01 00:01 DT - 1982/05/01 00:00 YR - 1982 ED - 19820624 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7200147 <1513. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7069773 TI - Alcoholism education. SO - Journal of Medical Education. 57(5):428, 1982 May. AS - J Med Educ. 57(5):428, 1982 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sedlacek DA FA - Sedlacek, D A NJ - Journal of medical education VO - 57 IP - 5 PG - 428 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - *Education, Medical MH - Humans IS - 0022-2577 IL - 0022-2577 PT - Letter PP - ppublish LG - English DP - 1982 May EZ - 1982/05/01 DA - 1982/05/01 00:01 DT - 1982/05/01 00:00 YR - 1982 ED - 19820624 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7069773 <1514. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7334242 TI - APTP from several perspectives. SO - Journal of the Iowa Medical Society. 71(10):426-7, 1981 Oct. AS - J Iowa Med Soc. 71(10):426-7, 1981 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Journal of the Iowa Medical Society VO - 71 IP - 10 PG - 426-7 PI - Journal available in: Print PI - Citation processed from: Print JC - iif, 7507210 IO - J Iowa Med Soc SB - Index Medicus CP - United States MH - Alcoholism/px [Psychology] MH - *Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Confidentiality MH - Denial (Psychology) MH - Education, Medical MH - Family MH - Female MH - Humans MH - Male MH - *Physician Impairment MH - Stress, Psychological/px [Psychology] MH - Substance-Related Disorders/px [Psychology] MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0021-0587 IL - 0021-0587 PT - Journal Article PP - ppublish LG - English DP - 1981 Oct EZ - 1981/10/01 DA - 1981/10/01 00:01 DT - 1981/10/01 00:00 YR - 1981 ED - 19820527 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7334242 <1515. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6799040 TI - Smoking and drinking by middle-aged British men: effects of social class and town of residence. SO - British Medical Journal Clinical Research Ed.. 283(6305):1497-502, 1981 Dec 05. AS - Br Med J (Clin Res Ed). 283(6305):1497-502, 1981 Dec 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cummins RO AU - Shaper AG AU - Walker M AU - Wale CJ FA - Cummins, R O FA - Shaper, A G FA - Walker, M FA - Wale, C J NJ - British medical journal (Clinical research ed.) VO - 283 IP - 6305 PG - 1497-502 PI - Journal available in: Print PI - Citation processed from: Print JC - b4x, 8302911 IO - Br Med J (Clin Res Ed) PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1507847 SB - Index Medicus CP - England MH - Adult MH - Age Factors MH - *Alcohol Drinking MH - Geography MH - Humans MH - Male MH - Middle Aged MH - Residence Characteristics MH - *Smoking MH - *Social Class MH - United Kingdom AB - In 7735 men aged 40-59, selected at random from general practices in 24 towns throughout Britain, pronounced differences were noted in the prevalences of smoking and drinking between the social classes. Social class differences also existed for frequency and quantity of drinking, type of beverage, and several aspects of smoking behaviour. Increasing amounts of smoking were associated with higher prevalences of moderate to heavy drinking, particularly in daily rather than weekend drinkers. Between drinking groups, however, the relation with smoking was more U-shaped, with light and heavy drinkers smoking more than moderate drinkers. The lowest rates of moderate to heavy smoking were observed in frequent light drinkers, particularly in the nonmanual workers. The proportion of moderate to heavy drinkers was no higher among ex-cigarette smokers than among current smokers. When the data were examined by town of residence social class differences persisted. Controlling for social class still showed pronounced differences between towns in both smoking and drinking behaviour. These data confirm that town of residence and social class have independent effects on smoking and drinking. The established regional and social class differences in cardiovascular disease may be due in part to the independent influences of town and social class on smoking and drinking behaviour. IS - 0267-0623 IL - 0267-0623 PT - Journal Article PT - Research Support, Non-U.S. Gov't ID - PMC1507847 [pmc] PP - ppublish LG - English DP - 1981 Dec 05 EZ - 1981/12/05 DA - 1981/12/05 00:01 DT - 1981/12/05 00:00 YR - 1981 ED - 19820412 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6799040 <1516. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7310352 TI - Teaching alcoholism to family medicine students. SO - Journal of Family Practice. 13(7):1025-8, 1981 Dec. AS - J. FAM. PRACT.. 13(7):1025-8, 1981 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coggan P AU - Davis A AU - Rogers J FA - Coggan, P FA - Davis, A FA - Rogers, J NJ - The Journal of family practice VO - 13 IP - 7 PG - 1025-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 7502590 IO - J Fam Pract SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholics Anonymous MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Attitude of Health Personnel MH - Community Health Services MH - Curriculum MH - *Education, Medical, Undergraduate MH - *Family Practice/ed [Education] MH - Female MH - Humans MH - Male MH - Medical History Taking AB - Alcoholism is a major health problem in the United States, yet it has not received high priority in medical education. Although it affects many patients who attend the offices of family physicians, it frequently remains unrecognized. It is therefore an appropriate topic for a family medicine course and has been integrated into a third year clerkship at the University of Washington. Students are taught basic diagnostic and management skills by sensitizing them to the magnitude of the problem and addressing some professional attitudinal blocks. history taking skills emphasizing early recognition and intervention are stressed, and the role of community resources in treatment is demonstrated through discussion and site visits. IS - 0094-3509 IL - 0094-3509 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PP - ppublish LG - English DP - 1981 Dec EZ - 1981/12/01 DA - 1981/12/01 00:01 DT - 1981/12/01 00:00 YR - 1981 ED - 19820225 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7310352 <1517. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7288856 TI - Postgraduate substance abuse teaching: cognitive knowledge before and after a required course. SO - Journal of Medical Education. 56(10):866-7, 1981 Oct. AS - J Med Educ. 56(10):866-7, 1981 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cushman P Jr FA - Cushman, P Jr NJ - Journal of medical education VO - 56 IP - 10 PG - 866-7 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Education, Medical, Graduate MH - Humans MH - *Substance-Related Disorders IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1981 Oct EZ - 1981/10/01 DA - 2001/03/28 10:01 DT - 1981/10/01 00:00 YR - 1981 ED - 19811222 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7288856 <1518. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7266399 TI - Postgraduate psychiatric training. The Royal College of Psychiatrists survey of consultants in general psychiatry appointments in 1975-1978. SO - Medical Education. 15(5):335-9, 1981 Sep. AS - Med Educ. 15(5):335-9, 1981 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brook CP FA - Brook, C P NJ - Medical education VO - 15 IP - 5 PG - 335-9 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 - Consultants MH - *Education, Medical, Graduate MH - Humans MH - *Psychiatry/ed [Education] MH - *Teaching MH - United Kingdom AB - Since 1966 all recently appointed consultants in general psychiatry in the United Kingdom have been asked to rate their training experiences. Four postal surveys have been made at three yearly intervals, of 574 consultants appointed in the period 1 October 1965--30 September 1978. This paper reports the findings from the responses of 162 consultants appointed 1975-1978. Fifty per cent, or fewer, reported satisfactory training in special forms of psychotherapy, addiction, work in the community, mental handicap, forensic psychiatry, administration, research, psychogeriatrics, work with longstay patients, rehabilitation, medico-legal work, group psychotherapy, work in a therapeutic community, child psychiatry epidemiology and postgraduate teaching. Those who had been at the Maudsley Hospital considered that they had experienced the best training, while those who had been at peripheral hospitals the worst. Progress has been made in the past 3 years, notably in the fields of individual psychotherapy, community work and forensic psychiatry. IS - 0308-0110 IL - 0308-0110 PT - Journal Article PT - Research Support, Non-U.S. Gov't PP - ppublish LG - English DP - 1981 Sep EZ - 1981/09/01 DA - 1981/09/01 00:01 DT - 1981/09/01 00:00 YR - 1981 ED - 19811025 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7266399 <1519. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7225982 TI - Smoking during pregnancy - a national survey on the curricula in medical, nursing, and physiotherapy schools in Canada. SO - Canadian Journal of Public Health. Revue Canadienne de Sante Publique. 71(6):407-11, 1980 Nov-Dec. AS - Can J Public Health. 71(6):407-11, 1980 Nov-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Choi-Lao AT AU - McRae BC AU - Hastie KD FA - Choi-Lao, A T FA - McRae, B C FA - Hastie, K D NJ - Canadian journal of public health = Revue canadienne de sante publique VO - 71 IP - 6 PG - 407-11 PI - Journal available in: Print PI - Citation processed from: Print JC - ck6, 0372714 IO - Can J Public Health SB - Index Medicus CP - Canada MH - Canada MH - *Curriculum MH - *Education, Medical MH - *Education, Nursing MH - Female MH - Humans MH - *Physical Therapy Modalities/ed [Education] MH - Pregnancy MH - *Pregnancy Complications/pc [Prevention & Control] MH - *Tobacco Use Disorder/pc [Prevention & Control] IS - 0008-4263 IL - 0008-4263 PT - Journal Article PP - ppublish LG - English DP - 1980 Nov-Dec EZ - 1980/11/01 DA - 1980/11/01 00:01 DT - 1980/11/01 00:00 YR - 1980 ED - 19810720 RD - 20130605 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7225982 <1520. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7211429 TI - Drug abuse among resident doctors. SO - Acta Psychiatrica Scandinavica. 62(5):447-55, 1980 Nov. AS - Acta Psychiatr Scand. 62(5):447-55, 1980 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sethi BB AU - Manchanda R FA - Sethi, B B FA - Manchanda, R NJ - Acta psychiatrica Scandinavica VO - 62 IP - 5 PG - 447-55 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370364 IO - Acta Psychiatr Scand SB - Index Medicus CP - United States MH - Alcohol Drinking MH - Female MH - Humans MH - India MH - Internship and Residency MH - Male MH - Marriage MH - *Physicians MH - Sex Factors MH - *Substance-Related Disorders/ep [Epidemiology] AB - 240 young doctors undergoing a residency programme in a medical school in India were individually interviewed for pattern and extent of drug abuse. Drug abuse was operationally defined as "Indulgence in a drug with a frequency of at least once a month without medical prescription". Of the doctors 30.4% were categorised as drug abusers currently, 14.2% had used one or the other drug in the past, and 17.9% had never used any drug. A significantly higher level of abuse was observed among male doctors (37.1%) than female doctors (2.2%). Alcohol was most commonly abused (17.9%). Minor tranquilizers were abused by 17.5%. None of the doctors was abusing any substances on a daily basis. No hard drugs were abused. Common reasons for alcohol intake were for the sake of company and curiosity. Minor tranquilizers and amphetamines were taken for their pharmacological effects. IS - 0001-690X IL - 0001-690X PT - Journal Article PP - ppublish LG - English DP - 1980 Nov EZ - 1980/11/01 DA - 1980/11/01 00:01 DT - 1980/11/01 00:00 YR - 1980 ED - 19810526 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7211429 <1521. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7193739 TI - The Career Teacher Grant Program: alcohol and drug abuse education for the health professions. SO - Journal of Medical Education. 56(3):202-4, 1981 Mar. AS - J Med Educ. 56(3):202-4, 1981 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Labs SM FA - Labs, S M NJ - Journal of medical education VO - 56 IP - 3 PG - 202-4 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/pc [Prevention & Control] MH - Curriculum MH - *Education, Medical, Continuing MH - *Health Occupations/ed [Education] MH - Humans MH - Substance-Related Disorders/pc [Prevention & Control] MH - *Substance-Related Disorders MH - *Teaching MH - *Training Support IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1981 Mar EZ - 1981/03/01 DA - 1981/03/01 00:01 DT - 1981/03/01 00:00 YR - 1981 ED - 19810521 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7193739 <1522. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7464251 TI - Medical education and alcoholism. SO - Maryland State Medical Journal. 29(10):77-83, 1980 Oct. AS - Md State Med J. 29(10):77-83, 1980 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Whitfield CL FA - Whitfield, C L NJ - Maryland state medical journal VO - 29 IP - 10 PG - 77-83 PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r IO - Md State Med J SB - Index Medicus CP - United States MH - Alcoholism/px [Psychology] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Curriculum MH - *Education, Medical MH - Humans MH - Physician Impairment IS - 0025-4363 IL - 0025-4363 PT - Journal Article PP - ppublish LG - English DP - 1980 Oct EZ - 1980/10/01 DA - 1980/10/01 00:01 DT - 1980/10/01 00:00 YR - 1980 ED - 19810413 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7464251 <1523. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7431429 TI - Paraprofessional and professional teamwork and training in managing PCP and other drug abuse problems. SO - Journal of Psychedelic Drugs. 12(3-4):301-6, 1980 Jul-Dec. AS - J Psychedelic Drugs. 12(3-4):301-6, 1980 Jul-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chappel JN AU - Smith DE AU - Buxton M FA - Chappel, J N FA - Smith, D E FA - Buxton, M NJ - Journal of psychedelic drugs VO - 12 IP - 3-4 PG - 301-6 PI - Journal available in: Print PI - Citation processed from: Print JC - j8r, 0203241 IO - J Psychedelic Drugs SB - Index Medicus CP - United States MH - Allied Health Personnel MH - Attitude of Health Personnel MH - Education, Medical, Continuing MH - Humans MH - Patient Care Team MH - *Phencyclidine Abuse/th [Therapy] MH - *Substance-Related Disorders/th [Therapy] IS - 0022-393X IL - 0022-393X PT - Journal Article PP - ppublish LG - English DP - 1980 Jul-Dec EZ - 1980/07/01 DA - 1980/07/01 00:01 DT - 1980/07/01 00:00 YR - 1980 ED - 19810126 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7431429 <1524. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7435482 TI - Clinical fellowships in substance abuse: a new curriculum strategy. SO - American Journal of Drug & Alcohol Abuse. 7(1):49-56, 1980. AS - Am J Drug Alcohol Abuse. 7(1):49-56, 1980. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Keeley KA AU - Galanter M AU - Millman R AU - Jackson G FA - Keeley, K A FA - Galanter, M FA - Millman, R FA - Jackson, G NJ - The American journal of drug and alcohol abuse VO - 7 IP - 1 PG - 49-56 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 - Community Mental Health Centers/ma [Manpower] MH - *Curriculum MH - Education, Medical, Graduate/ec [Economics] MH - *Education, Medical, Graduate MH - *Fellowships and Scholarships MH - Humans MH - New York MH - Referral and Consultation MH - *Substance-Related Disorders/th [Therapy] AB - Recognizing the effectiveness of substance abuse treatment is made easier when there is a steady supply of newly trained medical professionals who are competent in this specialty. University-based substance abuse treatment facilities have a clear obligation to educate such professionals. This article shows how three different medical colleges were able to establish new clinical fellowships in substance abuse so that teaching activities could be fostered at preexisting treatment sites. Fellowship activities varied from one place to the next, but at all three schools important momentum was generated on behalf of substance abuse education. These experiences provide models for those academicians and administrators who face the task of integrating educational and serivce delivery missions in the substance abuse field. IS - 0095-2990 IL - 0095-2990 PT - Journal Article PP - ppublish LG - English DP - 1980 EZ - 1980/01/01 DA - 1980/01/01 00:01 DT - 1980/01/01 00:00 YR - 1980 ED - 19810116 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7435482 <1525. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7420394 TI - Instructing medical students on alcoholism: what to teach with limited time. SO - Journal of Medical Education. 55(10):858-64, 1980 Oct. AS - J Med Educ. 55(10):858-64, 1980 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Nocks JJ FA - Nocks, J J NJ - Journal of medical education VO - 55 IP - 10 PG - 858-64 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/px [Psychology] MH - Attitude of Health Personnel MH - *Curriculum MH - *Education, Medical MH - Humans MH - *Students, Medical/px [Psychology] MH - Time Factors MH - United States AB - Alcoholism in a major health problem which demands a place in the curriculum of medical schools. Yet many schools find there is more to teach than there is time available, especially since students now elect a significant portion of their educational experiences. The author reviews the literature on physicians' attitudes toward alcoholism, the possible reasons for these feelings, and attempts by others to change them through teaching. He concludes that when confronted with limited time in the medical school curriculum to teach on alcoholism, it may be best to emphasize discussion of the various issues related to physicians' attitudes. The author describes a six-hour course devoted to alcoholism in which this is done in a nonthreatening, small-group setting, with apparently positive results. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1980 Oct EZ - 1980/10/01 DA - 1980/10/01 00:01 DT - 1980/10/01 00:00 YR - 1980 ED - 19801216 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7420394 <1526. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 7381888 TI - Teaching drug promotion abuses to health profession students. SO - Journal of Medical Education. 55(5):453-5, 1980 May. AS - J Med Educ. 55(5):453-5, 1980 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Palmisano P AU - Edelstein J FA - Palmisano, P FA - Edelstein, J NJ - Journal of medical education VO - 55 IP - 5 PG - 453-5 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Curriculum MH - *Drug Prescriptions MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders MH - Teaching/mt [Methods] IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1980 May EZ - 1980/05/01 DA - 1980/05/01 00:01 DT - 1980/05/01 00:00 YR - 1980 ED - 19800815 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=7381888 <1527. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6928322 TI - Alcoholism and the medical curriculum. SO - Rhode Island Medical Journal (Providence, RI). 63(1-2):11-2, 1980 Jan-Feb. AS - R I Med J. 63(1-2):11-2, 1980 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Aronson SM FA - Aronson, S M NJ - Rhode Island medical journal VO - 63 IP - 1-2 PG - 11-2 PI - Journal available in: Print PI - Citation processed from: Print JC - tdy, 7605981 IO - R I Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical MH - Humans IS - 0363-7913 IL - 0363-7913 PT - Journal Article PP - ppublish LG - English DP - 1980 Jan-Feb EZ - 1980/01/01 DA - 1980/01/01 00:01 DT - 1980/01/01 00:00 YR - 1980 ED - 19800426 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=6928322 <1528. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 10316938 TI - Treating the impaired physician: the hospital's role. SO - Hospital Progress. 61(3):44-7, 1980 Mar. AS - Hosp Prog. 61(3):44-7, 1980 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Flynn JR FA - Flynn, J R NJ - Hospital progress VO - 61 IP - 3 PG - 44-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 0374656, gd1 IO - Hosp Prog SB - Health Administration Journals CP - United States MH - Alcoholism/di [Diagnosis] MH - *Alcoholism/th [Therapy] MH - Clinical Competence MH - Health Education MH - *Hospital Administration MH - Humans MH - Medical Staff Privileges/lj [Legislation & Jurisprudence] MH - Medical Staff, Hospital/ed [Education] MH - *Medical Staff, Hospital/px [Psychology] MH - Physicians/px [Psychology] MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders/th [Therapy] MH - United States AB - Hospitals are partners with physicians in dealing with staff physicians' alcohol and substance abuse. Education and vigilance protect patients and the medical profession alike, and legal sanctions support hospitals' involvement in structured treatment and prevention programs. IS - 0018-5817 IL - 0018-5817 PT - Journal Article PP - ppublish LG - English DP - 1980 Mar EZ - 1980/02/11 DA - 1980/02/11 00:01 DT - 1980/02/11 00:00 YR - 1980 ED - 19800425 RD - 20061013 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med2&AN=10316938 <1529. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 520046 TI - Inpatient rehabilitation for the medically ill alcoholic. SO - Currents in Alcoholism. 6:15-24, 1979. AS - Curr Alcohol. 6:15-24, 1979. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galanter M AU - Schubmehl J AU - Adel HN AU - Sofer SC FA - Galanter, M FA - Schubmehl, J FA - Adel, H N FA - Sofer, S C NJ - Currents in alcoholism VO - 6 PG - 15-24 PI - Journal available in: Print PI - Citation processed from: Print JC - dxr, 7801711 IO - Curr Alcohol SB - Index Medicus CP - United States MH - Alcoholism/co [Complications] MH - *Alcoholism/rh [Rehabilitation] MH - Attitude of Health Personnel MH - Hospital Units MH - Hospitalization MH - Humans MH - Internal Medicine MH - Internship and Residency MH - Morbidity MH - Mortality MH - New York City MH - Rehabilitation/og [Organization & Administration] MH - Systems Theory IS - 0161-8504 IL - 0161-8504 PT - Journal Article PP - ppublish LG - English DP - 1979 EZ - 1979/01/01 DA - 1979/01/01 00:01 DT - 1979/01/01 00:00 YR - 1979 ED - 19800324 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=520046 <1530. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 520045 TI - Continuing medical education in substance abuse, a follow-up study. SO - Currents in Alcoholism. 6:137-55, 1979. AS - Curr Alcohol. 6:137-55, 1979. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Liepman MR AU - Gilbert SS FA - Liepman, M R FA - Gilbert, S S NJ - Currents in alcoholism VO - 6 PG - 137-55 PI - Journal available in: Print PI - Citation processed from: Print JC - dxr, 7801711 IO - Curr Alcohol SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - *Education, Medical, Continuing MH - Follow-Up Studies MH - Humans MH - Michigan MH - *Substance-Related Disorders/di [Diagnosis] IS - 0161-8504 IL - 0161-8504 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1979 EZ - 1979/01/01 DA - 1979/01/01 00:01 DT - 1979/01/01 00:00 YR - 1979 ED - 19800324 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=520045 <1531. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 515278 TI - The recognition of alcoholism by psychiatrists in training. SO - Psychological Medicine. 9(4):789-91, 1979 Nov. AS - Psychol Med. 9(4):789-91, 1979 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones GH FA - Jones, G H NJ - Psychological medicine VO - 9 IP - 4 PG - 789-91 PI - Journal available in: Print PI - Citation processed from: Print JC - qer, 1254142 IO - Psychol Med SB - Index Medicus CP - England MH - Adult MH - *Alcoholism/di [Diagnosis] MH - *Diagnostic Errors MH - *Education, Medical, Graduate MH - Emergency Services, Psychiatric/st [Standards] MH - Humans MH - Male MH - *Psychiatry/ed [Education] IS - 0033-2917 IL - 0033-2917 PT - Case Reports PT - Journal Article PP - ppublish LG - English DP - 1979 Nov EZ - 1979/11/01 DA - 1979/11/01 00:01 DT - 1979/11/01 00:00 YR - 1979 ED - 19800228 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=515278 <1532. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 40122 TI - [Main points of the 31. Therapy Congress in Karlsruhe]. [German] OT - Fortbildungs-Schwerpunkte der 31. Karlsruher Therapiewoche. SO - MMW - Munchener Medizinische Wochenschrift. 121(40):1264-74, 1979 Oct 05. AS - MMW Munch Med Wochenschr. 121(40):1264-74, 1979 Oct 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - MMW, Munchener medizinische Wochenschrift VO - 121 IP - 40 PG - 1264-74 PI - Journal available in: Print PI - Citation processed from: Print JC - nmm, 7801805 IO - MMW Munch Med Wochenschr SB - Index Medicus CP - Germany MH - Congresses as Topic MH - Counseling MH - Education, Medical, Continuing MH - *Family Practice MH - Female MH - Germany, West MH - Headache/th [Therapy] MH - Humans MH - Liver Diseases/pc [Prevention & Control] MH - Male MH - Metabolic Diseases/th [Therapy] MH - Obesity/th [Therapy] MH - *Substance-Related Disorders/th [Therapy] IS - 0341-3098 IL - 0341-3098 PT - Congresses PP - ppublish LG - German DP - 1979 Oct 05 EZ - 1979/10/05 DA - 1979/10/05 00:01 DT - 1979/10/05 00:00 YR - 1979 ED - 19791220 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=40122 <1533. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 454891 TI - [Recommendations of the University Assembly of the Swiss Academy of Medical Sciences concerning tobacco and alcohol abuse]. [French, German] OT - Empfehlungen des Senates der Schweizerischen Akademie der medizinischen Wissenschaften betreffend den Missbrauch von Tabak und Alkohol. SO - Bulletin der Schweizerischen Akademie der Medizinischen Wissenschaften. 35(1-3):261-8, 1979 Mar. AS - Bull Schweiz Akad Med Wiss. 35(1-3):261-8, 1979 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Bulletin der Schweizerischen Akademie der Medizinischen Wissenschaften VO - 35 IP - 1-3 PG - 261-8 PI - Journal available in: Print PI - Citation processed from: Print JC - bww, 7503414 IO - Bull Schweiz Akad Med Wiss SB - Index Medicus CP - Switzerland MH - Academies and Institutes MH - *Alcoholism/pc [Prevention & Control] MH - Faculty, Medical MH - Health Education MH - Humans MH - Legislation as Topic MH - *Smoking Prevention MH - Switzerland IS - 0036-7494 IL - 0036-7494 PT - Journal Article PP - ppublish LG - French LG - German DP - 1979 Mar EZ - 1979/03/01 DA - 1979/03/01 00:01 DT - 1979/03/01 00:00 YR - 1979 ED - 19790917 RD - 20171117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=454891 <1534. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 36946 TI - [Symposium "Tobacco and Alcohol, Medical and Social Problems: introduction]. [French] OT - Symposium "Problemes Medicaux et Sociaux du Tabagisme et de l'Alcoolisme: introduction. SO - Bulletin der Schweizerischen Akademie der Medizinischen Wissenschaften. 35(1-3):13-4, 1979 Mar. AS - Bull Schweiz Akad Med Wiss. 35(1-3):13-4, 1979 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mach RS FA - Mach, R S NJ - Bulletin der Schweizerischen Akademie der Medizinischen Wissenschaften VO - 35 IP - 1-3 PG - 13-4 PI - Journal available in: Print PI - Citation processed from: Print JC - bww, 7503414 IO - Bull Schweiz Akad Med Wiss SB - Index Medicus CP - Switzerland MH - *Alcoholism/pc [Prevention & Control] MH - Congresses as Topic MH - Humans MH - *Smoking Prevention MH - Switzerland IS - 0036-7494 IL - 0036-7494 PT - Congresses PP - ppublish LG - French DP - 1979 Mar EZ - 1979/03/01 DA - 1979/03/01 00:01 DT - 1979/03/01 00:00 YR - 1979 ED - 19790917 RD - 20171117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=36946 <1535. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 571232 TI - Abuse of nitrous oxide. SO - Anesthesia & Analgesia. 58(2):104-6, 1979 Mar-Apr. AS - Anesth Analg. 58(2):104-6, 1979 Mar-Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Rosenberg H AU - Orkin FK AU - Springstead J FA - Rosenberg, H FA - Orkin, F K FA - Springstead, J NJ - Anesthesia and analgesia VO - 58 IP - 2 PG - 104-6 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 - Education, Dental MH - Education, Medical MH - Humans MH - *Nitrous Oxide MH - Social Environment MH - *Substance-Related Disorders MH - Surveys and Questionnaires AB - The results of an anonymous questionnaire showed that up to 20% of medical and dental students have utilized nitrous oxide in a social setting to produce a "high." Nitrous oxide was obtained from a variety of sources, most often from cylinders used in the production of whipped cream. Although none of the 524 respondents described personal injury with the use of nitrous oxide, a few individuals reported cyanosis, nausea, and syncope. RN - K50XQU1029 (Nitrous Oxide) IS - 0003-2999 IL - 0003-2999 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1979 Mar-Apr EZ - 1979/03/01 DA - 1979/03/01 00:01 DT - 1979/03/01 00:00 YR - 1979 ED - 19790629 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=571232 <1536. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 367205 TI - Physicians' attitudinal changes in alcoholism. SO - Alcoholism: Clinical & Experimental Research. 2(4):358-61, 1978 Oct. AS - Alcohol Clin Exp Res. 2(4):358-61, 1978 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pursch JA FA - Pursch, J A NJ - Alcoholism, clinical and experimental research VO - 2 IP - 4 PG - 358-61 PI - Journal available in: Print PI - Citation processed from: Print JC - 35x, 7707242 IO - Alcohol. Clin. Exp. Res. SB - Index Medicus CP - England MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Defense Mechanisms MH - Education, Medical MH - Humans MH - Life Change Events MH - *Naval Medicine MH - *Physicians MH - Psychotherapy, Group MH - United States AB - A man is the sum of all the moments of his life, and his attitudes are the product of repeated experience. A physician's attitude toward alcoholics is a product of all of his alcohol-related experiences, including family and societal feelings assimilated in childhood and lessons, impressions, and experiences acquired during medical training and practice. IS - 0145-6008 IL - 0145-6008 PT - Journal Article PP - ppublish LG - English DP - 1978 Oct EZ - 1978/10/01 DA - 1978/10/01 00:01 DT - 1978/10/01 00:00 YR - 1978 ED - 19790324 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=367205 <1537. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 715251 TI - [Prevalence and dynamics of the overweight in the sample of the adult inhabitants of Cracow. Part II. Overweight by education, history of residence and smoking habits (author's transl)]. [Polish] OT - Czestosc wystepowania i dynamika nadwagi w grupie doroslych mieszkancow Krakowa. Czesc II. Nadwaga wg wyksztalcenia, srodowiska pochodzenia i nalogu palenia. SO - Przeglad Lekarski. 35(8):683-8, 1978. AS - Przegl Lek. 35(8):683-8, 1978. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wojtyniak B AU - Gorynski P FA - Wojtyniak, B FA - Gorynski, P NJ - Przeglad lekarski VO - 35 IP - 8 PG - 683-8 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 MH - Female MH - Humans MH - Male MH - *Obesity/ep [Epidemiology] MH - Poland MH - Smoking MH - Social Class IS - 0033-2240 IL - 0033-2240 PT - English Abstract PT - Journal Article PP - ppublish LG - Polish DP - 1978 EZ - 1978/01/01 DA - 1978/01/01 00:01 DT - 1978/01/01 00:00 YR - 1978 ED - 19790115 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=715251 <1538. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 581388 TI - Drug abuse and alcoholism teaching in U.S. medical and osteopathic schools. SO - Journal of Medical Education. 53(10):816-24, 1978 Oct. AS - J Med Educ. 53(10):816-24, 1978 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pokorny A AU - Putnam P AU - Fryer J FA - Pokorny, A FA - Putnam, P FA - Fryer, J NJ - Journal of medical education VO - 53 IP - 10 PG - 816-24 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - *Osteopathic Medicine/ed [Education] MH - *Substance-Related Disorders MH - Time Factors MH - United States AB - This is a report of the principal findings of a survey of drug abuse and alcoholism teaching in U.S. medical and osteopathic schools. It was found that required teaching activities during all four years of medical school averaged 25.7 hours, with a range of 0 to 126. The proportion of the total required hours devoted to substance abuse was 0.0 to 3.1 percent, with a mean of 0.6 percent. Schools also differed widely in the number and type of electives offered in drug abuse and alcoholism, as well as in number of clinical assignments available. Findings in osteopathic schools were generally similar. Two factors which were significantly related to the number of required hours were the presence of a career teacher in the addictions and the size of the school. IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1978 Oct EZ - 1978/10/01 DA - 1978/10/01 00:01 DT - 1978/10/01 00:00 YR - 1978 ED - 19790115 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=581388 <1539. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 696707 TI - Chemical dependency education within medical schools: supervised clinical experience. SO - American Journal of Drug & Alcohol Abuse. 5(1):59-74, 1978. AS - Am J Drug Alcohol Abuse. 5(1):59-74, 1978. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harris IB AU - Westermeyer J FA - Harris, I B FA - Westermeyer, J NJ - The American journal of drug and alcohol abuse VO - 5 IP - 1 PG - 59-74 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 - *Community Mental Health Centers MH - Counseling MH - *Curriculum MH - *Education, Medical MH - Evaluation Studies as Topic MH - Feedback MH - Goals MH - Humans MH - Physician's Role MH - *Substance-Related Disorders AB - Physicians can play a significant role in chemical dependency, including early identification and intervention, referral to treatment resources, patient and community education, and responsible prescribing practices. Some medical schools have begun to provide instruction in the psychology, pharmacology, and physical pathology of chemical dependency; yet surveys indicate that few offer supervised clinical experience with chemically dependent patients. At the University of Minnesota Medical School, chemical dependency treatment centers are used to provide supervised clinical tutorials for all second year students as part of a coordinated chemical dependency curriculum. The authors describe the development, goals, organization, instructional approaches, and assessment of these tutorials. It is argued that chemical dependency treatment centers are a valuable resource in the education of medical students, as well as other professionls, if used with a view to their assets and limitations. IS - 0095-2990 IL - 0095-2990 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1978 EZ - 1978/01/01 DA - 1978/01/01 00:01 DT - 1978/01/01 00:00 YR - 1978 ED - 19781202 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=696707 <1540. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 689545 TI - Medical problems of the alcoholic in nonmedical treatment. SO - Health & Social Work. 3(3):122-37, 1978 Aug. AS - Health Soc Work. 3(3):122-37, 1978 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Penick EC AU - Norton JC AU - Sauers CA AU - Powell BJ AU - Read MR FA - Penick, E C FA - Norton, J C FA - Sauers, C A FA - Powell, B J FA - Read, M R NJ - Health & social work VO - 3 IP - 3 PG - 122-37 PI - Journal available in: Print PI - Citation processed from: Print JC - 7611528, fz6 IO - Health Soc Work SB - Index Medicus CP - United States MH - Adult MH - *Alcoholism/co [Complications] MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - *Attitude to Health MH - Curriculum MH - Education, Medical/st [Standards] MH - Follow-Up Studies MH - *Health Status Indicators MH - *Health Surveys MH - Humans MH - Male MH - Middle Aged MH - Models, Psychological MH - Patient Compliance MH - Professional-Patient Relations MH - Risk MH - Social Work MH - United States AB - The ambivalence about chronic alcohol abuse among health and related professionals can result in their failure to appreciate medical complications frequently associated with this disorder. Data from 81 male alcoholics are presented in this article to illustrate their increased risk of physical illness and premature death. The authors point to the need for more effective screening and monitoring procedures in alcoholism programs as well as improved training of professionals. IS - 0360-7283 IL - 0360-7283 PT - Journal Article PP - ppublish LG - English DP - 1978 Aug EZ - 1978/08/01 DA - 1978/08/01 00:01 DT - 1978/08/01 00:00 YR - 1978 ED - 19781202 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=689545 <1541. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 671505 TI - An update on medical education in alcohol and drug abuse. SO - Journal of Medical Education. 53(7):604-5, 1978 Jul. AS - J Med Educ. 53(7):604-5, 1978 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Solomon J AU - Davis DI FA - Solomon, J FA - Davis, D I NJ - Journal of medical education VO - 53 IP - 7 PG - 604-5 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - Attitude of Health Personnel MH - Curriculum MH - *Education, Medical, Undergraduate MH - Faculty, Medical MH - Humans MH - *Substance-Related Disorders MH - *Teaching/mt [Methods] MH - United States IS - 0022-2577 IL - 0022-2577 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1978 Jul EZ - 1978/07/01 DA - 1978/07/01 00:01 DT - 1978/07/01 00:00 YR - 1978 ED - 19780929 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=671505 <1542. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1032756 TI - The epidemiological approach to drug abuse: its relevance to the teaching of future professionals. SO - American Journal of Drug & Alcohol Abuse. 3(3):439-46, 1976. AS - Am J Drug Alcohol Abuse. 3(3):439-46, 1976. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Newman RG FA - Newman, R G NJ - The American journal of drug and alcohol abuse VO - 3 IP - 3 PG - 439-46 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 - Epidemiologic Methods MH - Health Occupations/ed [Education] MH - Heroin Dependence/rh [Rehabilitation] MH - Humans MH - Legislation, Medical MH - Methadone/tu [Therapeutic Use] MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders/et [Etiology] MH - United States AB - In most areas of the medical curriculum it is far more important to teach students the approach to problems, rather than to encourage rote learning of the specific diagnostic and therapeutic regimen indicated in every conceivable circumstance. This is especially true in the field of substance abuse, in part because there simply are no clear-cut answers which can be universally applied. Nevertheless, dogmatism has been all too common in the teaching as well as the treatment of addiction, and there is a general tendency to view the problem simplistically and to advocate a specific modality as the solution. Teaching new professionals to apply the holistic perspective of the epidemiologist will enhance the likelihood of establishing realistic program goals, and adopting a comprehensive, balanced approach. RN - UC6VBE7V1Z (Methadone) IS - 0095-2990 IL - 0095-2990 PT - Journal Article PP - ppublish LG - English DP - 1976 EZ - 1976/01/01 DA - 1976/01/01 00:01 DT - 1976/01/01 00:00 YR - 1976 ED - 19780726 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1032756 <1543. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 642643 TI - [Do we have antibiotic drug abuse?]. [Swedish] OT - Har vi ett antibiotikamissbruk? SO - Lakartidningen. 75(14):1382, 1978 Apr 05. AS - Lakartidningen. 75(14):1382, 1978 Apr 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Iwarson S FA - Iwarson, S NJ - Lakartidningen VO - 75 IP - 14 PG - 1382 PI - Journal available in: Print PI - Citation processed from: Print JC - l0n, 0027707 IO - Lakartidningen SB - Index Medicus CP - Sweden MH - *Anti-Bacterial Agents/tu [Therapeutic Use] MH - *Bacterial Infections/dt [Drug Therapy] MH - Education, Medical, Graduate MH - Humans MH - *Substance-Related Disorders RN - 0 (Anti-Bacterial Agents) IS - 0023-7205 IL - 0023-7205 PT - Editorial PP - ppublish LG - Swedish DP - 1978 Apr 05 EZ - 1978/04/05 DA - 1978/04/05 00:01 DT - 1978/04/05 00:00 YR - 1978 ED - 19780628 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=642643 <1544. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 927771 TI - Physician drug addiction a challenge to medical educators. SO - Ohio State Medical Journal. 73(11):740-2, 1977 Nov. AS - Ohio State Med J. 73(11):740-2, 1977 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Borsay MA AU - Leff AM FA - Borsay, M A FA - Leff, A M NJ - The Ohio State medical journal VO - 73 IP - 11 PG - 740-2 PI - Journal available in: Print PI - Citation processed from: Print JC - ogs, 0401013 IO - Ohio State Med J SB - Index Medicus CP - United States MH - Humans MH - *Physicians MH - *Substance-Related Disorders IS - 0030-1124 IL - 0030-1124 PT - Journal Article PP - ppublish LG - English DP - 1977 Nov EZ - 1977/11/01 DA - 1977/11/01 00:01 DT - 1977/11/01 00:00 YR - 1977 ED - 19780127 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=927771 <1545. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 562958 TI - An alcohol and drug abuse minimester model in a medical school. SO - Maryland State Medical Journal. 26(12):31-2, 1977 Dec. AS - Md State Med J. 26(12):31-2, 1977 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Donnell JJ FA - O'Donnell, J J NJ - Maryland state medical journal VO - 26 IP - 12 PG - 31-2 PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r IO - Md State Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - Humans MH - Maryland MH - *Schools, Medical MH - *Substance-Related Disorders IS - 0025-4363 IL - 0025-4363 PT - Journal Article PP - ppublish LG - English DP - 1977 Dec EZ - 1977/12/01 DA - 1977/12/01 00:01 DT - 1977/12/01 00:00 YR - 1977 ED - 19780127 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=562958 <1546. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1072372 TI - Training the medical student in alcoholism therapy. SO - Annals of the New York Academy of Sciences. 273:433-5, 1976. AS - Ann N Y Acad Sci. 273:433-5, 1976. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gross GA FA - Gross, G A NJ - Annals of the New York Academy of Sciences VO - 273 PG - 433-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Education, Medical, Undergraduate MH - Hospital Units MH - Humans MH - Michigan MH - Rehabilitation Centers IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1976 EZ - 1976/01/01 DA - 1976/01/01 00:01 DT - 1976/01/01 00:00 YR - 1976 ED - 19770922 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1072372 <1547. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 846333 TI - Your attitudes toward treating drinking problems. SO - Medical Times. 105(4):(82) 29d-31d, 1977 Apr. AS - Med Times. 105(4):(82) 29d-31d, 1977 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zuckerman L FA - Zuckerman, L NJ - Medical times VO - 105 IP - 4 PG - (82) 29d-31d PI - Journal available in: Print PI - Citation processed from: Print JC - mge, 0406055, 0406055 IO - Med Times SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Education, Medical, Continuing/st [Standards] MH - Female MH - Humans MH - Male MH - Middle Aged MH - Primary Health Care/st [Standards] MH - Surveys and Questionnaires IS - 0025-7583 IL - 0025-7583 PT - Journal Article PP - ppublish LG - English DP - 1977 Apr EZ - 1977/04/01 DA - 1977/04/01 00:01 DT - 1977/04/01 00:00 YR - 1977 ED - 19770525 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=846333 <1548. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 557900 TI - The effect of an educational program upon hospital antibiotic use. SO - American Journal of the Medical Sciences. 273(1):79-85, 1977 Jan-Feb. AS - Am J Med Sci. 273(1):79-85, 1977 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jones SR AU - Pannell J AU - Barks J AU - Yanchick YA AU - Bratton T AU - Browne R AU - McRee E AU - Smith JW FA - Jones, S R FA - Pannell, J FA - Barks, J FA - Yanchick, Y A FA - Bratton, T FA - Browne, R FA - McRee, E FA - Smith, J W NJ - The American journal of the medical sciences VO - 273 IP - 1 PG - 79-85 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 - *Anti-Bacterial Agents MH - Drug Utilization MH - Education, Medical MH - Evaluation Studies as Topic MH - Hospitals, Veterans MH - Humans MH - *Medication Errors MH - *Personnel, Hospital/ed [Education] MH - *Substance-Related Disorders AB - The effect of an educational program on the use of antibiotics was studied in a university-affiliated Veterans Administration Hospital. Following an initial survey of antibiotic usage, educational presentations of the collected data were made to the hospital staff which included specific prescribing errors and alternative recommendations. Then, another survey was conducted. Measurable changes following the educational presentations were limited to decreasing costs of unjustified antibiotic use. An effect was noted in decreasing unjustified use of antibiotics in prophylactic situations, but this remained the most common misuse. Thus, an educational program directed at specific prescribing errors produced little noticeable effect on the use of antibiotics in a university-affiliated hospital. The study indicates that more direct measures, such as control of use of particular antibiotics, may be required to produce a meaningful change in prescribing practices. RN - 0 (Anti-Bacterial Agents) IS - 0002-9629 IL - 0002-9629 PT - Journal Article PP - ppublish LG - English DP - 1977 Jan-Feb EZ - 1977/01/01 DA - 1977/01/01 00:01 DT - 1977/01/01 00:00 YR - 1977 ED - 19770520 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=557900 <1549. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 842723 TI - Substance abuse attitude changes in medical students. SO - American Journal of Psychiatry. 134(4):379-84, 1977 Apr. AS - Am J Psychiatry. 134(4):379-84, 1977 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chappel JN AU - Jordan RD AU - Treadway BJ AU - Miller PR FA - Chappel, J N FA - Jordan, R D FA - Treadway, B J FA - Miller, P R NJ - The American journal of psychiatry VO - 134 IP - 4 PG - 379-84 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - Nevada MH - Obesity/th [Therapy] MH - Semantic Differential MH - Smoking Prevention MH - *Students, Medical MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders AB - The authors describe a course in substance abuse given to sophomore medical students with the intention of positively influencing their attitudes toward substance-abusing patients and their treatment. Clinical problem solving and small group discussion were emphasized in addition to field trips. By pretest and posttest measures, significant positive changes were obtained in student attitudes: they reported feeling less upset when they encountered alcoholics, "hard" drug abusers, "soft" drug abusers, compulsive smokers, and obese overeaters as well as having a more positive view of the physician's role in the treatment of substance dependence. Personal experience with alcohol and other drugs was shown to have an influence on attitude changes. IS - 0002-953X IL - 0002-953X PT - Journal Article ID - 10.1176/ajp.134.4.379 [doi] PP - ppublish LG - English DP - 1977 Apr EZ - 1977/04/01 DA - 1977/04/01 00:01 DT - 1977/04/01 00:00 YR - 1977 ED - 19770425 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=842723 <1550. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1003983 TI - Physicians and alcoholics. Modifying behavior and attitudes of family-practice residents. SO - Journal of Studies on Alcohol. 37(11):1686-93, 1976 Nov. AS - J. stud. alcohol. 37(11):1686-93, 1976 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fisher JV AU - Fisher JC AU - Mason RL FA - Fisher, J V FA - Fisher, J C FA - Mason, R L NJ - Journal of studies on alcohol VO - 37 IP - 11 PG - 1686-93 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - Alcoholism/di [Diagnosis] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Curriculum MH - Educational Measurement MH - *Family Practice/ed [Education] MH - Humans MH - *Internship and Residency AB - On completion of an alcoholism education course, family-practice residents exhibited significant cognitive and affective learning as evidenced by increases in factual knowledge about alcoholism and improved attitudes toward alcoholic patients. Diagnostic patterns were also improved. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PP - ppublish LG - English DP - 1976 Nov EZ - 1976/11/01 DA - 1976/11/01 00:01 DT - 1976/11/01 00:00 YR - 1976 ED - 19770224 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1003983 <1551. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 794590 TI - From Quonset hut to naval hospital. The story of an alcoholism rehabilitation service. SO - Journal of Studies on Alcohol. 37(11):1655-65, 1976 Nov. AS - J. stud. alcohol. 37(11):1655-65, 1976 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pursch JA FA - Pursch, J A NJ - Journal of studies on alcohol VO - 37 IP - 11 PG - 1655-65 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus SB - History of Medicine Journals CP - United States MH - Alcoholics Anonymous MH - *Alcoholism/rh [Rehabilitation] MH - California MH - Counseling MH - Education, Medical MH - Health Education MH - History of Medicine MH - *Hospitals, Veterans MH - Humans MH - *Military Psychiatry MH - Outpatient Clinics, Hospital MH - Psychodrama MH - Psychology, Clinical/ed [Education] MH - Psychotherapy MH - Recreation MH - Referral and Consultation MH - *Rehabilitation Centers/hi [History] AB - The history and treatment methods of the first Navy Alcoholism Rehabilitation Service are described. IS - 0096-882X IL - 0096-882X PT - Historical Article PT - Journal Article PP - ppublish LG - English DP - 1976 Nov EZ - 1976/11/01 DA - 1976/11/01 00:01 DT - 1976/11/01 00:00 YR - 1976 ED - 19770224 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=794590 <1552. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 9752 TI - [Fatal kidney diseases due to analogesic abuse in Switzerland]. [German] OT - Todlich Nierenerkrankungen als Folge des Schmerzmittelmissbrauchs in der Schweiz SO - Sozial- und Praventivmedizin. 21(1):25-9, 1976 Jan-Feb. AS - Soz Praventivmed. 21(1):25-9, 1976 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Velvart J AU - Lorent JP AU - Gujer HR FA - Velvart, J FA - Lorent, J P FA - Gujer, H R NJ - Sozial- und Praventivmedizin VO - 21 IP - 1 PG - 25-9 PI - Journal available in: Print PI - Citation processed from: Print JC - yf1, 7502479 IO - Soz Praventivmed SB - Index Medicus CP - Switzerland MH - Adolescent MH - Adult MH - Aged MH - *Analgesics, Opioid/ae [Adverse Effects] MH - Female MH - Humans MH - *Kidney Diseases/ci [Chemically Induced] MH - Male MH - Middle Aged MH - Occupations MH - Parity MH - Rural Population MH - Statistics as Topic MH - Substance-Related Disorders MH - Switzerland MH - Urban Population AB - As part of an investigation into death by poisoning in Switzerland we were able to examine the register of deaths at the Swiss Federal Bureau of Statistics. All the medical reports which named analgesic nephropathy as being the basic illness and the main cause of death have been taken into consideration in this work. 331 deaths occurred in the five year period 1967-1971, and were studied as closely as the documents allowed. The earliest cases of death arose in the thirties, the maximum number however occurring between the age of 60 and 70. Between the onset of kidney damage and the actual death elapses a period of about 10 years. The ratio from woman to man is almost 2,8:1. The occurrence is particularly frequent among childless housewives. The victims are people of widely different occupations and social classes. The analgesic nephropathy resulting from addiction and leading to death is most frequently encountered among the population of the cities, and the German Swiss Cantons, as well as among people of protestant faith. The shocking number of 331 deaths in five years (in 1973 there were a further 79 cases) bears witness to the need for adequate preventive measures. RN - 0 (Analgesics, Opioid) IS - 0303-8408 IL - 0303-8408 PT - English Abstract PT - Journal Article PP - ppublish LG - German DP - 1976 Jan-Feb EZ - 1976/01/01 DA - 1976/01/01 00:01 DT - 1976/01/01 00:00 YR - 1976 ED - 19761121 RD - 20170713 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=9752 <1553. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 937305 TI - Proceedings: The Jack Donovan Memorial Lecture. SO - American Journal of Drug & Alcohol Abuse. 3(1):203-10, 1976. AS - Am J Drug Alcohol Abuse. 3(1):203-10, 1976. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Isbister JD FA - Isbister, J D NJ - The American journal of drug and alcohol abuse VO - 3 IP - 1 PG - 203-10 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 - Alcoholism/co [Complications] MH - *Alcoholism/rh [Rehabilitation] MH - Costs and Cost Analysis MH - Education, Medical MH - Financing, Government MH - Humans MH - Interprofessional Relations MH - Legislation, Drug MH - Substance-Related Disorders/co [Complications] MH - *Substance-Related Disorders/rh [Rehabilitation] MH - United States IS - 0095-2990 IL - 0095-2990 PT - Journal Article PP - ppublish LG - English DP - 1976 EZ - 1976/01/01 DA - 1976/01/01 00:01 DT - 1976/01/01 00:00 YR - 1976 ED - 19760901 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=937305 <1554. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1217989 TI - Education for drug abuse and alcoholism. SO - Arizona Medicine. 32(12):950-1, 1975 Dec. AS - Ariz Med. 32(12):950-1, 1975 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Vansel NA FA - Vansel, N A NJ - Arizona medicine VO - 32 IP - 12 PG - 950-1 PI - Journal available in: Print PI - Citation processed from: Print JC - 8n6, 0372465 IO - Ariz Med SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Arizona MH - Curriculum MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders IS - 0004-1556 IL - 0004-1556 PT - Journal Article PP - ppublish LG - English DP - 1975 Dec EZ - 1975/12/01 DA - 1975/12/01 00:01 DT - 1975/12/01 00:00 YR - 1975 ED - 19760409 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1217989 <1555. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1060282 TI - [Smoking prohibition during courses on radiation protection according to the legislation on radiation. Decision of the Schleswig-Holstein administrative court from September 20, 1974--10A111/74]. [German] OT - Rauchverbot bei Veranstaltungen uber den Strahlenschutz nach der Rontgenverordnung. Urteil des Schleswig-Holsteinischen Verwaltungsgerichts vom 20. September 1974-10 A 111/74 SO - Zahnarztliche Mitteilungen. 65(12):595-6, 1975 Jun 16. AS - Zahnarztl. Mitt.. 65(12):595-6, 1975 Jun 16. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Pohl H FA - Pohl, H NJ - Zahnarztliche Mitteilungen VO - 65 IP - 12 PG - 595-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 0422566 IO - Zahnarztl Mitt SB - Dental Journals SB - Index Medicus CP - Germany MH - Air Pollution MH - *Education, Medical, Continuing MH - Germany, West MH - Legislation as Topic MH - Radiation Protection MH - *Smoking IS - 0044-1643 IL - 0044-1643 PT - Journal Article PP - ppublish LG - German DP - 1975 Jun 16 EZ - 1975/06/16 DA - 1975/06/16 00:01 DT - 1975/06/16 00:00 YR - 1975 ED - 19760227 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1060282 <1556. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 127377 TI - V. Brown University Alcoholism Conference: A summary of the discussions. SO - RI Medical Journal. 58(9):396-7, 405, 1975 Sep. AS - R I Med J. 58(9):396-7, 405, 1975 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Galletti PM FA - Galletti, P M NJ - R.I. medical journal VO - 58 IP - 9 PG - 396-7, 405 PI - Journal available in: Print PI - Citation processed from: Print JC - 7605977, rij IO - R I Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - United States IS - 0360-067X IL - 0360-067X PT - Journal Article PP - ppublish LG - English DP - 1975 Sep EZ - 1975/09/01 DA - 1975/09/01 00:01 DT - 1975/09/01 00:00 YR - 1975 ED - 19760114 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=127377 <1557. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 127376 TI - IV. Brown University Alcoholism Conference: On graduate education: alcoholism instruction in graduate medical education. SO - RI Medical Journal. 58(9):393-5, 404-5, 1975 Sep. AS - R I Med J. 58(9):393-5, 404-5, 1975 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams KH FA - Williams, K H NJ - R.I. medical journal VO - 58 IP - 9 PG - 393-5, 404-5 PI - Journal available in: Print PI - Citation processed from: Print JC - 7605977, rij IO - R I Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical, Graduate MH - Humans MH - United States IS - 0360-067X IL - 0360-067X PT - Journal Article PP - ppublish LG - English DP - 1975 Sep EZ - 1975/09/01 DA - 1975/09/01 00:01 DT - 1975/09/01 00:00 YR - 1975 ED - 19760114 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=127376 <1558. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 127375 TI - III. Brown University Alcoholism Conference: On undergraduate education: alcoholism in a medical school. SO - RI Medical Journal. 58(9):391-2 403, 1975 Sep. AS - R I Med J. 58(9):391-2 403, 1975 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bosma WG FA - Bosma, W G NJ - R.I. medical journal VO - 58 IP - 9 PG - 391-2 403 PI - Journal available in: Print PI - Citation processed from: Print JC - 7605977, rij IO - R I Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical, Undergraduate MH - Humans MH - Maryland IS - 0360-067X IL - 0360-067X PT - Journal Article PP - ppublish LG - English DP - 1975 Sep EZ - 1975/09/01 DA - 1975/09/01 00:01 DT - 1975/09/01 00:00 YR - 1975 ED - 19760114 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=127375 <1559. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 127374 TI - II. Brown University Alcoholism Conference: Keynote address: How future physicians must see the alcoholic. SO - RI Medical Journal. 58(9):389-90, 401, 1975 Sep. AS - R I Med J. 58(9):389-90, 401, 1975 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Todd MC FA - Todd, M C NJ - R.I. medical journal VO - 58 IP - 9 PG - 389-90, 401 PI - Journal available in: Print PI - Citation processed from: Print JC - 7605977, rij IO - R I Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - Education, Medical MH - Humans MH - *Physicians IS - 0360-067X IL - 0360-067X PT - Journal Article PP - ppublish LG - English DP - 1975 Sep EZ - 1975/09/01 DA - 1975/09/01 00:01 DT - 1975/09/01 00:00 YR - 1975 ED - 19760114 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=127374 <1560. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 127373 TI - I. Brown University Alcoholism Conference: Introduction. SO - RI Medical Journal. 58(9):387-8, 1975 Sep. AS - R I Med J. 58(9):387-8, 1975 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Adams LC AU - Aronson SM FA - Adams, L C FA - Aronson, S M NJ - R.I. medical journal VO - 58 IP - 9 PG - 387-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 7605977, rij IO - R I Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical MH - Humans MH - Rhode Island MH - Schools, Medical IS - 0360-067X IL - 0360-067X PT - Journal Article PP - ppublish LG - English DP - 1975 Sep EZ - 1975/09/01 DA - 1975/09/01 00:01 DT - 1975/09/01 00:00 YR - 1975 ED - 19760114 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=127373 <1561. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4219715 TI - A comprehensive approach to the treatment of drug dependence. SO - American Journal of Drug & Alcohol Abuse. 1(3):313-27, 1974. AS - Am J Drug Alcohol Abuse. 1(3):313-27, 1974. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kinsella JK AU - Africano A AU - Rapkin RM AU - Kleber HD FA - Kinsella, J K FA - Africano, A FA - Rapkin, R M FA - Kleber, H D NJ - The American journal of drug and alcohol abuse VO - 1 IP - 3 PG - 313-27 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 - Adolescent MH - Adult MH - Community Mental Health Services MH - Comprehensive Health Care MH - Connecticut MH - Counseling MH - Day Care, Medical MH - Health Education MH - Humans MH - Long-Term Care MH - Methadone/tu [Therapeutic Use] MH - Naloxone/tu [Therapeutic Use] MH - Patient Advocacy MH - Psychotherapy, Group MH - Schools, Medical MH - *Substance-Related Disorders/th [Therapy] MH - Therapeutic Community MH - Vocational Education RN - 36B82AMQ7N (Naloxone) RN - UC6VBE7V1Z (Methadone) IS - 0095-2990 IL - 0095-2990 PT - Journal Article PP - ppublish LG - English DP - 1974 EZ - 1974/01/01 DA - 1974/01/01 00:01 DT - 1974/01/01 00:00 YR - 1974 ED - 19751230 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4219715 <1562. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1165657 TI - Alcoholism education: early development and coordination at a new medical school. SO - Maryland State Medical Journal. 24(9):87-90, 1975 Sep. AS - Md State Med J. 24(9):87-90, 1975 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Whitfield CL FA - Whitfield, C L NJ - Maryland state medical journal VO - 24 IP - 9 PG - 87-90 PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r IO - Md State Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - Curriculum MH - Education, Medical MH - Humans MH - Maryland IS - 0025-4363 IL - 0025-4363 PT - Journal Article PP - ppublish LG - English DP - 1975 Sep EZ - 1975/09/01 DA - 1975/09/01 00:01 DT - 1975/09/01 00:00 YR - 1975 ED - 19751211 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1165657 <1563. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4681197 TI - The role of the physician in reinforcing and inhibiting drug abuse. SO - International Pharmacopsychiatry. 7(1-4):131-7, 1972. AS - Int Pharmacopsychiatry. 7(1-4):131-7, 1972. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - DiMascio A FA - DiMascio, A NJ - International pharmacopsychiatry VO - 7 IP - 1-4 PG - 131-7 PI - Journal available in: Print PI - Citation processed from: Print JC - gu2, 0135645 IO - Int Pharmacopsychiatry SB - Index Medicus CP - Switzerland MH - Attitude MH - Drug Prescriptions MH - Drug Therapy, Combination MH - Education, Medical MH - Humans MH - *Physicians MH - *Substance-Related Disorders IS - 0020-8272 IL - 0020-8272 PT - Journal Article PP - ppublish LG - English DP - 1972 EZ - 1972/01/01 DA - 1972/01/01 00:01 DT - 1972/01/01 00:00 YR - 1972 ED - 19751211 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4681197 <1564. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1159767 TI - Understanding alcoholism: a test for use in medical education. SO - Journal of Medical Education. 50(10):978-9, 1975 Oct. AS - J Med Educ. 50(10):978-9, 1975 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weinberg JR AU - Morse RM FA - Weinberg, J R FA - Morse, R M NJ - Journal of medical education VO - 50 IP - 10 PG - 978-9 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism MH - *Education, Medical MH - *Educational Measurement MH - Humans MH - Methods IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1975 Oct EZ - 1975/10/01 DA - 1975/10/01 00:01 DT - 1975/10/01 00:00 YR - 1975 ED - 19751204 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1159767 <1565. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1163354 TI - The New Jersey Medical School Narcotics Case Register: methodology and summary of first four years of operation. SO - Addictive Diseases. 1(4):513-27, 1975. AS - Addict Dis. 1(4):513-27, 1975. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lavenhar MA AU - Sheffet A AU - Du Val H AU - Louria DB FA - Lavenhar, M A FA - Sheffet, A FA - Du Val, H FA - Louria, D B NJ - Addictive diseases VO - 1 IP - 4 PG - 513-27 PI - Journal available in: Print PI - Citation processed from: Print JC - 0425064, 2h4 IO - Addict Dis SB - Index Medicus CP - United States MH - Ambulatory Care MH - Ethnic Groups MH - Evaluation Studies as Topic MH - Female MH - Hospitals, Psychiatric MH - Humans MH - Legislation, Drug MH - Male MH - New Jersey MH - *Registries MH - Residential Treatment MH - *Schools, Medical MH - Sex Factors MH - *Substance-Related Disorders/ep [Epidemiology] IS - 0094-0267 IL - 0094-0267 PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PP - ppublish LG - English DP - 1975 EZ - 1975/01/01 DA - 1975/01/01 00:01 DT - 1975/01/01 00:00 YR - 1975 ED - 19751120 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1163354 <1566. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 240074 TI - Physicians and alcoholics. The effect of medical training on attitudes toward alcoholics. SO - Journal of Studies on Alcohol. 36(7):949-55, 1975 Jul. AS - J. stud. alcohol. 36(7):949-55, 1975 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fisher JC AU - Mason RL AU - Keeley KA AU - Fisher JV FA - Fisher, J C FA - Mason, R L FA - Keeley, K A FA - Fisher, J V NJ - Journal of studies on alcohol VO - 36 IP - 7 PG - 949-55 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - Alcoholism/et [Etiology] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Frustration MH - Humans MH - Internship and Residency MH - Motivation MH - Prognosis MH - Semantic Differential MH - Social Perception MH - *Students, Medical MH - Surveys and Questionnaires AB - The over-all ratings assigned by first- and second-year medical students and housestaff (residents and interns) to alcoholics on a 16-adjectivee bipolar semantic differential measure differed significantly. Mean ratings by the housestaff were lowest and the ratings by the second-year students were lower than those of the first-year students on 5 of the 6 adjective pairs on which the groups differed significantly. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PP - ppublish LG - English DP - 1975 Jul EZ - 1975/07/01 DA - 1975/07/01 00:01 DT - 1975/07/01 00:00 YR - 1975 ED - 19751120 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=240074 <1567. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 239284 TI - Physicians and alcoholics. Factors affecting attitudes of family-practice residents toward alcoholics. SO - Journal of Studies on Alcohol. 36(5):626-33, 1975 May. AS - J. stud. alcohol. 36(5):626-33, 1975 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fisher JC AU - Keeley KA AU - Mason RL AU - Fisher JV FA - Fisher, J C FA - Keeley, K A FA - Mason, R L FA - Fisher, J V NJ - Journal of studies on alcohol VO - 36 IP - 5 PG - 626-33 PI - Journal available in: Print PI - Citation processed from: Print JC - 7503813 IO - J. Stud. Alcohol SB - Index Medicus CP - United States MH - Alcoholism/et [Etiology] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Diabetes Mellitus MH - *Family Practice MH - Humans MH - Internal-External Control MH - *Internship and Residency MH - Religion and Medicine MH - Semantic Differential MH - Social Behavior Disorders/et [Etiology] MH - United States AB - Family-practice residents rated alcoholics as weaker, sicker and more hopeless and aimless than average persons on an adjective semantic differential, and diabetics as sicker than average persons. The implications for the diagnosis and treatment of alcoholism are discussed. IS - 0096-882X IL - 0096-882X PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PP - ppublish LG - English DP - 1975 May EZ - 1975/05/01 DA - 1975/05/01 00:01 DT - 1975/05/01 00:00 YR - 1975 ED - 19751107 RD - 20061115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=239284 <1568. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1139267 TI - Letter: Attitudes towards alcoholism. SO - British Medical Journal. 3(5976):157, 1975 Jul 19. AS - Br Med J. 3(5976):157, 1975 Jul 19. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Glatt MM FA - Glatt, M M NJ - British medical journal VO - 3 IP - 5976 PG - 157 PI - Journal available in: Print PI - Citation processed from: Print JC - b4w, 0372673 IO - Br Med J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1674016 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - England MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Education, Medical, Undergraduate MH - Humans IS - 0007-1447 IL - 0007-1447 PT - Journal Article ID - PMC1674016 [pmc] PP - ppublish LG - English DP - 1975 Jul 19 EZ - 1975/07/19 DA - 1975/07/19 00:01 DT - 1975/07/19 00:00 YR - 1975 ED - 19751008 RD - 20081120 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1139267 <1569. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 806341 TI - Antibiotic abuse: the testimony of medical students. SO - Canadian Medical Association Journal. 112(12):1428-9, 1975 Jun 21. AS - Can Med Assoc J. 112(12):1428-9, 1975 Jun 21. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Perry TL FA - Perry, T L NJ - Canadian Medical Association journal VO - 112 IP - 12 PG - 1428-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 0414110, ckw IO - Can Med Assoc J PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1956237 SB - Core Clinical Journals (AIM) SB - Index Medicus CP - Canada MH - Ampicillin/tu [Therapeutic Use] MH - *Anti-Infective Agents/tu [Therapeutic Use] MH - Bacterial Infections/di [Diagnosis] MH - *Bacterial Infections/dt [Drug Therapy] MH - British Columbia MH - Clindamycin/tu [Therapeutic Use] MH - Cloxacillin/tu [Therapeutic Use] MH - Education, Medical, Undergraduate MH - Erythromycin/tu [Therapeutic Use] MH - Humans MH - Neomycin/tu [Therapeutic Use] MH - Penicillin G/tu [Therapeutic Use] MH - Penicillin Resistance MH - Penicillin V/tu [Therapeutic Use] MH - *Student Health Services/st [Standards] MH - *Students, Medical MH - *Substance-Related Disorders/ep [Epidemiology] MH - Sulfonamides/tu [Therapeutic Use] MH - Tetracycline/tu [Therapeutic Use] AB - Surveys of the use of antimicrobial drugs on students during antimicrobial drugs on students during their first 15 months in medical or dental school indicate that they have been treated with these agents at least three times as frequently as seems reasonable, and that the tetracyclines, ampicillin, penicillin G and erythromycin are the chief drugs overused. Antimicrobiol therapy is frequently instituted for probable viral respiratory tract infections and without any attempt to establish a bacteriologic diagnosis. It is likely that anitmicrobiol agents are used more widely in treating the general public in Canada than in treating medical students. Improvements in the rational use of this important group of drugs could increase the quality and probably reduced the cost of medical care. RN - 0 (Anti-Infective Agents) RN - 0 (Sulfonamides) RN - 1404-04-2 (Neomycin) RN - 3U02EL437C (Clindamycin) RN - 63937KV33D (Erythromycin) RN - 7C782967RD (Ampicillin) RN - F8VB5M810T (Tetracycline) RN - O6X5QGC2VB (Cloxacillin) RN - Q42T66VG0C (Penicillin G) RN - Z61I075U2W (Penicillin V) IS - 0008-4409 IL - 0008-4409 PT - Journal Article ID - PMC1956237 [pmc] PP - ppublish LG - English DP - 1975 Jun 21 EZ - 1975/06/21 DA - 1975/06/21 00:01 DT - 1975/06/21 00:00 YR - 1975 ED - 19750924 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=806341 <1570. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1132362 TI - [Smoking inhibition in continuing education meetings]. [German] OT - Rauchverbot bei Fortbildungs-veranstaltungen SO - Deutsche Medizinische Wochenschrift. 100(27):1481-2, 1975 Jul 04. AS - Dtsch Med Wochenschr. 100(27):1481-2, 1975 Jul 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Martens FA - Martens NJ - Deutsche medizinische Wochenschrift (1946) VO - 100 IP - 27 PG - 1481-2 PI - Journal available in: Print PI - Citation processed from: Print JC - ecl, 0006723 IO - Dtsch. Med. Wochenschr. SB - Index Medicus CP - Germany MH - *Education, Medical, Continuing MH - Germany, West MH - Jurisprudence MH - *Smoking IS - 0012-0472 IL - 0012-0472 PT - Journal Article PP - ppublish LG - German DP - 1975 Jul 04 EZ - 1975/07/04 DA - 1975/07/04 00:01 DT - 1975/07/04 00:00 YR - 1975 ED - 19750829 RD - 20001218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1132362 <1571. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 1124066 TI - [Prohibition of smoking during courses of continuing medical education]. [German] OT - Rauchverbot bei Fortbildungsveranstaltungen SO - Medizinische Monatsschrift. 29(3):141-2, 1975 Mar. AS - Med Monatsschr. 29(3):141-2, 1975 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Medizinische Monatsschrift VO - 29 IP - 3 PG - 141-2 PI - Journal available in: Print PI - Citation processed from: Print JC - m5e, 0375265 IO - Med Monatsschr SB - Index Medicus CP - Germany MH - *Education, Medical, Continuing MH - Germany, West MH - *Legislation, Medical MH - *Smoking IS - 0025-8474 IL - 0025-8474 PT - Journal Article PP - ppublish LG - German DP - 1975 Mar EZ - 1975/03/01 DA - 1975/03/01 00:01 DT - 1975/03/01 00:00 YR - 1975 ED - 19750707 RD - 20001218 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=1124066 <1572. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4457830 TI - [Tobacco smoking and educational achievement]. [Swedish] OT - Tobaksrokning och studieframgang SO - Nordisk Medicin. 89(8):252, 1974 Oct. AS - Nord Med. 89(8):252, 1974 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Timisjarvi J AU - Jarvensivu P AU - Hirvonen L FA - Timisjarvi, J FA - Jarvensivu, P FA - Hirvonen, L NJ - Nordisk medicin VO - 89 IP - 8 PG - 252 PI - Journal available in: Print PI - Citation processed from: Print JC - o4k, 0401001 IO - Nord Med SB - Index Medicus CP - Sweden MH - *Educational Measurement MH - Female MH - Finland MH - Humans MH - Male MH - Smoking/ep [Epidemiology] MH - *Smoking MH - *Students MH - Students, Medical IS - 0029-1420 IL - 0029-1420 PT - Journal Article PP - ppublish LG - Swedish DP - 1974 Oct EZ - 1974/10/01 DA - 1974/10/01 00:01 DT - 1974/10/01 00:00 YR - 1974 ED - 19750627 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4457830 <1573. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4455343 TI - Effect of medical education on smoking behaviour. SO - British Journal of Preventive & Social Medicine. 28(4):246-51, 1974 Nov. AS - Br J Prev Soc Med. 28(4):246-51, 1974 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knopf A AU - Wakefield J FA - Knopf, A FA - Wakefield, J NJ - British journal of preventive & social medicine VO - 28 IP - 4 PG - 246-51 PI - Journal available in: Print PI - Citation processed from: Print JC - b1c, 0372672 IO - Br J Prev Soc Med PM - https://www.ncbi.nlm.nih.gov/pmc/articles/PMC478870 SB - Index Medicus CP - England MH - Adult MH - Attitude to Health MH - *Education, Medical MH - England MH - Female MH - Humans MH - Male MH - *Smoking/ep [Epidemiology] MH - *Students MH - *Students, Medical IS - 0007-1242 IL - 0007-1242 PT - Comparative Study PT - Journal Article ID - PMC478870 [pmc] PP - ppublish LG - English DP - 1974 Nov EZ - 1974/11/01 DA - 1974/11/01 00:01 DT - 1974/11/01 00:00 YR - 1974 ED - 19750626 RD - 20130926 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4455343 <1574. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4532052 TI - Attitudes regarding drug-abuse and the drug abuser: effect of the first-year of the psychiatry residency. SO - British Journal of Addiction to Alcohol & Other Drugs. 69(4):371-4, 1974 Dec. AS - Br J Addict Alcohol Other Drugs. 69(4):371-4, 1974 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Gertler R AU - Ferneau EW FA - Gertler, R FA - Ferneau, E W NJ - The British journal of addiction to alcohol and other drugs VO - 69 IP - 4 PG - 371-4 PI - Journal available in: Print PI - Citation processed from: Print JC - au8, 0372671 IO - Br J Addict Alcohol Other Drugs SB - Index Medicus CP - England MH - Affective Symptoms/co [Complications] MH - *Attitude of Health Personnel MH - Humans MH - *Internship and Residency MH - *Psychiatry/ed [Education] MH - Social Conditions MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders MH - Time Factors IS - 0007-0890 IL - 0007-0890 PT - Journal Article PP - ppublish LG - English DP - 1974 Dec EZ - 1974/12/01 DA - 1974/12/01 00:01 DT - 1974/12/01 00:00 YR - 1974 ED - 19750510 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4532052 <1575. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4449267 TI - Continuing education in alcoholism: attitude change as a measure of seminar effectiveness. SO - Maryland State Medical Journal. 23(10):63-7, 1974 Oct. AS - Md State Med J. 23(10):63-7, 1974 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brennan JG AU - Dixon WT AU - Snider S FA - Brennan, J G FA - Dixon, W T FA - Snider, S NJ - Maryland state medical journal VO - 23 IP - 10 PG - 63-7 PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r IO - Md State Med J SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - *Education, Medical, Continuing MH - Evaluation Studies as Topic MH - Humans MH - Maryland MH - Surveys and Questionnaires IS - 0025-4363 IL - 0025-4363 PT - Journal Article PP - ppublish LG - English DP - 1974 Oct EZ - 1974/10/01 DA - 1974/10/01 00:01 DT - 1974/10/01 00:00 YR - 1974 ED - 19750506 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4449267 <1576. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4808151 TI - The role of a medical school in methadone maintenance. SO - Proceedings - National Conference on Methadone Treatment. 1:220-4, 1973. AS - Proc Natl Conf Methadone Treat. 1:220-4, 1973. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stimmel B FA - Stimmel, B NJ - Proceedings. National Conference on Methadone Treatment VO - 1 PG - 220-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 7513674, nrt IO - Proc Natl Conf Methadone Treat SB - Index Medicus CP - United States MH - *Heroin Dependence/dt [Drug Therapy] MH - Humans MH - *Methadone/tu [Therapeutic Use] MH - New York City MH - Organization and Administration MH - *Rehabilitation Centers/ma [Manpower] MH - *Schools, Medical MH - Substance-Related Disorders RN - UC6VBE7V1Z (Methadone) IS - 0360-263X IL - 0360-263X PT - Journal Article PP - ppublish LG - English DP - 1973 EZ - 1973/01/01 DA - 1973/01/01 00:01 DT - 1973/01/01 00:00 YR - 1973 ED - 19750318 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4808151 <1577. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4422644 TI - The nutritionist in a drug rehabilitation center: a medical school reaches out. SO - Journal of the American Dietetic Association. 65(5):562-6, 1974 Nov. AS - J Am Diet Assoc. 65(5):562-6, 1974 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Frankle RT FA - Frankle, R T NJ - Journal of the American Dietetic Association VO - 65 IP - 5 PG - 562-6 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 - Community Health Services MH - Diet Surveys MH - Humans MH - New York City MH - *Nutritional Physiological Phenomena MH - Outpatient Clinics, Hospital MH - Patient Care Team MH - *Rehabilitation Centers MH - Schools, Medical MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0002-8223 IL - 0002-8223 PT - Journal Article PP - ppublish LG - English DP - 1974 Nov EZ - 1974/11/01 DA - 1974/11/01 00:01 DT - 1974/11/01 00:00 YR - 1974 ED - 19750116 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4422644 <1578. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4412869 TI - Drug abuse training and education: the physician. SO - International Journal of the Addictions. 9(1):81-99, 1974. AS - Int J Addict. 9(1):81-99, 1974. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Einstein S FA - Einstein, S NJ - The International journal of the addictions VO - 9 IP - 1 PG - 81-99 PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 IO - Int J Addict SB - Index Medicus CP - United States MH - Attitude MH - Community Mental Health Services MH - Comprehensive Health Care MH - Curriculum MH - Drug and Narcotic Control MH - *Education, Medical, Continuing MH - *Health Education MH - Humans MH - Models, Theoretical MH - Pharmaceutical Preparations/cl [Classification] MH - *Physicians MH - Social Behavior MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/th [Therapy] MH - United States RN - 0 (Pharmaceutical Preparations) IS - 0020-773X IL - 0020-773X PT - Journal Article PP - ppublish LG - English DP - 1974 EZ - 1974/01/01 DA - 1974/01/01 00:01 DT - 1974/01/01 00:00 YR - 1974 ED - 19741206 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4412869 <1579. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4859284 TI - Editorial: Better treatment of alcoholism. SO - Annals of Internal Medicine. 81(3):396-8, 1974 Sep. AS - Ann Intern Med. 81(3):396-8, 1974 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seixas FA FA - Seixas, F A NJ - Annals of internal medicine VO - 81 IP - 3 PG - 396-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Alcoholics Anonymous MH - *Alcoholism/th [Therapy] MH - *Attitude to Health MH - Counseling MH - Education, Medical, Undergraduate MH - Government Agencies MH - Humans MH - *Physician-Patient Relations MH - Societies MH - United States IS - 0003-4819 IL - 0003-4819 PT - Journal Article PP - ppublish LG - English DP - 1974 Sep EZ - 1974/09/01 DA - 1974/09/01 00:01 DT - 1974/09/01 00:00 YR - 1974 ED - 19741107 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4859284 <1580. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4849269 TI - [Observation of the course of drug abuse]. [German] OT - Verlaufsbeobachtungen zum Drogenmissbrauch SO - Medizinische Welt. 25(24):1076-8, 1974 Jun 14. AS - Med Welt. 25(24):1076-8, 1974 Jun 14. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Allert ML AU - Schneider H FA - Allert, M L FA - Schneider, H NJ - Die Medizinische Welt VO - 25 IP - 24 PG - 1076-8 PI - Journal available in: Print PI - Citation processed from: Print JC - mim, 0376641 IO - Med Welt SB - Index Medicus CP - Germany MH - Female MH - Germany, West MH - Humans MH - Male MH - Physician-Patient Relations MH - Physicians, Family MH - *Substance-Related Disorders/ep [Epidemiology] MH - Surveys and Questionnaires IS - 0025-8512 IL - 0025-8512 PT - Journal Article PP - ppublish LG - German DP - 1974 Jun 14 EZ - 1974/06/14 DA - 1974/06/14 00:01 DT - 1974/06/14 00:00 YR - 1974 ED - 19741031 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4849269 <1581. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4846501 TI - Perinatal tips. SO - Michigan Medicine. 73(9):135-6, 1974 Mar. AS - Mich Med. 73(9):135-6, 1974 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zavell PM FA - Zavell, P M NJ - Michigan medicine VO - 73 IP - 9 PG - 135-6 PI - Journal available in: Print PI - Citation processed from: Print JC - mx2, 0017314 IO - Mich Med SB - Index Medicus CP - United States MH - Chlorpromazine/tu [Therapeutic Use] MH - Education, Medical, Continuing MH - Female MH - Humans MH - Infant, Newborn MH - *Infant, Newborn, Diseases/di [Diagnosis] MH - Maternal-Fetal Exchange MH - Methadone MH - Pregnancy MH - Substance Withdrawal Syndrome/dt [Drug Therapy] MH - *Substance-Related Disorders RN - U42B7VYA4P (Chlorpromazine) RN - UC6VBE7V1Z (Methadone) IS - 0026-2293 IL - 0026-2293 PT - Journal Article PP - ppublish LG - English DP - 1974 Mar EZ - 1974/03/01 DA - 1974/03/01 00:01 DT - 1974/03/01 00:00 YR - 1974 ED - 19741009 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4846501 <1582. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4831000 TI - [Intervention study aimed at influencing youngsters in the use of stimulants and drugs with special reference to preventive sport medicine]. [German] OT - Interventionsstudie zur Beeinflussbarkeit Jugendlicher im Genussmittel- und Drogenkonsum unter besonderer Berucksichtigung der praventiven Sportmedizin. SO - Schweizerische Medizinische Wochenschrift. Journal Suisse de Medecine. 104(19):700-4, 1974 May 11. AS - Schweiz Med Wochenschr. 104(19):700-4, 1974 May 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Biener K FA - Biener, K NJ - Schweizerische medizinische Wochenschrift VO - 104 IP - 19 PG - 700-4 PI - Journal available in: Print PI - Citation processed from: Print JC - uei, 0404401 IO - Schweiz Med Wochenschr SB - Index Medicus CP - Switzerland MH - Adolescent MH - Adult MH - Age Factors MH - *Alcohol Drinking MH - Health Education MH - Health Surveys MH - Hobbies MH - Humans MH - International Cooperation MH - School Health Services MH - *Smoking Prevention MH - *Sports Medicine MH - *Substance-Related Disorders/pc [Prevention & Control] MH - Switzerland IS - 0036-7672 IL - 0036-7672 PT - Journal Article PP - ppublish LG - German DP - 1974 May 11 EZ - 1974/05/11 DA - 1974/05/11 00:01 DT - 1974/05/11 00:00 YR - 1974 ED - 19740725 RD - 20171116 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4831000 <1583. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4855584 TI - The development of a curriculum in drug dependency. SO - Journal of Medical Education. 49(2):158-62, 1974 Feb. AS - J Med Educ. 49(2):158-62, 1974 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stimmel B FA - Stimmel, B NJ - Journal of medical education VO - 49 IP - 2 PG - 158-62 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Behavioral Sciences MH - *Curriculum MH - Education, Medical MH - Humans MH - New York City MH - *Schools, Medical MH - Social Medicine MH - *Substance-Related Disorders MH - Time Factors IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1974 Feb EZ - 1974/02/01 DA - 1974/02/01 00:01 DT - 1974/02/01 00:00 YR - 1974 ED - 19740226 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4855584 <1584. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4756982 TI - Alcoholism. What are you doing with your alcoholic patient?. SO - Minnesota Medicine. 56(11):960, 1973 Nov. AS - Minn Med. 56(11):960, 1973 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Briggs TG FA - Briggs, T G NJ - Minnesota medicine VO - 56 IP - 11 PG - 960 PI - Journal available in: Print PI - Citation processed from: Print JC - nby, 8000173 IO - Minn Med SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Education, Medical MH - Female MH - Humans MH - Male IS - 0026-556X IL - 0026-556X PT - Journal Article PP - ppublish LG - English DP - 1973 Nov EZ - 1973/11/01 DA - 1973/11/01 00:01 DT - 1973/11/01 00:00 YR - 1973 ED - 19740125 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4756982 <1585. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4756973 TI - Training professionals for meeting the needs of alcoholics and problem drinkers. SO - Maryland State Medical Journal. 22(11):84-7, 1973 Nov. AS - Md State Med J. 22(11):84-7, 1973 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Bosma WG FA - Bosma, W G NJ - Maryland state medical journal VO - 22 IP - 11 PG - 84-7 PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r IO - Md State Med J SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Counseling MH - Curriculum MH - Education, Medical MH - Education, Nursing MH - Halfway Houses MH - *Health Occupations/ed [Education] MH - Humans MH - Maryland MH - Patient Care Team IS - 0025-4363 IL - 0025-4363 PT - Journal Article PP - ppublish LG - English DP - 1973 Nov EZ - 1973/11/01 DA - 1973/11/01 00:01 DT - 1973/11/01 00:00 YR - 1973 ED - 19740125 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4756973 <1586. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4795880 TI - Use of antibiotics. A brief exposition of the problem and some tentative solutions. SO - Annals of Internal Medicine. 79(4):555-60, 1973 Oct. AS - Ann Intern Med. 79(4):555-60, 1973 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kunin CM AU - Tupasi T AU - Craig WA FA - Kunin, C M FA - Tupasi, T FA - Craig, W A NJ - Annals of internal medicine VO - 79 IP - 4 PG - 555-60 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Aminoglycosides/ad [Administration & Dosage] MH - *Anti-Bacterial Agents/ad [Administration & Dosage] MH - Anti-Bacterial Agents/ae [Adverse Effects] MH - Cephalexin/ad [Administration & Dosage] MH - Cephalosporins/ad [Administration & Dosage] MH - Curriculum MH - Drug and Narcotic Control MH - Economics, Hospital MH - Education, Medical, Undergraduate MH - Gentamicins/ad [Administration & Dosage] MH - Humans MH - Pharmacology/ed [Education] MH - Pharmacy Service, Hospital MH - Private Practice MH - *Substance-Related Disorders MH - United States MH - United States Food and Drug Administration MH - Wisconsin RN - 0 (Aminoglycosides) RN - 0 (Anti-Bacterial Agents) RN - 0 (Cephalosporins) RN - 0 (Gentamicins) RN - OBN7UDS42Y (Cephalexin) IS - 0003-4819 IL - 0003-4819 PT - Journal Article PP - ppublish LG - English DP - 1973 Oct EZ - 1973/10/01 DA - 1973/10/01 00:01 DT - 1973/10/01 00:00 YR - 1973 ED - 19740105 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4795880 <1587. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4711132 TI - Nonmedical drug use among medical students. SO - Archives of General Psychiatry. 29(1):48-50, 1973 Jul. AS - Arch Gen Psychiatry. 29(1):48-50, 1973 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mechanick P AU - Mintz J AU - Gallagher J AU - Lapid G AU - Rubin R AU - Good J FA - Mechanick, P FA - Mintz, J FA - Gallagher, J FA - Lapid, G FA - Rubin, R FA - Good, J NJ - Archives of general psychiatry VO - 29 IP - 1 PG - 48-50 PI - Journal available in: Print PI - Citation processed from: Print JC - 72c, 0372435 IO - Arch. Gen. Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - Amphetamine MH - Attitude MH - Barbiturates MH - Cannabis MH - Drug and Narcotic Control MH - Female MH - Humans MH - Lysergic Acid Diethylamide MH - Male MH - Mescaline MH - Pennsylvania MH - Schools, Medical MH - Social Change MH - *Students, Medical MH - *Substance-Related Disorders RN - 0 (Barbiturates) RN - 8NA5SWF92O (Lysergic Acid Diethylamide) RN - CK833KGX7E (Amphetamine) RN - RHO99102VC (Mescaline) IS - 0003-990X IL - 0003-990X PT - Journal Article PP - ppublish LG - English DP - 1973 Jul EZ - 1973/07/01 DA - 1973/07/01 00:01 DT - 1973/07/01 00:00 YR - 1973 ED - 19730810 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4711132 <1588. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4710311 TI - Drug abuse and function in graduate students. SO - Comprehensive Psychiatry. 14(3):235-40, 1973 May-Jun. AS - Compr Psychiatry. 14(3):235-40, 1973 May-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - O'Hanrahan T AU - Glick ID FA - O'Hanrahan, T FA - Glick, I D NJ - Comprehensive psychiatry VO - 14 IP - 3 PG - 235-40 PI - Journal available in: Print PI - Citation processed from: Print JC - do9, 0372612 IO - Compr Psychiatry SB - Index Medicus CP - United States MH - *Achievement MH - Adult MH - Education, Medical, Graduate MH - Educational Measurement MH - Female MH - Hallucinogens MH - Humans MH - Male MH - Narcotics MH - Personality MH - Social Behavior MH - *Students, Medical MH - *Substance-Related Disorders RN - 0 (Hallucinogens) RN - 0 (Narcotics) IS - 0010-440X IL - 0010-440X PT - Journal Article ID - S0010-440X(73)80016-1 [pii] PP - ppublish LG - English DP - 1973 May-Jun EZ - 1973/05/01 DA - 1973/05/01 00:01 DT - 1973/05/01 00:00 YR - 1973 ED - 19730809 RD - 20171212 UP - 20171212 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medc&AN=4710311 <1589. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4705919 TI - Hospital confrontation: a cry for help and technique for change. SO - American Journal of Orthopsychiatry. 43(1):79-85, 1973 Jan. AS - Am J Orthopsychiatry. 43(1):79-85, 1973 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seide M AU - Eagle CJ FA - Seide, M FA - Eagle, C J NJ - The American journal of orthopsychiatry VO - 43 IP - 1 PG - 79-85 PI - Journal available in: Print PI - Citation processed from: Print JC - 3r6, 0400640 IO - Am J Orthopsychiatry SB - Index Medicus CP - United States MH - Administrative Personnel MH - Community Mental Health Services MH - *Community Participation MH - Delivery of Health Care MH - Hospital Administration MH - *Hospitals, Teaching MH - Humans MH - Psychiatric Department, Hospital MH - Schools, Medical MH - *Substance-Related Disorders IS - 0002-9432 IL - 0002-9432 PT - Journal Article PP - ppublish LG - English DP - 1973 Jan EZ - 1973/01/01 DA - 1973/01/01 00:01 DT - 1973/01/01 00:00 YR - 1973 ED - 19730719 RD - 20161123 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4705919 <1590. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4735172 TI - Involvement of medicine residents in a drug treatment program--an educational experience. SO - Michigan Medicine. 72(12):277-8, 1973 Apr. AS - Mich Med. 72(12):277-8, 1973 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Carbeck RB FA - Carbeck, R B NJ - Michigan medicine VO - 72 IP - 12 PG - 277-8 PI - Journal available in: Print PI - Citation processed from: Print JC - mx2, 0017314 IO - Mich Med SB - Index Medicus CP - United States MH - Humans MH - *Internship and Residency MH - Physician-Patient Relations MH - Rehabilitation Centers MH - *Substance-Related Disorders/th [Therapy] IS - 0026-2293 IL - 0026-2293 PT - Journal Article PP - ppublish LG - English DP - 1973 Apr EZ - 1973/04/01 DA - 1973/04/01 00:01 DT - 1973/04/01 00:00 YR - 1973 ED - 19730606 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4735172 <1591. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4734617 TI - First do no harm. SO - Minnesota Medicine. 56(3):217, 1973 Mar. AS - Minn Med. 56(3):217, 1973 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Kurzman MG FA - Kurzman, M G NJ - Minnesota medicine VO - 56 IP - 3 PG - 217 PI - Journal available in: Print PI - Citation processed from: Print JC - nby, 8000173 IO - Minn Med SB - Index Medicus CP - United States MH - Curriculum MH - *Education, Medical MH - Humans MH - *Substance-Related Disorders IS - 0026-556X IL - 0026-556X PT - Journal Article PP - ppublish LG - English DP - 1973 Mar EZ - 1973/03/01 DA - 1973/03/01 00:01 DT - 1973/03/01 00:00 YR - 1973 ED - 19730423 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4734617 <1592. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4734558 TI - The role of the county medical society in the community drug abuse problem. SO - JFMA - Journal of the Florida Medical Association. 60(2):37-8, 1973 Feb. AS - JFMA. 60(2):37-8, 1973 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lehman DJ FA - Lehman, D J NJ - JFMA, the Journal of the Florida Medical Association. Florida Medical Association VO - 60 IP - 2 PG - 37-8 PI - Journal available in: Print PI - Citation processed from: Print JC - krw, 0417646 IO - JFMA SB - Index Medicus CP - United States MH - Arizona MH - Florida MH - *Health Education MH - Humans MH - *Societies, Medical MH - *Substance-Related Disorders IS - 0091-6757 IL - 0091-6757 PT - Journal Article PP - ppublish LG - English DP - 1973 Feb EZ - 1973/02/01 DA - 1973/02/01 00:01 DT - 1973/02/01 00:00 YR - 1973 ED - 19730416 RD - 20071008 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4734558 <1593. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4641661 TI - Physicians are part of the problem. SO - Annals of Internal Medicine. 77(2):316-7, 1972 Aug. AS - Ann Intern Med. 77(2):316-7, 1972 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Brown TC FA - Brown, T C NJ - Annals of internal medicine VO - 77 IP - 2 PG - 316-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 0372351, 5a6 IO - Ann. Intern. Med. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/di [Diagnosis] MH - Education, Medical MH - Humans MH - *Physicians MH - United States IS - 0003-4819 IL - 0003-4819 PT - Journal Article PP - ppublish LG - English DP - 1972 Aug EZ - 1972/08/01 DA - 1972/08/01 00:01 DT - 1972/08/01 00:00 YR - 1972 ED - 19730217 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4641661 <1594. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4636962 TI - [I. Obligatory continuing education for all college graduate cadres in public and social health care facilities 1972. Selective subjects for physicians, dentists and pharmacists. Drug abuse and iatrogenic diseases (liver, kidney, blood). Iatrogenic liver diseases]. [German] OT - I. Obligatorische Fortbildung fur alle Hochschulkader in den Einrichtungen des Gesundheits- und Sozialwesens 1972. Wahlthema Nr. 2 fur Arzte, Zahnarzte und Apotheker. Arzneimittelabusus und iatrogene Krankheiten (Leber, Nieren, Blut). Iatrogene Leberschadigungen. SO - Zeitschrift fur Arztliche Fortbildung (Jena). 66(13):653-4, 1972 Jul 01. AS - Z Arztl Fortbild (Jena). 66(13):653-4, 1972 Jul 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Stein W FA - Stein, W NJ - Zeitschrift fur arztliche Fortbildung VO - 66 IP - 13 PG - 653-4 PI - Journal available in: Print PI - Citation processed from: Print JC - xs6, 0414004 IO - Z Arztl Fortbild (Jena) SB - Index Medicus CP - Germany MH - Chemical and Drug Induced Liver Injury/et [Etiology] MH - *Chemical and Drug Induced Liver Injury MH - Drug Hypersensitivity MH - Drug-Related Side Effects and Adverse Reactions MH - Education, Dental, Continuing MH - Education, Medical, Continuing MH - Education, Pharmacy, Continuing MH - Germany, East MH - Humans MH - *Iatrogenic Disease MH - Liver Diseases/et [Etiology] MH - State Medicine MH - Substance-Related Disorders/co [Complications] IS - 0044-2178 IL - 0044-2178 PT - Journal Article PP - ppublish LG - German DP - 1972 Jul 01 EZ - 1972/07/01 DA - 1972/07/01 00:01 DT - 1972/07/01 00:00 YR - 1972 ED - 19730130 RD - 20161122 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4636962 <1595. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5074867 TI - Alcohol and drug dependence--the role of industry. SO - Medical Journal of Australia. 2(1):2-4, 1972 Jul 01. AS - Med J Aust. 2(1):2-4, 1972 Jul 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - The Medical journal of Australia VO - 2 IP - 1 PG - 2-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 0400714, m26 IO - Med. J. Aust. SB - Index Medicus CP - Australia MH - Alcoholism/pc [Prevention & Control] MH - Alcoholism/th [Therapy] MH - *Alcoholism MH - Australia MH - Costs and Cost Analysis MH - Drug Industry MH - Education, Medical, Undergraduate MH - Health Facilities MH - Humans MH - Labor Unions MH - Leisure Activities MH - Newspapers as Topic MH - *Occupational Medicine MH - Rehabilitation, Vocational MH - *Substance-Related Disorders IS - 0025-729X IL - 0025-729X PT - Journal Article PP - ppublish LG - English DP - 1972 Jul 01 EZ - 1972/07/01 DA - 1972/07/01 00:01 DT - 1972/07/01 00:00 YR - 1972 ED - 19721125 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5074867 <1596. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5057143 TI - Training the physician in alcoholism therapy. SO - Journal of Medical Education. 47(4):296-7, 1972 Apr. AS - J Med Educ. 47(4):296-7, 1972 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mayer J AU - Myerson DJ FA - Mayer, J FA - Myerson, D J NJ - Journal of medical education VO - 47 IP - 4 PG - 296-7 PI - Journal available in: Print PI - Citation processed from: Print JC - j13, 0375377 IO - J Med Educ SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Boston MH - *Education, Medical, Continuing MH - Humans MH - Psychiatry IS - 0022-2577 IL - 0022-2577 PT - Journal Article PP - ppublish LG - English DP - 1972 Apr EZ - 1972/04/01 DA - 1972/04/01 00:01 DT - 1972/04/01 00:00 YR - 1972 ED - 19721027 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5057143 <1597. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5056097 TI - [Training in drug addiction control]. [French] OT - Formation pour le controle des toxicomanes. SO - Bulletin de la Societe des Sciences Medicales du Grand-Duche de Luxembourg. 109(1):51-7, 1972 Mar. AS - Bull Soc Sci Med Grand Duche Luxemb. 109(1):51-7, 1972 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Besteman KJ FA - Besteman, K J NJ - Bulletin de la Societe des sciences medicales du Grand-Duche de Luxembourg VO - 109 IP - 1 PG - 51-7 PI - Journal available in: Print PI - Citation processed from: Print JC - c5x, 7503402 IO - Bull Soc Sci Med Grand Duche Luxemb SB - Index Medicus CP - Luxembourg MH - *Education, Medical MH - *Health Education MH - Humans MH - *Substance-Related Disorders/pc [Prevention & Control] MH - United States IS - 0037-9247 IL - 0037-9247 PT - Journal Article PP - ppublish LG - French DP - 1972 Mar EZ - 1972/03/01 DA - 1972/03/01 00:01 DT - 1972/03/01 00:00 YR - 1972 ED - 19721025 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5056097 <1598. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5043831 TI - Medical student use of marijuana, alcohol, and cigarettes: a study of four schools. SO - International Journal of the Addictions. 7(1):141-52, 1972. AS - Int J Addict. 7(1):141-52, 1972. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Lipp M AU - Tinklenberg J AU - Benson S AU - Melges F AU - Taintor Z AU - Peterson M FA - Lipp, M FA - Tinklenberg, J FA - Benson, S FA - Melges, F FA - Taintor, Z FA - Peterson, M NJ - The International journal of the addictions VO - 7 IP - 1 PG - 141-52 PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 IO - Int J Addict SB - Index Medicus CP - United States MH - *Alcohol Drinking MH - Attitude of Health Personnel MH - *Cannabis MH - Humans MH - Legislation, Drug MH - Physicians MH - Plants, Toxic MH - Schools, Medical MH - *Smoking MH - *Students, Medical MH - Substance-Related Disorders/ep [Epidemiology] MH - *Substance-Related Disorders MH - Surveys and Questionnaires MH - Tobacco MH - United States IS - 0020-773X IL - 0020-773X PT - Journal Article PP - ppublish LG - English DP - 1972 EZ - 1972/01/01 DA - 1972/01/01 00:01 DT - 1972/01/01 00:00 YR - 1972 ED - 19720916 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5043831 <1599. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5041062 TI - Heroin addicts in a community mental health inpatient unit. SO - American Journal of Psychiatry. 129(2):206-10, 1972 Aug. AS - Am J Psychiatry. 129(2):206-10, 1972 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Poze RS FA - Poze, R S NJ - The American journal of psychiatry VO - 129 IP - 2 PG - 206-10 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adult MH - California MH - *Community Mental Health Services MH - Female MH - *Heroin MH - Hospitalization MH - Hospitals, Teaching MH - Humans MH - Internship and Residency MH - Length of Stay MH - Male MH - Methadone/tu [Therapeutic Use] MH - *Morphine Dependence/th [Therapy] MH - Psychiatric Department, Hospital MH - Psychiatry/ed [Education] MH - Referral and Consultation MH - Substance Withdrawal Syndrome/pc [Prevention & Control] RN - 70D95007SX (Heroin) RN - UC6VBE7V1Z (Methadone) IS - 0002-953X IL - 0002-953X PT - Journal Article ID - 10.1176/ajp.129.2.206 [doi] PP - ppublish LG - English DP - 1972 Aug EZ - 1972/08/01 DA - 1972/08/01 00:01 DT - 1972/08/01 00:00 YR - 1972 ED - 19720911 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5041062 <1600. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5067243 TI - Education about drug abuse in medical schools. SO - JAMA. 219(13):1757, 1972 Mar 27. AS - JAMA. 219(13):1757, 1972 Mar 27. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - JAMA VO - 219 IP - 13 PG - 1757 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 - Alcoholism MH - American Medical Association MH - *Education, Medical MH - Humans MH - Legislation, Drug MH - *Substance-Related Disorders MH - United States IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1972 Mar 27 EZ - 1972/03/27 DA - 1972/03/27 00:01 DT - 1972/03/27 00:00 YR - 1972 ED - 19720627 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5067243 <1601. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5067240 TI - Medical school education on abuse of alcohol and other psychoactive drugs. SO - JAMA. 219(13):1746-9, 1972 Mar 27. AS - JAMA. 219(13):1746-9, 1972 Mar 27. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - JAMA VO - 219 IP - 13 PG - 1746-9 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 - Alcoholism/ep [Epidemiology] MH - Alcoholism/et [Etiology] MH - *Alcoholism MH - Attitude to Health MH - Communication MH - Curriculum MH - Drug Interactions MH - Drug and Narcotic Control MH - *Education, Medical MH - Humans MH - Legislation, Drug MH - Models, Theoretical MH - Pharmacology/ed [Education] MH - Substance-Related Disorders/ep [Epidemiology] MH - Substance-Related Disorders/et [Etiology] MH - *Substance-Related Disorders MH - United States IS - 0098-7484 IL - 0098-7484 PT - Journal Article PP - ppublish LG - English DP - 1972 Mar 27 EZ - 1972/03/27 DA - 1972/03/27 00:01 DT - 1972/03/27 00:00 YR - 1972 ED - 19720627 RD - 20161017 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5067240 <1602. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4259776 TI - [The drug-dependent adolescent in society]. [German] OT - Der drogenabhangige Jugendliche in der Gesellschaft. SO - Offentliche Gesundheitswesen. 34(1):1-8, 1972 Jan. AS - Offentl Gesundheitswes. 34(1):1-8, 1972 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Hunnekens H FA - Hunnekens, H NJ - Das Offentliche Gesundheitswesen VO - 34 IP - 1 PG - 1-8 PI - Journal available in: Print PI - Citation processed from: Print JC - ofe, 0107170 IO - Offentl Gesundheitswes SB - Index Medicus CP - Germany MH - Adolescent MH - Education, Medical, Continuing MH - Female MH - Germany, West MH - Health Education MH - Humans MH - Male MH - Public Health MH - *Social Adjustment MH - Social Problems MH - Substance-Related Disorders/pc [Prevention & Control] MH - Substance-Related Disorders/rh [Rehabilitation] MH - Substance-Related Disorders/th [Therapy] MH - *Substance-Related Disorders IS - 0029-8573 IL - 0029-8573 PT - Journal Article PP - ppublish LG - German DP - 1972 Jan EZ - 1972/01/01 DA - 1972/01/01 00:01 DT - 1972/01/01 00:00 YR - 1972 ED - 19720626 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4259776 <1603. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5145188 TI - [Use and abuse of psycho-stimulants and other drugs in the university environment (apropos of a survey)]. [Spanish] OT - Uso y abuso de psicoestimulantes y otras drogas en el medio universitario (a proposito de una encuesta. SO - Actas Luso-Espanolas de Neurologia y Psiquiatria. 30(3):129-50, 1971 Jul-Sep. AS - Actas Luso Esp Neurol Psiquiatr. 30(3):129-50, 1971 Jul-Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ordonez AC FA - Ordonez, A C NJ - Actas luso-espanolas de neurologia y psiquiatria VO - 30 IP - 3 PG - 129-50 PI - Journal available in: Print PI - Citation processed from: Print JC - 0355646, 2ao IO - Actas Luso Esp Neurol Psiquiatr SB - Index Medicus CP - Spain MH - Adolescent MH - *Amphetamine MH - Female MH - Humans MH - Male MH - Schools, Medical MH - Spain MH - *Students MH - *Substance-Related Disorders/ep [Epidemiology] MH - *Universities RN - CK833KGX7E (Amphetamine) IS - 0001-7329 IL - 0001-7329 PT - Journal Article PP - ppublish LG - Spanish DP - 1971 Jul-Sep EZ - 1971/07/01 DA - 1971/07/01 00:01 DT - 1971/07/01 00:00 YR - 1971 ED - 19720615 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5145188 <1604. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5289920 TI - Attitudes regarding alcoholism: effect of the first year of the psychiatry residency. SO - British Journal of Addiction to Alcohol & Other Drugs. 66(4):257-60, 1971 Dec. AS - Br J Addict Alcohol Other Drugs. 66(4):257-60, 1971 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ferneau E AU - Gertler R FA - Ferneau, E FA - Gertler, R NJ - The British journal of addiction to alcohol and other drugs VO - 66 IP - 4 PG - 257-60 PI - Journal available in: Print PI - Citation processed from: Print JC - au8, 0372671 IO - Br J Addict Alcohol Other Drugs SB - Index Medicus CP - England MH - Alcohol Drinking MH - *Alcoholism MH - *Attitude of Health Personnel MH - *Hospitals, Psychiatric MH - Humans MH - Internship and Residency MH - Surveys and Questionnaires MH - Time Factors IS - 0007-0890 IL - 0007-0890 PT - Journal Article PP - ppublish LG - English DP - 1971 Dec EZ - 1971/12/01 DA - 1971/12/01 00:01 DT - 1971/12/01 00:00 YR - 1971 ED - 19720403 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5289920 <1605. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5535634 TI - Alcoholism curricula: how professionals are trained. SO - International Journal of the Addictions. 5(2):295-312, 1970 Jun. AS - Int J Addict. 5(2):295-312, 1970 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Einstein S AU - Wolfson E FA - Einstein, S FA - Wolfson, E NJ - The International journal of the addictions VO - 5 IP - 2 PG - 295-312 PI - Journal available in: Print PI - Citation processed from: Print JC - gq8, 0123640 IO - Int J Addict SB - Index Medicus CP - United States MH - *Alcoholism MH - *Curriculum MH - *Education, Medical MH - *Education, Nursing MH - *Education, Pharmacy MH - Humans MH - *Jurisprudence/ed [Education] MH - Methods MH - Periodicals as Topic MH - *Psychology/ed [Education] MH - *Social Work/ed [Education] MH - Teaching MH - Time Factors IS - 0020-773X IL - 0020-773X PT - Journal Article PP - ppublish LG - English DP - 1970 Jun EZ - 1970/06/01 DA - 1970/06/01 00:01 DT - 1970/06/01 00:00 YR - 1970 ED - 19720322 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5535634 <1606. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282663 TI - Professional training on alcoholism. Workshop 4: changing student and faculty attitudes toward alcoholic patients. SO - Annals of the New York Academy of Sciences. 178:87-91, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:87-91, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Ewing J FA - Ewing, J NJ - Annals of the New York Academy of Sciences VO - 178 PG - 87-91 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - *Education, Medical MH - *Faculty, Medical MH - Humans MH - Internship and Residency MH - Interprofessional Relations MH - Patient Care Team MH - Research MH - *Students, Medical MH - Teaching MH - Voluntary Health Agencies IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282663 <1607. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282662 TI - Professional training on alcoholism. Workshop 3: the use of clinical materials. SO - Annals of the New York Academy of Sciences. 178:82-6, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:82-6, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Chafetz M FA - Chafetz, M NJ - Annals of the New York Academy of Sciences VO - 178 PG - 82-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - Alcoholism/co [Complications] MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Comprehensive Health Care MH - Crisis Intervention MH - *Education, Medical MH - Emergency Service, Hospital MH - Faculty, Medical MH - Follow-Up Studies MH - Humans MH - Methods MH - Patient Care Team MH - *Physician-Patient Relations MH - Psychotherapy MH - Remission, Spontaneous MH - *Teaching MH - Therapeutic Community MH - Voluntary Health Agencies IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282662 <1608. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282661 TI - Professional training on alcoholism. Workshop 2: stated course in alcoholism vs. other methods incorporating alcoholism into the curriculum. SO - Annals of the New York Academy of Sciences. 178:75-81, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:75-81, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Fine E FA - Fine, E NJ - Annals of the New York Academy of Sciences VO - 178 PG - 75-81 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism MH - Attitude of Health Personnel MH - *Curriculum MH - *Education, Medical MH - Faculty, Medical MH - Health Education MH - Humans MH - Medical History Taking MH - Methods MH - Speech MH - *Teaching MH - Time Factors MH - Voluntary Health Agencies IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282661 <1609. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282659 TI - Alcoholism training in medical schools: some pedagogical and attitudinal issues. SO - Annals of the New York Academy of Sciences. 178:66-9, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:66-9, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mendelson JH AU - Hyde AP FA - Mendelson, J H FA - Hyde, A P NJ - Annals of the New York Academy of Sciences VO - 178 PG - 66-9 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism MH - *Attitude of Health Personnel MH - Comprehensive Health Care MH - Curriculum MH - *Education, Medical MH - Financing, Organized MH - Humans MH - Methods MH - Organization and Administration MH - Quality of Health Care MH - *Teaching IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282659 <1610. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282655 TI - Professional training on alcoholism. Introduction. SO - Annals of the New York Academy of Sciences. 178:4-6, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:4-6, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seixas FA FA - Seixas, F A NJ - Annals of the New York Academy of Sciences VO - 178 PG - 4-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - Curriculum MH - *Education, Medical MH - Health Manpower MH - *Health Occupations/ed [Education] MH - Health Planning MH - Humans MH - Schools, Medical MH - United States IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282655 <1611. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282653 TI - Professional training on alcoholism. Preface. SO - Annals of the New York Academy of Sciences. 178:3, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:3, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sutton JY FA - Sutton, J Y NJ - Annals of the New York Academy of Sciences VO - 178 PG - 3 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - *Curriculum MH - *Education, Medical MH - Female MH - *Health Occupations/ed [Education] MH - Humans MH - Male MH - *Research MH - United States IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282653 <1612. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282652 TI - The program at Mount Sinai School of Medicine and implications for teaching alcoholic liver disease. SO - Annals of the New York Academy of Sciences. 178:39-42, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:39-42, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Popper H FA - Popper, H NJ - Annals of the New York Academy of Sciences VO - 178 PG - 39-42 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/co [Complications] MH - Alcoholism/ep [Epidemiology] MH - Curriculum MH - Education, Medical MH - Europe MH - *Hospitals, Teaching MH - Humans MH - Liver Cirrhosis/di [Diagnosis] MH - Liver Cirrhosis/ep [Epidemiology] MH - *Liver Cirrhosis/et [Etiology] MH - Liver Cirrhosis/pc [Prevention & Control] MH - Liver Diseases/th [Therapy] MH - New York City MH - *Schools, Medical MH - Socioeconomic Factors MH - Teaching MH - United States IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282652 <1613. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282651 TI - The program at the University of Tennessee College of Medicine. SO - Annals of the New York Academy of Sciences. 178:35-8, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:35-8, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Knott DH FA - Knott, D H NJ - Annals of the New York Academy of Sciences VO - 178 PG - 35-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Attitude of Health Personnel MH - Comprehensive Health Care MH - Curriculum MH - Education, Medical MH - Ethanol/pd [Pharmacology] MH - *Hospitals, Teaching MH - Humans MH - Prejudice MH - *Schools, Medical MH - Students, Medical MH - Tennessee RN - 3K9958V90M (Ethanol) IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282651 <1614. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282650 TI - The program at Howard University. SO - Annals of the New York Academy of Sciences. 178:32-4, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:32-4, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Coles DL FA - Coles, D L NJ - Annals of the New York Academy of Sciences VO - 178 PG - 32-4 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - Behavioral Sciences/ed [Education] MH - Comprehensive Health Care MH - Curriculum MH - District of Columbia MH - Health Planning MH - Hospitals, Teaching MH - Humans MH - National Institutes of Health (U.S.) MH - Organization and Administration MH - Research Support as Topic MH - *Schools, Medical MH - Training Support MH - United States IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20071115 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282650 <1615. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282649 TI - The alcoholism program at Yale-New Haven Medical Center. SO - Annals of the New York Academy of Sciences. 178:28-31, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:28-31, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Williams K FA - Williams, K NJ - Annals of the New York Academy of Sciences VO - 178 PG - 28-31 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - Alcoholism/co [Complications] MH - Alcoholism/rh [Rehabilitation] MH - *Alcoholism/th [Therapy] MH - Community Health Services MH - Comprehensive Health Care MH - Connecticut MH - Education, Medical MH - Emergency Service, Hospital MH - Health Planning MH - *Hospitals, Teaching MH - Humans MH - Referral and Consultation MH - *Schools, Medical MH - Voluntary Health Agencies IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282649 <1616. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282648 TI - Professional training on alcoholism. Chairman's introductory remarks. SO - Annals of the New York Academy of Sciences. 178:23, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:23, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Cornely PB FA - Cornely, P B NJ - Annals of the New York Academy of Sciences VO - 178 PG - 23 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/th [Therapy] MH - *Attitude of Health Personnel MH - Education, Medical MH - Health Education MH - Humans MH - Social Conditions MH - Social Problems MH - Social Work MH - United States IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282648 <1617. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282647 TI - Luncheon address: medical education and the problem of alcoholism. SO - Annals of the New York Academy of Sciences. 178:17-22, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:17-22, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Willard WR FA - Willard, W R NJ - Annals of the New York Academy of Sciences VO - 178 PG - 17-22 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism MH - Attitude of Health Personnel MH - Community Health Services/sd [Supply & Distribution] MH - Comprehensive Health Care MH - *Curriculum MH - Delivery of Health Care MH - *Education, Medical MH - Education, Medical, Undergraduate MH - Faculty, Medical MH - Humans MH - Organization and Administration MH - Philosophy, Medical MH - Research Support as Topic MH - Schools, Medical MH - Social Perception MH - Specialization MH - Students, Medical MH - *Teaching MH - Training Support MH - United States IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20091119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282647 <1618. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5282645 TI - Site visits to six active alcoholism programs in the New York City Area. SO - Annals of the New York Academy of Sciences. 178:101-8, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:101-8, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Sutton JY FA - Sutton, J Y NJ - Annals of the New York Academy of Sciences VO - 178 PG - 101-8 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - *Alcoholism/rh [Rehabilitation] MH - Health Facilities/sd [Supply & Distribution] MH - *Hospital Departments MH - Hospitals, General MH - Hospitals, Psychiatric MH - Hospitals, Teaching MH - Humans MH - New York City MH - *Outpatient Clinics, Hospital MH - *Rehabilitation Centers MH - Schools, Medical IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5282645 <1619. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4996708 TI - Research training in alcoholism. SO - Annals of the New York Academy of Sciences. 178:43-7, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:43-7, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Harris RT AU - McIsaac WM AU - Fabre LF FA - Harris, R T FA - McIsaac, W M FA - Fabre, L F NJ - Annals of the New York Academy of Sciences VO - 178 PG - 43-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - Alcoholism/pp [Physiopathology] MH - Alcoholism/pc [Prevention & Control] MH - *Alcoholism MH - Aldosterone/se [Secretion] MH - Animals MH - Behavior/de [Drug Effects] MH - Blood Glucose/me [Metabolism] MH - Carbon Isotopes MH - Central Nervous System/me [Metabolism] MH - Curriculum MH - Disease Models, Animal MH - *Education, Medical MH - Ethanol/me [Metabolism] MH - Ethanol/pd [Pharmacology] MH - Female MH - Gonads/pp [Physiopathology] MH - Haplorhini MH - Humans MH - Hypothalamus/pp [Physiopathology] MH - Male MH - Mice MH - Psychopathology MH - *Research MH - Substance Withdrawal Syndrome/pp [Physiopathology] RN - 0 (Blood Glucose) RN - 0 (Carbon Isotopes) RN - 3K9958V90M (Ethanol) RN - 4964P6T9RB (Aldosterone) IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4996708 <1620. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 4996707 TI - The medical student's view of alcoholism education. SO - Annals of the New York Academy of Sciences. 178:24-7, 1971 Mar 29. AS - Ann N Y Acad Sci. 178:24-7, 1971 Mar 29. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Jessee WF FA - Jessee, W F NJ - Annals of the New York Academy of Sciences VO - 178 PG - 24-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 5nm, 7506858 IO - Ann. N. Y. Acad. Sci. SB - Index Medicus CP - United States MH - Alcoholism/rh [Rehabilitation] MH - *Alcoholism MH - *Attitude of Health Personnel MH - Comprehensive Health Care MH - Curriculum MH - *Education, Medical MH - Financing, Government MH - Health Expenditures MH - Health Planning MH - Humans MH - Personal Health Services/sd [Supply & Distribution] MH - Schools, Medical MH - Social Medicine MH - *Social Problems MH - Societies, Medical MH - *Students, Medical MH - Teaching MH - United States IS - 0077-8923 IL - 0077-8923 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar 29 EZ - 1971/03/29 DA - 1971/03/29 00:01 DT - 1971/03/29 00:00 YR - 1971 ED - 19710807 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=4996707 <1621. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5103835 TI - Perinatal tips. SO - Michigan Medicine. 70(8):308, 1971 Apr. AS - Mich Med. 70(8):308, 1971 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Zavell PM FA - Zavell, P M NJ - Michigan medicine VO - 70 IP - 8 PG - 308 PI - Journal available in: Print PI - Citation processed from: Print JC - mx2, 0017314 IO - Mich Med SB - Index Medicus CP - United States MH - Adult MH - Education, Medical, Continuing MH - Female MH - Humans MH - Infant, Newborn MH - *Infant, Newborn, Diseases/et [Etiology] MH - Maternal-Fetal Exchange MH - Michigan MH - *Morphine Dependence MH - Obstetrics MH - Pregnancy MH - *Pregnancy Complications IS - 0026-2293 IL - 0026-2293 PT - Journal Article PP - ppublish LG - English DP - 1971 Apr EZ - 1971/04/01 DA - 1971/04/01 00:01 DT - 1971/04/01 00:00 YR - 1971 ED - 19710716 RD - 20091111 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5103835 <1622. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5575490 TI - Combating drug abuse in Wyoming. SO - Rocky Mountain Medical Journal. 68(4):43-6, 1971 Apr. AS - Rocky Mt Med J. 68(4):43-6, 1971 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Haller JG FA - Haller, J G NJ - Rocky Mountain medical journal VO - 68 IP - 4 PG - 43-6 PI - Journal available in: Print PI - Citation processed from: Print JC - 0404505, twx IO - Rocky Mt Med J SB - Index Medicus CP - United States MH - Education, Medical, Continuing MH - Humans MH - Jurisprudence MH - Legislation, Medical MH - Mental Health MH - *Substance-Related Disorders MH - Wyoming IS - 0035-760X IL - 0035-760X PT - Journal Article PP - ppublish LG - English DP - 1971 Apr EZ - 1971/04/01 DA - 1971/04/01 00:01 DT - 1971/04/01 00:00 YR - 1971 ED - 19710706 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5575490 <1623. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5545360 TI - Interdisciplinary alcoholism education for medical and paramedical personnel. SO - Maryland State Medical Journal. 20(3):85-8, 1971 Mar. AS - Md State Med J. 20(3):85-8, 1971 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Reading AJ AU - Brown TC FA - Reading, A J FA - Brown, T C NJ - Maryland state medical journal VO - 20 IP - 3 PG - 85-8 PI - Journal available in: Print PI - Citation processed from: Print JC - lmg, 2985229r IO - Md State Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Allied Health Personnel/ed [Education] MH - *Education, Medical MH - Humans MH - Maryland IS - 0025-4363 IL - 0025-4363 PT - Journal Article PP - ppublish LG - English DP - 1971 Mar EZ - 1971/03/01 DA - 1971/03/01 00:01 DT - 1971/03/01 00:00 YR - 1971 ED - 19710413 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5545360 <1624. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5275900 TI - Attitudes regarding alcoholism: he first-year psychiatric resident. SO - British Journal of Addiction to Alcohol & Other Drugs. 65(3):195-8, 1970 Nov. AS - Br J Addict Alcohol Other Drugs. 65(3):195-8, 1970 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Patch V AU - Ferneau E FA - Patch, V FA - Ferneau, E NJ - The British journal of addiction to alcohol and other drugs VO - 65 IP - 3 PG - 195-8 PI - Journal available in: Print PI - Citation processed from: Print JC - au8, 0372671 IO - Br J Addict Alcohol Other Drugs SB - Index Medicus CP - England MH - *Alcoholism MH - Education, Medical, Graduate MH - Humans MH - Psychiatric Status Rating Scales MH - *Psychiatry IS - 0007-0890 IL - 0007-0890 PT - Journal Article PP - ppublish LG - English DP - 1970 Nov EZ - 1970/11/01 DA - 1970/11/01 00:01 DT - 1970/11/01 00:00 YR - 1970 ED - 19710227 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5275900 <1625. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5270560 TI - Newark, narcotics, and the medical school. SO - Journal of the Medical Society of New Jersey. 67(5):207-10, 1970 May. AS - J Med Soc N J. 67(5):207-10, 1970 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wolfson EA FA - Wolfson, E A NJ - The Journal of the Medical Society of New Jersey VO - 67 IP - 5 PG - 207-10 PI - Journal available in: Print PI - Citation processed from: Print JC - j47, 7503084 IO - J Med Soc N J SB - Index Medicus CP - United States MH - Humans MH - New Jersey MH - *Schools, Medical MH - *Substance-Related Disorders/rh [Rehabilitation] IS - 0025-7524 IL - 0025-7524 PT - Journal Article PP - ppublish LG - English DP - 1970 May EZ - 1970/05/01 DA - 1970/05/01 00:01 DT - 1970/05/01 00:00 YR - 1970 ED - 19700919 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5270560 <1626. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5269964 TI - Drug abuse: The doctor's role. SO - Journal of the Medical Society of New Jersey. 67(8):465-71, 1970 Aug. AS - J Med Soc N J. 67(8):465-71, 1970 Aug. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Wolfson EA FA - Wolfson, E A NJ - The Journal of the Medical Society of New Jersey VO - 67 IP - 8 PG - 465-71 PI - Journal available in: Print PI - Citation processed from: Print JC - j47, 7503084 IO - J Med Soc N J SB - Index Medicus CP - United States MH - Amphetamine/pd [Pharmacology] MH - Barbiturates/pd [Pharmacology] MH - Diagnosis, Differential MH - Education, Medical MH - Habituation, Psychophysiologic MH - Hallucinogens/pd [Pharmacology] MH - Humans MH - Lysergic Acid Diethylamide/pd [Pharmacology] MH - Mescaline/pd [Pharmacology] MH - Narcotics/pd [Pharmacology] MH - *Physician-Patient Relations MH - Substance-Related Disorders/di [Diagnosis] MH - *Substance-Related Disorders RN - 0 (Barbiturates) RN - 0 (Hallucinogens) RN - 0 (Narcotics) RN - 8NA5SWF92O (Lysergic Acid Diethylamide) RN - CK833KGX7E (Amphetamine) RN - RHO99102VC (Mescaline) IS - 0025-7524 IL - 0025-7524 PT - Journal Article PP - ppublish LG - English DP - 1970 Aug EZ - 1970/08/01 DA - 1970/08/01 00:01 DT - 1970/08/01 00:00 YR - 1970 ED - 19700902 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5269964 <1627. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5269668 TI - Medical education and a community approach to alcoholism. SO - Rhode Island Medical Journal. 53(4):191-3 passim, 1970 Apr. AS - R I Med J. 53(4):191-3 passim, 1970 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Seixas FA FA - Seixas, F A NJ - Rhode Island medical journal VO - 53 IP - 4 PG - 191-3 passim PI - Journal available in: Print PI - Citation processed from: Print JC - rim, 7512464 IO - R I Med J SB - Index Medicus CP - United States MH - *Alcoholism MH - *Comprehensive Health Care MH - *Education, Medical MH - Humans IS - 0035-4627 IL - 0035-4627 PT - Journal Article PP - ppublish LG - English DP - 1970 Apr EZ - 1970/04/01 DA - 1970/04/01 00:01 DT - 1970/04/01 00:00 YR - 1970 ED - 19700826 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5269668 <1628. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5426241 TI - Patterns of drug use among college students: a preliminary report. SO - American Journal of Psychiatry. 127(1):15-24, 1970 Jul. AS - Am J Psychiatry. 127(1):15-24, 1970 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Mizner GL AU - Barter JT AU - Werme PH FA - Mizner, G L FA - Barter, J T FA - Werme, P H NJ - The American journal of psychiatry VO - 127 IP - 1 PG - 15-24 PI - Journal available in: Print PI - Citation processed from: Print JC - 0370512, 3vg IO - Am J Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Adolescent MH - Adult MH - Age Factors MH - Amphetamine MH - Attitude MH - Colorado MH - Drug Utilization MH - Education, Continuing MH - Education, Medical MH - Education, Nursing MH - Emotions MH - Female MH - Humans MH - Legislation, Drug MH - Lysergic Acid Diethylamide MH - Male MH - Sex Factors MH - Statistics as Topic MH - Students MH - *Substance-Related Disorders MH - Universities RN - 8NA5SWF92O (Lysergic Acid Diethylamide) RN - CK833KGX7E (Amphetamine) IS - 0002-953X IL - 0002-953X PT - Journal Article ID - 10.1176/ajp.127.1.15 [doi] PP - ppublish LG - English DP - 1970 Jul EZ - 1970/07/01 DA - 1970/07/01 00:01 DT - 1970/07/01 00:00 YR - 1970 ED - 19700821 RD - 20131121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5426241 <1629. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5412070 TI - The role of a medical society in a drug abuse program. SO - Journal of the Kentucky Medical Association. 68(2):113-4, 1970 Feb. AS - J Ky Med Assoc. 68(2):113-4, 1970 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Baron C FA - Baron, C NJ - The Journal of the Kentucky Medical Association VO - 68 IP - 2 PG - 113-4 PI - Journal available in: Print PI - Citation processed from: Print JC - iv8, 7505615 IO - J Ky Med Assoc SB - Index Medicus CP - United States MH - *Health Education MH - Humans MH - Kentucky MH - *Societies, Medical MH - *Substance-Related Disorders IS - 0023-0294 IL - 0023-0294 PT - Journal Article PP - ppublish LG - English DP - 1970 Feb EZ - 1970/02/01 DA - 1970/02/01 00:01 DT - 1970/02/01 00:00 YR - 1970 ED - 19700306 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5412070 <1630. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5812738 TI - Drug misuse and physician education. SO - Clinical Pharmacology & Therapeutics. 10(1):1-4, 1969 Jan-Feb. AS - Clin Pharmacol Ther. 10(1):1-4, 1969 Jan-Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Palmer RF FA - Palmer, R F NJ - Clinical pharmacology and therapeutics VO - 10 IP - 1 PG - 1-4 PI - Journal available in: Print PI - Citation processed from: Print JC - dhr, 0372741 IO - Clin. Pharmacol. Ther. SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Education, Medical MH - *Education, Medical, Continuing MH - Education, Pharmacy MH - Education, Pharmacy, Continuing MH - Humans MH - *Pharmacology/ed [Education] MH - *Substance-Related Disorders MH - *Toxicology/ed [Education] IS - 0009-9236 IL - 0009-9236 PT - Journal Article ID - 0009-9236(69)90002-2 [pii] PP - ppublish LG - English DP - 1969 Jan-Feb EZ - 1969/01/01 DA - 1969/01/01 00:01 DT - 1969/01/01 00:00 YR - 1969 ED - 19690402 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5812738 <1631. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5647530 TI - State-level liaison in narcotics control: a report. SO - Archives of General Psychiatry. 18(5):513-7, 1968 May. AS - Arch Gen Psychiatry. 18(5):513-7, 1968 May. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Anonymous NJ - Archives of general psychiatry VO - 18 IP - 5 PG - 513-7 PI - Journal available in: Print PI - Citation processed from: Print JC - 72c, 0372435 IO - Arch. Gen. Psychiatry SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Drug Prescriptions MH - *Drug and Narcotic Control MH - Education, Medical, Continuing MH - Health Facilities MH - Humans MH - Interprofessional Relations MH - *Legislation, Drug MH - Licensure, Medical MH - Narcotics/tu [Therapeutic Use] MH - Pharmaceutical Services/ut [Utilization] MH - Referral and Consultation MH - Substance-Related Disorders/dt [Drug Therapy] MH - Substance-Related Disorders/rh [Rehabilitation] MH - *Substance-Related Disorders MH - United States RN - 0 (Narcotics) IS - 0003-990X IL - 0003-990X PT - Journal Article PP - ppublish LG - English DP - 1968 May EZ - 1968/05/01 DA - 1968/05/01 00:01 DT - 1968/05/01 00:00 YR - 1968 ED - 19680628 RD - 20081121 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5647530 <1632. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 5234973 TI - The physician and the cigarette. Education concerning dangers of smoking essential to render habit socially unacceptable. SO - Rhode Island Medical Journal. 50(11):753-6, 1967 Nov. AS - R I Med J. 50(11):753-6, 1967 Nov. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Browning RH FA - Browning, R H NJ - Rhode Island medical journal VO - 50 IP - 11 PG - 753-6 PI - Journal available in: Print PI - Citation processed from: Print JC - rim, 7512464 IO - R I Med J SB - Index Medicus CP - United States MH - *Health Education MH - Humans MH - *Smoking IS - 0035-4627 IL - 0035-4627 PT - Journal Article PP - ppublish LG - English DP - 1967 Nov EZ - 1967/11/01 DA - 1967/11/01 00:01 DT - 1967/11/01 00:00 YR - 1967 ED - 19680210 RD - 20041117 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=5234973 <1633. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 6026470 TI - Smoking patterns and specialty training of Oregon physicians. SO - Cancer. 20(6):974-82, 1967 Jun. AS - Cancer. 20(6):974-82, 1967 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - MEDLINE AU - Weitman M AU - Meighan SS FA - Weitman, M FA - Meighan, S S NJ - Cancer VO - 20 IP - 6 PG - 974-82 PI - Journal available in: Print PI - Citation processed from: Print JC - 0374236, clz IO - Cancer SB - Core Clinical Journals (AIM) SB - Index Medicus CP - United States MH - Family Practice MH - Health Education MH - Humans MH - Oregon MH - *Physicians MH - *Smoking MH - Societies, Medical MH - Specialization MH - Surveys and Questionnaires IS - 0008-543X IL - 0008-543X PT - Journal Article PP - ppublish LG - English DP - 1967 Jun EZ - 1967/06/01 DA - 1967/06/01 00:01 DT - 1967/06/01 00:00 YR - 1967 ED - 19670804 RD - 20151119 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=med1&AN=6026470 <1634. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29792534 TI - Intensity of previous teaching but not diagnostic skills influences stigmatization of patients with substance use disorder by general practice residents. A vignette study among French final-year residents in general practice. SO - European Journal of General Practice. 24(1):160-166, 2018 Dec. AS - Eur J Gen Pract. 24(1):160-166, 2018 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Dupouy J AU - Vergnes A AU - Laporte C AU - Kinouani S AU - Auriacombe M AU - Oustric S AU - Rouge Bugat ME AI - Dupouy, Julie; ORCID: http://orcid.org/0000-0001-7801-286X AI - Kinouani, Sherazade; ORCID: http://orcid.org/0000-0003-2921-008X AI - Auriacombe, Marc; ORCID: http://orcid.org/0000-0002-8938-8683 AI - Rouge Bugat, Marie-Eve; ORCID: http://orcid.org/0000-0002-3562-5815 FA - Dupouy, Julie FA - Vergnes, Aurore FA - Laporte, Catherine FA - Kinouani, Sherazade FA - Auriacombe, Marc FA - Oustric, Stephane FA - Rouge Bugat, Marie-Eve IN - Dupouy, Julie. a Departement Universitaire de Medecine Generale , Universite de Toulouse III Paul Sabatier, Faculte de Medecine , Toulouse , France. IN - Dupouy, Julie. b Inserm UMR1027, Universite de Toulouse III Paul Sabatier, Faculte de Medecine , Toulouse , France. IN - Vergnes, Aurore. a Departement Universitaire de Medecine Generale , Universite de Toulouse III Paul Sabatier, Faculte de Medecine , Toulouse , France. IN - Laporte, Catherine. c Departement de Medecine Generale , Universite de Clermont-Ferrand, Faculte de medecine , Clermont-Ferrand , France. IN - Laporte, Catherine. d EA 7280 NPsy-Sydo, Faculte de medecine de Clermont-Ferrand, Universite d'Auvergne , Clermont-Ferrand , France. IN - Kinouani, Sherazade. e Universite de Bordeaux , Bordeaux , France. IN - Kinouani, Sherazade. f Inserm UMR1219, Neuroepidemiologie , Bordeaux , France. IN - Kinouani, Sherazade. g Departement de Medecine Generale , Universite de Bordeaux , Bordeaux , France. IN - Auriacombe, Marc. h Pole Addictologie , CH Charles Perrens et CHU de Bordeaux , Bordeaux Cedex , France. IN - Auriacombe, Marc. i Laboratoire SANPSY, CNRS USR 3413, Universite de Bordeaux, PAC Carreire , Bordeaux Cedex , France. IN - Oustric, Stephane. a Departement Universitaire de Medecine Generale , Universite de Toulouse III Paul Sabatier, Faculte de Medecine , Toulouse , France. IN - Oustric, Stephane. b Inserm UMR1027, Universite de Toulouse III Paul Sabatier, Faculte de Medecine , Toulouse , France. IN - Rouge Bugat, Marie-Eve. a Departement Universitaire de Medecine Generale , Universite de Toulouse III Paul Sabatier, Faculte de Medecine , Toulouse , France. IN - Rouge Bugat, Marie-Eve. b Inserm UMR1027, Universite de Toulouse III Paul Sabatier, Faculte de Medecine , Toulouse , France. NJ - The European journal of general practice VO - 24 IP - 1 PG - 160-166 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9513566 IO - Eur J Gen Pract CP - England KW - Substance-related disorders; attitudes; education; graduate; health knowledge; medical; practice; social stigma AB - BACKGROUND: High levels of stigma towards patients with substance use disorder (SUD) have been found in health professionals and medical students. AB - OBJECTIVES: To assess the capability of residents in general practice to diagnose SUD correctly; to assess their stigmatization of patients with SUD and to assess the correlation between both variables. We hypothesized a negative correlation. AB - METHODS: In 2014, we conducted a cross-sectional survey among French residents in general practice, using a self-administered questionnaire. First, a clinical case of SUD (tramadol) was presented, to assess the diagnosis and retained diagnostic criteria. A second clinical vignette was presented (intravenous heroin user) to assess stigmatization with the Attitudes to Mental Illness Questionnaire (AMIQ). Its score ranges from -10 (negative attitude) to +10 (positive attitude). AMIQ scores of residents who diagnosed SUD correctly versus incorrectly, and who had received at least six hours versus less than six hours of teaching on this topic, were compared using Student's t-test. AB - RESULTS: Of 1284 solicited residents, 303 participated (23.6%), 249 residents diagnosed SUD correctly (82.2%). The mean AMIQ score was -3.91 (SD 2.4) without significant difference regarding the correct diagnosis of SUD; but with a significant difference between residents who had received training in SUD for at least six hours versus residents less trained (AMIQ scores -3.76 (SD 2.46) versus -4.50 (SD 2.27), p=.0354). AB - CONCLUSION: Residents in general practice had a good capacity to diagnose SUD correctly but on average expressed negative attitudes toward people with SUD. More SUD teaching seems to help in reducing stigmatizing attitudes. ES - 1751-1402 IL - 1381-4788 DO - https://dx.doi.org/10.1080/13814788.2018.1470239 PT - Journal Article ID - 10.1080/13814788.2018.1470239 [doi] PP - ppublish LG - English DP - 2018 Dec DT - 2018/05/25 06:00 YR - 2018 RD - 20180524 UP - 20180524 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29792534 <1635. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29755581 TI - Gender differences and risk factors for smoking among patients with various psychiatric disorders in Saudi Arabia: a cross-sectional study. SO - International Journal of Mental Health Systems. 12:21, 2018. AS - Int. j. ment. health syst.. 12:21, 2018. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Alosaimi FD AU - Abalhassan M AU - Alhaddad B AU - Fallata EO AU - Alhabbad A AU - Alshenqiti R AU - Alassiry MZ AI - Alosaimi, Fahad D; ISNI: 0000 0004 1773 5396 AI - Alosaimi, Fahad D; GRID: 0000 0004 1773 5396 AI - Abalhassan, Mohammed; GRID: grid.449553.a FA - Alosaimi, Fahad D FA - Abalhassan, Mohammed FA - Alhaddad, Bandar FA - Fallata, Ebtihaj O FA - Alhabbad, Abdulhadi FA - Alshenqiti, Rabab FA - Alassiry, Mohammed Z IN - Alosaimi, Fahad D. 1Department of Psychiatry, King Saud University, # 55, King Khalid University Hospital, P.O. Box 7805, Riyadh, 11472 Saudi Arabia. IN - Abalhassan, Mohammed. 2Department of Medicine, Prince Sattam Bin Abdulaziz University, Alkharj, Saudi Arabia. IN - Alhaddad, Bandar. Department of neurosciences, Al-Imam Mohammad Bin Saud University, Riyadh, Saudi Arabia. IN - Fallata, Ebtihaj O. Mental Health Hospital, Jeddah, Saudi Arabia. IN - Alhabbad, Abdulhadi. Prince Mohammed Medical City, Aljouf, Saudi Arabia. IN - Alshenqiti, Rabab. Al-Amal Complex for Mental Health, Dammam, Saudi Arabia. IN - Alassiry, Mohammed Z. Mental Health Hospital, Abha, Saudi Arabia. NJ - International journal of mental health systems VO - 12 PG - 21 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101294224 IO - Int J Ment Health Syst CP - England KW - Antipsychotics; Current smoking; Gender; Psychiatric disorders; Saudi Arabia AB - Background: The higher prevalence of smoking among psychiatric patients is well established. However, gender-specific associations have rarely been the focus of studies among patients with various psychiatric disorders. The aim of this study was to estimate the gender-specific prevalence of current smoking by psychiatric patients and its association with various psychiatric disorders and the use of psychotropic medications. AB - Methods: A cross-sectional observational study was performed between July 2012 and June 2014. Patients were recruited from six hospitals located in the five regions of Saudi Arabia. AB - Results: Of the 1193 patients, 402 (33.7%) were current smokers. The incidence of current smoking was much higher among males than females (58.3% versus 6.7%, p<0.001). In one or both genders, current smoking was associated with marital status, education, family income, residence, obesity, physical activity, substance abuse, inpatient status, previous psychiatric hospitalization, and age at onset of psychiatric illness. In both gender, smoking was higher in patients who had a secondary psychiatric disorder (66.7% versus 37.5%, respectively), those who had a primary psychotic disorder (63.7% versus 12.3%), and those taking antipsychotic medication (64.1% versus 8.3%) but lower in patients who had a primary depressive disorder (40.3% versus 4.3%), those who had a primary anxiety disorder (45.8% versus 0.0%), and those taking antidepressant medications (53.7% versus 3.6%). In a multivariate analysis adjusted for demographic/clinical characteristics and psychiatric disorders, current smoking was independently associated with primary psychotic disorders in females (OR=3.47, 1.45-8.27, p=0.005) but not in males. In a multivariate analysis adjusted for demographic/clinical characteristics and psychotropic medications, current smoking was independently associated with antipsychotic medication use in males (OR=1.79, 1.10-2.93, p=0.020). Current smoking was strongly associated with substance abuse in both univariate and multivariate analyses. AB - Conclusion: The prevalence of current smoking is high with marked gender difference in a large sample of mixed psychiatric patients in Saudi Arabia. Smoking-cessation programs may be urgently needed for these vulnerable patients. IS - 1752-4458 IL - 1752-4458 DO - https://dx.doi.org/10.1186/s13033-018-0201-7 PT - Journal Article ID - 10.1186/s13033-018-0201-7 [doi] ID - 201 [pii] ID - PMC5934876 [pmc] PP - epublish PH - 2017/12/02 [received] PH - 2018/04/16 [accepted] LG - English EP - 20180503 DP - 2018 EZ - 2018/05/15 06:00 DA - 2018/05/15 06:01 DT - 2018/05/15 06:00 YR - 2018 RD - 20180516 UP - 20180516 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29755581 <1636. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28882458 TI - Opioid Prescribing Education in Surgical Residencies: A Program Director Survey. SO - Journal of Surgical Education. 75(3):552-556, 2018 May - Jun. AS - J Surg Educ. 75(3):552-556, 2018 May - Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Yorkgitis BK AU - Bryant E AU - Raygor D AU - Brat G AU - Smink DS AU - Crandall M FA - Yorkgitis, Brian K FA - Bryant, Elizabeth FA - Raygor, Desiree FA - Brat, Gabriel FA - Smink, Douglas S FA - Crandall, Marie IN - Yorkgitis, Brian K. Division of Acute Care Surgery, University of Florida College of Medicine, Jacksonville, Florida. Electronic address: Brian.yorkgitis2@jax.ufl.edu. IN - Bryant, Elizabeth. Brigham and Women's Hospital, Trauma, Burns, and Surgical Critical Care, Boston, Massachusetts. IN - Raygor, Desiree. Division of Acute Care Surgery, University of Florida College of Medicine, Jacksonville, Florida. IN - Brat, Gabriel. Beth Israel Deaconess Medical Center, Acute Care Surgery, Boston, Massachusetts. IN - Smink, Douglas S. Department of Surgery, Brigham and Women's Hospital, Boston, Massachusetts. IN - Crandall, Marie. Division of Acute Care Surgery, University of Florida College of Medicine, Jacksonville, Florida. NJ - Journal of surgical education VO - 75 IP - 3 PG - 552-556 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101303204 IO - J Surg Educ CP - United States KW - Patient Care; Practice-Based Learning and Improvement; Systems-Based Practice; opioid education; opioid prescribing; surgical residency AB - BACKGROUND: Opioid abuse and misuse is a public health crisis. A national effort to reduce this phenomenon is ongoing. Residents represent a large pool of opioid prescribers but, are often not the target for opioid prescribing education (OPE). We developed a survey to assess current opioid prescribing practices and education among surgical residents. AB - STUDY DESIGN: An Institutional Review Board and Association of Program Directors in Surgery approved survey was electronically mailed to surgical program directors (PDs). The survey included questions regarding residency type, location, number of graduates per year, perceived value of OPE, residency policy on prescribing outpatients controlled substances, presence of OPE, and preferred method of OPE. AB - MATERIALS AND METHODS: A total of 248 PDs were e-mailed the survey with 110 complete responses (44.4%). Of all 104 (94.5%) allow residents to prescribe outpatient opioids with 24 (23.1%) limiting the opioid class prescribed. A total of 29 (27.9%) programs require residents to obtain their own Drug Enforcement Administration registration. Only 22 (20.0%) programs had in place mandatory OPE, 7 (6.4%) PDs were unsure if OPE was a mandatory educational requirement. Furthermore, 70 (79.5%) of programs currently without OPE are considering adding it. Didactic lecture (18, 81.8%) is the most common modality for OPE. The mode time dedicated to OPE was 1 hour. When PDs were asked about which method would be best to deliver OPE, the most common response was case-based scenarios (39, 35.5%). Bivariate statistics were performed and no association was found between OPE and program characteristics'. AB - CONCLUSIONS: Most surgical residency programs allow residents to prescribe outpatient opioids, very few require OPE. The most common method of OPE was didactic lectures. To enhance a resident's knowledge in prescribing opioids, programs should incorporate OPE into their curriculum. Copyright © 2017 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved. ES - 1878-7452 IL - 1878-7452 DI - S1931-7204(17)30500-7 DO - https://dx.doi.org/10.1016/j.jsurg.2017.08.023 PT - Journal Article ID - S1931-7204(17)30500-7 [pii] ID - 10.1016/j.jsurg.2017.08.023 [doi] PP - ppublish PH - 2017/07/12 [received] PH - 2017/08/20 [accepted] LG - English EP - 20170904 DP - 2018 May - Jun EZ - 2017/09/09 06:00 DA - 2017/09/09 06:00 DT - 2017/09/09 06:00 YR - 2018 RD - 20180514 UP - 20180514 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28882458 <1637. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29511970 TI - Substance Use in Medical Trainees: Current Problems and Future Directions. SO - Academic Psychiatry. 42(3):438-439, 2018 Jun. AS - Acad Psychiatry. 42(3):438-439, 2018 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Horien C AU - Athar W AU - Grossetta Nardini HK AU - Grunschel B FA - Horien, Corey FA - Athar, Wardah FA - Grossetta Nardini, Holly K FA - Grunschel, Beth IN - Horien, Corey. Yale University School of Medicine, New Haven, CT, USA. corey.horien@yale.edu. IN - Athar, Wardah. Yale University School of Medicine, New Haven, CT, USA. IN - Grossetta Nardini, Holly K. Yale University School of Medicine, New Haven, CT, USA. IN - Grunschel, Beth. Yale University 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 - 42 IP - 3 PG - 438-439 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry CP - United States ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-018-0898-2 PT - Letter ID - 10.1007/s40596-018-0898-2 [doi] ID - 10.1007/s40596-018-0898-2 [pii] ID - PMC5943170 [pmc] ID - NIHMS948740 [mid] PP - ppublish PH - 2018/01/28 [received] PH - 2018/02/19 [accepted] GI - No: T32 GM007205 Organization: (GM) *NIGMS NIH HHS* Country: United States GI - No: T32GM007205 Organization: *National Institutes of Health* LG - English EP - 20180306 DP - 2018 Jun PQ - 2019/06/01 EZ - 2018/03/08 06:00 DA - 2018/03/08 06:00 DT - 2018/03/08 06:00 YR - 2018 RD - 20180511 UP - 20180511 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29511970 <1638. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29423826 TI - Help Wanted: Medical Educators in Addiction Psychiatry. SO - Academic Psychiatry. 42(2):273-276, 2018 Apr. AS - Acad Psychiatry. 42(2):273-276, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Frances R FA - Frances, Richard IN - Frances, Richard. New York University Medical School, New York, NY, USA. rfrancesmd@gmail.com. IN - Frances, Richard. Rutgers Medical School, Newark, NJ, USA. rfrancesmd@gmail.com. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 42 IP - 2 PG - 273-276 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry CP - United States ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-018-0888-4 PT - Journal Article ID - 10.1007/s40596-018-0888-4 [doi] ID - 10.1007/s40596-018-0888-4 [pii] PP - ppublish PH - 2018/01/15 [received] PH - 2018/01/19 [accepted] LG - English EP - 20180208 DP - 2018 Apr EZ - 2018/02/10 06:00 DA - 2018/02/10 06:00 DT - 2018/02/10 06:00 YR - 2018 RD - 20180509 UP - 20180509 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29423826 <1639. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29302930 TI - Description of a Comprehensive Addiction Rotation at a Psychiatry Residency Program. SO - Academic Psychiatry. 42(2):313-316, 2018 Apr. AS - Acad Psychiatry. 42(2):313-316, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Arnaout B AU - Muvvala S AU - Rohrbaugh R AU - Petrakis I AI - Arnaout, Bachaar; ORCID: http://orcid.org/0000-0002-6441-1330 FA - Arnaout, Bachaar FA - Muvvala, Srinivas FA - Rohrbaugh, Robert FA - Petrakis, Ismene IN - Arnaout, Bachaar. Yale School of Medicine, New Haven, CT, USA. bachaar.arnaout@yale.edu. IN - Muvvala, Srinivas. Yale School of Medicine, New Haven, CT, USA. IN - Rohrbaugh, Robert. Yale School of Medicine, New Haven, CT, USA. IN - Petrakis, Ismene. 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 - 42 IP - 2 PG - 313-316 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry CP - United States ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-017-0858-2 PT - Journal Article ID - 10.1007/s40596-017-0858-2 [doi] ID - 10.1007/s40596-017-0858-2 [pii] PP - ppublish PH - 2017/10/02 [received] PH - 2017/11/10 [accepted] LG - English EP - 20180104 DP - 2018 Apr EZ - 2018/01/06 06:00 DA - 2018/01/06 06:00 DT - 2018/01/06 06:00 YR - 2018 RD - 20180509 UP - 20180509 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29302930 <1640. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29708863 TI - Addressing the growing opioid and heroin abuse epidemic: a call for medical school curricula. SO - Medical Education Online. 23(1):1466574, 2018 Dec. AS - Med. educ. online. 23(1):1466574, 2018 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Ratycz MC AU - Papadimos TJ AU - Vanderbilt AA AI - Vanderbilt, Allison A; ORCID: http://orcid.org/0000-0002-9758-7180 FA - Ratycz, Madison C FA - Papadimos, Thomas J FA - Vanderbilt, Allison A IN - Ratycz, Madison C. a College of Medicine and Life Sciences , University of Toledo , Toledo , OH , USA. IN - Papadimos, Thomas J. b Simulation Center Department of Anesthesiology, College of Medicine and the Life Sciences , University of Toledo , Toledo , OH , USA. IN - Vanderbilt, Allison A. c Curriculum Evaluation and Innovation, Family Medicine, College of Medicine and Life Sciences , University of Toledo , Toledo , OH , USA. NJ - Medical education online VO - 23 IP - 1 PG - 1466574 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9806550 IO - Med Educ Online CP - United States KW - LCME; Medical education; curriculum; heroin; opioid AB - Substance abuse is a growing public health concern in the USA (US), especially now that the US faces a national drug overdose epidemic. Over the past decade, the number of drug overdose deaths has rapidly grown, largely driven by increases in prescription opioid-related overdoses. In recent years, increased heroin and illicitly manufactured fentanyl overdoses have substantially contributed to the rise of overdose deaths. Given the role of physicians in interacting with patients who are at risk for or currently abusing opioids and heroin, it is essential that physicians are aware of this issue and know how to respond. Unfortunately, medical school curricula do not devote substantial time to addiction education and many physicians lack knowledge regarding assessment and management of opioid addiction. While some schools have modified curricula to include content related to opioid prescription techniques and pain management, an added emphasis about the growing role of heroin and fentanyl is needed to adequately address the epidemic. By adapting curricula to address the rising opioid and heroin epidemic, medical schools have the potential to ensure that our future physicians can effectively recognize the signs, symptoms, and risks of opioid/heroin abuse and improve patient outcomes. This article proposes ways to include heroin and fentanyl education into medical school curricula and highlights the potential of simulation-based medical education to enable students to develop the skillset and emotional intelligence necessary to work with patients struggling with opioid and heroin addiction. This will result in future doctors who are better prepared to both prevent and recognize opioid and heroin addiction in patients, an important step in helping reduce the number of addicted patients and address the drug overdose epidemic. ES - 1087-2981 IL - 1087-2981 DO - https://dx.doi.org/10.1080/10872981.2018.1466574 PT - Journal Article ID - 10.1080/10872981.2018.1466574 [doi] ID - PMC5933286 [pmc] PP - ppublish LG - English DP - 2018 Dec EZ - 2018/05/01 06:00 DA - 2018/05/01 06:00 DT - 2018/05/01 06:00 YR - 2018 RD - 20180508 UP - 20180508 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29708863 <1641. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29700626 TI - The Use of Smartphones in Different Phases of Medical School and its Relationship to Internet Addiction and Learning Approaches. SO - Journal of Medical Systems. 42(6):106, 2018 Apr 26. AS - J Med Syst. 42(6):106, 2018 Apr 26. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Loredo E Silva MP AU - de Souza Matos BD AU - da Silva Ezequiel O AU - Lucchetti ALG AU - Lucchetti G AI - Lucchetti, Giancarlo; ORCID: http://orcid.org/0000-0002-5384-9476 FA - Loredo E Silva, Mathias Paulo FA - de Souza Matos, Brenda Dutra FA - da Silva Ezequiel, Oscarina FA - Lucchetti, Alessandra Lamas Granero FA - Lucchetti, Giancarlo IN - Loredo E Silva, Mathias Paulo. School of Medicine, Federal University of Juiz de Fora, Avenida Eugenio do Nascimento s/n - Dom Bosco, Juiz de Fora, Brazil. IN - de Souza Matos, Brenda Dutra. School of Medicine, Federal University of Juiz de Fora, Avenida Eugenio do Nascimento s/n - Dom Bosco, Juiz de Fora, Brazil. IN - da Silva Ezequiel, Oscarina. School of Medicine, Federal University of Juiz de Fora, Avenida Eugenio do Nascimento s/n - Dom Bosco, Juiz de Fora, Brazil. IN - Lucchetti, Alessandra Lamas Granero. School of Medicine, Federal University of Juiz de Fora, Avenida Eugenio do Nascimento s/n - Dom Bosco, Juiz de Fora, Brazil. IN - Lucchetti, Giancarlo. School of Medicine, Federal University of Juiz de Fora, Avenida Eugenio do Nascimento s/n - Dom Bosco, Juiz de Fora, Brazil. g.lucchetti@yahoo.com.br. NJ - Journal of medical systems VO - 42 IP - 6 PG - 106 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - izm, 7806056 IO - J Med Syst CP - United States KW - Applications (apps); Digital addiction; Medical students; Mobile devices AB - The use of smartphones is revolutionizing the way information is acquired, leading to profound modifications in teaching medicine. Nevertheless, inadvertent use can negatively affect student learning. The present study aims to evaluate smartphone use in the educational context as well as Internet addiction and its repercussions on surface and deep learning and to compare them during the different phases of medical students' education. This is a cross-sectional study involving medical students in all phases of education. Sociodemographic data, type and frequency of smartphone use, degree of digital addiction (Internet Addiction Test - IAT), and surface and deep approaches to learning (Biggs) were analyzed. A total of 710 students were included. Almost all students had a smartphone and a total of 96.8% used it during lectures, classes, and meetings. Less than half of the students (47.3%) reported using a smartphone for more than 10 min for educational purposes, a usage that is higher among clerkship students. At least 95% reported using a smartphone in the classroom for activities not related to medicine (social media and searching for general information) and 68.2% were considered problematic Internet users according to the IAT. The most common reasons for noneducational use were that the class was uninteresting, students needed to receive or make an important call, and the educational strategy was not stimulating. The "frequency of smartphone use" and higher "internet addiction" were correlated to both higher levels of surface learning and lower levels of deep learning. Educators should advise and educate their students about conscientious use of this tool to avoid detrimental impact on the learning process. ES - 1573-689X IL - 0148-5598 DO - https://dx.doi.org/10.1007/s10916-018-0958-x PT - Journal Article ID - 10.1007/s10916-018-0958-x [doi] ID - 10.1007/s10916-018-0958-x [pii] PP - epublish PH - 2017/12/11 [received] PH - 2018/04/16 [accepted] LG - English EP - 20180426 DP - 2018 Apr 26 EZ - 2018/04/28 06:00 DA - 2018/04/28 06:00 DT - 2018/04/28 06:00 YR - 2018 RD - 20180430 UP - 20180430 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29700626 <1642. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28986710 TI - Scientism in Medical Education and the Improvement of Medical Care: Opioids, Competencies, and Social Accountability. SO - Health Care Analysis. 26(2):155-170, 2018 Jun. AS - Health Care Anal. 26(2):155-170, 2018 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Reid L AI - Reid, Lynette; ORCID: http://orcid.org/0000-0002-3709-5061 FA - Reid, Lynette IN - Reid, Lynette. Department of Bioethics, Dalhousie University, PO Box 15000, Halifax, NS, B3H 4R2, Canada. Lynette.Reid@dal.ca. NJ - Health care analysis : HCA : journal of health philosophy and policy VO - 26 IP - 2 PG - 155-170 PI - Journal available in: Print PI - Citation processed from: Internet JC - b0l, 9432537 IO - Health Care Anal CP - Netherlands KW - Health equity; Medical education; Opioid prescribing; Professionalism; Scientism; Social accountability AB - Scientism in medical education distracts educators from focusing on the content of learning; it focuses attention instead on individual achievement and validity in its measurement. I analyze the specific form that scientism takes in medicine and in medical education. The competencies movement attempts to challenge old "scientistic" views of the role of physicians, but in the end it has invited medical educators to focus on validity in the measurement of individual performance for attitudes and skills that medicine resists conceptualizing as objective. Academic medicine should focus its efforts instead on quality and relevance of care. The social accountability movement proposes to shift the focus of academic medicine to the goal of high quality and relevant care in the context of community service and partnership with the institutions that together with medicine create and cope with health and with health deficits. I make the case for this agenda through a discussion of the linked histories of the opioid prescribing crisis and the professionalism movement. ES - 1573-3394 IL - 1065-3058 DO - https://dx.doi.org/10.1007/s10728-017-0351-9 PT - Journal Article ID - 10.1007/s10728-017-0351-9 [doi] ID - 10.1007/s10728-017-0351-9 [pii] PP - ppublish LG - English DP - 2018 Jun EZ - 2017/10/08 06:00 DA - 2017/10/08 06:00 DT - 2017/10/08 06:00 YR - 2018 RD - 20180420 UP - 20180420 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28986710 <1643. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29204977 TI - Managing Concerning Behaviors in Patients Prescribed Opioids for Chronic Pain: A Delphi Study. SO - Journal of General Internal Medicine. 33(2):166-176, 2018 Feb. AS - J Gen Intern Med. 33(2):166-176, 2018 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Merlin JS AU - Young SR AU - Starrels JL AU - Azari S AU - Edelman EJ AU - Pomeranz J AU - Roy P AU - Saini S AU - Becker WC AU - Liebschutz JM FA - Merlin, Jessica S FA - Young, Sarah R FA - Starrels, Joanna L FA - Azari, Soraya FA - Edelman, E Jennifer FA - Pomeranz, Jamie FA - Roy, Payel FA - Saini, Shalini FA - Becker, William C FA - Liebschutz, Jane M IN - Merlin, Jessica S. Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA. merlinjs@pitt.edu. IN - Merlin, Jessica S. Division of Gerontology, Geriatrics, and Palliative Care, University of Alabama at Birmingham, Birmingham, AL, USA. merlinjs@pitt.edu. IN - Young, Sarah R. Division of Infectious Diseases, University of Alabama at Birmingham, Birmingham, AL, USA. IN - Young, Sarah R. Department of Social Work, College of Community and Public Affairs, Binghamton University, Binghamton, NY, USA. IN - Starrels, Joanna L. Division of General Internal Medicine, Albert Einstein College of Medicine and Montefiore Medical Center, Bronx, NY, USA. IN - Azari, Soraya. Division of General Internal Medicine, San Francisco General Hospital, University of California San Francisco, San Francisco, CA, USA. IN - Edelman, E Jennifer. Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA. IN - Pomeranz, Jamie. Department of Occupational Therapy, University of Florida, Gainesville, FL, USA. IN - Roy, Payel. Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. IN - Saini, Shalini. Department of Medicine, Information Technology, University of Alabama at Birmingham, Birmingham, AL, USA. IN - Becker, William C. Department of Internal Medicine, Yale University School of Medicine, New Haven, CT, USA. IN - Becker, William C. VA Connecticut Healthcare System, West Haven, CT, USA. IN - Liebschutz, Jane M. Clinical Addiction Research and Education (CARE) Unit, Section of General Internal Medicine, Boston Medical Center, Boston University School of Medicine, Boston, MA, USA. NJ - Journal of general internal medicine VO - 33 IP - 2 PG - 166-176 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med CP - United States AB - BACKGROUND: Current guideline-recommended monitoring of patients prescribed long-term opioid therapy (LTOT) for chronic pain will likely result in increased identification of behaviors of concern for misuse and addiction, but there is a dearth of empiric evidence about how these behaviors should be managed. AB - OBJECTIVE: To establish expert consensus about treatment approaches for common and challenging concerning behaviors that arise among patients on LTOT. AB - DESIGN: We used a Delphi approach, which allows for generation of consensus. AB - PARTICIPANTS: Participants were clinical experts in chronic pain and opioid prescribing recruited from professional societies and other expert groups. AB - MAIN MEASURES: The Delphi process was conducted online, and consisted of an initial brainstorming round to identify common and challenging behaviors, a second round to identify management strategies for each behavior, and two rounds to establish consensus and explore disagreement/uncertainty. AB - KEY RESULTS: Forty-two participants completed round 1, 22 completed round 2, 30 completed round 3, and 28 completed round 4. Half of round 1 participants were female (52%), and the majority were white (83%). Most (71%) were physicians, and most participants practiced in academic primary (40%) or specialty care (19%).The most frequently cited common and challenging behaviors were missing appointments, taking opioids for symptoms other than pain, using more opioid medication than prescribed, asking for an increase in opioid dose, aggressive behavior, and alcohol and other substance use. Across behaviors, participants agreed that patient education and information gathering were important approaches. Participants also agreed that stopping opioids is not important initially, but if initial approaches do not work, tapering opioids and stopping opioids immediately may become important approaches. AB - CONCLUSIONS: This study presents clinical expert consensus on how to manage concerning behaviors among patients on LTOT. Future research is needed to investigate how implementing these management strategies would impact patient outcomes, practice and policy. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-017-4211-y PT - Journal Article ID - 10.1007/s11606-017-4211-y [doi] ID - 10.1007/s11606-017-4211-y [pii] ID - PMC5789105 [pmc] PP - ppublish PH - 2017/04/28 [received] PH - 2017/10/25 [accepted] PH - 2017/09/12 [revised] GI - No: UL1 TR001863 Organization: (TR) *NCATS NIH HHS* Country: United States LG - English EP - 20171204 DP - 2018 Feb PQ - 2019/02/01 EZ - 2017/12/06 06:00 DA - 2017/12/06 06:00 DT - 2017/12/06 06:00 YR - 2018 RD - 20180417 UP - 20180417 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29204977 <1644. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29094624 TI - Why medical students need addictions training. SO - Medical Teacher. 40(4):421-422, 2018 Apr. AS - Med Teach. 40(4):421-422, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Cantone RE FA - Cantone, Rebecca E IN - Cantone, Rebecca E. a Department of Family Medicine , Oregon Health and Science University , Portland , OR , USA. NJ - Medical teacher VO - 40 IP - 4 PG - 421-422 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 7909593, mf9 IO - Med Teach CP - England AB - Current medical students will be tasked at attempting to resolve the opioid epidemic in the United States that has been created by generations before them. This article will address one educator's view on the current state of training addiction treatment skills to medical students. ES - 1466-187X IL - 0142-159X DO - https://dx.doi.org/10.1080/0142159X.2017.1393050 PT - Journal Article ID - 10.1080/0142159X.2017.1393050 [doi] PP - ppublish LG - English EP - 20171102 DP - 2018 Apr EZ - 2017/11/03 06:00 DA - 2017/11/03 06:00 DT - 2017/11/03 06:00 YR - 2018 RD - 20180417 UP - 20180417 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29094624 <1645. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29324253 TI - A qualitative study comparing physician-reported barriers to treating addiction using buprenorphine and extended-release naltrexone in U.S. office-based practices. SO - International Journal of Drug Policy. 54:9-17, 2018 Apr. AS - Int J Drug Policy. 54:9-17, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Andraka-Christou B AU - Capone MJ FA - Andraka-Christou, Barbara FA - Capone, Matthew J IN - Andraka-Christou, Barbara. Department of Health Management & Informatics, College of Health & Public Affairs, University of Central Florida-Orlando, FL, United States. Electronic address: barbara.andraka@ucf.edu. IN - Capone, Matthew J. Department of Biology, College of Arts & Sciences, Indiana University-Bloomington, IN, United States. NJ - The International journal on drug policy VO - 54 PG - 9-17 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9014759 IO - Int. J. Drug Policy CP - Netherlands KW - Buprenorphine; Extended-release naltrexone; Medication-assisted treatment; Opioid use disorder AB - AIM: Our aim was to compare physician-reported barriers to sublingual buprenorphine (BUP) and extended-release naltrexone (XR-NLT) prescribing in U.S. office-based practices, and to identify potential policies for minimizing these barriers. Only one previous qualitative study has examined physician-reported barriers to prescribing XR-NLT and no qualitative study has compared physician-reported barriers between the two medications. AB - METHODS: Researchers conducted individual semi-structured and in-depth interviews with 20 licensed physicians in four U.S. states between January 2016 and May 2017. Interview questions included general barriers to addiction treatment in office-based settings, barriers specific to BUP and XR-NLT prescribing, and potential government policies to decrease barriers. Researchers conducted thematic analysis of transcribed interviews. They developed and pilot tested a coding template based on a sample of transcripts, independently coded transcripts in Dedoose software, conducted consensus coding to eliminate coding discrepancies, and then assessed data for themes using research questions as a guide. AB - RESULTS: General barriers to office-based OUD treatment included limited physician education, limited insurance reimbursement, stigma, and perceptions of "difficult" patients. Barriers specific to BUP prescribing included regulatory restrictions, liability fears, and restrictions imposed by the criminal justice system. Barriers specific to XR-NLT prescribing included limited access to medically-supervised opioid detoxification, lack of awareness of the medication, and patient fears or disinterest. Participants without experience prescribing either medication emphasized barriers to treating OUD in general. Participants with experience prescribing BUP and/or XR-NLT described barriers to treating OUD in general as well as barriers specific to each medication. Policy makers should increase access to addiction medicine education, mandate insurance coverage of both medications and inpatient detoxification, prohibit excessive insurance prior authorization requirements, increase insurance reimbursement for behavioral healthcare, and incentivize interdisciplinary collaboration. AB - CONCLUSIONS: While overlap exists, some barriers to BUP prescribing differ from barriers to XR-NLT prescribing. Copyright © 2017. Published by Elsevier B.V. ES - 1873-4758 IL - 0955-3959 DI - S0955-3959(17)30350-X DO - https://dx.doi.org/10.1016/j.drugpo.2017.11.021 PT - Journal Article ID - S0955-3959(17)30350-X [pii] ID - 10.1016/j.drugpo.2017.11.021 [doi] PP - ppublish PH - 2017/09/10 [received] PH - 2017/11/23 [revised] PH - 2017/11/27 [accepted] LG - English EP - 20180108 DP - 2018 Apr EZ - 2018/01/13 06:00 DA - 2018/01/13 06:00 DT - 2018/01/12 06:00 YR - 2018 RD - 20180414 UP - 20180416 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29324253 <1646. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29536394 TI - The Opioid Epidemic as a Watershed Moment for Physician Training in Addiction Medicine. SO - Academic Psychiatry. 42(2):269-272, 2018 Apr. AS - Acad Psychiatry. 42(2):269-272, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Lembke A AU - Humphreys K FA - Lembke, Anna FA - Humphreys, Keith IN - Lembke, Anna. Stanford University, Stanford, CA, USA. alembke@stanford.edu. IN - Humphreys, Keith. Stanford University, Stanford, CA, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 42 IP - 2 PG - 269-272 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry CP - United States ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-018-0892-8 PT - Journal Article ID - 10.1007/s40596-018-0892-8 [doi] ID - 10.1007/s40596-018-0892-8 [pii] PP - ppublish PH - 2018/01/30 [received] PH - 2018/02/02 [accepted] LG - English EP - 20180313 DP - 2018 Apr EZ - 2018/03/15 06:00 DA - 2018/03/15 06:00 DT - 2018/03/15 06:00 YR - 2018 RD - 20180411 UP - 20180411 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29536394 <1647. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28776146 TI - A Focused Addiction Curriculum and Its Impact on Student Knowledge, Attitudes, and Confidence in the Treatment of Patients with Substance Use. SO - Academic Psychiatry. 42(2):304-308, 2018 Apr. AS - Acad Psychiatry. 42(2):304-308, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Feeley RJ AU - Moore DT AU - Wilkins K AU - Fuehrlein B FA - Feeley, Robert J FA - Moore, David T FA - Wilkins, Kirsten FA - Fuehrlein, Brian IN - Feeley, Robert J. Yale School of Medicine, New Haven, CT, USA. robjfeeley@gmail.com. IN - Moore, David T. Yale School of Medicine, New Haven, CT, USA. IN - Wilkins, Kirsten. Yale School of Medicine, New Haven, CT, USA. IN - Fuehrlein, Brian. 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 - 42 IP - 2 PG - 304-308 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry CP - United States KW - Addiction; Attitudes; Curriculum; Medical student AB - BACKGROUND: Assessment of attitudes towards addiction in medical students has largely gone unexplored. This study examines the impact of a supplemental substance use disorder curriculum in the psychiatry clerkship on medical student attitudes towards addiction. AB - METHODS: The curriculum was only administered to students at one clerkship site. Subsequently, medical students were surveyed across all sites regarding their attitudes towards addiction. AB - RESULTS: The survey response rate was 37.5% (N = 75/200), with 25 (33%) completing the supplemental addiction curriculum. In bivariate analysis, medical students receiving the curriculum were more likely to express confidence in managing patients with alcohol and opiate use disorders (T = 2.01, p = 0.05) and were more knowledgeable about Alcoholics Anonymous (AA) as a treatment option available to patients (T = 2.27, p = 0.03). AB - CONCLUSIONS: A supplemental addiction curriculum can improve medical student confidence in managing substance-using patients as well as improve knowledge of AA. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-017-0771-8 PT - Journal Article ID - 10.1007/s40596-017-0771-8 [doi] ID - 10.1007/s40596-017-0771-8 [pii] PP - ppublish PH - 2016/09/18 [received] PH - 2017/06/29 [accepted] LG - English EP - 20170803 DP - 2018 Apr EZ - 2017/08/05 06:00 DA - 2017/08/05 06:00 DT - 2017/08/05 06:00 YR - 2018 RD - 20180411 UP - 20180411 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28776146 <1648. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28386856 TI - Change in Medical Student Attitudes Toward Patients with Substance Use Disorders After Course Exposure. SO - Academic Psychiatry. 42(2):283-287, 2018 Apr. AS - Acad Psychiatry. 42(2):283-287, 2018 Apr. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Koyi MB AU - Nelliot A AU - MacKinnon D AU - Rastegar DA AU - Fingerhood M AU - Alvanzo A AU - Feldman L AU - Neufeld KJ FA - Koyi, Makeida B FA - Nelliot, Archana FA - MacKinnon, Dean FA - Rastegar, Darius A FA - Fingerhood, Michael FA - Alvanzo, Anika FA - Feldman, Leonard FA - Neufeld, Karin J IN - Koyi, Makeida B. Johns Hopkins University School of Medicine, Baltimore, MD, USA. mkoyi1@jhmi.edu. IN - Nelliot, Archana. Johns Hopkins University School of Medicine, Baltimore, MD, USA. IN - MacKinnon, Dean. Johns Hopkins University School of Medicine, Baltimore, MD, USA. IN - Rastegar, Darius A. Johns Hopkins University School of Medicine, Baltimore, MD, USA. IN - Fingerhood, Michael. Johns Hopkins University School of Medicine, Baltimore, MD, USA. IN - Alvanzo, Anika. Johns Hopkins University School of Medicine, Baltimore, MD, USA. IN - Feldman, Leonard. Johns Hopkins University School of Medicine, Baltimore, MD, USA. IN - Neufeld, Karin J. Johns Hopkins University School of Medicine, Baltimore, MD, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry VO - 42 IP - 2 PG - 283-287 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry CP - United States KW - Attitude of health personnel; Medical education; Substance-related disorders AB - OBJECTIVE: Negative physician attitudes toward patients with substance use disorders (SUD) pose a significant barrier to treatment. This study tests the overall and intra-individual change in attitudes of second year medical students after exposure to a 15 hour SUD course. AB - METHODS: Two cohorts of second year medical students (2014 and 2015) responded to an anonymous 13-item previously published survey exploring personal views regarding patients with SUD using a four-point Likert scale. Students were surveyed one day before and up to one month after course completion. Survey items were grouped into the following categories: treatment optimism/confidence in intervention, moralism, and stereotyping. The Wilcoxon nonparametric signed-rank test (alpha=0.05) was used to compare the pre- and post- survey responses. AB - RESULTS: In 2014 and 2015 respectively, 118 and 120 students participated in the SUD course with pre- and post-response rates of 89.0% and 75.4% in 2014 and 95.8% and 97.5% in 2015. Of the 13 survey questions, paired responses to eight questions showed a statistically significant positive change in attitudes with a medium (d = 0.5) to large effect size (d = 0.8). Items focused on treatment optimism and confidence in treatment intervention reflected a positive attitude change, as did items associated with stereotyping and moralism. AB - CONCLUSIONS: These results support the hypothesis that exposure to a course on SUD was associated with positive change in medical students' attitudes toward patients with SUD. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-017-0702-8 PT - Journal Article ID - 10.1007/s40596-017-0702-8 [doi] ID - 10.1007/s40596-017-0702-8 [pii] PP - ppublish PH - 2016/09/23 [received] PH - 2017/03/01 [accepted] LG - English EP - 20170406 DP - 2018 Apr EZ - 2017/04/08 06:00 DA - 2017/04/08 06:00 DT - 2017/04/08 06:00 YR - 2018 RD - 20180411 UP - 20180411 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28386856 <1649. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29459328 TI - Risk of fentanyl-involved overdose among those with past year incarceration: Findings from a recent outbreak in 2014 and 2015. SO - Drug & Alcohol Dependence. 185:189-191, 2018 Apr 01. AS - Drug Alcohol Depend. 185:189-191, 2018 Apr 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Brinkley-Rubinstein L AU - Macmadu A AU - Marshall BDL AU - Heise A AU - Ranapurwala SI AU - Rich JD AU - Green TC FA - Brinkley-Rubinstein, Lauren FA - Macmadu, Alexandria FA - Marshall, Brandon D L FA - Heise, Andrew FA - Ranapurwala, Shabbar I FA - Rich, Josiah D FA - Green, Traci C IN - Brinkley-Rubinstein, Lauren. Department of Social Medicine, University of North Carolina, 333 S. Columbia St., Chapel Hill, NC 27516, USA; Center for Health Equity Research, University of North Carolina at Chapel Hill, 335 S. Columbia St., Chapel Hill, NC 27516, USA. Electronic address: Lauren_Brinkley@med.unc.edu. IN - Macmadu, Alexandria. Center for Prisoner Health and Human Rights, The Miriam Hospital, 8 Third St., 2nd floor, Providence, RI 02906, USA; Department of Health Services, Policy and Practice, Brown University School of Public Health, 121 South Main St., Providence, RI 02903, USA. IN - Marshall, Brandon D L. Department of Epidemiology, Brown University School of Public Health, 121 South Main St., Providence, RI 02903, USA. IN - Heise, Andrew. Center for Health Equity Research, University of North Carolina at Chapel Hill, 335 S. Columbia St., Chapel Hill, NC 27516, USA. IN - Ranapurwala, Shabbar I. Department of Epidemiology, University of North Carolina, 135 Dauer Dr., Chapel Hill, NC 27599, USA. IN - Rich, Josiah D. Center for Prisoner Health and Human Rights, The Miriam Hospital, 8 Third St., 2nd floor, Providence, RI 02906, USA; Department of Epidemiology, Brown University School of Public Health, 121 South Main St., Providence, RI 02903, USA. IN - Green, Traci C. Department of Emergency Medicine, Boston University, 1 Boston Medical Center Pl., Boston, MA 02118, USA; Injury Prevention Research Center, Boston University, 1 Boston Medical Center Pl., Boston, MA 02118, USA. NJ - Drug and alcohol dependence VO - 185 PG - 189-191 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - ebs, 7513587 IO - Drug Alcohol Depend CP - Ireland KW - Fentanyl; Incarceration; Overdose AB - Overdose is the leading cause of unintentional injury-related death. Rhode Island (RI) has the highest rate of illicit drug use nationally and the 5th highest overdose mortality rate. RI has experienced an outbreak of fentanyl-related overdoses. In incarcerated populations, risk of overdose is greatly elevated. However, little is known about fentanyl-related overdose post-release. In the current analyses, we identify changes in fentanyl-related fatal overdose among those who died in 2014 and 2015 who were incarcerated in the year before death. We linked data from the RI Office of the Medical Examiner with records from the RI Department of Corrections. We calculated risk ratios and 95% confidence intervals using log-binomial regression to compare risk of fentanyl-involved overdose death. We also compared median time to death since release, median sentence length, and median number of incarcerations in 2014 and 2015. Results indicate that the risk of dying of a fentanyl-related overdose increased (RR: 1.99 (95% CI: 1.11-3.57, p=0.014)) from 2014 to 2015 among those with past year incarceration. This study is one of the first to describe fentanyl-related fatal overdose among those with past year incarceration. In 2015 the median sentence was longer among those with a fentanyl-related overdose death and the median time from release to death among all who had past year incarceration extended past 90days. Access to medications for addiction treatment, overdose education, and naloxone should be available during community re-entry and extended beyond the early post-release period. Copyright © 2018. Published by Elsevier B.V. ES - 1879-0046 IL - 0376-8716 DI - S0376-8716(18)30064-4 DO - https://dx.doi.org/10.1016/j.drugalcdep.2017.12.014 PT - Journal Article ID - S0376-8716(18)30064-4 [pii] ID - 10.1016/j.drugalcdep.2017.12.014 [doi] PP - ppublish PH - 2017/10/12 [received] PH - 2017/11/30 [revised] PH - 2017/12/02 [accepted] LG - English EP - 20180209 DP - 2018 Apr 01 EZ - 2018/02/21 06:00 DA - 2018/02/21 06:00 DT - 2018/02/21 06:00 YR - 2018 RD - 20180407 UP - 20180409 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29459328 <1650. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28090374 TI - Neurophysiological Measures and Alcohol Use Disorder (AUD): Hypothesizing Links between Clinical Severity Index and Molecular Neurobiological Patterns. SO - Journal of Addiction Research & Therapy. 5(2), 2016 04. AS - J Addict Res Ther. 5(2), 2016 04. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Vitali M AU - Napolitano C AU - Berman MO AU - Minuto SF AU - Battagliese G AU - Attilia ML AU - Braverman ER AU - Romeo M AU - Blum K AU - Ceccanti M FA - Vitali, Mario FA - Napolitano, Carmen FA - Berman, Marlene Oscar FA - Minuto, Simona Flamminii FA - Battagliese, Gemma FA - Attilia, Maria Luisa FA - Braverman, Eric R FA - Romeo, Marina FA - Blum, Kenneth FA - Ceccanti, Mauro IN - Vitali, Mario. Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. IN - Napolitano, Carmen. Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. IN - Berman, Marlene Oscar. Department of Psychiatry and Neurology, Boston University School of Medicine and Veterans Administration System, Boston, Massachusetts, USA. IN - Minuto, Simona Flamminii. Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. IN - Battagliese, Gemma. Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. IN - Attilia, Maria Luisa. Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. IN - Braverman, Eric R. Department of Psychiatry & McKnight Brain Institute, University of Florida, College of Medicine, Gainesville, Florida, USA; Department of Clinical Neurology, Path Foundation, NY, New York, New York, USA. IN - Romeo, Marina. Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. IN - Blum, Kenneth. Department of Psychiatry & McKnight Brain Institute, University of Florida, College of Medicine, Gainesville, Florida, USA; Department of Clinical Neurology, Path Foundation, NY, New York, New York, USA; Department of Addiction Research & Therapy, Malibu Beach Recovery Center, Malibu Beach, California, USA; Department of Psychiatry & Human Integrated Services Unit University of Vermont Center for Clinical & Translational Science, College of Medicine, Burlington, Vermont, USA; Department of Nutrigenomics, RD Solutions, LLC, La Jolla, California, USA; Department of Personalized Medicine, IGENE, LLC, Austin, Texas, USA; Dominion Diagnostics, LLC, North Kingstown, Rhode Island, USA; Basic & Clinical Research Center, Victory Nutrition, LLC., Austin, Texas, USA. IN - Ceccanti, Mauro. Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. NJ - Journal of addiction research & therapy VO - 5 IP - 2 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101550185 IO - J Addict Res Ther CP - United States KW - *Addiction; *Alcohol Dependence (ADD); *Craving; *Reward Deficiency Syndrome (RDS); *TCI AB - BACKGROUND: In 1987, Cloninger proposed a clinical description and classification of different personality traits genetically defined and independent from each other. Moreover, he elaborated a specific test the TCI to investigate these traits/states. The study of craving in Alcohol Use Disorder (AUD) assumed a greater significance, since ever more data seems to suggest a direct correlation between high levels of craving and a higher risk of relapse in alcoholics. Thus, our study aim is to explore the possible correlations among TCI linked molecular neurobiological pattern (s), craving and alcohol addiction severity measures in a sample of Italian alcoholics. AB - MATERIALS AND METHODS: 191 alcoholics were recruited in a Day Hospital (DH) setting at the Alcohol Addiction Program Latium Region Referral Center, Sapienza University of Rome. After 7 days detoxification treatment a psychodiagnostic protocol was administered, including TCI, VAS-C, ASI and SADQ. All patients signed an Institutional Review Board (IRB) approved informed consent. AB - RESULTS: Principally, we detected a significant positive correlation between HA-scale scores and the VAS scale: increasing in HA-scale corresponds to an increase in craving perception for both intensity (r=0.310; p <= 0.001) and frequency (r=0.246; p <= 0.001). Moreover, perception of dependence severity, measured with SADQ was also found to be significantly associated positively to both HA-scale (r=0.246; p <= 0.001) and NS-scale (r=0.224; p <= 0.01). While, for character scales, Persistence (r=-0.195; p=.008) and Self-directedness (r=-0.294; p <= 0.001) was negatively associated with ASI linked to alcohol problems. Self-directedness was also negatively correlated with ASI linked to family and social problems (r=-0.349; p <= 0.001), employment and support problems (r=-0.220; p=0.003) and psychiatric problems (r=-0.358; p <= 0.001). Cooperativeness was a negative correlate with Legal Problems (r=-0.173; p=0.019). and Self-Transcendence was positive correlated with Medical Problems (r=0.276; p <= 0.001). AB - CONCLUSIONS: In view of recent addiction neurobiological theories, such as the "Reward Deficiency Syndrome (RDS)" and the Koob model, our data could suggest that our cohort of patients could possibly be in a particular stage of the course of their addiction history. Thus, if our hypothesis will be confirmed, the TCI-based assessment of alcoholics would allow an optimization of the treatment. Clinicians understanding these newer concepts will be able to translate this information to their patients and potentially enhance clinical outcome (s), because it could suggest a functional hypothesis of neurotransmitter circuits that helps to frame the patient in his/her history of addiction. CI - Kenneth Blum owns the major shares in IGENE LLC. IGENE and Dominion Diagnostics are partners in the development and commercialization of the GARS test. He is also the patent holder of both US and foreign patents regard KB220Z and other commercialized variants. There are no other conflicts to report. IS - 2155-6105 DI - 182 DO - https://dx.doi.org/10.4172/2155-6105.1000181 PT - Journal Article PT - Research Support, U.S. Gov't, Non-P.H.S. PT - Research Support, N.I.H., Extramural ID - 10.4172/2155-6105.1000181 [doi] ID - PMC5231399 [pmc] ID - NIHMS807521 [mid] PP - ppublish GI - No: I01 CX000326 Organization: (CX) *CSRD VA* Country: United States GI - No: K05 AA000219 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 AA007112 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English EP - 20160426 DP - 2016 04 EZ - 2017/01/17 06:00 DA - 2017/01/17 06:00 DT - 2017/01/17 06:00 YR - 2016 RD - 20180320 UP - 20180320 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28090374 <1651. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28947361 TI - A research coding method to evaluate a smoking cessation model for training residents-A preliminary report. SO - Patient Education & Counseling. 101(3):541-545, 2018 Mar. AS - Patient Educ Couns. 101(3):541-545, 2018 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Grayson-Sneed KA AU - Smith RC FA - Grayson-Sneed, Katelyn A FA - Smith, Robert C IN - Grayson-Sneed, Katelyn A. 788 Service Road, Michigan State University, Department of Medicine, East Lansing, MI 48824, USA; 404 Wilson Road, Michigan State University, Department of Communication, East Lansing, MI, USA. IN - Smith, Robert C. 788 Service Road, Michigan State University, Department of Medicine, East Lansing, MI 48824, USA. Electronic address: robert.smith@ht.msu.edu. NJ - Patient education and counseling VO - 101 IP - 3 PG - 541-545 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - pec, 8406280 IO - Patient Educ Couns CP - Ireland KW - Interview rating; Patient-centered interviewing research; Shared decision-making; Smoking cessation AB - OBJECTIVE: Develop a reliable coding method of a cigarette cessation model used to train residents - a preliminary report. AB - METHODS: Two trained (30h) undergraduates coded videotaped interviews from 161 resident-simulated patient (SP) interactions. To establish reliability, coders coded 33 (20%) of 161 study set tapes for the BHTM. Cohen's Kappa and percent of agreement were used to measure coders' reliability in unitizing and coding residents' skills for eliciting 5 variables: Educating, Informing, and Motivating (3 items); Commitment and Goals (3 items); Negotiate Plan (7 items); Patient-Centered Skills (9 items); Emotional Skills (6 items). AB - RESULTS: 50 items were dichotomized a priori from analysis of the training model and were reduced to 28 during training. Kappa ranged from 0.73 to 0.87 for the 5 variables and 28 individual items. The overall kappa was 0.84, and percent of agreement was 93%. Percent of agreement by item ranged from 82 to 100%. AB - CONCLUSIONS: A highly reliable coding method, weighted (by no. of items) to highlight the key elements of the teaching, is recommended for investigators wishing to better focus on the partnership, emotions, and planning. AB - PRACTICE IMPLICATIONS: This is a unique way to integrate patient-centered skills into motivational interviewing. Copyright © 2017 Elsevier B.V. All rights reserved. ES - 1873-5134 IL - 0738-3991 DI - S0738-3991(17)30550-5 DO - https://dx.doi.org/10.1016/j.pec.2017.09.010 PT - Journal Article ID - S0738-3991(17)30550-5 [pii] ID - 10.1016/j.pec.2017.09.010 [doi] PP - ppublish PH - 2017/04/23 [received] PH - 2017/08/21 [revised] PH - 2017/09/18 [accepted] LG - English EP - 20170919 DP - 2018 Mar EZ - 2017/09/28 06:00 DA - 2017/09/28 06:00 DT - 2017/09/27 06:00 YR - 2018 RD - 20180318 UP - 20180319 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28947361 <1652. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28893726 TI - A Web-Based Lifestyle Medicine Curriculum: Facilitating Education About Lifestyle Medicine, Behavioral Change, and Health Care Outcomes. SO - JMIR medical education. 3(2):e14, 2017 Sep 11. AS - JMIR Med Educ. 3(2):e14, 2017 Sep 11. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Frates EP AU - Xiao RC AU - Sannidhi D AU - McBride Y AU - McCargo T AU - Stern TA AI - Frates, Elizabeth Pegg; ORCID: http://orcid.org/0000-0002-1156-7745 AI - Xiao, Ryan C; ORCID: http://orcid.org/0000-0002-7813-9462 AI - Sannidhi, Deepa; ORCID: http://orcid.org/0000-0002-4773-8243 AI - McBride, Yasamina; ORCID: http://orcid.org/0000-0001-6638-835X AI - McCargo, Tracie; ORCID: http://orcid.org/0000-0003-3175-5812 AI - Stern, Theodore A; ORCID: http://orcid.org/0000-0001-7866-0752 FA - Frates, Elizabeth Pegg FA - Xiao, Ryan C FA - Sannidhi, Deepa FA - McBride, Yasamina FA - McCargo, Tracie FA - Stern, Theodore A IN - Frates, Elizabeth Pegg. Department of Physical Medicine and Rehabilitation, Spaulding Rehabilitation Hospital, Charlestown, MA, United States. IN - Frates, Elizabeth Pegg. Harvard Medical School, Harvard University, Boston, MA, United States. IN - Xiao, Ryan C. Harvard Medical School, Harvard University, Boston, MA, United States. IN - Sannidhi, Deepa. Division of Family Medicine, Department of Family and Preventative Medicine, University of California San Diego, La Jolla, CA, United States. IN - McBride, Yasamina. Harvard Extension School, Harvard University, Cambridge, MA, United States. IN - McCargo, Tracie. Harvard Extension School, Harvard University, Cambridge, MA, United States. IN - Stern, Theodore A. Harvard Medical School, Harvard University, Boston, MA, United States. IN - Stern, Theodore A. Massachusetts General Hospital, Boston, MA, United States. EC - Frates, Elizabeth Pegg NJ - JMIR medical education VO - 3 IP - 2 PG - e14 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101684518 IO - JMIR Med Educ CP - Canada KW - adolescent; curriculum; education, medical, undergraduate; health behavior; health education; health knowledge, attitudes, practice; health promotion; healthy lifestyle; humans; life style; mental health; risk reduction behavior; self efficacy; universities; wellness programs; young adult AB - BACKGROUND: Lifestyle medicine is the science and application of healthy lifestyles as interventions for the prevention and treatment of disease, and has gained significant momentum as a specialty in recent years. College is a critical time for maintenance and acquisition of healthy habits. Longer-term, more intensive web-based and in-person lifestyle medicine interventions can have a positive effect. Students who are exposed to components of lifestyle medicine in their education have improvements in their health behaviors. A semester-long undergraduate course focused on lifestyle medicine can be a useful intervention to help adopt and sustain healthy habits. AB - OBJECTIVE: To describe a novel, evidence based curriculum for a course teaching the concepts of Lifestyle Medicine based on a web-based course offered at the Harvard Extension School. AB - METHODS: The course was delivered in a web-based format. The Lifestyle Medicine course used evidence based principles to guide students toward a "coach approach" to behavior change, increasing their self-efficacy regarding various lifestyle-related preventive behaviors. Students are made to understand the cultural trends and national guidelines that have shaped lifestyle medicine recommendations relating to behaviors. They are encouraged to engage in behavior change. Course topics include physical activity, nutrition, addiction, sleep, stress, and lifestyle coaching and counseling. The course addressed all of the American College of Preventive Medicine/American College of Lifestyle Medicine competencies save for the competency of office systems and technologies to support lifestyle medicine counseling. AB - RESULTS: The course was well-received, earning a ranking of 4.9/5 at the school. AB - CONCLUSIONS: A novel, semester-long course on Lifestyle Medicine at the Harvard Extension School is described. Student evaluations suggest the course was well-received. Further research is needed to evaluate whether such a course empowers students to adopt behavior changes. Copyright ©Elizabeth Pegg Frates, Ryan C Xiao, Deepa Sannidhi, Yasamina McBride, Tracie McCargo, Theodore A Stern. Originally published in JMIR Medical Education (http://mededu.jmir.org), 11.09.2017. IS - 2369-3762 IL - 2369-3762 DO - https://dx.doi.org/10.2196/mededu.7587 PT - Journal Article ID - v3i2e14 [pii] ID - 10.2196/mededu.7587 [doi] ID - PMC5613210 [pmc] PP - epublish PH - 2017/02/24 [received] PH - 2017/07/22 [accepted] PH - 2017/07/21 [revised] LG - English EP - 20170911 DP - 2017 Sep 11 EZ - 2017/09/13 06:00 DA - 2017/09/13 06:01 DT - 2017/09/13 06:00 YR - 2017 RD - 20180308 UP - 20180308 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28893726 <1653. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28339890 TI - Pennsylvania State Core Competencies for Education on Opioids and Addiction. SO - Pain Medicine. 18(10):1890-1894, 2017 Oct 01. AS - PAIN MED. 18(10):1890-1894, 2017 Oct 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Ashburn MA AU - Levine RL FA - Ashburn, Michael A FA - Levine, Rachel L IN - Ashburn, Michael A. Department of Anesthesiology and Critical Care, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania. IN - Levine, Rachel L. Physician General of the Commonwealth of Pennsylvania; Departments of Pediatrics and Psychiatry, Penn State College of Medicine, Hershey, Pennsylvania. NJ - Pain medicine (Malden, Mass.) VO - 18 IP - 10 PG - 1890-1894 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100894201 IO - Pain Med CP - England KW - Addiction; Chronic Opioids; Clinical Competence; Curriculum; Medical School Education; Pain Management AB - Objective: The objective of this project was to develop core competencies for education on opioids and addiction to be used in all Pennsylvania medical schools. AB - Methods: The Pennsylvania Physician General created a task force that was responsible for the creation of the core competencies. A literature review was completed, and a survey of graduating medical students was conducted. The task force then developed, reviewed, and approved the core competencies. AB - Results: The competencies were grouped into nine domains: understanding core aspects of addiction; patient screening for substance use disorder; proper referral for specialty evaluation and treatment of substance use disorder; proper patient assessment when treating pain; proper use of multimodal treatment options when treating acute pain; proper use of opioids for the treatment of acute pain (after consideration of alternatives); the role of opioids in the treatment of chronic noncancer pain; patient risk assessment related to the use of opioids to treat chronic noncancer pain, including the assessment for substance use disorder or increased risk for aberrant drug-related behavior; and the process for patient education, initiation of treatment, careful patient monitoring, and discontinuation of therapy when using opioids to treat chronic noncancer pain. Specific competencies were developed for each domain. AB - Conclusions: These competencies will be incorporated into the educational process at all Pennsylvania medical schools. It is hoped that these curriculum changes will improve student knowledge and attitudes in these areas, thus improving patient outcomes. Copyright © 2017 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1093/pm/pnw348 PT - Journal Article ID - 3052698 [pii] ID - 10.1093/pm/pnw348 [doi] PP - ppublish LG - English DP - 2017 Oct 01 EZ - 2017/03/25 06:00 DA - 2017/03/25 06:00 DT - 2017/03/25 06:00 YR - 2017 RD - 20180308 UP - 20180308 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28339890 <1654. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28137703 TI - A Medical Student-Delivered Smoking Prevention Program, Education Against Tobacco, for Secondary Schools in Brazil: Study Protocol for a Randomized Trial. SO - JMIR Research Protocols. 6(1):e16, 2017 Jan 30. AS - JMIR Res Protoc. 6(1):e16, 2017 Jan 30. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Xavier LE AU - Bernardes-Souza B AU - Lisboa OC AU - Seeger W AU - Groneberg DA AU - Tran TA AU - Fries FN AU - Correa PC AU - Brinker TJ AI - Xavier, Luiz Eduardo De Freitas; ORCID: http://orcid.org/0000-0003-2759-2870 AI - Bernardes-Souza, Breno; ORCID: http://orcid.org/0000-0003-1806-2501 AI - Lisboa, Oscar Campos; ORCID: http://orcid.org/0000-0003-2073-6296 AI - Seeger, Werner; ORCID: http://orcid.org/0000-0003-1946-0894 AI - Groneberg, David Alexander; ORCID: http://orcid.org/0000-0002-0163-0413 AI - Tran, Thien-An; ORCID: http://orcid.org/0000-0003-2718-0358 AI - Fries, Fabian Norbert; ORCID: http://orcid.org/0000-0002-8526-4712 AI - Correa, Paulo Cesar Rodrigues Pinto; ORCID: http://orcid.org/0000-0001-7108-0640 AI - Brinker, Titus Josef; ORCID: http://orcid.org/0000-0002-3620-5919 FA - Xavier, Luiz Eduardo De Freitas FA - Bernardes-Souza, Breno FA - Lisboa, Oscar Campos FA - Seeger, Werner FA - Groneberg, David Alexander FA - Tran, Thien-An FA - Fries, Fabian Norbert FA - Correa, Paulo Cesar Rodrigues Pinto FA - Brinker, Titus Josef IN - Xavier, Luiz Eduardo De Freitas. School of Medicine, Federal University of Ouro Preto, Ouro Preto, Brazil. IN - Bernardes-Souza, Breno. School of Medicine, Federal University of Ouro Preto, Ouro Preto, Brazil. IN - Lisboa, Oscar Campos. School of Medicine, Federal University of Ouro Preto, Ouro Preto, Brazil. IN - Seeger, Werner. Universities of Giessen and Marburg Lung Center, Member of the German Center for Lung Research, Department of Internal Medicine, 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 - Tran, Thien-An. Pulmonary and Respiratory Critical Care Medicine, Thoraxklinik and Translational Lung Research Center Heidelberg, Member of the German Center for Lung Research, University of Heidelberg, Heidelberg, Germany. IN - Fries, Fabian Norbert. Saarland University Medical Center and Saarland University Faculty of Medicine, Saarland University, Homburg, Germany. IN - Correa, Paulo Cesar Rodrigues Pinto. School of Medicine, Federal University of Ouro Preto, Ouro Preto, Brazil. IN - Brinker, Titus Josef. Universities of Giessen and Marburg Lung Center, Member of the German Center for Lung Research, Department of Internal Medicine, University of Giessen, Giessen, Germany. NJ - JMIR research protocols VO - 6 IP - 1 PG - e16 PI - Journal available in: Electronic PI - Citation processed from: Print JC - 101599504 IO - JMIR Res Protoc CP - Canada KW - adolescents; medical students; photoaging; schools; tobacco prevention AB - BACKGROUND: Smoking is the largest preventable cause of morbidity and mortality in Brazil. Education Against Tobacco (EAT) is a large network of medical students in 13 countries who volunteer for school-based prevention in the classroom setting. A recent quasi-experimental EAT study conducted in Germany showed significant short-term smoking cessation effects on 11- to 15-year-old adolescents. AB - OBJECTIVE: The aim of this study is both to describe and to provide the first randomized long-term evaluation of the EAT intervention involving a photoaging app for its effectiveness to reduce the smoking prevalence among 12- to 17-year-old pupils in Brazilian public schools. AB - METHODS: A randomized controlled trial will be conducted among approximately 1500 adolescents aged 12 to 17 years in grades 7-11 of public secondary schools in Brazil. The prospective experimental study design includes measurements at baseline and at 6 and 12 months postintervention. The study groups will consist of randomized classes receiving the standardized EAT intervention (90 minutes of mentoring in a classroom setting) and control classes within the same schools (no intervention). The questionnaire measures smoking status, gender, social, and cultural aspects as well as predictors of smoking. Biochemical validation of smoking status is conducted via random carbon monoxide measurements. The primary end point is the difference of the change in smoking prevalence in the intervention group versus the difference in the control group at 12 months of follow-up. The differences in smoking behavior (smoking onset, quitting) between the 2 groups as well as effects on the different genders will be studied as secondary outcomes. AB - RESULTS: The recruitment of schools, participating adolescents, and medical students was conducted from August 2016 until January 2017. The planned period of data collection is February 2017 until June 2018. Data analysis will follow in July 2018 and data presentation/publication will follow shortly thereafter. AB - CONCLUSIONS: This is the first evaluative study of a medical student-delivered tobacco prevention program in Brazil and the first randomized trial on the long-term effectiveness of a school-based medical student-delivered tobacco prevention program in general. AB - CLINICALTRIAL: ClinicalTrials.gov NCT02725021; https://clinicaltrials.gov/ct2/show/NCT02725021 (archived by WebCite at http://www.webcitation.org/6njy3nNml). Copyright ©Luiz Eduardo De Freitas Xavier, Breno Bernardes-Souza, Oscar Campos Lisboa, Werner Seeger, David Alexander Groneberg, Thien-An Tran, Fabian Norbert Fries, Paulo Cesar Rodrigues Pinto Correa, Titus Josef Brinker. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 30.01.2017. CI - Conflicts of Interest: None declared. IS - 1929-0748 IL - 1929-0748 DO - https://dx.doi.org/10.2196/resprot.7134 PT - Journal Article ID - v6i1e16 [pii] ID - 10.2196/resprot.7134 [doi] ID - PMC5306613 [pmc] PP - epublish PH - 2016/12/20 [received] PH - 2017/01/21 [accepted] PH - 2017/01/15 [revised] SI - ClinicalTrials.gov SA - ClinicalTrials.gov/NCT02725021 SL - https://clinicaltrials.gov/search/term=NCT02725021 LG - English EP - 20170130 DP - 2017 Jan 30 EZ - 2017/02/01 06:00 DA - 2017/02/01 06:01 DT - 2017/02/01 06:00 YR - 2017 RD - 20180308 UP - 20180308 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28137703 <1655. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27794547 TI - National and Northern New England Opioid Prescribing Patterns, 2013-2014. SO - Pain Medicine. 18(9):1706-1714, 2017 Sep 01. AS - PAIN MED. 18(9):1706-1714, 2017 Sep 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Toth AR AU - Possidente CJ AU - Sawyer LM AU - DiParlo MA AU - Fanciullo GJ FA - Toth, Adam R FA - Possidente, Carl J FA - Sawyer, Linda M FA - DiParlo, Mark A FA - Fanciullo, Gilbert J IN - Toth, Adam R. Anesthesiology. IN - Possidente, Carl J. Medical Outcomes, Pfizer Inc., Jericho, Vermont. IN - Sawyer, Linda M. Pharmacy. IN - DiParlo, Mark A. Pharmacy, University of Vermont Fletcher Allen Health Care, Burlington, Vermont, USA. IN - Fanciullo, Gilbert J. Pain Management Center, Dartmouth Hitchcock Medical Center, Lebanon, New Hampshire. NJ - Pain medicine (Malden, Mass.) VO - 18 IP - 9 PG - 1706-1714 PI - Journal available in: Print PI - Citation processed from: Internet JC - 100894201 IO - Pain Med CP - England KW - Medical Marijuana; National Prescription Audit; Opioid Abuse; Opioid Trends; Prescription Drug Monitoring Program AB - Objective: To evaluate current opioid prescribing patterns nationally and regionally across several northern New England states and compare with prescription data on an institutional level over a two-year period, between 2013 and 2014. AB - Design, Setting, and Subjects: The IMS Health National Prescription Audit (NPA) database was used to obtain prescription data from US retail pharmacies between 2013 and 2014. AB - Methods: Our study compared noninjectable opioid dispensing between two time periods: January-June 2013 and July-December 2014. Opioid prescription data were obtained nationally and in New Hampshire, Vermont, Maine, and Massachusetts. Institutional prescription data were supplied by Dartmouth Hitchcock Medical Center (DHMC) and University of Vermont Medical Center (UVMC) pharmacies. AB - Results: There was a 3.4% ( P =0.81) decrease in opioid prescriptions filled nationally. Among New England states, opioid prescribing decreased in Maine (-5.20%, P =0.72), Massachusetts (-4.4%, P =0.78), and Vermont (-2.2%, P =0.89) but increased in New Hampshire by 1.3% ( P =0.94). Examination of local institutional opioid utilization revealed a 13.6% decline in prescriptions filled at UVMC, and only a 0.4% decrease at DHMC. AB - Conclusions: The review of opioid prescriptions filled in 2013-14 suggests that national opioid utilization may be reaching a plateau. Initiatives such as prescription monitoring programs, prescriber opioid education, addiction treatment programs, public addiction awareness, and availability of medical cannabis may play a role in interstate variability of opioid use. National and regional data served as a benchmark for local institutional comparison, laying groundwork for efforts to explore areas where opioids can be prescribed more judiciously. Copyright © 2016 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com ES - 1526-4637 IL - 1526-2375 DO - https://dx.doi.org/10.1093/pm/pnw231 PT - Journal Article ID - pnw231 [pii] ID - 10.1093/pm/pnw231 [doi] PP - ppublish LG - English DP - 2017 Sep 01 EZ - 2016/10/31 06:00 DA - 2016/10/31 06:00 DT - 2016/10/31 06:00 YR - 2017 RD - 20180308 UP - 20180308 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27794547 <1656. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29509099 TI - Abstracts presented at the Association for Medical Education and Research in Substance Abuse (AMERSA) 41st Annual Conference, Washington, DC, USA, November 2017. SO - Substance Abuse. 39(1):1, 2018 Jan 02. AS - Subst Abus. 39(1):1, 2018 Jan 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Gordon AJ AI - Gordon, Adam J; ORCID: http://orcid.org/0000-0002-2453-8871 FA - Gordon, Adam J IN - Gordon, Adam J. a University of Utah School of Medicine , Salt Lake City , Utah , USA. IN - Gordon, Adam J. b VA Salt Lake City Healthcare System , Salt Lake City , Utah , USA. NJ - Substance abuse VO - 39 IP - 1 PG - 1 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - The 41st annual meeting of the Association for Medical Education and Research in Substance Abuse (AMERSA) was held in Washington, DC, USA, in November 2017. Contained in this paper are the abstracts of scientific work presented at the conference. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1441944 PT - Journal Article ID - 10.1080/08897077.2018.1441944 [doi] PP - ppublish LG - English DP - 2018 Jan 02 EZ - 2018/03/07 06:00 DA - 2018/03/07 06:01 DT - 2018/03/07 06:00 YR - 2018 RD - 20180306 UP - 20180307 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29509099 <1657. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28873050 TI - Randomized pilot trial measuring knowledge acquisition of opioid education in emergency department patients using a novel media platform. SO - Substance Abuse. 39(1):27-31, 2018 Jan 02. AS - Subst Abus. 39(1):27-31, 2018 Jan 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Chakravarthy B AU - Somasundaram S AU - Mogi J AU - Burns R AU - Hoonpongsimanont W AU - Wiechmann W AU - Lotfipour S AI - Hoonpongsimanont, Wirachin; ORCID: http://orcid.org/0000-0003-0507-7149 FA - Chakravarthy, Bharath FA - Somasundaram, Shashank FA - Mogi, Jennifer FA - Burns, Roshan FA - Hoonpongsimanont, Wirachin FA - Wiechmann, Warren FA - Lotfipour, Shahram IN - Chakravarthy, Bharath. a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA. IN - Somasundaram, Shashank. a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA. IN - Somasundaram, Shashank. b School of Biological Sciences , University of California Irvine , Irvine , California , USA. IN - Mogi, Jennifer. a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA. IN - Burns, Roshan. a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA. IN - Hoonpongsimanont, Wirachin. a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA. IN - Wiechmann, Warren. a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA. IN - Lotfipour, Shahram. a Department of Emergency Medicine , University of California, Irvine , Irvine , California , USA. NJ - Substance abuse VO - 39 IP - 1 PG - 27-31 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Analgesics; drug overdose; emergency services; multimedia; narcotics; opioid; opioid-related disorders; patient discharge; prescriptions; standard of care; surveys and questionnaires AB - BACKGROUND: The number of active opioid analgesic prescriptions has risen steadily, causing increases in nonmedical opioid use, addiction, and overdose. Insufficient focus on patient discharge instructions has contributed to lack of patient awareness regarding dangers of opioids. This study examines whether an educational Khan Academy-style animation discharge instruction on the dangers and safe usage of opioid analgesics elicits higher knowledge acquisition than current standard of care. Additionally, it measures the feasibility of implementing this video discharge instruction in the emergency department (ED). AB - METHODS: Fifty-two English-speaking patients aged 18 years or older receiving an opioid prescription were enrolled in this study. Patients were randomized into 2 groups. The standard of care group received verbal instruction and an informational sheet, whereas the video animation group received a 6-minute video on proper usage of opioids in addition to standard of care. Video content was sourced from samhsa.gov and administered within the ED prior to discharge. Both groups received a 26-question test regarding the dangers and safe usage of opioids immediately after education. An unpaired t test compared knowledge acquisition between the 2 groups. AB - RESULTS: Fifty-four patients were approached, 52 patients enrolled; 27 in the standard group and 25 in the animation group. The standard of care group averaged 65% knowledge acquisition (16.8/26 correct), whereas the animation group averaged 82% acquisition (21.2/26 correct). The video animation significantly increased patient knowledge acquisition about opioid medications' risks and proper usage and disposal (P = .001). AB - CONCLUSION: It can be concluded that medical knowledge acquisition is improved in the video animation group compared with the current standard of care (P = .001). It can also be concluded that it is feasible to implement a novel media platform to educate patients receiving opioid analgesics in the ED (96.1%). ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1375061 PT - Journal Article ID - 10.1080/08897077.2017.1375061 [doi] PP - ppublish LG - English EP - 20170929 DP - 2018 Jan 02 EZ - 2017/09/06 06:00 DA - 2017/09/06 06:00 DT - 2017/09/06 06:00 YR - 2018 RD - 20180306 UP - 20180306 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28873050 <1658. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28723248 TI - Reducing opioid misuse among adolescents through physician education. SO - Substance Abuse. 39(1):6-8, 2018 Jan 02. AS - Subst Abus. 39(1):6-8, 2018 Jan 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Arora NS AU - Marcotte KM AU - Hopper JA AI - Arora, Nonie S; ORCID: http://orcid.org/0000-0001-8399-3818 AI - Marcotte, Kayla M; ORCID: http://orcid.org/0000-0001-8773-213X AI - Hopper, John A; ORCID: http://orcid.org/0000-0003-2445-8043 FA - Arora, Nonie S FA - Marcotte, Kayla M FA - Hopper, John A IN - Arora, Nonie S. a University of Michigan Medical School , Ann Arbor , Michigan , USA. IN - Marcotte, Kayla M. a University of Michigan Medical School , Ann Arbor , Michigan , USA. IN - Hopper, John A. a University of Michigan Medical School , Ann Arbor , Michigan , USA. IN - Hopper, John A. b St. Joseph Mercy Hospital , Ann Arbor , Michigan , USA. NJ - Substance abuse VO - 39 IP - 1 PG - 6-8 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Adolescent; education; opioid; prescription drug misuse; substance-related disorders AB - Increased prescribing of opioids has been associated with an epidemic of nonmedical prescription opioid use in the United States; adolescents and young adults are particularly vulnerable to opioid misuse. The role of physicians as health care providers, educators, and confidants for their adolescent patients equips them to intervene in adolescent opioid misuse. The authors advocate for improving the education of physicians and residents regarding opioid use and misuse among adolescents. To achieve this, we can require residency education that includes opioid misuse and appropriate prescribing, widely disseminate existing resources on management of pain and opioid misuse, and develop pain management and addiction mentorship programs. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1356788 PT - Journal Article ID - 10.1080/08897077.2017.1356788 [doi] PP - ppublish LG - English EP - 20170901 DP - 2018 Jan 02 EZ - 2017/07/21 06:00 DA - 2017/07/21 06:00 DT - 2017/07/21 06:00 YR - 2018 RD - 20180306 UP - 20180306 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28723248 <1659. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28988545 TI - A controlled trial of screening, brief intervention and referral for treatment (SBIRT) implementation in primary care in the United Arab Emirates. SO - Primary Health Care Research & Development. 19(2):165-175, 2018 Mar. AS - Prim Health Care Res Dev. 19(2):165-175, 2018 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Matheson C AU - Pflanz-Sinclair C AU - Almarzouqi A AU - Bond CM AU - Lee AJ AU - Batieha A AU - Al Ghaferi H AU - El Kashef A FA - Matheson, Catriona FA - Pflanz-Sinclair, Christiane FA - Almarzouqi, Amna FA - Bond, Christine M FA - Lee, Amanda J FA - Batieha, Anwar FA - Al Ghaferi, H FA - El Kashef, A IN - Matheson, Catriona. 1Centre for Addiction Services and Research,University of Stirling,Scotland. IN - Pflanz-Sinclair, Christiane. 3Academic Primary Care,University of Aberdeen,Aberdeen,Scotland. IN - Almarzouqi, Amna. 4National Rehabilitation Centre,Abu Dhabi,UAE. IN - Bond, Christine M. 3Academic Primary Care,University of Aberdeen,Aberdeen,Scotland. IN - Lee, Amanda J. 5Applied Health Sciences,University of Aberdeen,Aberdeen,Scotland. IN - Batieha, Anwar. 6Department of Community Medicine,Jordan University of Science and Technology,Irbid,Jordan. IN - Al Ghaferi, H. 4National Rehabilitation Centre,Abu Dhabi,UAE. IN - El Kashef, A. 4National Rehabilitation Centre,Abu Dhabi,UAE. NJ - Primary health care research & development VO - 19 IP - 2 PG - 165-175 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100897390 IO - Prim Health Care Res Dev CP - England KW - Middle East; SBIRT; implementation; primary care; screening; substance use AB - Aim This project evaluated the effectiveness of screening brief intervention and referral for treatment (SBIRT) in primary care in Abu Dhabi to manage patients with problematic substance use. This study aimed to determine whether: (i) training primary care physicians on the SBIRT model increased the identification of patients using substances at a harmful, hazardous or dependent level; (ii) training improved physicians' knowledge, attitudes and beliefs in self-efficacy in managing substance use. AB - BACKGROUND: Substance use is increasing in the United Arab Emirates yet there has been no formal primary care intervention. SBIRT was considered an appropriate model given its endorsement by the WHO. AB - METHODS: A controlled trial (two intervention and two matched control clinics) was undertaken. Intervention physicians (n=17) were trained in SBIRT. Physicians' attitudes were measured before and after training and eight months after implementation. Target recruitment was 900 patients. Inclusion criteria were: consenting UAE national, 18 years, using the 'walk-in' primary care clinic. Patient data was collected by physician-administered questionnaire. Prevalence of drug use was measured through electronic patient records. Findings A total of 906 patients were screened, aged 18-82 years and 496 (55%) were female. Of these, 5.7% reported use of amphetamine, 3.9% alcohol, 3.3%, sedatives, 1.7% opioids and 1.1% cannabis. In all, 21 people had a moderate/high ASSIST score and received a brief intervention, but did not attend follow-up; three high-risk people were referred for specialist treatment. Physicians' attitudes towards patients with problematic substance use and providing treatment improved after training, but returned to pre-training levels after eight months. Including the 21 individuals identified from intervention screening, the prevalence of substance use increased to 0.208% (95% CI 0.154-0.274), significantly higher than in control clinics (P<0.001). In conclusion, physicians were generally positive towards SBIRT and SBIRT increased recorded drug related conditions at a practice level. However, poor patient attendance at follow-up requires investigation. ES - 1477-1128 IL - 1463-4236 DO - https://dx.doi.org/10.1017/S1463423617000640 PT - Journal Article ID - S1463423617000640 [pii] ID - 10.1017/S1463423617000640 [doi] PP - ppublish LG - English EP - 20171009 DP - 2018 Mar EZ - 2017/10/11 06:00 DA - 2017/10/11 06:00 DT - 2017/10/10 06:00 YR - 2018 RD - 20180301 UP - 20180301 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28988545 <1660. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28858546 TI - Opioid Use Disorder in Dental Patients: The Latest on How to Identify, Treat, Refer and Apply Laws and Regulations in Your Practice. SO - Anesthesia Progress. 64(3):178-187, Fall 2017. AS - Anesth Prog. 64(3):178-187, Fall 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Nack B AU - Haas SE AU - Portnof J FA - Nack, Bryan FA - Haas, Steven E FA - Portnof, Jason IN - Nack, Bryan. Resident, Oral and Maxillofacial Surgery Department, Nova Southeastern University College of Dental Medicine, Ft Lauderdale, Florida. IN - Haas, Steven E. Associate Dean of Clinical Services, Nova Southeastern University College of Dental Medicine, Ft Lauderdale, Florida. IN - Portnof, Jason. Director, Pediatric Craniomaxillofacial Surgery, Department of Oral and Maxillofacial Surgery, Nova Southeastern University College of Dental Medicine; Associate Professor of Oral and Maxillofacial Surgery, Oral and Maxillofacial Surgery Department, Nova Southeastern University College of Dental Medicine, Ft Lauderdale, Florida. NJ - Anesthesia progress VO - 64 IP - 3 PG - 178-187 PI - Journal available in: Print PI - Citation processed from: Print JC - 4s4, 0043533 IO - Anesth Prog CP - United States KW - Addiction; Analgesic; Opioid use disorder; Opioids; Prescription drugs AB - Opioid use disorder is a persistent problem in the United States and has become an important issue to medical and dental professionals. Americans are the largest users of opioids by a large margin. The importance of knowing how to identify, handle, refer, and treat patients with opioid use disorder cannot be understated. This article attempts to educate dental professionals on the current epidemiology of opioid use, explain the physiology of addiction, teach practitioners how to identify chronic opioid users, gives options for treating dental pain, establishes criteria for referring to an addiction specialist, and describes the laws, regulations, and resources available to practitioners. With this article, practitioners should have a greater understanding of the current problem of opioid use disorder and be able to develop a protocol for treating these patients. IS - 0003-3006 IL - 0003-3006 DO - https://dx.doi.org/10.2344/anpr-64-03-09 PT - Journal Article ID - 10.2344/anpr-64-03-09 [doi] ID - PMC5579823 [pmc] PP - ppublish LG - English DP - Fall 2017 EZ - 2017/09/01 06:00 DA - 2017/09/01 06:00 DT - 2017/09/01 06:00 YR - 2017 RD - 20180301 UP - 20180301 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28858546 <1661. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29467531 TI - Continuing Medical Education Questions: February 2018: ACG Clinical Guideline: Alcoholic Liver Disease. SO - American Journal of Gastroenterology. 113(2):195, 2018 Feb. AS - Am J Gastroenterol. 113(2):195, 2018 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Umashanker R FA - Umashanker, Renuka IN - Umashanker, Renuka. Gastroenterology of CT, Hamden, CT. NJ - The American journal of gastroenterology VO - 113 IP - 2 PG - 195 PI - Journal available in: Print PI - Citation processed from: Internet JC - 3he, 0421030 IO - Am. J. Gastroenterol. CP - United States ES - 1572-0241 IL - 0002-9270 DO - https://dx.doi.org/10.1038/ajg.2018.4 PT - Journal Article ID - ajg20184 [pii] ID - 10.1038/ajg.2018.4 [doi] PP - ppublish LG - English DP - 2018 Feb DT - 2018/02/23 06:00 YR - 2018 RD - 20180222 UP - 20180222 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29467531 <1662. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29179909 TI - Surgical interns: Preparedness for opioid prescribing before and after a training intervention. SO - American Journal of Surgery. 215(2):238-242, 2018 Feb. AS - Am J Surg. 215(2):238-242, 2018 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Nooromid MJ AU - Mansukhani NA AU - Deschner BW AU - Moradian S AU - Issa N AU - Ho KJ AU - Stulberg JJ FA - Nooromid, Michael J FA - Mansukhani, Neel A FA - Deschner, Benjamin W FA - Moradian, Simon FA - Issa, Nabil FA - Ho, Karen J FA - Stulberg, Jonah J IN - Nooromid, Michael J. Department of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Michael.Nooromid@northwestern.edu. IN - Mansukhani, Neel A. Department of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Neel.Mansukhani@northwestern.edu. IN - Deschner, Benjamin W. Department of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Benjamin.Deschner@northwestern.edu. IN - Moradian, Simon. Department of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Simon.Moradian@northwestern.edu. IN - Issa, Nabil. Department of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Nabil.Issa@nm.org. IN - Ho, Karen J. Department of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Kho1@nm.org. IN - Stulberg, Jonah J. Department of Surgery, Northwestern University, Chicago, IL, USA. Electronic address: Jonah.Stulberg@nm.org. NJ - American journal of surgery VO - 215 IP - 2 PG - 238-242 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 3z4, 0370473 IO - Am. J. Surg. CP - United States AB - INTRODUCTION: Exposure to pain management curriculum in medical school is currently variable. This paper reports on formal prescribing education, self-perceived prescribing readiness, and prescribing practices among incoming surgical residents before and after a pain management training session. AB - METHODS: Pre-residency survey of thirty surgical interns at a single urban medical center, followed by a repeat survey after an educational session on prescription writing and opioid abuse. AB - RESULTS: Thirty-three percent of respondents had formal education on prescription writing in medical school. Median subjective preparedness to write an opioid prescription was 1.5 (range 1-10) on a 1-10 Likert scale. Ranges of morphine milligram equivalents (MME) prescribed varied from 420-2700 MME for 8 mock surgical scenarios. Post-training, median subjective preparedness increased to 3.5 (range 1-6) and prescription accuracy (the inclusion of a medication, dose, frequency, and duration) improved from 75% to 97% (p < 0.001). Overall, 90% of interns found the training session useful. AB - CONCLUSION: Most surgical interns were not trained in prescribing narcotics in medical school. Improved pain management curriculum is necessary to assure safe and consistent opioid prescriptions. Copyright © 2017 Elsevier Inc. All rights reserved. ES - 1879-1883 IL - 0002-9610 DI - S0002-9610(17)30704-3 DO - https://dx.doi.org/10.1016/j.amjsurg.2017.11.017 PT - Journal Article ID - S0002-9610(17)30704-3 [pii] ID - 10.1016/j.amjsurg.2017.11.017 [doi] ID - PMC5801131 [pmc] ID - NIHMS921719 [mid] PP - ppublish PH - 2017/04/14 [received] PH - 2017/09/20 [revised] PH - 2017/11/13 [accepted] GI - No: T32 HL094293 Organization: (HL) *NHLBI NIH HHS* Country: United States LG - English EP - 20171120 DP - 2018 Feb PQ - 2019/02/01 EZ - 2017/11/29 06:00 DA - 2017/11/29 06:00 DT - 2017/11/29 06:00 YR - 2018 RD - 20180208 UP - 20180208 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29179909 <1663. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28705485 TI - Trainees as Agents of Change in the Opioid Epidemic: Optimizing the Opioid Prescription Practices of Surgical Residents. SO - Journal of Surgical Education. 75(1):65-71, 2018 Jan - Feb. AS - J Surg Educ. 75(1):65-71, 2018 Jan - Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Chiu AS AU - Healy JM AU - DeWane MP AU - Longo WE AU - Yoo PS FA - Chiu, Alexander S FA - Healy, James M FA - DeWane, Michael P FA - Longo, Walter E FA - Yoo, Peter S IN - Chiu, Alexander S. Department of Surgery, Yale School of Medicine, New Haven, Connecticut. IN - Healy, James M. Department of Surgery, Yale School of Medicine, New Haven, Connecticut. IN - DeWane, Michael P. Department of Surgery, Yale School of Medicine, New Haven, Connecticut. IN - Longo, Walter E. Department of Surgery, Yale School of Medicine, New Haven, Connecticut. IN - Yoo, Peter S. Department of Surgery, Yale School of Medicine, New Haven, Connecticut. Electronic address: Peter.Yoo@Yale.edu. NJ - Journal of surgical education VO - 75 IP - 1 PG - 65-71 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101303204 IO - J Surg Educ CP - United States KW - Medical Knowledge; Patient Care; opioid prescribing; pain management; resident education AB - OBJECTIVE: Opioid abuse has become an epidemic in the United States, causing nearly 50,000 deaths a year. Postoperative pain is an unavoidable consequence of most surgery, and surgeons must balance the need for sufficient analgesia with the risks of overprescribing. Prescribing narcotics is often the responsibility of surgical residents, yet little is known about their opioid-prescribing habits, influences, and training experience. AB - DESIGN: Anonymous online survey that assessed the amounts of postoperative opioid prescribed by residents, including type of analgesia, dosage, and number of pills, for a series of common general surgery procedures. Additional questions investigated influences on opioid prescription, use of nonnarcotic analgesia, degree of engagement in patient education on opioids, and degree of training received on analgesia and opioid prescription. AB - SETTING: Accreditation Council for Graduate Medical Education accredited general surgery program at a university-based tertiary hospital. AB - PARTICIPANTS: Categorical and preliminary general surgery residents of all postgraduate years. AB - RESULTS: The percentage of residents prescribing opioids postprocedure ranged from 75.5% for incision and drainage to 100% for open hernia repair. Residents report prescribing 166.3 morphine milligram equivalents of opioid for a laparoscopic cholecystectomy, yet believe patients will only need an average of 113.9 morphine milligram equivalents. The most commonly reported influences on opioid-prescribing habits include attending preference (95.2%), concern for patient satisfaction (59.5%), and fear of potential opioid abuse (59.5%). Only 35.8% of residents routinely perform a narcotic risk assessment before prescribing and 6.2% instruct patients how to properly dispose of excess opioids. More than 90% of residents have not had formal training in best practices of pain management or opioid prescription. AB - CONCLUSION AND RELEVANCE: Surgical trainees are relying almost exclusively on opioids for postoperative analgesia, often in excessive amounts. Residents are heavily influenced by their superiors, but are not receiving formal opioid-prescribing education, pointing to a great need for increased resident education on postoperative pain and opioid management to help change prescribing habits. Copyright © 2018 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved. ES - 1878-7452 IL - 1878-7452 DI - S1931-7204(17)30157-5 DO - https://dx.doi.org/10.1016/j.jsurg.2017.06.020 PT - Journal Article ID - S1931-7204(17)30157-5 [pii] ID - 10.1016/j.jsurg.2017.06.020 [doi] PP - ppublish PH - 2017/03/15 [received] PH - 2017/06/12 [revised] PH - 2017/06/17 [accepted] LG - English EP - 20170710 DP - 2018 Jan - Feb EZ - 2017/07/15 06:00 DA - 2017/07/15 06:00 DT - 2017/07/15 06:00 YR - 2018 RD - 20180207 UP - 20180208 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28705485 <1664. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29372187 TI - GLOBAL OPIOID EPIDEMIC: DOOMED TO FAIL WITHOUT GENETICALLY BASED PRECISION ADDICTION MEDICINE (PAM^TM): LESSONS LEARNED FROM AMERICA. SO - Precision Medicine. 2(1):17-22, 2017. AS - Precis Med (Bangalore). 2(1):17-22, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Blum K AU - Modestino EJ AU - Gondre-Lewis MC AU - Neary J AU - Siwicki D AU - Hauser M AU - Barh D AU - Steinberg B AU - Badgaiyan RD FA - Blum, Kenneth FA - Modestino, Edward J FA - Gondre-Lewis, Marjorie C FA - Neary, Jennifer FA - Siwicki, David FA - Hauser, Mary FA - Barh, Debmalya FA - Steinberg, Bruce FA - Badgaiyan, Rajendra D IN - Blum, Kenneth. Department of Psychiatry, University of Florida & McKnight Brain Institute, College of Florida, Gainesville, FL, USA. IN - Blum, Kenneth. Department of Psychiatry, Human Integrated Services Unit University of Vermont Center for Clinical & Translational Science, College of Medicine, Burlington, VT, USA. IN - Blum, Kenneth. Department of Clinical Neurology, Path Research Foundation, NY, NY, USA. IN - Blum, Kenneth. Dominion Diagnostics, LLC, North Kingstown, RI, USA. IN - Blum, Kenneth. Department of Psychiatry, Wright State University, Boonshoft School of Medicine, Dayton, OH USA. IN - Blum, Kenneth. Division of Genetic Testing, Geneus Health LLC, San Antonio, Texas, USA. IN - Blum, Kenneth. Center for Genomics and Applied Gene Technology, Institute of Integrative Omics and Applied Biotechnology (IIOAB), Nonakuri, Purba Medinipur, West Bengal, India. IN - Blum, Kenneth. Institute of Psychology, Eotvos Lorand University Budapest, Hungary. IN - Blum, Kenneth. Department of Psychiatry, University of Southern California, Keck School of Medicine, Los Angeles, CA, USA. IN - Blum, Kenneth. Division of Neuroscience Based Addiction Research and Therapy, The Shores Treatment & Recovery Center, Port t. Lucie, Fl. USA. IN - Modestino, Edward J. Department of Psychology, Curry College, Milton, MA, USA. IN - Gondre-Lewis, Marjorie C. Departments of Anatomy, Psychiatry & Behavioral Sciences, Howard University, Washington, DC, USA. IN - Neary, Jennifer. Division of Genetic Testing, Geneus Health LLC, San Antonio, Texas, USA. IN - Siwicki, David. Division of Genetic Testing, Geneus Health LLC, San Antonio, Texas, USA. IN - Hauser, Mary. Dominion Diagnostics, LLC, North Kingstown, RI, USA. IN - Barh, Debmalya. Center for Genomics and Applied Gene Technology, Institute of Integrative Omics and Applied Biotechnology (IIOAB), Nonakuri, Purba Medinipur, West Bengal, India. IN - Steinberg, Bruce. Department of Psychology, Curry College, Milton, MA, USA. IN - Badgaiyan, Rajendra D. Department of Psychiatry, Richmond University Hospital, Icahn School of Medicine, New York, NY, USA. CM - Comment on: Neuroscience. 2015 Jan 22;284:998-1010; PMID: 25446365 CM - Comment on: Addiction. 2015 Mar;110(3):530-7; PMID: 25424661 NJ - Precision medicine VO - 2 IP - 1 PG - 17-22 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101698137 IO - Precis Med (Bangalore) CP - India KW - Genetic Addiction Risk ScoreTM; addiction; dependence; heroin; opioid epidemic AB - It is a reality that globally opioid deaths have soared for men and women of all social, economic status and age from heroin and fentanyl overdoses. Specifically, in the United States, deaths from narcotic overdoses have reached alarming metrics since 2010. In fact, the Fentanyl rise is driven by drug dealers who sell it as heroin or who use it to lace cocaine or to make illegal counterfeit prescription opioids. The President's Commission on the crisis has linked the death toll as equivalent to "September 11th every three weeks." In fact, The U.S. Centre for Disease Control (CDC) released data showing that opioid-related overdoses were up 15% in the first three quarters of 2016 compared to 2015. Various governmental organizations including NIDA, are actively seeking solutions. However, we argue that unless the scientific community embraces genetic addiction risk coupled with potential precision or personalized medicine to induce "dopamine homeostasis" it will fail. We now have evidence that a ten-gene and eleven single nucleotide polymorphism (SNP) panel predicts Addiction Severity Index (ASI) for both alcohol and drugs of abuse (e.g., Opioids). In a large multi-addiction centre study involving seven diverse treatment programs, the genetic addiction risk score (GARS^TM) was shown to have a predictive relationship with ASI-MV derived alcohol (>= seven alleles), and other drugs (>= 4 alleles) severity risk scores. In a number of neuroimaging studies, we also display that in both animal (bench) and abstinent Chinese severe heroin-dependent patients (bedside), BOLD dopamine activation across the brain reward circuitry revealed increases in resting state functional connectivity as well volume connectivity. It is also known that published nutrigenomic (coupling gene polymorphisms with altered KB220z) studies reveal improved clinical outcomes related to obesity. CI - CONFLICT OF INTEREST Kenneth Blum, PhD owns stock in RDSS LLC, Synaptamine, INC, Igene LLC, Geneus Health, LLC, and RestoreGen, LLC. Synaptamine is the exclusive distributor worldwide of patents related to Reward Deficiency Syndrome (RDS). Dr. Blum is the Chief Scientific Advisor for Dominion Diagnostics. Blum, Modestino, Steinberg, Neary, Gondre-Lewis, Barh, Badgaiyan, Siwicki, and Hauser are on the Scientific Advisory Board of Geneus Health, LLC. There are no other competing interests to declare. IS - 2456-2254 IL - 2456-2254 PT - Journal Article PT - Comment ID - PMC5778881 [pmc] ID - NIHMS935265 [mid] PP - ppublish GI - No: I01 CX000479 Organization: (CX) *CSRD VA* Country: United States GI - No: R01 NS073884 Organization: (NS) *NINDS NIH HHS* Country: United States LG - English EP - 20171118 DP - 2017 EZ - 2018/01/27 06:00 DA - 2018/01/27 06:01 DT - 2018/01/27 06:00 YR - 2017 RD - 20180206 UP - 20180206 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29372187 <1665. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28261411 TI - A Solution to the Problem of Sustainability of Opioid Initiatives in Graduate Medical Education. SO - Journal of Graduate Medical Education. 9(1):133, 2017 Feb. AS - J Grad Med Educ. 9(1):133, 2017 Feb. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Tanksley AL AU - Farnan JM AU - Arora VM FA - Tanksley, Audrey L FA - Farnan, Jeanne M FA - Arora, Vineet M IN - Tanksley, Audrey L. Assistant Professor of Medicine, University of Chicago Medical Center. IN - Farnan, Jeanne M. Associate Professor, Department of Medicine, University of Chicago Pritzker School of Medicine. IN - Arora, Vineet M. Associate Professor and Director of Graduate Medical Education Clinical Learning Environment Innovation, Department of Medicine, University of Chicago Pritzker School of Medicine. CM - Comment on: J Grad Med Educ. 2016 Jul;8(3):390-7; PMID: 27413443 NJ - Journal of graduate medical education VO - 9 IP - 1 PG - 133 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101521733 IO - J Grad Med Educ CP - United States ES - 1949-8357 IL - 1949-8357 DO - https://dx.doi.org/10.4300/JGME-D-16-00514.1 PT - Editorial PT - Comment ID - 10.4300/JGME-D-16-00514.1 [doi] ID - Customer: JGME-D-16-00514 [pii] ID - PMC5319615 [pmc] PP - ppublish LG - English DP - 2017 Feb EZ - 2017/03/07 06:00 DA - 2017/03/07 06:00 DT - 2017/03/07 06:00 YR - 2017 RD - 20180201 UP - 20180201 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28261411 <1666. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28718723 TI - Core addiction medicine competencies for doctors: An international consultation on training. SO - Substance Abuse. 38(4):483-487, 2017 Oct-Dec. AS - Subst Abus. 38(4):483-487, 2017 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Ayu AP AU - El-Guebaly N AU - Schellekens A AU - De Jong C AU - Welle-Strand G AU - Small W AU - Wood E AU - Cullen W AU - Klimas J AI - De Jong, Cor; ORCID: http://orcid.org/0000-0003-1824-7303 AI - Klimas, Jan; ORCID: http://orcid.org/0000-0002-5179-0052 FA - Ayu, Astri Parawita FA - El-Guebaly, Nady FA - Schellekens, Arnt FA - De Jong, Cor FA - Welle-Strand, Gabrielle FA - Small, William FA - Wood, Evan FA - Cullen, Walter FA - Klimas, Jan IN - Ayu, Astri Parawita. a Atma Jaya Catholic University of Indonesia , School of Medicine , Jakarta , Indonesia. IN - Ayu, Astri Parawita. b Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA) , Radboud University , Nijmegen , The Netherlands. IN - El-Guebaly, Nady. c Division of Addiction, Department of Psychiatry , University of Calgary , Calgary , Alberta , Canada. IN - Schellekens, Arnt. b Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA) , Radboud University , Nijmegen , The Netherlands. IN - Schellekens, Arnt. d Department of Psychiatry , Radboud University Medical Centre , Nijmegen , The Netherlands. IN - De Jong, Cor. b Nijmegen Institute for Scientist-Practitioners in Addiction (NISPA) , Radboud University , Nijmegen , The Netherlands. IN - Welle-Strand, Gabrielle. e Norwegian Centre for Addiction Research , University of Oslo , Oslo , Norway. IN - Small, William. f Faculty of Health Sciences , Simon Fraser University , Burnaby , British Columbia , Canada. IN - Wood, Evan. g British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Wood, Evan. h Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Cullen, Walter. i School of Medicine , University College Dublin , Belfield , Dublin , Ireland. IN - Klimas, Jan. h Department of Medicine , University of British Columbia, St. Paul's Hospital , Vancouver , British Columbia , Canada. IN - Klimas, Jan. i School of Medicine , University College Dublin , Belfield , Dublin , Ireland. NJ - Substance abuse VO - 38 IP - 4 PG - 483-487 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Expert consultation; medical education; substance-related disorders AB - BACKGROUND: Despite the high prevalence of substance use disorders, associated comorbidities, and the evidence base upon which to base clinical practice, most health systems have not invested in standardized training of health care providers in addiction medicine. As a result, people with substance use disorders often receive inadequate care, at the cost of quality of life and enormous direct health care costs and indirect societal costs. Therefore, this study was undertaken to assess the views of international scholars, representing different countries, on the core set of addiction medicine competencies that need to be covered in medical education. AB - METHODS: A total of 13 members of the International Society of 20 Addiction Medicine (ISAM), from 12 different countries (37% response rate), were interviewed over Skype, e-mail survey, or in person at the annual conference. Content analysis was used to analyze interview transcripts, using constant comparison methodology. AB - RESULTS: We identified recommendations related to the core set of the addiction medicine competencies at 3 educational levels: (i) undergraduate, (ii) postgraduate, and (iii) continued medical education (CME). The participants described broad ideas, such as knowledge/skills/attitudes towards addiction to be obtained at undergraduate level, or knowledge of addiction treatment to be acquired at graduate level, as well as specific recommendations, including the need to tailor curriculum to national settings and different specialties. AB - CONCLUSIONS: Although it is unclear whether a global curriculum is needed, a consensus on a core set of principles for progression of knowledge, attitudes, and skills in addiction medicine to be developed at each educational level amongst medical graduates would likely have substantial value. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1355868 PT - Journal Article ID - 10.1080/08897077.2017.1355868 [doi] ID - PMC5788448 [pmc] ID - NIHMS936414 [mid] PP - ppublish 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 - 20170718 DP - 2017 Oct-Dec PQ - 2018/10/01 EZ - 2017/07/19 06:00 DA - 2017/07/19 06:00 DT - 2017/07/19 06:00 YR - 2017 RD - 20180131 UP - 20180131 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28718723 <1667. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29359199 TI - Project SARET: An interprofessional education (IPE) lens examines substance use disorders research education for health professional students. SO - Journal of Interprofessional Education & Practice. 9:99-103, 2017 Dec. AS - J Interprof Educ Pract. 9:99-103, 2017 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Naegle MA AU - Hanley K AU - Gourevitch MN AU - Tuchman E AU - More FG AU - Bereket S FA - Naegle, Madeline A FA - Hanley, Kathleen FA - Gourevitch, Marc N FA - Tuchman, Ellen FA - More, Frederick G FA - Bereket, Sewit IN - Naegle, Madeline A. NYU Rory Meyers College of Nursing, 433 First Avenue, New York, NY 10010, USA. IN - Hanley, Kathleen. NYU School of Medicine, Department of Medicine, Old Bellevue C and D Building D 401, 27th Street and First Avenue, New York, NY 10016, USA. IN - Gourevitch, Marc N. NYU School of Medicine, Department of Population Health, 550 First Ave, TRB 7th Floor, Room #707, New York, NY 10016 USA. IN - Tuchman, Ellen. NYU Silver School of Social Work, 1 Washington Square North, New York, NY 10003. IN - More, Frederick G. NYU College of Dentistry, Department of Epidemiology & Health Promotion, 433 First Ave, New York, NY 10010 USA. IN - Bereket, Sewit. NYU School of Medicine, Department of Population Health, 550 First Ave, TRB 7th Floor, #754B, New York, NY 10016, USA. NJ - Journal of interprofessional education & practice VO - 9 PG - 99-103 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101690297 IO - J Interprof Educ Pract CP - United States AB - The NIDA funded Substance Abuse Education, Research and Training (SARET) Program addresses the compelling need for health professionals prepared to engage in substance use disorders (SUD) research. The goal of this interprofessional project, structured by an Executive Committee of co-investigators from the disciplines of medicine, nursing, social work and dentistry, is to increase the skills of students from each discipline for interprofessional research collaboration and early career-development opportunities in SUD research. The development of web-based modules, interprofessional seminars and a model mentorship program were designed as well, for dissemination and evaluation by other health professional schools. The educational format is 6 interactive web-based learning modules, providing an overview of core content on Substance Use Disorders (SUD), summer or year-long mentored research experiences with NIH-funded researchers and small interprofessional seminars and site visits. Assessment consists of self-reported annual student learning outcomes and external editorial and advisory board project and curricular materials review. These reviews encourages the updating of materials and provide flexibility for participating "champions" at other schools who use the modules. Quantitative and qualitative outcomes of student research activities and data on dissemination of modules support the fit between project content and interprofessional teaching modalities. The learning modules are available without charge to individuals, students, faculty or health professional programs from the project's website. CI - There are no conflicts of interest. Documents can be forwarded on request. IS - 2405-4526 IL - 2405-4526 DO - https://dx.doi.org/10.1016/j.xjep.2017.09.002 PT - Journal Article ID - 10.1016/j.xjep.2017.09.002 [doi] ID - PMC5774712 [pmc] ID - NIHMS907472 [mid] PP - ppublish GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20170920 DP - 2017 Dec PQ - 2018/12/01 EZ - 2018/01/24 06:00 DA - 2018/01/24 06:01 DT - 2018/01/24 06:00 YR - 2017 RD - 20180126 UP - 20180126 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29359199 <1668. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28498004 TI - A Sequential Implementation Model for Workforce Development: A Case Study of Medical Residency Training for Substance Use Concerns. SO - Teaching & Learning in Medicine. 30(1):84-94, 2018 Jan-Mar. AS - Teach Learn Med. 30(1):84-94, 2018 Jan-Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - O'Sullivan PS AU - Yuan P AU - Satre DD AU - Wamsley M AU - Satterfield J FA - O'Sullivan, Patricia S FA - Yuan, Patrick FA - Satre, Derek D FA - Wamsley, Maria FA - Satterfield, Jason IN - O'Sullivan, Patricia S. a Department of Medicine , University of California San Francisco , San Francisco , California , USA. IN - O'Sullivan, Patricia S. b Center for Faculty Educators, University of California San Francisco , San Francisco , California , USA. IN - Yuan, Patrick. b Center for Faculty Educators, 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 , Oakland , California , USA. IN - Wamsley, Maria. a Department of Medicine , University of California San Francisco , San Francisco , California , USA. IN - Satterfield, Jason. a Department of Medicine , University of California San Francisco , San Francisco , California , USA. NJ - Teaching and learning in medicine VO - 30 IP - 1 PG - 84-94 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dx5, 8910884 IO - Teach Learn Med CP - United States KW - Capacity building; SBIRT; residency; scaling-up; workforce development AB - PROBLEM: In graduate medical education, residency programs are often educationally isolated from each other, with varying needs and patient populations, so strategies are needed when attempting to implement training in evidence-based practices across multiple residencies. AB - INTERVENTION: Using implementation science as a guide, we adapted a community development model to sequentially implement an evidence-based intervention, Screening, Brief Intervention, and Referral to Treatment (SBIRT) for alcohol and drug use problems, across internal medicine, pediatrics, emergency medicine, psychiatry, and obstetrics and gynecology residency programs. AB - CONTEXT: A grant-funded "executive" team coordinated the implementation, enrolled a new residency program annually, and served as the consultative team to span the programs. The team was attentive to aligning implementation with the needs of each program. To assist in planning, the team included a program champion 1 year prior to SBIRT implementation to provide the opportunity to develop resources and work with peers. We evaluated this model through an implementation science lens using a case study approach that included interviews and quantitative tabulation of products and resident perceptions. AB - OUTCOME: We successfully instituted SBIRT training in all 5 residency programs through the use of a supported local champion model. Teams developed 90 curricular products and had 57 presentations and publications. Residents reported satisfaction with the SBIRT activities. Champions reported that SBIRT was a useful approach and that they gained valuable knowledge and relationships from working with the executive team when designing learning materials appropriate for their residency. Champions successfully incorporated SBIRT into routine clinical practice. AB - LESSONS LEARNED: Having a strong team to support subsequent SBIRT champions was essential for implementation. The champions needed financial support to have the necessary time to implement training. The strategy of building a peer network across programs was critical for sustaining the implementation. Collecting and sharing resources aided the champions in developing their materials. ES - 1532-8015 IL - 1040-1334 DO - https://dx.doi.org/10.1080/10401334.2017.1314216 PT - Journal Article ID - 10.1080/10401334.2017.1314216 [doi] PP - ppublish LG - English EP - 20170512 DP - 2018 Jan-Mar EZ - 2017/05/13 06:00 DA - 2017/05/13 06:00 DT - 2017/05/13 06:00 YR - 2018 RD - 20180117 UP - 20180117 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28498004 <1669. > 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 - In-Process 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 CP - 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 - 2017/05/26 06:00 DT - 2017/05/25 06:00 YR - 2017 RD - 20171206 UP - 20171206 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28537951 <1670. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28590393 TI - Addiction Research Training Programs: Four Case Studies and Recommendations for Evaluation. SO - Journal of Addiction Medicine. 11(5):333-338, 2017 Sep/Oct. AS - J Addict Med. 11(5):333-338, 2017 Sep/Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Campbell ANC AU - Back SE AU - Ostroff JS AU - Hien DA AU - Gourevitch MN AU - Sheffer CE AU - Brady KT AU - Hanley K AU - Bereket S AU - Book S FA - Campbell, Aimee N C FA - Back, Sudie E FA - Ostroff, Jamie S FA - Hien, Denise A FA - Gourevitch, Marc N FA - Sheffer, Christine E FA - Brady, Kathleen T FA - Hanley, Kathleen FA - Bereket, Sewit FA - Book, Sarah IN - Campbell, Aimee N C. Division of Substance Use Disorders, Department of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute, New York, NY (ANCC); Department of Psychiatry and Behavioral Sciences, Medical University of South Carolina and Ralph H. Johnson VA Medical Center, Charleston, SC (SEB, KTB); Department of Psychiatry and Behavioral Sciences, Memorial Sloan Kettering Cancer Center, New York, NY (JSO); Gordon F. Derner Institute for Advanced Psychological Studies at Adelphi University and Division of Substance Use Disorders, Department of Psychiatry, Columbia University Medical Center and New York State Psychiatric Institute, New York, NY (DAH); Department of Population Health NYU School of Medicine (MNG, SB); Department of Health Behavior, Roswell Park Cancer Institute, Buffalo, NY (CES); NYU School of Medicine (KH); and Department of Psychiatry and Behavioral Sciences, Addiction Sciences Division, Medical University of South Carolina, Charleston, SC (SB). NJ - Journal of addiction medicine VO - 11 IP - 5 PG - 333-338 PI - Journal available in: Print PI - Citation processed from: Internet JC - 101306759 IO - J Addict Med CP - United States AB - : The presence of structured addiction research training programs helps to ensure that the scientific workforce includes well-trained, diverse scientists necessary to reduce the negative impact of alcohol, drug, and tobacco use disorders. Although the field has made significant progress in the development of standards for clinical training in addiction medicine, there remains significant room for improvement in the training of addiction researchers, and also opportunities to synergize across addiction research training programs. The purpose of this commentary is to describe 4 National Institutes of Health (NIH)-sponsored addiction research training programs, highlight critical components, and provide recommendations for more comprehensive and effective program evaluation. Moving forward, evaluation of addiction research training programs would be enhanced by the use of conceptual models to inform process and outcome evaluations, the application of innovative methods to ensure long-term data collection, the improvement of mentorship evaluation measures, and the integration of training methods from other fields of study. We encourage NIH and others in the field to be proactive in establishing core metrics for evaluation across programs. Furthermore, centralized tracking of NIH-funded addiction research trainees, analysis of aggregate data across programs, and innovative methods to effectively disseminate program materials and processes are recommended. ES - 1935-3227 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0000000000000328 PT - Journal Article ID - 10.1097/ADM.0000000000000328 [doi] ID - PMC5610081 [pmc] ID - NIHMS879029 [mid] PP - ppublish GI - No: P20 CA192993 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: U54 CA137788 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: P30 CA008748 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: P20 CA192991 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: U54 CA132378 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R25 DA020537 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA035161 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2017 Sep/Oct PQ - 2018/09/01 EZ - 2017/06/08 06:00 DA - 2017/06/08 06:00 DT - 2017/06/08 06:00 YR - 2017 RD - 20180119 UP - 20180119 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28590393 <1671. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29319145 TI - Medical students' knowledge, attitudes and behaviours related to substance use in Lebanon: a cross-sectional survey. SO - Eastern Mediterranean Health Journal. 23(11):734-743, 2018 Jan 02. AS - East Mediterr Health J. 23(11):734-743, 2018 Jan 02. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Assaf G AU - Noureddine S AU - Kouyoumdjian SP AU - El Khoury J FA - Assaf, Georges FA - Noureddine, Samar FA - Kouyoumdjian, Silva P FA - El Khoury, Jamil IN - Assaf, Georges. Department of Family Medicine, Faculty of Medicine, American University of Beirut, Beirut, Lebanon. IN - Noureddine, Samar. Hariri School of Nursing, American University of Beirut, Beirut, Lebanon. IN - Kouyoumdjian, Silva P. Infectious Disease Epidemiology Group, Weill Cornell Medical College, Qatar. IN - El Khoury, Jamil. Senior Research Officer, International Rescue Committee, Beirut, Lebanon. NJ - Eastern Mediterranean health journal = La revue de sante de la Mediterranee orientale = al-Majallah al-sihhiyah li-sharq al-mutawassit VO - 23 IP - 11 PG - 734-743 PI - Journal available in: Print PI - Citation processed from: Print JC - daq, 9608387 IO - East. Mediterr. Health J. CP - Egypt AB - The study aims were to explore the knowledge, attitudes and behaviours of Lebanese medical students related to substance use and to determine prevalence and psychosocial predictors. A cross-sectional survey of 231 medical students (48.6% male; 53.1% preclinical, 46.9% clinical) was conducted during June 2012-July 2013. The questionnaire addressed knowledge and attitudes about substance use, religiosity, depression, anxiety and demographic characteristics. The knowledge score was 52.7% (standard deviation 14.4%), and was significantly lower in 2nd year students (48.53%) than in 3rd and 4th year students (57.5% and 57.4%) (P < 0.05). Students reported more training in drug abuse than alcohol abuse (38.2% vs. 34.4%). One-fourth reported smoking, 57.7% using alcohol and 46.8% using drugs. Significant predictors of lower substance use included intrinsic religiosity and interest in working in the field. The findings reveal inadequate knowledge and considerable substance use in Lebanese medical students. Therefore, training in substance use and counseling of students are necessary. OA - Publisher: : .; Language: Arabic OA - Publisher: Connaissances, attitudes et comportements des etudiants en medecine en matiere de consommation de substances psychoactives au Liban : etude transversale.; Language: French IS - 1020-3397 IL - 1020-3397 PT - Journal Article PP - ppublish PH - 2016/04/28 [received] PH - 2017/01/30 [accepted] LG - English DP - 2018 Jan 02 DT - 2018/01/11 06:00 YR - 2018 RD - 20180110 UP - 20180110 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29319145 <1672. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29313874 TI - [Letter to the Editor: Addiction Psychiatry Fellowship Training In The United States: A Model For Turkey]. [Turkish] OT - Editore Mektup: Amerika Birlesik Devletleri'nde Bagimlilik Psikiyatrisi Yandal Egitimi: Turkiye Icin Bir Model. SO - Turk Psikiyatri Dergisi. 28(2):139-141, 2017. AS - Turk Psikiyatri Derg. 28(2):139-141, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Camsari UM AU - Arikan Z FA - Camsari, Ulas Mehmet FA - Arikan, Zehra NJ - Turk psikiyatri dergisi = Turkish journal of psychiatry VO - 28 IP - 2 PG - 139-141 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9425936 IO - Turk Psikiyatri Derg CP - Turkey IS - 1300-2163 IL - 1300-2163 PT - Journal Article ID - 1078 [pii] PP - ppublish LG - Turkish DP - 2017 DT - 2018/01/10 06:00 YR - 2017 RD - 20180109 UP - 20180109 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29313874 <1673. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29025818 TI - Mental health and addictions capacity building for community health centres in Ontario. SO - Canadian Family Physician. 63(10):e416-e424, 2017 Oct. AS - Can Fam Physician. 63(10):e416-e424, 2017 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Khenti A AU - Thomas FC AU - Mohamoud S AU - Diaz P AU - Vaccarino O AU - Dunbar K AU - Sapag JC FA - Khenti, Akwatu FA - Thomas, Fiona C FA - Mohamoud, Sirad FA - Diaz, Pablo FA - Vaccarino, Oriana FA - Dunbar, Kate FA - Sapag, Jaime C IN - Khenti, Akwatu. Director of the Office of Transformative Global Health (OTGH) in the Institute for Mental Health Policy Research at the Centre for Addiction and Mental Health (CAMH) in Toronto, Ont, and Assistant Professor in the Dalla Lana School of Public Health at the University of Toronto. IN - Thomas, Fiona C. Doctoral student in the Community-Engaged Research on Culture and Health Laboratory in the Department of Psychology at Ryerson University in Toronto and worked closely with the OTGH at CAMH. IN - Mohamoud, Sirad. Senior Policy Advisor at the Ministry of Health and Long-Term Care in Toronto. IN - Diaz, Pablo. Psychiatrist in the Schizophrenia Program at CAMH and is Assistant Professor in the Department of Psychiatry at the University of Toronto. IN - Vaccarino, Oriana. Doctoral student in Applied Social Psychology at the University of Guelph in Ontario and worked closely with the OTGH at CAMH. IN - Dunbar, Kate. Coordinator in this capacity-building initiative in the OTGH in the Institute for Mental Health Policy Research at CAMH. IN - Sapag, Jaime C. Project Scientist in the OTGH at CAMH and Associate Professor in the Department of Public Health and the Department of Family Medicine in the School of Medicine of the Faculty of Medicine at the Pontificia Universidad Catolica de Chile. jaime.sapag@camh.ca. NJ - Canadian family physician Medecin de famille canadien VO - 63 IP - 10 PG - e416-e424 PI - Journal available in: Print PI - Citation processed from: Internet JC - blo, 0120300 IO - Can Fam Physician CP - Canada AB - PROBLEM ADDRESSED: In recent years, there has been increased recognition in Canada of the need to strengthen mental health services in primary health care (PHC). Collaborative models, including partnerships between PHC and specialized mental health care providers, have emerged as effective ways for improving access to mental health care and strengthening clinical capacity. Primary health care physicians and other health professionals are well positioned to facilitate the early detection of mental disorders and provide appropriate treatment and follow-up care, helping to tackle stigma toward mental health problems in the process. AB - OBJECTIVE OF PROGRAM: This 4-year mental health and addiction capacity-building initiative for PHC addressed competency needs at the individual, interprofessional, and organizational levels. AB - PROGRAM DESCRIPTION: The program included 5 key components: a needs assessment; interprofessional education; mentoring; development of organizational mental health and addiction action plans for each participating community health centre; and creation of an advanced resource manual to support holistic and culturally competent collaborative mental health care. A comprehensive evaluation framework using a mixed-methods approach was applied from the initiation of the program. A total of 184 health workers in 10 community health centres in Ontario participated in the program, including physicians, nurses, social workers, and administrative staff. AB - CONCLUSION: Evaluation findings demonstrated high satisfaction with the training, improved competencies, and individual behavioural and organizational changes. By building capacity to integrate holistic and culturally appropriate care, this competency-based program is a promising model with strong potential to be adapted and scaled up for PHC organizations nationally and internationally. Copyright© the College of Family Physicians of Canada. ES - 1715-5258 IL - 0008-350X PT - Journal Article ID - 63/10/e416 [pii] ID - PMC5638489 [pmc] PP - ppublish LG - English DP - 2017 Oct EZ - 2017/10/14 06:00 DA - 2017/10/14 06:00 DT - 2017/10/14 06:00 YR - 2017 RD - 20171219 UP - 20171220 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29025818 <1674. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28766126 TI - Partnering with Psychiatry to Close the Education Gap: An Approach to the Addiction Epidemic. SO - Journal of General Internal Medicine. 32(12):1387-1389, 2017 Dec. AS - J Gen Intern Med. 32(12):1387-1389, 2017 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Tetrault JM AU - Petrakis IL FA - Tetrault, Jeanette M FA - Petrakis, Ismene L IN - Tetrault, Jeanette M. Department of Internal Medicine, Yale University School of Medicine, 367 Cedar Street, Suite 305, New Haven, CT, 06510, USA. jeanette.tetrault@yale.edu. IN - Petrakis, Ismene L. Department of Psychiatry, Yale University School of Medicine, New Haven, CT, USA. IN - Petrakis, Ismene L. VA Connecticut Healthcare System, West Haven, CT, USA. NJ - Journal of general internal medicine VO - 32 IP - 12 PG - 1387-1389 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8605834 IO - J Gen Intern Med CP - United States KW - medical education; substance-related disorders AB - Addiction has reached epidemic proportions in the U.S., yet the workforce prepared to care for this population is woefully inadequate. Of the 23 million Americans suffering from addiction, only 11% receive treatment, creating a substantial treatment gap. There have been calls to improve addiction education at all levels of training in order to prepare medical providers with the skills to identify patients with substance use, briefly treat if indicated, and/or refer more complex cases to specialty care. These calls have been put forth to address the education gap, wherein physicians in training are exposed to numerous patients who are suffering from addiction but have few curricular hours dedicated to the identification and management of this population. We propose that strategic partnerships between psychiatry and internal medicine can address the education gap that exists with regard to addiction, ultimately addressing the treatment gap which is plaguing this country. ES - 1525-1497 IL - 0884-8734 DO - https://dx.doi.org/10.1007/s11606-017-4140-9 PT - Journal Article ID - 10.1007/s11606-017-4140-9 [doi] ID - 10.1007/s11606-017-4140-9 [pii] ID - PMC5698217 [pmc] PP - ppublish PH - 2016/12/23 [received] PH - 2017/07/12 [accepted] PH - 2017/04/19 [revised] LG - English EP - 20170801 DP - 2017 Dec PQ - 2018/12/01 EZ - 2017/08/03 06:00 DA - 2017/08/03 06:00 DT - 2017/08/03 06:00 YR - 2017 RD - 20171206 UP - 20171207 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28766126 <1675. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29192948 TI - [Letter to the Editor: Addiction Psychiatry Fellowship Training In The United States]. [Turkish] OT - Editore Mektup: Amerika Birlesik Devletleri'nde Bagimlilik Psikiyatrisi Yandal Egitimi: Turkiye Icin Bir Model. SO - Turk Psikiyatri Dergisi. 28(2):139-141, 2017. AS - Turk Psikiyatri Derg. 28(2):139-141, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Camsari UM FA - Camsari, Ulas Mehmet NJ - Turk psikiyatri dergisi = Turkish journal of psychiatry VO - 28 IP - 2 PG - 139-141 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9425936 IO - Turk Psikiyatri Derg CP - Turkey IS - 1300-2163 IL - 1300-2163 PT - Journal Article ID - 1078 [pii] PP - ppublish LG - Turkish DP - 2017 EZ - 2017/12/02 06:00 DA - 2017/12/02 06:00 DT - 2017/12/02 06:00 YR - 2017 RD - 20171201 UP - 20171204 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=29192948 <1676. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28989293 TI - Internet use and its addiction level in medical students. SO - Advances in Medical Education & Practice. 8:641-647, 2017. AS - Adv Med Educ Pract. 8:641-647, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Upadhayay N AU - Guragain S FA - Upadhayay, Namrata FA - Guragain, Sanjeev IN - Upadhayay, Namrata. Department of Physiology. IN - Guragain, Sanjeev. Department of Pharmacology, Gandaki Medical College, Pokhara Lekhnath, Nepal. NJ - Advances in medical education and practice VO - 8 PG - 641-647 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101562700 IO - Adv Med Educ Pract CP - New Zealand KW - Internet; addiction; entertainment; medical students AB - OBJECTIVE: To compare the Internet addiction levels between male and female medical students. AB - METHODS: One hundred medical students (male: 50, female: 50) aged 17-30 years were included in a cross-sectional study. A standardized questionnaire was used to assess their Internet addiction level. Additionally, a self-designed questionnaire was used to identify the various purposes of Internet use among the students. The Internet addiction score (based on the Internet Addiction Test) was compared between male and female students by using the Mann-Whitney U test (p<=0.05). After knowing their addiction level, we interviewed students to know if Internet use had any bad/good impact on their life. AB - RESULTS: The Internet Addiction Test scores obtained by the students were in the range of 11-70. Out of 100 students, 21 (male: 13, female: 8) were found to be slightly addicted to the Internet. The remaining 79 students were average online users. There was no significant difference between male and female students in the addiction level (score). However, males were more addicted than females. The major use of Internet was to download and watch movies and songs and to communicate with friends and family (76/100). Some students (24/100) used the Internet to assess information that helped them in their educational and learning activities. Some students mentioned that overuse of the Internet lead to insufficient amounts of sleep and affected their concentration levels in the classroom during lectures. AB - CONCLUSION: Medical students are experiencing problems due to Internet overuse. They experience poor academic progress and lack of concentration while studying. The main use of the Internet was for entertainment and to communicate with friends and family. CI - Disclosure The authors report no conflicts of interest in this work. IS - 1179-7258 IL - 1179-7258 DO - https://dx.doi.org/10.2147/AMEP.S142199 PT - Journal Article ID - 10.2147/AMEP.S142199 [doi] ID - amep-8-641 [pii] ID - PMC5624599 [pmc] PP - epublish LG - English EP - 20170925 DP - 2017 EZ - 2017/10/11 06:00 DA - 2017/10/11 06:01 DT - 2017/10/10 06:00 YR - 2017 RD - 20171013 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28989293 <1677. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28952995 TI - Clinician-Scientist Training in Addiction Medicine: A Novel Program in a Canadian Setting. SO - Academic Medicine. 92(10):1367, 2017 Oct. AS - Acad Med. 92(10):1367, 2017 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Klimas J AU - McNeil R AU - Small W AU - Cullen W FA - Klimas, Jan FA - McNeil, Ryan FA - Small, Will FA - Cullen, Walter IN - Klimas, Jan. Postdoctoral fellow, British Columbia Centre on Substance Use, Department of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, British Columbia, Canada, and postdoctoral fellow, School of Medicine, University College Dublin, Dublin, Ireland; jklimas@cfenet.ubc.ca; ORCID: http://orcid.org/0000-0002-5179-0052. Research scientist, British Columbia Centre on Substance Use, and assistant professor, Department of Medicine, University of British Columbia, St. Paul's Hospital, Vancouver, British Columbia; ORCID: http://orcid.org/0000-0001-9555-7693. Research scientist, British Columbia Centre on Substance Use, Department of Medicine, University of British Columbia, St. Paul's Hospital, and interim director, Centre for Applied Research in Mental Health and Addiction (CARMHA), and assistant professor, Faculty of Health Sciences, Simon Fraser University, Vancouver, British Columbia, Canada. Professor of urban general practice, School of Medicine, University College Dublin, Health Sciences Centre, Belfield, Dublin, Ireland; ORCID: http://orcid.org/0000-0003-1838-5052. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 92 IP - 10 PG - 1367 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med CP - United States ES - 1938-808X IL - 1040-2446 DO - https://dx.doi.org/10.1097/ACM.0000000000001880 PT - Journal Article ID - 10.1097/ACM.0000000000001880 [doi] ID - 00001888-201710000-00012 [pii] ID - PMC5657562 [pmc] ID - NIHMS890874 [mid] PP - ppublish GI - No: R01 DA043408 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R01 DA044181 Organization: (DA) *NIDA NIH HHS* Country: United States GI - No: R25 DA037756 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2017 Oct PQ - 2018/10/01 EZ - 2017/09/28 06:00 DA - 2017/09/28 06:00 DT - 2017/09/28 06:00 YR - 2017 RD - 20171027 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28952995 <1678. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28852654 TI - Assessing the effect of an educational intervention program based on Health Belief Model on preventive behaviors of internet addiction. SO - Journal of Education & Health Promotion. 6:63, 2017. AS - J. educ. health promot.. 6:63, 2017. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Maheri A AU - Tol A AU - Sadeghi R FA - Maheri, Aghbabak FA - Tol, Azar FA - Sadeghi, Roya IN - Maheri, Aghbabak. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. IN - Tol, Azar. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. IN - Sadeghi, Roya. Department of Health Education and Promotion, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran. NJ - Journal of education and health promotion VO - 6 PG - 63 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101593794 IO - J Educ Health Promot CP - India KW - Education; internet addiction; intervention; preventive behaviors AB - INTRODUCTION: Internet addiction refers to the excessive use of the internet that causes mental, social, and physical problems. According to the high prevalence of internet addiction among university students, this study aimed to determine the effect of an educational intervention on preventive behaviors of internet addiction among Tehran University of Medical Sciences students. AB - MATERIALS AND METHODS: This study was a quasi-experimental study conducted among female college students who live in the dormitories of Tehran University of Medical Sciences. Two-stage cluster sampling was used for selection of eighty participants in each study groups; data were collected using "Young's Internet Addiction" and unstructured questionnaire. Validity and reliability of unstructured questionnaire were evaluated by expert panel and were reported as Cronbach's alpha. Information of study groups before and 4 months after the intervention was compared using statistical methods by SPSS 16. AB - RESULTS: After the intervention, the mean scores of internet addiction, perceived barriers construct, and the prevalence of internet addiction significantly decreased in the intervention group than that in the control group and the mean scores of knowledge and Health Belief Model (HBM) constructs (susceptibility, severity, benefits, self-efficacy) significantly increased. AB - CONCLUSIONS: Education based on the HBM was effective on the reduction and prevention of internet addiction among female college students, and educational interventions in this field are highly recommended. CI - There are no conflicts of interest. IS - 2277-9531 IL - 2277-9531 DO - https://dx.doi.org/10.4103/jehp.jehp_129_15 PT - Journal Article ID - 10.4103/jehp.jehp_129_15 [doi] ID - JEHP-6-63 [pii] ID - PMC5561672 [pmc] PP - epublish PH - 2015/10/17 [received] PH - 2016/09/09 [accepted] LG - English EP - 20170809 DP - 2017 EZ - 2017/08/31 06:00 DA - 2017/08/31 06:01 DT - 2017/08/31 06:00 YR - 2017 RD - 20170902 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28852654 <1679. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28724151 TI - Assessment of Addiction Medicine Training in Family Medicine Residency Programs: A CERA Study. SO - Family Medicine. 49(7):537-543, 2017 Jul. AS - Fam Med. 49(7):537-543, 2017 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Tong S AU - Sabo R AU - Aycock R AU - Prasad R AU - Etz R AU - Kuzel A AU - Krist A FA - Tong, Sebastian FA - Sabo, Roy FA - Aycock, Rebecca FA - Prasad, Ramakrishna FA - Etz, Rebecca FA - Kuzel, Anton FA - Krist, Alex IN - Tong, Sebastian. Virginia Commonwealth University. NJ - Family medicine VO - 49 IP - 7 PG - 537-543 PI - Journal available in: Print PI - Citation processed from: Internet JC - fal, 8306464 IO - Fam Med CP - United States AB - BACKGROUND AND OBJECTIVES: Substance use disorder (SUD) is a widespread problem but physicians may feel inadequately prepared to provide addiction care. We sought to assess current addiction medicine curricula in US family medicine residencies (FMRs) and evaluate barriers to improving or implementing addiction medicine curricula. AB - METHODS: Questions regarding addiction medicine training were added to the December 2015 Council of Academic Family Medicine Educational Research Alliance (CERA) survey to US FMR program directors to evaluate each FMR's curriculum, potential workforce production, perceived barriers to improving or implementing curricula and faculty training in addiction medicine. AB - RESULTS: Of 461 FMR directors, 227 (49.2%) responded; 28.6% reported a required addiction medicine curricula. Regional variations of having a required curriculum ranged from 41.3% in the Northeast to 20.0% in the South (P=0.07). Of residencies, 31.2% had at least one graduate obtain a buprenorphine prescription waiver in the past year and 8.6% had at least one graduate pursue an addiction medicine fellowship in the past 5 years. Lack of faculty expertise was the most commonly cited barrier to having a curriculum, with only 36.2% of programs having at least one buprenorphine waivered faculty member, 9.4% an addiction medicine board certified faculty, and 5.5% a fellowship trained faculty. AB - CONCLUSIONS: Few FMRs have addiction medicine curricula and most graduates do not seek additional training. Multifaceted efforts, including developing model national curricula, training existing faculty, and recruiting addiction trained faculty, may improve addiction medicine training in family medicine residencies to better address the growing SUD epidemic. ES - 1938-3800 IL - 0742-3225 PT - Journal Article PP - ppublish LG - English DP - 2017 Jul EZ - 2017/07/21 06:00 DA - 2017/07/21 06:00 DT - 2017/07/21 06:00 YR - 2017 RD - 20170720 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28724151 <1680. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28715290 TI - Trainees' knowledge, attitudes, and practices towards caring for the substance-exposed mother-infant dyad. SO - Substance Abuse. 38(4):414-421, 2017 Oct-Dec. AS - Subst Abus. 38(4):414-421, 2017 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Schiff DM AU - Zuckerman B AU - Wachman EM AU - Bair-Merritt M FA - Schiff, Davida M FA - Zuckerman, Barry FA - Wachman, Elisha M FA - Bair-Merritt, Megan IN - Schiff, Davida M. a Department of Pediatrics , Boston Medical Center , Boston , Massachusetts , USA. IN - Schiff, Davida M. b Boston University School of Medicine , Boston , Massachusetts , USA. IN - Zuckerman, Barry. a Department of Pediatrics , Boston Medical Center , Boston , Massachusetts , USA. IN - Zuckerman, Barry. b Boston University School of Medicine , Boston , Massachusetts , USA. IN - Wachman, Elisha M. a Department of Pediatrics , Boston Medical Center , Boston , Massachusetts , USA. IN - Wachman, Elisha M. b Boston University School of Medicine , Boston , Massachusetts , USA. IN - Wachman, Elisha M. c Division of Neonatology , Boston Medical Center , Boston , Massachusetts , USA. IN - Bair-Merritt, Megan. a Department of Pediatrics , Boston Medical Center , Boston , Massachusetts , USA. IN - Bair-Merritt, Megan. b Boston University School of Medicine , Boston , Massachusetts , USA. NJ - Substance abuse VO - 38 IP - 4 PG - 414-421 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Neonatal Abstinence Syndrome; opioid use disorder; perinatal substance use; trainees' attitudes AB - BACKGROUND: As rates of substance use disorder during pregnancy rise, pediatric trainees are increasingly caring for infants with neonatal abstinence syndrome (NAS). This study evaluated the knowledge, attitudes, and practices of trainees caring for substance-exposed newborns and their families, comparing differences by level and type of training, and personal experience with addiction or trauma. AB - METHODS: A cross-sectional survey of medical students and pediatric, medicine/pediatric, and family medicine residents in 2015-2106. Measures included knowledge about NAS, attitudes towards mothers who use drugs, and practices around discussing addiction and trauma with families. Descriptive and bivariate analyses were conducted. AB - RESULTS: The overall response rate was 70%, with 229 trainees included in the final sample (99 students, 130 residents). Fifty percent of trainees endorsed personal experience with addiction, 50% with trauma, and 35% with both addiction and trauma. Increasing years of pediatric training was associated with greater comfort in managing symptoms of NAS but decreased comfort discussing addiction and trauma. Family medicine and medicine/pediatric residents were more comfortable discussing addiction and trauma than categorical pediatric residents (P < .01). Twenty-two percent of trainees felt confident that mothers would disclose illicit drug use, 39% felt that they would actively care for their infants with NAS, and 43% felt that mothers would not make unreasonable demands. Personal experience with addiction or trauma did not significantly impact trainees' attitudes towards women with substance use disorder. AB - CONCLUSIONS: Trainees may benefit from educational interventions focused on developing a 2-generational model of trauma-informed care to improve attitudes and ultimately the care of substance-exposed infants and their families. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1356423 PT - Journal Article ID - 10.1080/08897077.2017.1356423 [doi] PP - ppublish LG - English EP - 20170717 DP - 2017 Oct-Dec EZ - 2017/07/18 06:00 DA - 2017/07/18 06:00 DT - 2017/07/18 06:00 YR - 2017 RD - 20171023 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28715290 <1681. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28622136 TI - Exploring medical students' conceptions of substance use: A follow-up evaluation. SO - Substance Abuse. 38(4):464-467, 2017 Oct-Dec. AS - Subst Abus. 38(4):464-467, 2017 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Lindsay DL AU - Hagle H AU - Lincoln P AU - Williams J AU - Luongo PF FA - Lindsay, Dawn L FA - Hagle, Holly FA - Lincoln, Piper FA - Williams, Jessica FA - Luongo, Peter F IN - Lindsay, Dawn L. a Institute for Research, Education and Training in Addictions , Pittsburgh , Pennsylvania , USA. IN - Hagle, Holly. a Institute for Research, Education and Training in Addictions , Pittsburgh , Pennsylvania , USA. IN - Lincoln, Piper. a Institute for Research, Education and Training in Addictions , Pittsburgh , Pennsylvania , USA. IN - Williams, Jessica. a Institute for Research, Education and Training in Addictions , Pittsburgh , Pennsylvania , USA. IN - Luongo, Peter F. a Institute for Research, Education and Training in Addictions , Pittsburgh , Pennsylvania , USA. NJ - Substance abuse VO - 38 IP - 4 PG - 464-467 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Alcohol-related disorders; longitudinal studies; medical education; substance-related disorders AB - BACKGROUND: Despite the devastating impact of alcohol and other drug involvement and misuse within society, medical students still receive very limited exposure to these issues. The Scaife Advanced Medical Student Fellowship in Alcohol and Other Drug Dependency, offered by the Institute for Research, Education and Training in Addictions for over 10 years, offers a unique, 3-week intensive educational experience, including didactic, observation, and experiential learning in these topics to first-year medical students. The goal of this project was to evaluate the impact of the Scaife Fellowship on medical students' attitudes toward patients with alcohol and other drug involvement 1 to 5 years after completion of the experience. AB - METHODS: Past Scaife students and individuals who applied but did not attend were located and recruited to participate in an online attitude survey. AB - RESULTS: Results indicated that Scaife Fellowship students largely retain their sense of role security around working with patients with alcohol and other drug involvement at the follow-up time point. Although therapeutic commitment or the motivation to work with these patients decreased for drug use, the decrease was smaller than that typically noted in the literature. The group of comparison students showed lower scores on both subscales at the evaluation time point compared with Scaife students. AB - CONCLUSIONS: A three-week experiential program significantly improved medical students' Role Security and Therapeutic Commitment toward working with patients with substance use disorders. Moreover, the positive effects gained from the program were sustained over time. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1342735 PT - Journal Article ID - 10.1080/08897077.2017.1342735 [doi] PP - ppublish LG - English EP - 20170616 DP - 2017 Oct-Dec EZ - 2017/06/18 06:00 DA - 2017/06/18 06:00 DT - 2017/06/17 06:00 YR - 2017 RD - 20171023 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28622136 <1682. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28605276 TI - Substance use education in US schools of pharmacy: A systematic review of the literature. SO - Substance Abuse. 38(4):455-463, 2017 Oct-Dec. AS - Subst Abus. 38(4):455-463, 2017 Oct-Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Muzyk AJ AU - Peedin E AU - Lipetzky J AU - Parker H AU - McEachern MP AU - Thomas K AI - Muzyk, Andrew J; ORCID: http://orcid.org/0000-0002-6904-2466 AI - Thomas, Kelan; ORCID: http://orcid.org/0000-0003-2818-270X FA - Muzyk, Andrew J FA - Peedin, Emily FA - Lipetzky, Juliana FA - Parker, Haley FA - McEachern, Mark P FA - Thomas, Kelan IN - Muzyk, Andrew J. a Department of Pharmacy Practice , Campbell University College of Pharmacy and Health Sciences , Buies Creek , North Carolina , USA. IN - Muzyk, Andrew J. b Department of Pharmacy , Duke University Hospital , Durham , North Carolina , USA. IN - Peedin, Emily. b Department of Pharmacy , Duke University Hospital , Durham , North Carolina , USA. IN - Lipetzky, Juliana. c Department of Pharmacy , Durham VA Medical Center , Durham , North Carolina , USA. IN - Parker, Haley. c Department of Pharmacy , Durham VA Medical Center , Durham , North Carolina , USA. IN - McEachern, Mark P. d Taubman Health Sciences Library , University of Michigan , Ann Arbor , Michigan , USA. IN - Thomas, Kelan. e Department of Clinical Sciences , Touro University California College of Pharmacy , Vallejo , California , USA. NJ - Substance abuse VO - 38 IP - 4 PG - 455-463 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Addiction; alcohol; education; opioid; pharmacy students; substance use disorders; tobacco AB - BACKGROUND: The authors sought to systematically review the quantity and quality of literature describing substance use disorders (SUDs) education in US schools of pharmacy and determine the effectiveness of the educational interventions employed. AB - METHODS: The authors conducted a systematic review of SUDs education studies in US pharmacy schools. All literature database searches were performed on April 30, 2016, in 5 databases: Ovid MEDLINE, Ovid MEDLINE In-Process & Other Non-Indexed Citations, Embase.com, ERIC via FirstSearch, and CINAHL via EBSCOhost. The study authors conducted this systematic review according to the Preferred Reporting Items for Systemic Reviews and Meta-analyses guidelines and registered it with PROSPERO, which is an international prospective register of systematic reviews. The PROSPERO registration number is CRD42016037443. The study authors created a modified data extraction sheet based on the Best Evidence in Medical Education coding sheet. A Medical Education Research Study Quality Instrument (MERSQI) score was calculated for included articles. Results: From the 1626 retrieved records, 7 were included in the present review. The studies assessed students' impressions and abilities regarding SUDs pre- and post-intervention. The mean +/- SD MERSQI score of the 7 studies was 9.86 +/- 1.21 (range: 8-11.5). The included articles assessed pharmacy students at various academic years, with the majority students in either their first or second year of pharmacy school, and described both required and elective courses. The educational interventions varied in design and outcomes measured. Education included nicotine, alcoholism, and SUDs in general. None of the included articles reported on education regarding opioid use disorders. Conclusions: The studies included in this systematic review demonstrate that teaching pharmacy students about SUDs produces a positive impact in their attitudes and knowledge on this subject. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2017.1341448 PT - Journal Article ID - 10.1080/08897077.2017.1341448 [doi] PP - ppublish LG - English EP - 20170612 DP - 2017 Oct-Dec EZ - 2017/06/13 06:00 DA - 2017/06/13 06:00 DT - 2017/06/13 06:00 YR - 2017 RD - 20171023 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28605276 <1683. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28394056 TI - Putting a face to opiate addiction for students at a needle exchange programme. SO - Medical Education. 51(5):538-539, 2017 05. AS - Med Educ. 51(5):538-539, 2017 05. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Tringale R AU - Reilly JM FA - Tringale, Rolando FA - Reilly, Jo Marie NJ - Medical education VO - 51 IP - 5 PG - 538-539 PI - Journal available in: Print PI - Citation processed from: Internet JC - mz3, 7605655 IO - Med Educ CP - England ES - 1365-2923 IL - 0308-0110 DO - https://dx.doi.org/10.1111/medu.13318 PT - Journal Article ID - 10.1111/medu.13318 [doi] PP - ppublish LG - English DP - 2017 05 EZ - 2017/04/11 06:00 DA - 2017/04/11 06:00 DT - 2017/04/11 06:00 YR - 2017 RD - 20170919 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28394056 <1684. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28005316 TI - Changing attitudes in graduate medical education: A commentary on Attitudes towards Substance Use and Schizophrenia by Avery et al. SO - American Journal on Addictions. 26(1):83-86, 2017 Jan. AS - Am J Addict. 26(1):83-86, 2017 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Capurso NA AU - Shorter DI FA - Capurso, Noah A FA - Shorter, Daryl I IN - Capurso, Noah A. Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut. IN - Shorter, Daryl I. Research Service Line, Michael E. DeBakey VA Medical Center, Houston, Texas. IN - Shorter, Daryl I. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas. NJ - The American journal on addictions VO - 26 IP - 1 PG - 83-86 PI - Journal available in: Print PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict CP - England ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/ajad.12485 PT - Letter ID - 10.1111/ajad.12485 [doi] PP - ppublish PH - 2016/11/23 [received] PH - 2016/12/05 [accepted] LG - English DP - 2017 Jan EZ - 2016/12/23 06:00 DA - 2016/12/23 06:00 DT - 2016/12/23 06:00 YR - 2017 RD - 20161223 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28005316 <1685. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28000984 TI - Molding young minds: The importance of residency training in shaping residents' attitudes toward substance use disorders. SO - American Journal on Addictions. 26(1):80-82, 2017 Jan. AS - Am J Addict. 26(1):80-82, 2017 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Patil D AU - Andry T FA - Patil, Dustin FA - Andry, Tiffany IN - Patil, Dustin. Department of Psychiatry, Boston University Medical Center, Boston, Massachusetts. IN - Andry, Tiffany. Menninger Department of Psychiatry and Behavioral Sciences, Baylor College of Medicine, Houston, Texas. NJ - The American journal on addictions VO - 26 IP - 1 PG - 80-82 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9208821 IO - Am J Addict CP - England ES - 1521-0391 IL - 1055-0496 DO - https://dx.doi.org/10.1111/ajad.12484 PT - Letter ID - 10.1111/ajad.12484 [doi] PP - ppublish PH - 2016/11/23 [received] PH - 2016/12/05 [accepted] LG - English EP - 20161221 DP - 2017 Jan EZ - 2016/12/22 06:00 DA - 2016/12/22 06:00 DT - 2016/12/22 06:00 YR - 2017 RD - 20161222 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28000984 <1686. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28360758 TI - Prevalence of Substance Use in Patients Diagnosed with Schizophrenia. SO - Noropsikiyatri Arsivi. 53(1):4-11, 2016 Mar. AS - NOROPSIKIYATR. ARS.. 53(1):4-11, 2016 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Tekin Uludag Y AU - Gulec G FA - Tekin Uludag, Yasemin FA - Gulec, Gulcan IN - Tekin Uludag, Yasemin. Clinic of Psychiatry, Eskisehir State Hospital, Eskisehir, Turkey. IN - Gulec, Gulcan. Department of Psychiatry, Eskisehir Osmangazi University School of Medicine, Eskisehir, Turkey. NJ - Noro psikiyatri arsivi VO - 53 IP - 1 PG - 4-11 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9426194 IO - Noro Psikiyatr Ars CP - Turkey KW - addictive; alcohol-related disorders; behavior; prevalence; schizophrenia; substance-related disorders AB - INTRODUCTION: Substance abuse among schizophrenic patients is a growing clinical concern. Substance use disorders and their effects on the course of schizophrenia have made the identification and treatment of schizophrenic patients a high priority. This study aimed to investigate the prevalence of substance use, preferred types of substances, sociodemographic characteristics and clinical features of schizophrenia, and substance use impact in schizophrenic patients. AB - METHODS: Hundred patients who were consecutively admitted to the psychiatry clinic and were diagnosed with schizophrenia according to the DSM-IV criteria were enrolled in this study. Individual interviews were conducted during the patients. In order to evaluate substance abuse disorder (SAD) as per DSM-IV criteria, the substance use disorder section of the structured clinical interview for DSM disorders-II (SCID-II) form was used. In addition, the following were applied to schizophren-ic patients: sociodemographic data form, medical history form, Brief Disability Questionnaire (BDQ), UKU Side Effect Rating Scale (UKUSERS), Insight Rating Scale (IRS), Alcohol Use Dis-orders Identification Test (AUDIT), Fagerstrom Nicotine Dependence Test (FNDT), Global As-sessment of Functioning Scale (GAF), Scale for the Assessment of Positive Symptoms (SAPS), Scale for the Assessment of Negative Symptoms (SANS), and Calgary Depression Scale (CDS). AB - RESULTS: Schizophrenia and alcohol and drug use were more common in males, and younger age was found to have no association with substance use. Unemployment, low education levels, rural survival rates, age at disease onset, the doctor first age of the applicant, the first inpatient years, legal issues, harm caused by others and suicidal behavior, SAPS, SANS, CDS received from their scores significant difference was detected. Schizophrenic patients with substance use had higher side effects of drugs, disability, and psychopathology scores than schizophrenic patients without substance use. The functioning of schizophrenic patients with substance use was worse, and the total length of stay was longer. Nicotine, alcohol, biperiden, cannabis, and volatile substances were the preferred materials most commonly used by schizophrenic patients. AB - CONCLUSION: In our country, limited research has been conducted on the prevalence of substance use in schizophrenic patients. Therefore, we believe that this study will contribute to the literature on the subject. More sample groups and first-episode patients as well as follow-up studies will contribute to a better understanding of the effect of substance use on the clinical course of schizophrenia. CI - Conflict of Interest: No conflict of interest was declared by the authors. IS - 1300-0667 IL - 1300-0667 DO - https://dx.doi.org/10.5152/npa.2015.8827 PT - Journal Article ID - 10.5152/npa.2015.8827 [doi] ID - npa-53-1-4 [pii] ID - PMC5353236 [pmc] PP - ppublish PH - 2014/06/04 [received] PH - 2014/09/23 [accepted] LG - English EP - 20160301 DP - 2016 Mar EZ - 2017/04/01 06:00 DA - 2017/04/01 06:01 DT - 2017/04/01 06:00 YR - 2016 RD - 20170816 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28360758 <1687. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 28293614 TI - Harnessing the power of conversations with virtual humans to change health behaviors. SO - Began with 2015. 2:44, 2016. AS - Mhealth. 2:44, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Albright G AU - Adam C AU - Serri D AU - Bleeker S AU - Goldman R FA - Albright, Glenn FA - Adam, Cyrille FA - Serri, Deborah FA - Bleeker, Seth FA - Goldman, Ron IN - Albright, Glenn. Department of Psychology, Baruch College, City University of New York, New York, NY, USA;; Kognito, New York, NY, USA. IN - Adam, Cyrille. Kognito, New York, NY, USA;; Department of Communication, Media, and Learning Technologies Design, Teachers College, Columbia University, New York, NY, USA. IN - Serri, Deborah. Kognito, New York, NY, USA. IN - Bleeker, Seth. Kognito, New York, NY, USA. IN - Goldman, Ron. Kognito, New York, NY, USA. NJ - mHealth VO - 2 PG - 44 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101678564 IO - Mhealth CP - China KW - Simulations; behavior change; motivational interviewing; role play; virtual humans AB - Skillful, collaborative conversations are powerful tools to improve physical and mental health. Whether you are a parent talking with your child about the dangers of substance abuse, an educator concerned about a student's signs of psychological distress, a veteran worried about a buddy who is contemplating suicide, or a healthcare professional wanting to better engage patients to increase treatment compliance, having the skill, confidence and motivation to engage in conversations can truly transform the health and well-being of those you interact with. Kognito develops role-play simulations that prepare individuals to effectively lead real-life conversations that measurably improve social, emotional, and physical health. The behavior change model that drives the simulations draws upon components of game mechanics, virtual human simulation technology and integrates evidence-based instructional design components as well as principles of social-cognitive theory and neuroscience such as motivational interviewing, emotional regulation, empathy and mindfulness. In the simulations, users or enter a risk-free practice environment and engage in a conversation with intelligent, fully animated, and emotionally responsive virtual characters that model human behavior. It is in practicing these conversations, and receiving feedback from a virtual coach, that users learn to better lead conversations in real life. Numerous longitudinal studies have shown that users who complete Kognito simulations demonstrate statistically significant and sustained increases in attitudinal variables that predict behavior change including preparedness, likelihood, and self-efficacy to better manage conversations. Pending the target population, each online or mobile simulation resulted in desired behavior changes ranging from increased referrals of students, patients or veterans in psychological distress to mental health support services, or increasing physician patient-centered communication or patient self-confidence and active involved in the decision-making processes. These simulations have demonstrated a capability to address major health and public health concerns where effective conversations are necessary to bring about changes in attitudes and behaviors. CI - Conflicts of Interest: G Albright and R Goldman are members of Kognito; C Adam, D Serri and S Bleeker are employees of Kognito. IS - 2306-9740 IL - 2306-9740 DO - https://dx.doi.org/10.21037/mhealth.2016.11.02 PT - Journal Article ID - 10.21037/mhealth.2016.11.02 [doi] ID - mh-02-2016.11.02 [pii] ID - PMC5344154 [pmc] PP - epublish PH - 2016/07/27 [received] PH - 2016/11/09 [accepted] LG - English EP - 20161128 DP - 2016 EZ - 2017/03/16 06:00 DA - 2017/03/16 06:01 DT - 2017/03/16 06:00 YR - 2016 RD - 20170816 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=28293614 <1688. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27935924 TI - Smoking Cessation and Attitudes, Belief, Observation, and Education of Medical Students, in Turkey. SO - Jnma, Journal of the Nepal Medical Association. 54(202):55-62, 2016 Apr-Jun. AS - Jnm. 54(202):55-62, 2016 Apr-Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Data-Review AU - Turhan E AU - Inandi T AU - Col M AU - Bugdayci R AU - Eker O AU - Ilhan M FA - Turhan, E FA - Inandi, T FA - Col, M FA - Bugdayci, R FA - Eker, O FA - Ilhan, M IN - Turhan, E. Izmir Public Health Directorate, IZMIR, Turkey. IN - Inandi, T. Mustafa Kemal University, Faculty of Medicine, Department of Public Health, Antakya, Hatay, Turkey. IN - Col, M. Ankara University, Faculty of Medicine, Department of Public Health, Ankara, Turkey. IN - Bugdayci, R. Mersin University, Faculty of Medicine, Department of Public Health, Mersin, Turkey. IN - Eker, O. Seyhan Community Health Center, Adana, Turkey. IN - Ilhan, M. Gazi University, Faculty of Medicine, Department of Public Health, Ankara, Turkey. NJ - JNMA; journal of the Nepal Medical Association VO - 54 IP - 202 PG - 55-62 PI - Journal available in: Print PI - Citation processed from: Print JC - 0045233 IO - JNMA J Nepal Med Assoc CP - Nepal KW - attitudes; beliefs; medical education; medical students; smoking cessation. AB - INTRODUCTION: Tobacco use is an important public health problem around the world.Aim of this study is to assess attitudes,belief and observation of the students on smoking cessation and medical education. AB - METHODS: This study is part of a multi-country study called "Global Health Profession Student Survey". The study population consisted of third year medical students in Turkey. The sample consisted of a total of 1834 medical students from randomly selected 12 medical schools. AB - RESULTS: Of the students, 1209 (92.1%)thought that health professionals should get specific training on cessation techniques, and that health professionals should serve as "role models" for their patients and the public. The percentage of the students who answered "Health professionals should routinely advise their patients who smoke to quit smoking" was 1211 (93.3%). Of the students, 1204 (60.8%) responded that health professionals who use other tobacco products were less likely to advise patients to stop smoking. The percentage of the students who had received a formal training on smoking cessation approaches was 48.2% (1196). Of the students, 91.5% (1203) had heard of nicotine replacement therapies in tobacco cessation programs. More than half of smokers tried to quit smoking last year, and majority of them did not take professional help or advice. AB - CONCLUSIONS: Majority of students are aware of health professionals' role on smoking cessation. Most of the students are willingness to take specific formal training on tobacco. Student's behaviours and attitudes were different by gender and smoking status.Improvement of tobacco cessation issues in medical curricula will be beneficial. IS - 0028-2715 IL - 0028-2715 PT - Journal Article PP - ppublish LG - English DP - 2016 Apr-Jun EZ - 2016/12/10 06:00 DA - 2016/12/10 06:00 DT - 2016/12/10 06:00 YR - 2016 RD - 20161210 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27935924 <1689. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27881928 TI - Internet use and addiction among medical students of Universiti Sultan Zainal Abidin, Malaysia. SO - Psychology Research & Behavior Management. 9:297-307, 2016. AS - Psychol. res. behav. manag.. 9:297-307, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Haque M AU - Rahman NA AU - Majumder MA AU - Haque SZ AU - Kamal ZM AU - Islam Z AU - Haque AE AU - Rahman NI AU - Alattraqchi AG FA - Haque, Mainul FA - Rahman, Nor Azlina A FA - Majumder, Md Anwarul Azim FA - Haque, Seraj Zohurul FA - Kamal, Zubair M FA - Islam, Zakirul FA - Haque, Atm Emdadul FA - Rahman, Nor Iza A FA - Alattraqchi, Ahmed Ghazi IN - Haque, Mainul. Unit of Pharmacology, Faculty of Medicine and Defense Health, National Defense University of Malaysia, Kuala Lumpur. IN - Rahman, Nor Azlina A. Department of Biomedical Science, Kulliyyah of Allied Health Sciences, Kuantan, Malaysia. IN - Majumder, Md Anwarul Azim. Department of Clinical Sciences, School of Medical Sciences, Faculty of Life Sciences, University of Bradford, Bradford. IN - Haque, Seraj Zohurul. School of Medicine, University of Dundee, Ninewells Hospital & Medical School, Dundee, UK. IN - Kamal, Zubair M. Sleep Research Unit, Toronto Western Hospital, University Health Network, Toronto, ON, Canada. IN - Islam, Zakirul. Department of Pharmacology and Therapeutics, Eastern Medical College, Comilla, Bangladesh. IN - Haque, Atm Emdadul. Department of Medical Education, Universiti Kuala Lumpur Royal College of Medicine Perak (UniKL RCMP), Ipoh. IN - Rahman, Nor Iza A. Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia. IN - Alattraqchi, Ahmed Ghazi. Faculty of Medicine, Universiti Sultan Zainal Abidin, Kuala Terengganu, Malaysia. NJ - Psychology research and behavior management VO - 9 PG - 297-307 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101514563 IO - Psychol Res Behav Manag CP - New Zealand KW - Internet; Malaysia; UniSZA; addiction; medical students AB - BACKGROUND: The use of Internet has now become indispensable, and the technology has revolutionized the medical education and practice worldwide. Currently, medical students and professionals have an enormous opportunity to keep them always updated with the exponential growth of knowledge because of potential progression of Internet throughout the world that enables them to become a lifelong learner. Internet addiction is a widespread phenomenon among students and academicians at universities in Malaysia. Students use the Internet for recreational purpose and personal and professional development. The Internet has become an integral part of day-to-day life of the university students, including medical students. The aim of the present study was to examine the Internet use and addiction among students of Universiti Sultan Zainal Abidin, Malaysia. AB - METHODS: This was a cross-sectional study in which a questionnaire, Internet Addiction Diagnostic Questionnaire, developed by the Center for Internet Addiction, USA, was used. One hundred forty-nine medical students of Universiti Sultan Zainal Abidin participated in this study. Data were analyzed using Statistical Package for the Social Sciences software. AB - RESULTS: The mean scores were 44.9+/-14.05 and 41.4+/-13.05 for male and female participants, respectively, which indicated that both the genders were suffering from mild Internet addiction. AB - CONCLUSION: This study shows almost similar level of Internet usage among medical students irrespective of their socioeconomic background, with no statistically significant (p>0.05) differences, except among the years of study (p=0.007). Overall, from the research data and having worked with this cohort very closely, Universiti Sultan Zainal Abidin medical students can be labeled as wonted and recurring users of the Internet. Nevertheless, it is very difficult to define as Internet addicts or pathological users of the Internet because of small sample size and cross-sectional study. CI - The authors report no conflicts of interest in this work. IS - 1179-1578 IL - 1179-1578 PT - Journal Article ID - 10.2147/PRBM.S119275 [doi] ID - prbm-9-297 [pii] ID - PMC5115623 [pmc] PP - epublish LG - English EP - 20161114 DP - 2016 EZ - 2016/11/25 06:00 DA - 2016/11/25 06:01 DT - 2016/11/25 06:00 YR - 2016 RD - 20170816 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27881928 <1690. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27803891 TI - A Qualitative Study of the Relationship Between Methamphetamine Abuse and Sexual Dysfunction in Male Substance Abusers. SO - International Journal of High Risk Behaviors & Addiction. 5(3):e29640, 2016 Sep. AS - Int. j. high risk behav. addict.. 5(3):e29640, 2016 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - PubMed-not-MEDLINE AU - Dolatshahi B AU - Farhoudian A AU - Falahatdoost M AU - Tavakoli M AU - Rezaie Dogahe E FA - Dolatshahi, Behrouz FA - Farhoudian, Ali FA - Falahatdoost, Mozhgan FA - Tavakoli, Mahmoud FA - Rezaie Dogahe, Ebrahim IN - Dolatshahi, Behrouz. Substance Abuse and Dependence Research Center, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran. IN - Farhoudian, Ali. Substance Abuse and Dependence Research Center, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran. IN - Falahatdoost, Mozhgan. Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran. IN - Tavakoli, Mahmoud. Substance Abuse and Dependence Research Center, Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran. IN - Rezaie Dogahe, Ebrahim. Department of Clinical Psychology, University of Social Welfare and Rehabilitation Sciences, Tehran, IR Iran. NJ - International journal of high risk behaviors & addiction VO - 5 IP - 3 PG - e29640 PI - Journal available in: Electronic-eCollection PI - Citation processed from: Print JC - 101589648 IO - Int J High Risk Behav Addict CP - Netherlands KW - Amphetamine; Qualitative Research; Sexual Dysfunction AB - BACKGROUND: Increased prevalent use of methamphetamine is a global public challenge. Information on drug use can be helpful in preventing high-risk behavior related to drug abuse. AB - OBJECTIVES: This study aims to investigate the sexual function changes related to methamphetamine use in the male clients of public and private addiction treatment centers. AB - PATIENTS AND METHODS: In this qualitative study, 45 men (35 methamphetamine users, 5 family members of the users, and 5 psychiatrists or physicians who were famous for treating or researching addiction) are involved. An in-depth interview was done with therapists and key individuals. AB - RESULTS: The results show that the effects of methamphetamine on sexual function are not identical. The first usage is concomitant with the increased duration of sex, an increase in the quality and quantity of sexual pleasure, a delighted orgasm, and feeling more control of the sex act. These effects gradually decrease. A decreased libido and various sexual dysfunctions such as erectile dysfunction, premature ejaculation, and losing control during the sex act will appear over time. AB - CONCLUSIONS: There are differences in the libido and sexual functions of methamphetamine users. Personal perceptions of one's sexual function may be affected by cognitive changes resultant from the drug. Drug-use prevention, addiction treatments, appropriate sexual behavior education, and harm reduction are priorities. IS - 2251-8711 IL - 2251-8711 PT - Journal Article ID - 10.5812/ijhrba.29640 [doi] ID - PMC5086781 [pmc] PP - epublish PH - 2015/05/06 [received] PH - 2015/06/14 [revised] PH - 2015/07/27 [accepted] LG - English EP - 20160613 DP - 2016 Sep EZ - 2016/11/03 06:00 DA - 2016/11/03 06:01 DT - 2016/11/03 06:00 YR - 2016 RD - 20170816 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27803891 <1691. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27172783 TI - [General practitioners' commitment to treating excessive alcohol consumption: A question of role security in treating affected patients?]. [German] OT - Hausarztliche Bereitschaft zur Intervention bei zu hohem Alkoholkonsum: Eine Frage der Sicherheit im Umgang mit betroffenen Patienten? SO - Zeitschrift fur Evidenz Fortbildung und Qualitat im Gesundheitswesen. 112:36-42, 2016. AS - Z. Evid. Fortbild. Qual. Gesundh.wes.. 112:36-42, 2016. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - In-Process AU - Fankhanel T AU - Rascher A AU - Thiel C AU - Schulz K AU - Klement A FA - Fankhanel, Thomas FA - Rascher, Anja FA - Thiel, Carolin FA - Schulz, Katrin FA - Klement, Andreas IN - Fankhanel, Thomas. Sektion Allgemeinmedizin, Medizinische Fakultat der Martin-Luther-Universitat Halle-Wittenberg, Halle/Saale, Deutschland. Electronic address: thomas.fankhaenel@medizin.uni-halle.de. IN - Rascher, Anja. Sektion Allgemeinmedizin, Medizinische Fakultat der Martin-Luther-Universitat Halle-Wittenberg, Halle/Saale, Deutschland. IN - Thiel, Carolin. Sektion Allgemeinmedizin, Medizinische Fakultat der Martin-Luther-Universitat Halle-Wittenberg, Halle/Saale, Deutschland. IN - Schulz, Katrin. Sektion Allgemeinmedizin, Medizinische Fakultat der Martin-Luther-Universitat Halle-Wittenberg, Halle/Saale, Deutschland. IN - Klement, Andreas. Sektion Allgemeinmedizin, Medizinische Fakultat der Martin-Luther-Universitat Halle-Wittenberg, Halle/Saale, Deutschland. NJ - Zeitschrift fur Evidenz, Fortbildung und Qualitat im Gesundheitswesen VO - 112 PG - 36-42 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101477604 IO - Z Evid Fortbild Qual Gesundhwes SB - Index Medicus CP - Netherlands KW - Alkohol; Medical studies; Medizinstudium; Primarversorgung; Rollensicherheit; Suchtpravention; Therapeutisches Commitment; addiction prevention; alcohol; primary care; role security; therapeutic commitment AB - Only a few general practitioners (GPs) are committed to screen their patients for alcohol consumption and, in case of excessive alcohol consumption conduct by a brief intervention according to WHO recommendations. Apart from inadequate compensation and work load, another barrier identified by the GPs was their uncertainty about how to deal with affected patients. Most German universities presently spend no more than 90minutes lecture time on addiction medicine teaching. Our research aims to investigate the question whether medical studies and advanced medical education increases the role security of medical students and physicians and their commitment to implementing alcohol screening and brief intervention. Moreover, we will explore whether lack of therapeutic commitment can be related to lack of role security. Questionnaires were administered to pre-clinical and clinical medical students as well as senior house officers. Role security and therapeutic commitment of students and senior house officers were assessed using the Alcohol and Alcohol Problems Questionnaire (SAAPPQ) subscales "Role Security" and "Therapeutic Commitment". Analysis was based on 367 questionnaires. As expected, senior house officers reported more Role Security than clinical medical students who showed a higher level of Role Security than pre-clinical medical students. No differences could be found for Therapeutic Commitment. An association between Role Security and Therapeutic Commitment was only revealed for clinical medical students. Medical studies and advanced medical education can increase students' and senior house officers' Role Security to treat patients with excessive alcohol consumption, but not Therapeutic Commitment. Moreover, no association between Role Security and Therapeutic Commitment could be found for senior house officers. Hence, it may be assumed that educational activities aiming to increase Role Security do not promote the development of motivational aspects such as Therapeutic Commitment to the management of patients with excessive alcohol intake. Copyright © 2016. Published by Elsevier GmbH. ES - 2212-0289 IL - 1865-9217 DI - S1865-9217(16)30040-X DO - https://dx.doi.org/10.1016/j.zefq.2016.03.013 PT - English Abstract PT - Journal Article ID - S1865-9217(16)30040-X [pii] ID - 10.1016/j.zefq.2016.03.013 [doi] PP - ppublish PH - 2015/06/17 [received] PH - 2016/03/14 [revised] PH - 2016/03/14 [accepted] LG - German EP - 20160405 DP - 2016 EZ - 2016/05/14 06:00 DA - 2016/05/14 06:00 DT - 2016/05/14 06:00 YR - 2016 RD - 20170208 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=prem&AN=27172783 <1692. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29631797 TI - Diffusion of medication drop-boxes in North Carolina from 2007 to 2016. SO - Addictive Behaviors. 2018 Mar 29 AS - Addict Behav. 2018 Mar 29 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Egan KL AU - Wolfson M AU - Dudley WN AU - Francisco VT AU - Strack RW AU - Wyrick DL AU - Perko MA FA - Egan, Kathleen L FA - Wolfson, Mark FA - Dudley, William N FA - Francisco, Vincent T FA - Strack, Robert W FA - Wyrick, David L FA - Perko, Michael A IN - Egan, Kathleen L. Department of Epidemiology, College of Public Health and Health Professions, College of Medicine, University of Florida Gainesville, FL, USA. Electronic address: kateegan@ufl.edu. IN - Wolfson, Mark. Department of Social Science and Health Policy, Wake Forest School of Medicine, Winston-Salem, NC, USA; Center for Research on Substance Use and Addiction, Wake Forest School of Medicine, Winston-Salem, NC, USA. IN - Dudley, William N. Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, USA. IN - Francisco, Vincent T. Department of Applied Behavioral Science, University of Kansas, Lawrence, KS, USA. IN - Strack, Robert W. Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, USA. IN - Wyrick, David L. Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, USA. IN - Perko, Michael A. Department of Public Health Education, University of North Carolina at Greensboro, Greensboro, NC, USA. NJ - Addictive behaviors PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 2gw, 7603486 IO - Addict Behav CP - England KW - Disposal; Diversion; Opioid; Prescription drug; Prevention AB - INTRODUCTION: A permanent drug donation box ("drop-box") is one strategy implemented in communities across the United States to reduce the availability of excess controlled medications, including prescription opioids, for diversion. The objective of this study was to examine correlates of the diffusion and implementation of drop-boxes in North Carolina. AB - METHODS: We assessed the number and location of drop-boxes implemented in North Carolina. Cox proportional hazards models were used to examine covariates associated with drop-box implementation in NC counties (n=100) between 2007 and 2016. AB - RESULTS: There were 311 drop-boxes implemented in 91 (out of 100) counties. Most drop-boxes were in law enforcement agencies (78.8%) and a growing number were in pharmacies (14.5%). Counties with a higher percentage of whites, more educated residents, a substance abuse prevention coalition, higher rates of controlled medications dispensed and prescription opioid overdose, and that were Appalachian were more likely to be early adopters. Rural counties were less likely to have a drop-box. In the multivariate model, only higher rate of controlled medicines dispensed was significant. AB - CONCLUSIONS: A growing number of drop-boxes are being implemented in law enforcement offices and pharmacies. Given that communities with higher rates of controlled medication dispensing likely have the highest need for disposal opportunities, it is promising that they are early adopters of drop-boxes. Future research should assess the effectiveness of drop-boxes as they become more widespread in a variety of locations. Copyright © 2018 Elsevier Ltd. All rights reserved. ES - 1873-6327 IL - 0306-4603 DI - S0306-4603(18)30231-4 DO - https://dx.doi.org/10.1016/j.addbeh.2018.03.029 PT - Journal Article ID - S0306-4603(18)30231-4 [pii] ID - 10.1016/j.addbeh.2018.03.029 [doi] PP - aheadofprint PH - 2017/08/31 [received] PH - 2018/03/20 [revised] PH - 2018/03/27 [accepted] GI - No: T32 DA035167 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20180329 DP - 2018 Mar 29 EZ - 2018/04/11 06:00 DA - 2018/04/11 06:00 DT - 2018/04/11 06:00 YR - 2018 RD - 20180519 UP - 20180521 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29631797 <1693. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29432074 TI - An opioid overdose curriculum for medical residents: Impact on naloxone prescribing, knowledge, and attitudes. SO - Substance Abuse. :1-6, 2018 Feb 12 AS - Subst Abus. :1-6, 2018 Feb 12 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Taylor JL AU - Rapoport AB AU - Rowley CF AU - Mukamal KJ AU - Stead W FA - Taylor, Jessica L FA - Rapoport, Alison B FA - Rowley, Christopher F FA - Mukamal, Kenneth J FA - Stead, Wendy IN - Taylor, Jessica L. a Section of General Internal Medicine, Boston Medical Center , Boston , Massachusetts , USA. IN - Rapoport, Alison B. b Division of Infectious Diseases, Beth Israel Deaconess Medical Center , Boston , Massachusetts , USA. IN - Rowley, Christopher F. b Division of Infectious Diseases, Beth Israel Deaconess Medical Center , Boston , Massachusetts , USA. IN - Mukamal, Kenneth J. c General Internal Medicine, Beth Israel Deaconess Medical Center , Boston , Massachusetts , USA. IN - Stead, Wendy. b Division of Infectious Diseases, Beth Israel Deaconess Medical Center , Boston , Massachusetts , USA. NJ - Substance abuse PG - 1-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Curriculum; medical education; naloxone; opioid use disorder; overdose; substance use disorder AB - BACKGROUND: Despite escalating opioid overdose death rates, addiction medicine is underrepresented in residency curricula. Providing naloxone to at-risk patients, relatives, and first responders reduces overdose deaths, but rates of naloxone prescribing remain low. The goal of this study is to examine the impact of a brief curricular intervention for internal medicine residents on naloxone prescribing rates, knowledge, and attitudes. AB - METHODS: Internal medicine residents (N = 160) at an urban, tertiary care medical center received two 1-hour didactic sessions addressing overdose prevention, including intranasal naloxone. The number of naloxone prescriptions generated by residents was compared to faculty, who received no similar intervention, in the 3-month periods before and after the curriculum. Resident knowledge and attitudes, as assessed by pre- and post-intervention surveys, were compared. AB - RESULTS: The resident naloxone prescribing rate increased from 420 to 1270 per 100,000 inpatient discharges (P = .01) and from 0 to 370 per 100,000 ambulatory visits (P < .001) post-intervention. Similar increases were not observed among inpatient faculty, whose prescribing rate decreased from 1150 to 880 per 100,000 discharges (P = .08), or among outpatient faculty, whose rate increased from 30 to 180 per 100,000 ambulatory visits (P < .001) but was lower than the post-intervention resident rate (P = .01). Residents demonstrated high baseline knowledge about naloxone, but just 13% agreed that they were adequately trained to prescribe pre-intervention. Post-intervention, residents were more likely to agree that they were adequately trained to prescribe (Likert mean 2.5 vs. 3.9, P < .001), to agree that treating addiction is rewarding (Likert mean 2.9 vs. 3.3, P = .03), and to attain a perfect score on the knowledge composite (57% vs. 33%, P = .05). AB - CONCLUSIONS: A brief curricular intervention improved resident knowledge and attitudes regarding intranasal naloxone for opioid overdose reversal and significantly increased prescribing rates. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1439800 PT - Journal Article ID - 10.1080/08897077.2018.1439800 [doi] PP - aheadofprint LG - English EP - 20180212 DP - 2018 Feb 12 EZ - 2018/02/13 06:00 DA - 2018/02/13 06:00 DT - 2018/02/13 06:00 YR - 2018 RD - 20180516 UP - 20180516 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29432074 <1694. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29513136 TI - Training in office-based opioid treatment with buprenorphine in US residency programs: A national survey of residency program directors. SO - Substance Abuse. :1-7, 2018 Mar 07 AS - Subst Abus. :1-7, 2018 Mar 07 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Tesema L AU - Marshall J AU - Hathaway R AU - Pham C AU - Clarke C AU - Bergeron G AU - Yeh J AU - Soliman M AU - McCormick D FA - Tesema, Lello FA - Marshall, Jeffrey FA - Hathaway, Rachel FA - Pham, Christina FA - Clarke, Camille FA - Bergeron, Genevieve FA - Yeh, James FA - Soliman, Michael FA - McCormick, Danny IN - Tesema, Lello. a Los Angeles County Department of Health Services , Los Angeles , California , USA. IN - Marshall, Jeffrey. b Department of Pulmonary and Critical Care Medicine , Yale University , New Haven , Connecticut , USA. IN - Hathaway, Rachel. c Department of Medicine , Cambridge Health Alliance , Cambridge , Massachusetts , USA. IN - Pham, Christina. d Department of Medicine , University of California , San Francisco , California , USA. IN - Clarke, Camille. e Department of Medicine, School of Medicine , Loma Linda University , Loma Linda , California , USA. IN - Bergeron, Genevieve. c Department of Medicine , Cambridge Health Alliance , Cambridge , Massachusetts , USA. IN - Yeh, James. f Department of Medicine , Brigham and Women's Hospital , Boston , Massachusetts , USA. IN - Soliman, Michael. g Department of Medicine , Beth Israel Deaconess Medical Center , Boston , Massachusetts , USA. IN - McCormick, Danny. c Department of Medicine , Cambridge Health Alliance , Cambridge , Massachusetts , USA. NJ - Substance abuse PG - 1-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Buprenorphine; graduate medication education; knowledge, practices, and attitudes; office-based opioid treatment AB - BACKGROUND: The prevalence of opioid use disorder (OUD) has increased sharply. Office-based opioid treatment with buprenorphine (OBOT) is effective but often underutilized because of physicians' lack of experience prescribing this therapy. Little is known about US residency training programs' provision of OBOT and addiction medicine training. AB - METHODS: The authors conducted a survey of residency program directors (RPDs) at all US residency programs in internal medicine, family medicine, and psychiatry to assess the frequency with which their residents provide care for OUD, presence and features of curricula in OBOT and addiction medicine, RPDs' beliefs about OBOT, and potential barriers to providing OBOT training. AB - RESULTS: The response rate was 49.5% (476 of 962). Although 76.9% of RPDs reported that residents frequently manage patients with OUD, only 23.5% reported that their program dedicates 12 or more hours of curricular time to addiction medicine, 35.9% reported that their program encourages/requires training in OBOT, and 22.6% reported that their program encourages/requires obtaining a Drug Enforcement Administration (DEA) waiver to prescribe buprenorphine. Most RPDs believe that OBOT is an important treatment option for OUD (88.1%) and that increased residency training in OBOT would improve access to OBOT (73.7%). The authors also found that programs whose RPD had favorable views of OBOT were more likely to provide OBOT and addiction medicine training. Psychiatry programs were most likely to provide OBOT training and their RPDs most likely to have beliefs about OBOT that were positive. Commonly cited barriers to implementing OBOT training include a lack of waivered preceptors (76.9%), competing curricular priorities (64.1%), and a lack of support (social work and counseling) services (54.0%). AB - CONCLUSIONS: Internal medicine, family medicine, and psychiatry residents often care for patients with OUD, and most RPDs believe that increased residency training in OBOT would increase access to this treatment. Yet, only a minority of programs offer training in OBOT. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1449047 PT - Journal Article ID - 10.1080/08897077.2018.1449047 [doi] PP - aheadofprint LG - English EP - 20180307 DP - 2018 Mar 07 EZ - 2018/03/08 06:00 DA - 2018/03/08 06:00 DT - 2018/03/08 06:00 YR - 2018 RD - 20180514 UP - 20180514 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29513136 <1695. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29704194 TI - Qualitative Assessment of Clerkship Students' Perspectives of the Topics of Pain and Addiction in their Preclinical Curriculum. SO - Academic Psychiatry. 2018 Apr 27 AS - Acad Psychiatry. 2018 Apr 27 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Raber I AU - Ball A AU - Papac J AU - Aggarwal A AU - Sussman R AU - Basaviah P AU - Newmark J AU - Lembke A FA - Raber, Inbar FA - Ball, Alexander FA - Papac, Jennifer FA - Aggarwal, Anuj FA - Sussman, Rachel FA - Basaviah, Preetha FA - Newmark, Jordan FA - Lembke, Anna IN - Raber, Inbar. Beth Israel Deaconess Medical Center, Boston, MA, USA. iraber@bidmc.harvard.edu. IN - Ball, Alexander. Stanford University School of Medicine, Stanford, CA, USA. IN - Papac, Jennifer. Stanford University School of Medicine, Stanford, CA, USA. IN - Aggarwal, Anuj. Stanford University School of Medicine, Stanford, CA, USA. IN - Sussman, Rachel. Stanford University School of Medicine, Stanford, CA, USA. IN - Basaviah, Preetha. Stanford University School of Medicine, Stanford, CA, USA. IN - Newmark, Jordan. Stanford University School of Medicine, Stanford, CA, USA. IN - Lembke, Anna. Stanford University School of Medicine, Stanford, CA, USA. NJ - Academic psychiatry : the journal of the American Association of Directors of Psychiatric Residency Training and the Association for Academic Psychiatry PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8917200 IO - Acad Psychiatry CP - United States KW - Addiction psychiatry; Curriculum development; Teaching methods AB - OBJECTIVE: A majority of physicians feel poorly trained in the treatment of chronic pain and addiction. As such, it is critical that medical students receive appropriate education in both pain management and addiction. The purpose of this study was to assess the pre-clinical curriculum in pain medicine and addiction from the perspective of students after they had completed their pre-clinical training and to assess what they perceived as the strengths and weaknesses of their training. AB - METHODS: The authors conducted focused interviews among clinical medical students who had completed at least 6 months of clerkships. The interviews targeted the students' retrospective opinions about the pre-clinical curriculum and their preparedness for clinical encounters with either pain or addiction-related issues during their rotations. Coders thematically analyzed the de-identified interview transcripts, with consensus reached through discussion and code modification. AB - RESULTS: Themes that emerged through the focused interviews included: fragmented curricular structure (and insufficient time) for pain and addiction medicine, not enough specific treatment strategies for pain or addiction, especially for complex clinical scenarios, and lack of a trained work-force to provide guidance in the management of pain and addiction. AB - CONCLUSION: This study demonstrated the feasibility of gathering student perspectives to inform changes to improve the pre-clinical curriculum in pain and addiction medicine. Students identified multiple areas for improvement at the pre-clerkship level, which have informed updates to the curriculum. More research is needed to determine if curricular changes based on student feedback lead to improved learning outcomes. ES - 1545-7230 IL - 1042-9670 DO - https://dx.doi.org/10.1007/s40596-018-0927-1 PT - Journal Article ID - 10.1007/s40596-018-0927-1 [doi] ID - 10.1007/s40596-018-0927-1 [pii] PP - aheadofprint PH - 2017/12/09 [received] PH - 2018/04/16 [accepted] LG - English EP - 20180427 DP - 2018 Apr 27 DT - 2018/04/29 06:00 YR - 2018 RD - 20180428 UP - 20180430 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29704194 <1696. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29697445 TI - Developing Safe Opioid Prescribing Practices Through Medical Student Education. SO - Annals of Surgery. 2018 Apr 24 AS - Ann Surg. 2018 Apr 24 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Cron DC AU - Howard RA FA - Cron, David Coulton FA - Howard, Ryan Abram IN - Cron, David Coulton. University of Michigan Medical School, Ann Arbor, MI. IN - Howard, Ryan Abram. Department of Surgery, Michigan Medicine, Ann Arbor, MI. NJ - Annals of surgery PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 67s, 0372354 IO - Ann. Surg. CP - United States ES - 1528-1140 IL - 0003-4932 DO - https://dx.doi.org/10.1097/SLA.0000000000002798 PT - Journal Article ID - 10.1097/SLA.0000000000002798 [doi] PP - aheadofprint LG - English EP - 20180424 DP - 2018 Apr 24 DT - 2018/04/27 06:00 YR - 2018 RD - 20180426 UP - 20180426 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29697445 <1697. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29694454 TI - "We've Learned It's a Medical Illness, Not a Moral Choice": Qualitative Study of the Effects of a Multicomponent Addiction Intervention on Hospital Providers' Attitudes and Experiences. SO - Journal of Hospital Medicine (Online). 2018 Apr 25 AS - J Hosp Med. 2018 Apr 25 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Englander H AU - Collins D AU - Perry SP AU - Rabinowitz M AU - Phoutrides E AU - Nicolaidis C FA - Englander, Honora FA - Collins, Devin FA - Perry, Sylvia Peterson FA - Rabinowitz, Molly FA - Phoutrides, Elena FA - Nicolaidis, Christina IN - Englander, Honora. Oregon Health & Science University, Portland, Oregon, USA. englandh@ohsu.edu. IN - Englander, Honora. Central City Concern, Portland, Oregon, USA. IN - Collins, Devin. Oregon Health & Science University, Portland, Oregon, USA. IN - Perry, Sylvia Peterson. Oregon Health & Science University, Portland, Oregon, USA. IN - Rabinowitz, Molly. Oregon Health & Science University, Portland, Oregon, USA. IN - Phoutrides, Elena. Oregon Health & Science University, Portland, Oregon, USA. IN - Nicolaidis, Christina. Oregon Health & Science University, Portland, Oregon, USA. IN - Nicolaidis, Christina. School of Social Work, Portland State University, Portland, Oregon, USA. NJ - Journal of hospital medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101271025 IO - J Hosp Med CP - United States AB - BACKGROUND: Substance use disorders (SUD) represent a national epidemic with increasing rates of SUD-related hospitalizations. However, most hospitals lack expertise or systems to directly address SUD. Healthcare professionals feel underprepared and commonly hold negative views toward patients with SUD. Little is known about how hospital interventions may affect providers' attitudes and experiences toward patients with SUD. AB - OBJECTIVE: To explore interprofessional hospital providers' perspectives on how integrating SUD treatment and care systems affect providers' attitudes, beliefs, and experiences. AB - DESIGN: In-depth semi-structured interviews and focus groups. The study was part of a formative evaluation of the Improving Addiction Care Team (IMPACT), an interprofessional hospital-based addiction medicine service with rapid-access pathways to post-hospital SUD treatment. AB - SETTING: Single urban academic hospital in Portland, Oregon. AB - PARTICIPANTS: Multidisciplinary hospital providers. AB - MEASUREMENTS: We conducted a thematic analysis using an inductive approach at a semantic level. AB - RESULTS: Before IMPACT, participants felt that hospitalization did not address addiction, leading to untreated withdrawal, patients leaving against medical advice, chaotic care, and staff "moral distress." Participants felt that IMPACT "completely reframes" addiction as a treatable chronic disease, improving patient engagement and communication, and humanizing care. Participants valued post-hospital SUD treatment pathways and felt having systems to address SUD reduced burnout and provided relief. Providers noted that IMPACT had limited ability to address poverty or engage highly ambivalent patients. AB - CONCLUSIONS: Providers' distress of caring for patients with SUD is not inevitable. Hospital-based SUD interventions can reframe providers' views of addiction and may have significant implications for clinical care and providers' well-being. Copyright © 2018 Society of Hospital Medicine. ES - 1553-5606 IL - 1553-5592 DO - https://dx.doi.org/10.12788/jhm.2993 PT - Journal Article ID - 10.12788/jhm.2993 [doi] PP - aheadofprint LG - English EP - 20180425 DP - 2018 Apr 25 EZ - 2018/04/26 06:00 DA - 2018/04/26 06:00 DT - 2018/04/26 06:00 YR - 2018 RD - 20180425 UP - 20180426 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29694454 <1698. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29667452 TI - The feasibility of employing a home healthcare model for education and treatment of opioid overdose using a naloxone auto-injector in a private practice pain medicine clinic. SO - Current Medical Research & Opinion. :1-11, 2018 Apr 18 AS - Curr Med Res Opin. :1-11, 2018 Apr 18 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Dragovich A AU - Brason F AU - Beltran T AU - McCoart A AU - Plunkett AR FA - Dragovich, Anthony FA - Brason, Fred FA - Beltran, Thomas FA - McCoart, Amy FA - Plunkett, Anthony R IN - Dragovich, Anthony. a Blue Ridge Pain Management Associates , Salem , Virginia 24153 , USA. IN - Brason, Fred. b Project Lazarus , North Carolina 28654 , USA. IN - Beltran, Thomas. c Womack Army Medical Center, Department of Clinical Investigation , North Carolina 28310 , USA. IN - McCoart, Amy. d Henry M Jackson Foundation , North Carolina 27526 , USA. IN - Plunkett, Anthony R. e Womack Army Medical Center, Department of Anesthesiology , North Carolina 28310 , USA. NJ - Current medical research and opinion PG - 1-11 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - dux, 0351014 IO - Curr Med Res Opin CP - England KW - Evzio auto-injector; chronic pain; naloxone; opioid abuse; opioid overdose AB - OBJECTIVES: The purpose of this study was to determine if employing a home healthcare model for education and treatment of opioid overdose using Evzio (Naloxone)* auto-injector in a private practice pain clinic. AB - METHODS: A prospective survey was used to determine the feasibility of integrating a naloxone auto-injector within the patient's home with a home care training model. Twenty moderate or high-risk patients were enrolled from our chronic pain clinic. Patients who were moderate or high risk completed an evaluation survey. The naloxone auto-injector was dispensed to all patients meeting criteria. The treating provider after prescribing the naloxone auto-injector then consulted home health per standard clinical practice. All patients had home health consulted to perform overdose identification and rescue training. A Cochran's Q test was conducted to examine differences in patient knowledge pre and post training. The post training test was done 2-4 weeks later. AB - RESULTS: Forty subjects enrolled after meeting inclusion/exclusion criteria. Twenty withdrew because their insurance declined coverage for the naloxone auto-injector. Those completing home health showed a statistically significant difference in their ability to correctly identify the steps needed to effectively respond to an overdose p=0.03 Discussion: Preliminary evidence would suggest training on overdose symptom recognition and proper use of prescription naloxone for treatment in the home setting by home health staff would prove more beneficial than the clinic setting, but feasibility was hindered by unaffordable costs related to insurance coverage limitations. ES - 1473-4877 IL - 0300-7995 DO - https://dx.doi.org/10.1080/03007995.2018.1466698 PT - Journal Article ID - 10.1080/03007995.2018.1466698 [doi] PP - aheadofprint LG - English EP - 20180418 DP - 2018 Apr 18 DT - 2018/04/19 06:00 YR - 2018 RD - 20180418 UP - 20180418 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29667452 <1699. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29452056 TI - Promoting addiction medicine teaching through functional mentoring by co-training generalist chief residents with faculty mentors. SO - Substance Abuse. :1-7, 2018 Feb 16 AS - Subst Abus. :1-7, 2018 Feb 16 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Alford DP AU - Carney BL AU - Jackson AH AU - Brett B AU - Bridden C AU - Winter M AU - Samet JH FA - Alford, Daniel P FA - Carney, Brittany L FA - Jackson, Angela H FA - Brett, Belle FA - Bridden, Carly FA - Winter, Michael FA - Samet, Jeffrey H IN - Alford, Daniel P. a Clinical Addiction Research and Education Unit, Boston Medical Center , Boston , Massachusetts , USA. IN - Alford, Daniel P. b Section of General Internal Medicine, Boston University School of Medicine , Boston , Massachusetts , USA. IN - Carney, Brittany L. a Clinical Addiction Research and Education Unit, Boston Medical Center , Boston , Massachusetts , USA. IN - Jackson, Angela H. a Clinical Addiction Research and Education Unit, Boston Medical Center , Boston , Massachusetts , USA. IN - Jackson, Angela H. b Section of General Internal Medicine, Boston University School of Medicine , Boston , Massachusetts , USA. IN - Brett, Belle. c Brett Consulting Group , Somerville , Massachusetts , USA. IN - Bridden, Carly. a Clinical Addiction Research and Education Unit, Boston Medical Center , Boston , Massachusetts , USA. IN - Winter, Michael. d Biostatistics and Epidemiology Data Analytics Center, Boston University School of Public Health , Boston , Massachusetts , USA. IN - Samet, Jeffrey H. a Clinical Addiction Research and Education Unit, Boston Medical Center , Boston , Massachusetts , USA. IN - Samet, Jeffrey H. b Section of General Internal Medicine, Boston University School of Medicine , Boston , Massachusetts , USA. IN - Samet, Jeffrey H. e Department of Community Health Sciences , Boston University School of Public Health , Boston , Massachusetts , USA. NJ - Substance abuse PG - 1-7 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Addiction medicine; mentoring; program evaluation; teaching AB - BACKGROUND: Generalist physicians should play a vital role in identifying and managing individuals with substance use but are inadequately trained to do so. AB - METHODS: This 5-year (2008-2012) controlled educational study assessed whether internal medicine and family medicine chief residents' (CRs) addiction medicine teaching increased by co-training with faculty mentors at a Chief Resident Immersion Training (CRIT) program in addiction medicine. All CRIT CR attendees identified a residency program faculty mentor to support addiction medicine teaching after CRIT through functional mentoring with a focus on developing and implementing an Addiction Medicine Teaching Project ("Teaching Project"). Approximately half of the CRs attended CRIT with their mentor (co-trained) and half without their mentor (solo-trained). Addiction medicine teaching outcomes were compared between groups using 6- and 11-month questionnaires and 4 bimonthly teaching logs. Of co-trained CRs, mentor characteristics that positively influenced addiction medicine teaching outcomes were identified. AB - RESULTS: One hundred CRs from 74 residency programs attended CRIT from 2008 to 2012; 47 co-trained with their mentors and 53 solo-trained without their mentors. At 6-month follow-up, the co-trained CRs were more likely to meet at least monthly with their mentor (22.7% vs. 9.6%, P < .01) and more likely to identify their mentor as a facilitator for Teaching Project implementation (82.2% vs. 38.5%, P < .01). At 11-month follow-up, a higher percentage of co-trained CRs had completed their Teaching Project (34.0% vs. 15.1%, P < .05). Both CR groups had similarly large increases in other addiction medicine teaching outcomes. Mentors with more experience, including years of teaching, was associated with better CR Teaching Project outcomes. AB - CONCLUSIONS: Co-training generalist chief residents with a faculty mentor appeared to facilitate functional mentoring-driven Teaching Project implementation but did not further increase already high levels of other addiction medicine teaching. Faculty mentors with more years of teaching experience were more effective in facilitating Teaching Project implementation. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1439799 PT - Journal Article ID - 10.1080/08897077.2018.1439799 [doi] PP - aheadofprint LG - English EP - 20180216 DP - 2018 Feb 16 EZ - 2018/02/17 06:00 DA - 2018/02/17 06:00 DT - 2018/02/17 06:00 YR - 2018 RD - 20180405 UP - 20180406 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29452056 <1700. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29595367 TI - Lessons learned from the implementation of a medically enhanced residential treatment (MERT) model integrating intravenous antibiotics and residential addiction treatment. SO - Substance Abuse. :1-25, 2018 Mar 29 AS - Subst Abus. :1-25, 2018 Mar 29 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Englander H AU - Wilson T AU - Collins D AU - Phoutrides E AU - Weimer M AU - Korthuis PT AU - Calcagni J AU - Nicolaidis C FA - Englander, Honora FA - Wilson, Talitha FA - Collins, Devin FA - Phoutrides, Elena FA - Weimer, Melissa FA - Korthuis, P Todd FA - Calcagni, Jessica FA - Nicolaidis, Christina IN - Englander, Honora. a Oregon Health & Science University , Portland , OR. IN - Englander, Honora. b Central City Concern , Portland , OR. IN - Wilson, Talitha. a Oregon Health & Science University , Portland , OR. IN - Collins, Devin. a Oregon Health & Science University , Portland , OR. IN - Phoutrides, Elena. a Oregon Health & Science University , Portland , OR. IN - Weimer, Melissa. a Oregon Health & Science University , Portland , OR. IN - Weimer, Melissa. c St. Peters Health Partners , Albany , NY. IN - Korthuis, P Todd. a Oregon Health & Science University , Portland , OR. IN - Calcagni, Jessica. d CODA, Inc. , Portland , OR. IN - Nicolaidis, Christina. a Oregon Health & Science University , Portland , OR. IN - Nicolaidis, Christina. e Portland State University School of Social Work , Portland , OR. NJ - Substance abuse PG - 1-25 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - BACKGROUND: Hospitalizations for severe infections associated with substance use disorder (SUD) are increasing. People with SUD often remain hospitalized for many weeks instead of completing intravenous antibiotics at home; often, they are denied skilled nursing facility admission. Residential SUD treatment facilities are not equipped to administer intravenous antibiotics. We developed a medically enhanced residential treatment (MERT) model integrating residential SUD treatment and long-term IV antibiotics as part of a broader hospital-based addiction medicine service. MERT had low recruitment and retention, and ended after six months. The goal of this study was to describe the feasibility and acceptability of MERT, to understand implementation factors, and explore lessons learned. AB - METHODS: We conducted a mixed-methods evaluation. We included all potentially eligible MERT patients, defined by those needing >=2 weeks of intravenous antibiotics discharged from February 1 to August 1, 2016. We used chart review to identify diagnoses, antibiotic treatment location, and number of recommended and actual IV antibiotic-days completed. We audio-recorded and transcribed key informant interviews with patients and staff. We conducted an ethnographic analysis of interview transcripts and implementation field notes. AB - RESULTS: Of the 45 patients needing long-term intravenous antibiotics, 18 were ineligible and 20 declined MERT. 7 enrolled in MERT and three completed their recommended intravenous antibiotic course. MERT recruitment barriers included patient ambivalence towards residential treatment, wanting to prioritize physical health needs, and fears of untreated pain in residential. MERT retention barriers included high demands of residential treatment, restrictive practices due to PICC lines, and perceptions by staff and other residents that MERT patients "stood out" as "different." Despite the challenges, key informants felt MERT was a positive construct. AB - CONCLUSIONS: Though MERT had many possible advantages; it proved more challenging to implement than anticipated. Our lessons may be applicable to future models integrating post-hospital intravenous antibiotics and SUD care. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1452326 PT - Journal Article ID - 10.1080/08897077.2018.1452326 [doi] PP - aheadofprint LG - English EP - 20180329 DP - 2018 Mar 29 DT - 2018/03/30 06:00 YR - 2018 RD - 20180329 UP - 20180329 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29595367 <1701. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29565782 TI - Evaluation of the Substance Abuse Research and Education Training (SARET) program: Stimulating health professional students to pursue careers in substance use research. SO - Substance Abuse. :1-19, 2018 Mar 22 AS - Subst Abus. :1-19, 2018 Mar 22 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Hanley K AU - Bereket S AU - Tuchman E AU - More FG AU - Naegle MA AU - Kalet A AU - Goldfield K AU - Gourevitch MN FA - Hanley, Kathleen FA - Bereket, Sewit FA - Tuchman, Ellen FA - More, Frederick G FA - Naegle, Madeline A FA - Kalet, Adina FA - Goldfield, Keith FA - Gourevitch, Marc N IN - Hanley, Kathleen. a Department of Medicine , New York University School of Medicine , New York , New York , USA. IN - Bereket, Sewit. b Department of Population Health , New York University School of Medicine , New York , New York , USA. IN - Tuchman, Ellen. c New York University Silver School of Social Work , New York , New York , USA. IN - More, Frederick G. d Department of Epidemiology & Health Promotion , New York University College of Dentistry , New York , New York , USA. IN - Naegle, Madeline A. e NYU Rory Meyers College of Nursing , New York , New York , USA. IN - Kalet, Adina. f Department of Medicine , New York University School of Medicine , New York , New York , USA. IN - Goldfield, Keith. b Department of Population Health , New York University School of Medicine , New York , New York , USA. IN - Gourevitch, Marc N. b Department of Population Health , New York University School of Medicine , New York , New York , USA. NJ - Substance abuse PG - 1-19 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Web-based learning; interprofessional education; research training; substance abuse; substance use disorders AB - BACKGROUND: We developed and implemented the Substance Abuse Research Education and Training (SARET) program for medical, dental, nursing, and social work students to address the dearth of health professionals pursuing research and careers in substance use disorders (SUD). SARET has two main components: (1) A novel online curriculum addressing core SUD research topics, to reach a large number of students. (2) A mentored summer research experience for in-depth exposure. AB - METHODS: Modules were integrated into the curricula of the lead institution, and of five external schools. We assessed the number of web modules completed and their effect on students' interest in SUD research. We also assessed the impact of the mentorship experience on participants' attitudes and early career trajectories, including current involvement in SUD research. AB - RESULTS: Since 2008, over 24,000 modules have been completed by approximately 9,700 individuals. In addition to integration of the modules into curricula at the lead institution, all five health-professional partner schools integrated at least one module and approximately 5,500 modules were completed by individuals outside the lead institution. We found an increase in interest in SUD research after completion of the modules for students in all four disciplines. From 2008-2015, 76 students completed summer mentorships; 8 students completed year-long mentorships; 13 published in SUD-related journals, 18 presented at national conferences, and 3 are actively engaged in SUD-related research. Mentorship participants reported a positive influence on their attitudes towards SUD-related clinical care, research, and inter-professional collaboration, leading in some cases to changes in career plans. AB - CONCLUSIONS: A modular curriculum that stimulates clinical and research interest in SUD can be successfully integrated, into medical, dental, nursing, and social work curricula. The SARET program of mentored research participation fostered early research successes and influenced career choice of some participants. Longer-term follow-up will enable us to assess more distal careers of the program. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1449167 PT - Journal Article ID - 10.1080/08897077.2018.1449167 [doi] PP - aheadofprint GI - No: R25 DA022461 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20180322 DP - 2018 Mar 22 EZ - 2018/03/23 06:00 DA - 2018/03/23 06:00 DT - 2018/03/23 06:00 YR - 2018 RD - 20180324 UP - 20180326 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29565782 <1702. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29565760 TI - Implementation and evaluation of an opioid overdose education and naloxone distribution (OEND) program at a Veterans Affairs Medical Center. SO - Substance Abuse. :1-17, 2018 Mar 22 AS - Subst Abus. :1-17, 2018 Mar 22 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Pauly JB AU - Vartan CM AU - Brooks AT FA - Pauly, Julienne B FA - Vartan, Christine M FA - Brooks, Abigail T IN - Pauly, Julienne B. a Clinical Pharmacy Specialist, Primary Care Mental Health Integration, South Texas Veterans Health Care System , 4610 East Southcross Blvd Suite 105, San Antonio , TX 78222. IN - Vartan, Christine M. b Clinical Pharmacy Specialist, Pain Management, Associate Director, PGY2 Pain & Palliative Care Pharmacy Residency, West Palm Beach Veterans Affairs Medical Center, 7305 North Military Trail (119) , West Palm Beach , FL 33410. IN - Brooks, Abigail T. c Clinical Pharmacy Specialist, Pain Management, Associate Director, PGY2 Pain & Palliative Care Pharmacy Residency, West Palm Beach Veterans Affairs Medical Center, 7305 North Military Trail (119) , West Palm Beach , FL 33410. NJ - Substance abuse PG - 1-17 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - OEND; Opioid overdose; naloxone; opioid toxicity; patient education AB - BACKGROUND: In recognition of the importance of safe and effective pain management, the Department of Veterans Affairs and the Office of the Under Secretary for Health have encouraged implementation of opioid overdose education and naloxone distribution (OEND) programs at Veterans Affairs Medical Centers (VAMCs). AB - METHODS: An OEND program was developed in August 2015 and implemented in September 2015 at a VAMC which allowed for pharmacist-lead individual and group patient education. An OEND consult service was developed to streamline referrals of patients for naloxone education and distribution. At the conclusion of the class, participants were ordered a naloxone auto-injector or nasal spray kit. To evaluate the utility of this quality-improvement initiative, data was collected from September 2015 until May 2016. Examples of data collected included participant satisfaction with education, risk for accidental overdose, and number of naloxone kits dispensed to participants. AB - RESULTS: Of a total of 243 consults placed, 71 individuals participated in OEND education. A large quantity of consults were discontinued due to patients no-showing education. Sixty-four consult referrals were identified to have a mental health diagnosis. Most participants who received education had a risk for accidental opioid overdose of 14%. Sixty-nine education participants were provided a naloxone kit. Based on the OEND class survey, participants felt that their knowledge of accidental opioid overdose increased and were generally satisfied with the education. AB - CONCLUSION: OEND educated 30% of the Veterans referred into the program via the consult service, the majority of whom were at a relatively low risk for opioid overdose. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1449174 PT - Journal Article ID - 10.1080/08897077.2018.1449174 [doi] PP - aheadofprint LG - English EP - 20180322 DP - 2018 Mar 22 EZ - 2018/03/23 06:00 DA - 2018/03/23 06:00 DT - 2018/03/23 06:00 YR - 2018 RD - 20180322 UP - 20180323 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29565760 <1703. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29557802 TI - Patient and System Characteristics Associated with Performance on the HEDIS Measures of Alcohol and Other Drug Treatment Initiation and Engagement. SO - Journal of Addiction Medicine. 2018 Mar 19 AS - J Addict Med. 2018 Mar 19 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Yarborough BJH AU - Chi FW AU - Green CA AU - Hinman A AU - Mertens J AU - Beck A AU - Horberg M AU - Weisner C AU - Campbell CI FA - Yarborough, Bobbi Jo H FA - Chi, Felicia W FA - Green, Carla A FA - Hinman, Agatha FA - Mertens, Jennifer FA - Beck, Arne FA - Horberg, Michael FA - Weisner, Constance FA - Campbell, Cynthia I IN - Yarborough, Bobbi Jo H. Kaiser Permanente Northwest Center for Health Research, Portland, OR (BJHY, CAG); Kaiser Permanente Northern California Division of Research, Oakland, CA (FWC, AH, CW, CIC); Aurora Public Schools Division of Accountability and Research, Aurora, CO (JM); Kaiser Permanente Colorado Institute for Health Research, Aurora, CO (AB); Kaiser Permanente Mid-Atlantic Permanente Research Institute, Rockville, MD (MH); Department of Psychiatry, University of California, San Francisco, CA (CW). NJ - Journal of addiction medicine PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 101306759 IO - J Addict Med CP - United States AB - OBJECTIVES: Understand patient and system characteristics associated with performance on the Healthcare Effectiveness Data and Information Set (HEDIS) Alcohol and Other Drug (AOD) Initiation and Engagement of Treatment (IET) measures. AB - METHODS: This mixed-methods study linked patient and health system data from four Kaiser Permanente regions to HEDIS performance measure data for 44,320 commercially or Medicare-insured adults with HEDIS-eligible AOD diagnoses in 2012. Characteristics associated with IET were examined using multilevel logistic regression models. Key informant interviews (n = 18) focused on opportunities to improve initiation and engagement. AB - RESULTS: Non-white race/ethnicity, alcohol abuse, or nonopioid drug abuse diagnoses were associated with lower odds of treatment initiation among commercially insured. For both insurance groups, those diagnosed in healthcare departments other than specialty AOD treatment were less likely to initiate or engage in treatment. Being diagnosed in facilities with co-located AOD/primary care clinics, and those with medications for addiction treatment available, was each associated with higher odds of initiation and engagement for both commercially and Medicare-insured. Having behavioral medicine specialists or clinical health educators in primary care increased initiation and engagement odds among commercially insured. Key informants recommended were as follows: patient-centered care; increased treatment choices; cross-departmental patient identification, engagement, and coordination; provider education; and use of informatics/technology. AB - CONCLUSIONS: Tailoring treatment, enhancing treatment motivation among individuals with lower severity diagnoses, offering medication treatment of addiction, clinician education, care coordination, co-located AOD and primary care departments, and behavioral medicine specialists in primary care may improve rates of initiation and engagement in AOD treatment. ES - 1935-3227 IL - 1932-0620 DO - https://dx.doi.org/10.1097/ADM.0000000000000399 PT - Journal Article ID - 10.1097/ADM.0000000000000399 [doi] PP - aheadofprint LG - English EP - 20180319 DP - 2018 Mar 19 DT - 2018/03/21 06:00 YR - 2018 RD - 20180320 UP - 20180320 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29557802 <1704. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29400617 TI - Utilizing Bloom's taxonomy to design a substance use disorders course for health professions students. SO - Substance Abuse. :1-6, 2018 Feb 05 AS - Subst Abus. :1-6, 2018 Feb 05 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Muzyk AJ AU - Tew C AU - Thomas-Fannin A AU - Dayal S AU - Maeda R AU - Schramm-Sapyta N AU - Andolsek K AU - Holmer S AI - Muzyk, Andrew J; ORCID: http://orcid.org/0000-0002-6904-2466 FA - Muzyk, Andrew J FA - Tew, Chris FA - Thomas-Fannin, Allie FA - Dayal, Sanjai FA - Maeda, Reina FA - Schramm-Sapyta, Nicole FA - Andolsek, Kathryn FA - Holmer, Shelley IN - Muzyk, Andrew J. a Department of Pharmacy Practice , Campbell University College of Pharmacy and Health Sciences , Buies Creek , North Carolina , USA. IN - Muzyk, Andrew J. b Department of Psychiatry and Behavioral Science , Duke University School of Medicine , Durham , North Carolina , USA. IN - Tew, Chris. b Department of Psychiatry and Behavioral Science , Duke University School of Medicine , Durham , North Carolina , USA. IN - Thomas-Fannin, Allie. c Department of Psychiatry , Good Samaritan Hospital , Vincennes , Indiana , USA. IN - Dayal, Sanjai. b Department of Psychiatry and Behavioral Science , Duke University School of Medicine , Durham , North Carolina , USA. IN - Maeda, Reina. d Department of Psychiatry and Behavioral Sciences , University of Washington School of Medicine , Seattle , Washington , USA. IN - Schramm-Sapyta, Nicole. e Duke Institute of Brain Sciences , Duke University , Durham , North Carolina , USA. IN - Andolsek, Kathryn. f Department of Community and Family Medicine , Duke University School of Medicine , Durham , North Carolina , USA. IN - Holmer, Shelley. b Department of Psychiatry and Behavioral Science , Duke University School of Medicine , Durham , North Carolina , USA. NJ - Substance abuse PG - 1-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States KW - Bloom's taxonomy; case-based learning; interprofessional; motivational interview; substance use disorders AB - BACKGROUND: Substance use disorders (SUDs) are a public health problem affecting millions of Americans. Despite their prevalence, there are few health care resources allocated for SUDs treatment. Relatively few health care professionals are exposed to SUDs education in their respective programs, which may be one reason for this resource insufficiency. In hopes of rectifying this gap, the authors developed a SUDs course for health professions students combining classroom learning with practical application to patient care. AB - METHODS: The authors used Bloom's taxonomy of cognitive, affective, and psychomotor learning domains as an educational framework to create numerous opportunities for students to deepen their knowledge, assess their attitudes, and develop their motivational interviewing skills. The primary outcome of the study was a comparison of students' scores on the Substance Abuse Attitude Scale (SAAS) pre- and post-course completion. Secondary outcome was to compare students' self-assessment scores of their patient counseling with residents' assessments of them on the Liverpool Communication Skills Assessment Scale (LCSAS). AB - RESULTS: One hundred twelve students participated in the authors' SUDs course over a 9-month period. Ninety-five students completed both the pre- and post-course SAAS surveys. The total SAAS survey score and individual domain scores for nonmoralizing, treatment optimism, and treatment intervention demonstrated significant improvement post-course. Eighty-nine students completed a motivational interview with a patient. Eighty students had a LCSAS self-assessment paired with a residents' assessment. Mean scores for individual items on the LCSAS for both groups' assessment were approximately 3.5, indicating that students' communication was assessed as "acceptable" to "good." AB - CONCLUSIONS: This study demonstrates that Bloom's taxonomy was a useful educational framework to ensure a systematic development of the authors' SUDs course. Through participation in our course, students touched each of the 3 domains in Bloom's taxonomy. The authors believe their course design may serve as a framework for future SUDs courses. ES - 1547-0164 IL - 0889-7077 DO - https://dx.doi.org/10.1080/08897077.2018.1436634 PT - Journal Article ID - 10.1080/08897077.2018.1436634 [doi] PP - aheadofprint LG - English EP - 20180205 DP - 2018 Feb 05 EZ - 2018/02/06 06:00 DA - 2018/02/06 06:00 DT - 2018/02/06 06:00 YR - 2018 RD - 20180305 UP - 20180306 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29400617 <1705. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29480014 TI - A new graduate medical school curriculum in Psychiatry and Addiction Medicine: reflections on a decade of development. SO - Australasian Psychiatry. :1039856218758561, 2018 Feb 01 AS - Australas. psychiatry. :1039856218758561, 2018 Feb 01 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Bonner D AU - Maguire P AU - Cartledge B AU - Keightley P AU - Reay R AU - Parige R AU - Cubis J AU - Tedeschi M AU - Craigie P AU - Looi JC AI - Keightley, Philip; ORCID: https://orcid.org/0000-0001-9753-3097 AI - Looi, Jeffrey Cl; ORCID: https://orcid.org/0000-0003-3351-6911 FA - Bonner, Daniel FA - Maguire, Paul FA - Cartledge, Bjorn FA - Keightley, Philip FA - Reay, Rebecca FA - Parige, Raj FA - Cubis, Jeff FA - Tedeschi, Michael FA - Craigie, Peggy FA - Looi, Jeffrey Cl IN - Bonner, Daniel. Lecturer in Psychiatry, Academic Coordinator and Acting Co-Deputy Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Staff Specialist, Mental Health ACT, Canberra, ACT, Australia. IN - Maguire, Paul. Lecturer in Adult Psychiatry and Acting Co-Deputy Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia. IN - Cartledge, Bjorn. Associate Lecturer in Adult Psychiatry, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia. IN - Keightley, Philip. Lecturer in Adult Psychiatry, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia. IN - Reay, Rebecca. Lecturer and Research Officer, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; ACT Health, Canberra, ACT, Australia. IN - Parige, Raj. Clinical Lecturer in Addiction Medicine, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia. IN - Cubis, Jeff. Senior Lecturer in Child and Adolescent Psychiatry, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia. IN - Tedeschi, Michael. Clinical Senior Lecturer in Addiction Medicine, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Staff Specialist, ACT Health, Canberra, ACT, Australia. IN - Craigie, Peggy. Student Coordinator and Departmental Administrator, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; ACT Health, Canberra, ACT, Australia. IN - Looi, Jeffrey Cl. Associate Professor, Psychiatry, Neuropsychiatry and Psychiatry of Old Age, Acting Discipline Lead and Head, Academic Unit of Psychiatry and Addiction Medicine, Australian National University Medical School, Garran, ACT, and; Senior Staff Specialist, ACT Health, Canberra, ACT, Australia. NJ - Australasian psychiatry : bulletin of Royal Australian and New Zealand College of Psychiatrists PG - 1039856218758561 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 9613603 IO - Australas Psychiatry CP - England KW - curriculum development; graduate medical education; psychiatry career choice; quality improvement AB - OBJECTIVES: The aim of this study is to reflect upon the rationale, design and development of the Psychiatry and Addiction Medicine curriculum at the Australian National University Medical School, Canberra, Australian Capital Territory, Australia. AB - CONCLUSIONS: We conclude that the development of the fourth-year curriculum of a four-year graduate medical degree was a complex evolutionary process. ES - 1440-1665 IL - 1039-8562 DO - https://dx.doi.org/10.1177/1039856218758561 PT - Journal Article ID - 10.1177/1039856218758561 [doi] PP - aheadofprint LG - English EP - 20180201 DP - 2018 Feb 01 DT - 2018/02/27 06:00 YR - 2018 RD - 20180226 UP - 20180226 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29480014 <1706. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29478362 TI - Dispensing Naloxone Without a Prescription: Survey Evaluation of Ohio Pharmacists. SO - Journal of Pharmacy Practice. :897190018759225, 2018 Jan 01 AS - J Pharm Pract. :897190018759225, 2018 Jan 01 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Thompson EL AU - Rao PSS AU - Hayes C AU - Purtill C FA - Thompson, Erin L FA - Rao, P S S FA - Hayes, Christopher FA - Purtill, Catherine IN - Thompson, Erin L. 1 Department of Pharmacy Practice, The University of Findlay, Findlay, OH, USA. IN - Rao, P S S. 2 Department of Pharmaceutical Sciences, The University of Findlay, Findlay, OH, USA. IN - Hayes, Christopher. 3 College of Pharmacy, The University of Findlay, Findlay, OH, USA. IN - Purtill, Catherine. 3 College of Pharmacy, The University of Findlay, Findlay, OH, USA. NJ - Journal of pharmacy practice PG - 897190018759225 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 8900945 IO - J Pharm Pract CP - United States KW - Ohio; naloxone; opioid abuse; opioid overdose; pharmacists AB - BACKGROUND: The Centers for Disease Control and Prevention (CDC) reports a 200% escalation in the rate of opioid overdose deaths in the United States. Unfortunately, Ohio has been deemed the epicenter of the nation's opioid epidemic. In 2015, Ohio passed a bill that permits a pharmacist to distribute naloxone without a prescription. AB - OBJECTIVES: This survey was aimed to discover pharmacists' knowledge of naloxone and Ohio law, perceived barriers that may prohibit naloxone dispensing, and Ohio pharmacists' general confidence, comfort, perception, and experience dispensing naloxone per physician protocol. AB - METHODS: Pharmacists' knowledge of naloxone and Ohio law pertaining to dispensing naloxone; perceived barriers to naloxone distribution; and overall experience, willingness, comfort, and perceptions of personally supplying naloxone were assessed using multiple-choice and Likert-type scale questions through an e-mail survey. AB - RESULTS: Overall, Ohio pharmacists were knowledgeable about naloxone and displayed confidence in their training and ability to provide patient education on naloxone. Pharmacists were less certain about Ohio law pertaining to naloxone distribution, especially those who have been in practice longer. Pharmacists indicated several barriers to dispensing naloxone and the need for more training. Younger pharmacists were more likely to report a concern with clientele who would frequent their pharmacy and moral and ethical concerns as barriers to dispensing naloxone. AB - CONCLUSION: Additional educational programs should be delivered to Ohio pharmacists to inform them of the state law and policies. Continuing education programs that review substance abuse and attempt to reduce social stigma may assist with increasing naloxone distribution to those in need, especially, if directed toward younger pharmacists in Ohio. ES - 1531-1937 IL - 0897-1900 DO - https://dx.doi.org/10.1177/0897190018759225 PT - Journal Article ID - 10.1177/0897190018759225 [doi] PP - aheadofprint LG - English EP - 20180101 DP - 2018 Jan 01 DT - 2018/02/27 06:00 YR - 2018 RD - 20180226 UP - 20180226 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29478362 <1707. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29461308 TI - Interprofessional Communities of Practice in Continuing Medical Education for Promoting and Sustaining Practice Change: A Prospective Cohort Study. SO - Journal of Continuing Education in the Health Professions. 2018 Feb 14 AS - J Contin Educ Health Prof. 2018 Feb 14 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Barker M AU - Lecce J AU - Ivanova A AU - Zawertailo L AU - Dragonetti R AU - Selby P FA - Barker, Megan FA - Lecce, Julia FA - Ivanova, Anna FA - Zawertailo, Laurie FA - Dragonetti, Rosa FA - Selby, Peter IN - Barker, Megan. Barker: Education Specialist, Centre for Addiction and Mental Health, and Doctoral Student, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. Lecce: Assistant Manager, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Ivanova: Research Coordinator, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Zawertailo: Senior Scientist, Centre for Addiction and Mental Health, and Associate Professor, Department of Pharmacology and Toxicology, University of Toronto, Toronto, Ontario, Canada. Dragonetti: Project Director, Centre for Addiction and Mental Health, Toronto, Ontario, Canada. Selby: Chief - Primary Care Division, Deputy Physician-in-Chief for Education, and Clinician Scientist - Addictions, Centre for Addiction and Mental Health, and Professor, Department of Family and Community Medicine, Department of Psychiatry, Dalla Lana School of Public Health, University of Toronto, Toronto, Ontario, Canada. NJ - The Journal of continuing education in the health professions PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - jhp, 8805847 IO - J Contin Educ Health Prof CP - United States AB - INTRODUCTION: Standard knowledge delivery formats for CME may have limited impact on long-term practice change. A community of practice (CoP) is one tool that may enhance competencies and support practice change. This study explores the utility of an interprofessional CoP as an adjunct to a CME program in tobacco addiction treatment (Training Enhancement in Applied Counselling and Health [TEACH] Project) to promote and sustain practice change. AB - METHODS: A prospective cohort design was utilized to examine the long-term impact of the TEACH CoP on practice change. An online survey was administered to TEACH-trained practitioners to assess perceived feasibility, importance, and confidence related to course competencies, involvement in TEACH CoP activities, engagement in knowledge transfer (KT), and implementation of new programming. Chi-square tests were used to detect differences in KT and program development associated with CoP participation. Course competency scores from immediate postcourse surveys and long-term follow-up surveys were compared. AB - RESULTS: No significant differences in participant characteristics were found between those who did (n = 300) and did not (n = 122) participate in the TEACH CoP. Mean self-perceived competency scores were greater immediately after course than at long-term follow-up; however, self-ratings of competency in pharmacological interventions and motivational interviewing were higher at follow-up. TEACH CoP participation was associated with significantly greater engagement in KT and implementation of new programming after training. AB - DISCUSSION: The findings from this evaluation suggest the value of interprofessional CoPs offered posttraining as a mechanism to enhance practice. CME providers should consider offering CoPs as a component of training programs to promote and sustain practice change. ES - 1554-558X IL - 0894-1912 DO - https://dx.doi.org/10.1097/CEH.0000000000000191 PT - Journal Article ID - 10.1097/CEH.0000000000000191 [doi] PP - aheadofprint LG - English EP - 20180214 DP - 2018 Feb 14 DT - 2018/02/21 06:00 YR - 2018 RD - 20180220 UP - 20180220 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29461308 <1708. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29447544 TI - 'Asking' but Not 'Screening': Assessing Physicians' and Nurses' Substance-Related Clinical Behaviors. SO - Substance Use & Misuse. :1-6, 2018 Feb 15 AS - Subst Use Misuse. :1-6, 2018 Feb 15 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Agley J AU - Carlson JM AU - McNelis AM AU - Gassman RA AU - Schwindt R AU - Crabb D AU - Vannerson J FA - Agley, Jon FA - Carlson, Joan M FA - McNelis, Angela M FA - Gassman, Ruth A FA - Schwindt, Rhonda FA - Crabb, David FA - Vannerson, Julie IN - Agley, Jon. a Indiana Prevention Resource Center, Department of Applied Health Science, School of Public Health , Indiana University , Bloomington , Indiana , USA. IN - Agley, Jon. e Institute for Research on Addictive Behavior , School of Public Health, Indiana University , Bloomington , Indiana , USA. IN - Carlson, Joan M. b School of Social Work , Indiana University , Indianapolis , Indiana , USA. IN - McNelis, Angela M. c School of Nursing , George Washington University , Washington D.C. , USA. IN - Gassman, Ruth A. a Indiana Prevention Resource Center, Department of Applied Health Science, School of Public Health , Indiana University , Bloomington , Indiana , USA. IN - Gassman, Ruth A. e Institute for Research on Addictive Behavior , School of Public Health, Indiana University , Bloomington , Indiana , USA. IN - Schwindt, Rhonda. c School of Nursing , George Washington University , Washington D.C. , USA. IN - Crabb, David. d Department of Medicine, Indiana University School of Medicine , Indiana University-Purdue University , Indianapolis , Indiana , USA. IN - Vannerson, Julie. d Department of Medicine, Indiana University School of Medicine , Indiana University-Purdue University , Indianapolis , Indiana , USA. NJ - Substance use & misuse PG - 1-6 PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - cgg, 9602153 IO - Subst Use Misuse CP - England KW - SBIRT; alcohol; clinical care; education; screening; workforce development AB - BACKGROUND: Screening, brief intervention, and referral to treatment (SBIRT) is a promising public health approach for problematic substance use. A core component of SBIRT is the use of formal screening tools to categorize a patient's likely level of risk in order to provide an appropriately-matched service. Training in formal screening is included in many SBIRT training programs, but infrequently is emphasized. AB - OBJECTIVES: To assess pre-training levels of SBIRT-related clinical behaviors, including screening, this study examined a secondary dataset collected from internal medicine residents and graduate nurse practitioner students. AB - METHODS: Learners (n = 117) completed 13 self-report items assessing use of SBIRT-related behaviors. Researchers used exploratory factor analysis to identify underlying concepts in the questionnaire, then used mixed ANOVA to compare mean frequency of utilization of each factor (asking, screening, and intervening) by academic program. AB - RESULTS: Learners reported asking about substance use frequently, intervening some of the time, and infrequently using formal screening tools. Interaction and between-academic-program effects were significant but small. AB - CONCLUSIONS: Prior to SBIRT training, most clinical practitioners reported asking patients about substance use, but few reported regularly using formal substance use screening tools. This may have implications for the importance of SBIRT training as part of curricular work, and for the internal content foci of SBIRT curricula. ES - 1532-2491 IL - 1082-6084 DO - https://dx.doi.org/10.1080/10826084.2018.1438806 PT - Journal Article ID - 10.1080/10826084.2018.1438806 [doi] PP - aheadofprint LG - English EP - 20180215 DP - 2018 Feb 15 EZ - 2018/02/16 06:00 DA - 2018/02/16 06:00 DT - 2018/02/16 06:00 YR - 2018 RD - 20180215 UP - 20180216 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29447544 <1709. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 29198489 TI - Opiate use disorders and overdose: Medical students' experiences, satisfaction with learning, and attitudes toward community naloxone provision. SO - Addictive Behaviors. 2017 Nov 22 AS - Addict Behav. 2017 Nov 22 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Tobin H AU - Klimas J AU - Barry T AU - Egan M AU - Bury G FA - Tobin, H FA - Klimas, J FA - Barry, T FA - Egan, M FA - Bury, G IN - Tobin, H. UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland. Electronic address: helen.tobin@ucd.ie. IN - Klimas, J. UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland; British Columbia Centre for Excellence in HIV/AIDS, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada; Department of Medicine, University of British Columbia, St. Paul's Hospital, 608-1081 Burrard Street, Vancouver, BC V6Z 1Y6, Canada. IN - Barry, T. UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland. IN - Egan, M. UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland. IN - Bury, G. UCD Centre for Emergency Medical Science, School of Medicine, Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland. NJ - Addictive behaviors PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 2gw, 7603486 IO - Addict Behav CP - England KW - Family practice; Medical education; Naloxone distribution; Overdose education; Overdose prevention; Substance-related disorders AB - INTRODUCTION: Opiate use disorder is a common condition in healthcare services in Ireland, where over 200 opiate overdose deaths occur annually. There is limited addiction medicine education at undergraduate level and medical graduates may not be adequately prepared to diagnose and manage opioid use disorders and emergency drug overdose presentations. Therefore, we examined final-year medical students' learning experiences and attitudes toward opioid use disorder, overdose and community naloxone provision as an emerging overdose treatment. AB - METHODS: We administered an anonymous paper-based survey to 243 undergraduate medical students undertaking their final professional completion module prior to graduation from University College Dublin, Ireland. Results were compared with parallel surveys of General Practitioners (GPs) and GP trainees. AB - RESULTS: A total of 197 (82.1%) completed the survey. Just under half were male, and most were aged under 25 (63.3%) and of Irish nationality (76.7%). The students felt moderately prepared to recognise opioid use disorder, but felt less prepared to manage other aspects of its care. Most had taken a history from a patient with an opioid use disorder (82.8%), and a third had witnessed at least one opioid overdose. Although 10.3% had seen naloxone administered, most had never administered naloxone themselves (98.5%). Half supported wider naloxone availability; this was lower than support rates among GPs (63.6%) and GP trainees (66.1%). AB - CONCLUSIONS: Our findings suggest an unmet learning need in undergraduate training on opioid use disorder, with potential consequences for patient care. Copyright © 2017 Elsevier Ltd. All rights reserved. ES - 1873-6327 IL - 0306-4603 DI - S0306-4603(17)30436-7 DO - https://dx.doi.org/10.1016/j.addbeh.2017.11.028 PT - Journal Article ID - S0306-4603(17)30436-7 [pii] ID - 10.1016/j.addbeh.2017.11.028 [doi] PP - aheadofprint PH - 2017/03/18 [received] PH - 2017/11/01 [revised] PH - 2017/11/15 [accepted] LG - English EP - 20171122 DP - 2017 Nov 22 EZ - 2017/12/05 06:00 DA - 2017/12/05 06:00 DT - 2017/12/05 06:00 YR - 2017 RD - 20171204 UP - 20171205 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=29198489 <1710. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27798553 TI - Misuse of Opioids in Orthopaedic Post-Operative Patients. SO - Journal of Orthopaedic Trauma. 2016 Oct 26 AS - J Orthop Trauma. 2016 Oct 26 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Anup G AU - Ajith M AU - George T AU - Saqib R AU - Chinenye N FA - Anup, Gangavalli FA - Ajith, Malige FA - George, Terres FA - Saqib, Rehman FA - Chinenye, Nwachuku IN - Anup, Gangavalli. 1First Author, *St. Luke's University Health Network, $Temple University/St. Luke's University School of Medicine, #Temple University School of Medicine. NJ - Journal of orthopaedic trauma PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - jh4, 8807705 IO - J Orthop Trauma CP - United States AB - OBJECTIVE: In light of the recent uptrend in the prescription of opioids, this study seeks to identify patterns of opioid misuse among orthopaedic post-operative 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: 207 patients between the ages of 18 to 89 years who underwent surgical fixation of fractures involving the pelvis, long bones or peri-articular regions of the knee, ankle, elbow and wrist. AB - MAIN OUTCOME MEASUREMENTS: Patients who believed they were under-medicated, 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 anatomical surgical site. AB - RESULTS: 182 patients completed the survey. 19.2% of patients (n=35) felt under-medicated [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), non-high school graduates (p<0.05), and prior 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 to 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 in order to prescribe the safest most effective pain regimen LEVEL OF EVIDENCE:: Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence. ES - 1531-2291 IL - 0890-5339 PT - Journal Article ID - 10.1097/BOT.0000000000000741 [doi] PP - aheadofprint LG - English EP - 20161026 DP - 2016 Oct 26 EZ - 2016/11/01 06:00 DA - 2016/11/01 06:00 DT - 2016/11/01 06:00 YR - 2016 RD - 20161130 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=27798553 <1711. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27532868 TI - Developing Core Competencies for the Prevention and Management of Prescription Drug Misuse: A Medical Education Collaboration in Massachusetts. SO - Academic Medicine. 91(10):1348-1351, 2016 Oct. AS - Acad Med. 91(10):1348-1351, 2016 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Antman KH AU - Berman HA AU - Flotte TR AU - Flier J AU - Dimitri DM AU - Bharel M FA - Antman, Karen H FA - Berman, Harris A FA - Flotte, Terence R FA - Flier, Jeffrey FA - Dimitri, Dennis M FA - Bharel, Monica IN - Antman, Karen H. K.H. Antman is dean, Boston University School of Medicine, and provost, Boston University Medical Campus, Boston, Massachusetts.H.A. Berman is dean and professor of public health and community medicine, Tufts University School of Medicine, Boston, Massachusetts.T.R. Flotte is dean, provost and executive deputy chancellor, and Celia and Isaac Haidak Professor of Medical Education, University of Massachusetts Medical School, Worcester, Massachusetts.J. Flier is dean, Harvard Medical School, Boston, Massachusetts.D.M. Dimitri is clinical associate professor, Department of Family Medicine and Community Health, University of Massachusetts Medical School, Worcester, Massachusetts, and past president, Massachusetts Medical Society, Waltham, Massachusetts.M. Bharel is commissioner, Massachusetts Department of Public Health, Boston, Massachusetts. NJ - Academic medicine : journal of the Association of American Medical Colleges VO - 91 IP - 10 PG - 1348-1351 PI - Journal available in: Print PI - Citation processed from: Internet JC - acm, 8904605 IO - Acad Med CP - United States AB - Drug overdose has become the leading cause of injury death in the United States. More than half of those deaths involve prescription drugs, specifically opioids. A key component of addressing this national epidemic is improving prescriber practices.A review of the curricula at the four medical schools in Massachusetts revealed that, although they taught components of addiction medicine, no uniform standard existed to ensure that all students were taught prevention and management strategies for prescription drug misuse. To fill this gap, the governor and the secretary of health and human services invited the deans of the state's four medical schools to convene to develop a common educational strategy for teaching safe and effective opioid-prescribing practices. With leadership from the Department of Public Health and Massachusetts Medical Society, the deans formed the Medical Education Working Group in 2015. This group reviewed the relevant literature and current standards for treating substance use disorders and defined 10 core competencies for the prevention and management of prescription drug misuse.The medical schools have incorporated these competencies into their curricula and have committed to assessing students' competence in these areas. The members of the Medical Education Working Group have agreed to continue to work together on key next steps, including connecting these competencies to those for residents, equipping interprofessional teams to address prescription drug misuse, and developing materials in pain management and opioid misuse for practicing physicians. This first-in-the-nation partnership has yielded cross-institutional competencies that aim to address a public health emergency in real time. ES - 1938-808X IL - 1040-2446 PT - Journal Article ID - 10.1097/ACM.0000000000001347 [doi] PP - ppublish LG - English DP - 2016 Oct EZ - 2016/08/18 06:00 DA - 2016/08/18 06:00 DT - 2016/08/18 06:00 YR - 2016 RD - 20160929 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=27532868 <1712. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27398257 TI - Adapting an Evidence-Based HIV-Prevention Intervention for Women in Domestic Violence Shelters. SO - Psychology of Violence. 6(3):469-477, 2016 Jul. AS - Psychol. violence. 6(3):469-477, 2016 Jul. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Cavanaugh CE AU - Campbell J AU - Braxton N AU - Harvey J AU - Wingood G FA - Cavanaugh, Courtenay E FA - Campbell, Jacquelyn FA - Braxton, Nikia FA - Harvey, Jenna FA - Wingood, Gina IN - Cavanaugh, Courtenay E. Department of Psychology, Rutgers University, Camden, NJ. IN - Campbell, Jacquelyn. School of Nursing, Johns Hopkins University, Baltimore, MD. IN - Braxton, Nikia. Rollins School of Public Health, Emory University, Atlanta, GA. IN - Harvey, Jenna. Department of Psychology, Rutgers University, Camden, NJ. IN - Wingood, Gina. Mailman School of Public Health, Columbia University, NYC, NY. NJ - Psychology of violence VO - 6 IP - 3 PG - 469-477 PI - Journal available in: Print PI - Citation processed from: Print JC - 101550224 IO - Psychol Violence CP - United States KW - HIV; Intimate partner violence; domestic violence; sexual risk behavior; women AB - OBJECTIVE: Despite the documented intersection of intimate partner violence and HIV, there is a paucity of evidence-based HIV prevention interventions for female survivors of intimate partner violence in the United States. This paper describes the adaptation of an effective HIV prevention intervention, Sisters Informing Sisters about Topics on AIDS (SISTA), for women in domestic violence shelters and the steps taken to improve the adapted intervention's implementation. AB - METHOD: The adaptation process was guided by the ADAPT-ITT framework and data collected from directors, direct client service providers, and residents of two domestic violence shelters located in urban areas, as well as topical experts. AB - RESULTS: Eleven of 12 shelter staff (92%) reported that HIV interventions had never been implemented at their shelter and 64% reported they had not provided residents with educational brochures about HIV prevention. Changes made to adapt SISTA for this population and enhance the implementation of the intervention included reducing the intervention's duration; adding education about the intersection of intimate partner violence, substance use, and HIV; and adding an HIV risk assessment and safety plan. AB - CONCLUSIONS: Next steps will include implementing the adapted intervention and evaluating its perceived acceptability and efficacy, and assessing whether contextual factors influence the intervention's implementation. IS - 2152-0828 IL - 2152-081X PT - Journal Article ID - 10.1037/vio0000042 [doi] ID - PMC4933957 [pmc] ID - NIHMS758598 [mid] PP - ppublish GI - No: P30 DA027828 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English DP - 2016 Jul EZ - 2016/07/12 06:00 DA - 2016/07/12 06:00 DT - 2016/07/12 06:00 YR - 2016 RD - 20170714 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=27398257 <1713. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27084413 TI - Trends in Opioid Analgesic Use in Encounters Involving Physician Trainees in U.S. Emergency Departments. SO - Pain Medicine. 2016 Apr 14 AS - PAIN MED. 2016 Apr 14 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher 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 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 Georgetown University School of Medicine, Washington, DC. IN - Pines, Jesse M. Center for Clinical Practice Innovation, The George Washington University, Washington, DC 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 *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.) PI - Journal available in: Print-Electronic PI - Citation processed from: Internet JC - 100894201 IO - Pain Med CP - England 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. ES - 1526-4637 IL - 1526-2375 DI - pnw048 PT - Journal Article ID - pnw048 [pii] ID - 10.1093/pm/pnw048 [doi] PP - aheadofprint LG - English EP - 20160414 DP - 2016 Apr 14 EZ - 2016/04/17 06:00 DA - 2016/04/17 06:00 DT - 2016/04/17 06:00 YR - 2016 RD - 20160417 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=27084413 <1714. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 27748106 BK - https://www.ncbi.nlm.nih.gov/books/NBK385302 TI - The Politics of Tackling Inequalities: The Rise of Psychological Fundamentalism in Public Health and Welfare Reform. [Review] BT - Health Inequalities: Critical Perspectives SO - Oxford University Press. Wellcome Trust-Funded Monographs and Book Chapters Chapter 15 2015 11 26 AS - Oxford University Press. Wellcome Trust-Funded Monographs and Book Chapters Chapter 15 2015 11 26 VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. AU - Friedli L FA - Friedli, Lynne EE - Smith KE EE - Bambra C EE - Hill SE FE - Smith, Katherine E FE - Bambra, Clare FE - Hill, Sarah E PL - Oxford (UK) AB - This chapter is concerned with the growing influence of non-material explanations for inequalities and a corresponding emphasis on psychological interventions, which aim to modify cognitive function or emotional disposition/affect (Friedli 2013, 2014). These developments intersect with and are reinforced by the parallel rise in brain science, which correlates a range of outcomes (crime, addiction, health behaviour, educational attainment) with brain structure (Katz 2013; Rose 2013). As a recent editorial in the British Medical Journal observes: In public health, the psychological attributes and dispositions of individuals and communities (the ostensible presence or absence of optimism, aspiration, self-efficacy, conscientiousness, sense of coherence, etc.) are being used to explain patterns of health and health behaviour and to account for the impact of material deprivation, in a twin process of psychologizing and biologizing poverty (Edwards et al 2014). Deprivation is understood less and less in relation to issues of equity, power, and justice and more and more in terms of the impact of the 'environment' on brain function. Copyright © Oxford University Press, 2015. SN - 15.1. Introduction: The rise of psychological explanations and interventions in public health https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.2. Absence of debate https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.3. Strengths-based discourse: The power of positive affect https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.4. Engaging with the evidence base https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.5. Count your assets https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.6. Limitations of materialist analysis https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.7. Public health and the Glasgow pSoBid study https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.8. Workfare https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.9. Increasing positive affect https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - 15.10. Conclusions https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 SN - References https://www.ncbi.nlm.nih.gov/books/n/wt605840/wt605840_ch15 IB - 9780198703358 PT - Review PP - ppublish GI - No: 103817 Organization: *Wellcome Trust* Country: United Kingdom LG - English DP - 2015 11 26 EZ - 2016/10/19 06:01 DA - 2016/10/19 06:01 DT - 2016/10/19 06:01 YR - 2015 UP - 20171211 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=27748106 <1715. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 26207103 TI - Evaluation of a Training to Reduce Provider Bias Toward Pregnant Patients With Substance Abuse. SO - Journal of Social Work Practice in the Addictions. 14(3):239-249, 2014 Jul 03. AS - J SOC WORK PRACT ADDICT. 14(3):239-249, 2014 Jul 03. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Seybold D AU - Calhoun B AU - Burgess D AU - Lewis T AU - Gilbert K AU - Casto A FA - Seybold, Dara FA - Calhoun, Byron FA - Burgess, Denise FA - Lewis, Tammi FA - Gilbert, Kelly FA - Casto, Angie IN - Seybold, Dara. CAMC Health Education and Research Institute, Charleston, West Virginia, USA. IN - Calhoun, Byron. Department of Obstetrics & Gynecology, West Virginia University-Charleston, Charleston, West Virginia, USA. IN - Burgess, Denise. CAMC Women and Children's Hospital, Charleston, West Virginia, USA. IN - Lewis, Tammi. CAMC Family Resource Center, Charleston, West Virginia, USA. IN - Gilbert, Kelly. CAMC Family Resource Center, Charleston, West Virginia, USA. IN - Casto, Angie. CAMC Women and Children's Hospital, Charleston, West Virginia, USA. NJ - Journal of social work practice in the addictions VO - 14 IP - 3 PG - 239-249 PI - Journal available in: Print PI - Citation processed from: Print JC - 100898201 IO - J Soc Work Pract Addict CP - England KW - gender difference; health practitioners; pregnancy; provider attitudes; rural health care; substance abuse; training AB - The objective of this article is not to present a scientific or systematic study, but to provide an initial framework for designing a training workshop to enhance health practitioners' (nurses, social workers, physicians, etc.) knowledge regarding substance abuse treatment and to decrease their bias toward substance-abusing women, particularly pregnant women in rural communities. We incorporated the 4 Transdisciplinary Foundations from the Substance Abuse and Mental Health Services Administration Competencies Model, with specific competencies targeted that related to provider bias. After the conference, 52 of the 70 participants completed a questionnaire to self-assess knowledge level and confidence in skill related to substance abuse management. Participant mean scores were statistically significantly higher following the conference than 1 week prior ( p < .001) in the area of "gender difference with substance abuse," moving from an average of 2.6 to 4.5 on a 5-point Likert scale. Our conference was successful in increasing attendees' knowledge about gender difference and substance abuse among pregnant patients. IS - 1533-256X IL - 1533-256X PT - Journal Article ID - 10.1080/1533256X.2014.933730 [doi] ID - PMC4508864 [pmc] ID - NIHMS696760 [mid] PP - ppublish GI - No: U54 GM104942 Organization: (GM) *NIGMS NIH HHS* Country: United States LG - English DP - 2014 Jul 03 EZ - 2015/07/25 06:00 DA - 2015/07/25 06:00 DT - 2015/07/25 06:00 YR - 2014 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=26207103 <1716. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25750776 TI - Substance abuse prevention in Cape Town's peri-urban settlements: local health trainers' perspectives. SO - Health Psychology & Behavioral Medicine. 2(1):183-197, 2014 Jan 01. AS - Health psychol. behav. med.. 2(1):183-197, 2014 Jan 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Puljevic C AU - Learmonth D FA - Puljevic, Cheneal FA - Learmonth, Despina IN - Puljevic, Cheneal. Psychology Department, University of Cape Town , PD Hahn Building, Cape Town , South Africa. IN - Learmonth, Despina. Psychology Department, University of Cape Town , PD Hahn Building, Cape Town , South Africa. NJ - Health psychology and behavioral medicine VO - 2 IP - 1 PG - 183-197 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 101624393 IO - Health Psychol Behav Med CP - England KW - alcohol abuse; community health psychology; health trainers; prevention; substance abuse AB - South Africa currently experiences high levels of alcohol and other drug (AOD) abuse. As a result there is a need for the initiation of regional AOD abuse prevention programmes with a specific focus on youth prevention strategies. The Medical Knowledge Institute (MKI) is a non-profit organisation which develops and facilitates health information workshops to members of disadvantaged peri-urban communities in South Africa. This research investigated the views of eight local MKI health trainers on factors contributing to AOD abuse in their communities. Although the expected focus of the discussion was on prevention strategies and effective interventions, the trainers placed more emphasis on the individual and community factors influencing AOD abuse. The themes which emerged through the research included: status, government, (di)stress, gender, recreation, consequences and community. This research holds significance as it has the potential to assist further development of community-based AOD prevention workshops and to guide public health policy and service development for AOD abuse. IS - 2164-2850 PT - Journal Article ID - 10.1080/21642850.2013.878659 [doi] ID - 878659 [pii] ID - PMC4346071 [pmc] PP - ppublish PH - 2013/11/21 [received] PH - 2013/12/20 [accepted] LG - English EP - 20140220 DP - 2014 Jan 01 EZ - 2014/01/01 00:00 DA - 2014/01/01 00:00 DT - 2015/03/10 06:00 YR - 2014 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=25750776 <1717. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 25018591 TI - Vocational Training and Employment Attainment among Substance Abuse Recovering Individuals within a Communal Living Environment. SO - Therapeutic Communities: the International Journal for Therapeutic & Supportive Organizations. 35(2):42-47, 2014. AS - THER. COMMUNITIES INT. J. THER. SUPPORTIVE ORGAN.. 35(2):42-47, 2014. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Gomez D AU - Jason LA AU - Contreras R AU - DiGangi J AU - Ferrari JR FA - Gomez, Daisy FA - Jason, Leonard A FA - Contreras, Richard FA - DiGangi, Julia FA - Ferrari, Joseph R IN - Gomez, Daisy. Center for Community Research DePaul University. IN - Jason, Leonard A. Center for Community Research DePaul University. IN - Contreras, Richard. Center for Community Research DePaul University. IN - DiGangi, Julia. Center for Community Research DePaul University. IN - Ferrari, Joseph R. Center for Community Research DePaul University. NJ - Therapeutic communities VO - 35 IP - 2 PG - 42-47 PI - Journal available in: Print PI - Citation processed from: Print JC - 9303634 IO - Ther Communities CP - England KW - Oxford House; recovery homes; substance abuse; vocational rehabilitation and employment AB - PURPOSE: The present study explored the effects of length of stay in an Oxford House (a sober living environment) with the number of days attended school/vocational training and days worked in the past 90 days with 292 women and 604 men. AB - DESIGN/METHODOLOGY/APPROACH: This paper presents quantitative data. AB - FINDINGS: Results indicated that number of days residing in these recovery homes was related to number of days attending school/vocational training and days worked. AB - ORIGINALITY/VALUE: The present study suggested that in addition to staying abstinent from alcohol and drugs, Oxford House residents may gain useful life skills through vocational education, training, and employment. This is an area of further exploration for the substance abuse recovery community. IS - 0964-1866 IL - 0964-1866 PT - Journal Article ID - 10.1108/TC-03-2014-0008 [doi] ID - PMC4089100 [pmc] ID - NIHMS606419 [mid] PP - ppublish GI - No: R01 AA012218 Organization: (AA) *NIAAA NIH HHS* Country: United States GI - No: R01 AA016973 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2014 EZ - 2014/07/16 06:00 DA - 2014/07/16 06:00 DT - 2014/07/15 06:00 YR - 2014 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=25018591 <1718. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 24761180 TI - An Historical Review and Perspective on the Impact of Acupuncture on U.S. Medicine and Society. [Review] SO - Medical Acupuncture. 25(5):311-316, 2013 Oct. AS - Med Acupunct. 25(5):311-316, 2013 Oct. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Lu DP AU - Lu GP FA - Lu, Dominic P FA - Lu, Gabriel P IN - Lu, Dominic P. Department of Oral Medicine, University Pennsylvania , Philadelphia, PA. IN - Lu, Gabriel P. Department of Clinical Anesthesiology, Albert Einstein College of Medicine , Bronx, NY. NJ - Medical acupuncture VO - 25 IP - 5 PG - 311-316 PI - Journal available in: Print PI - Citation processed from: Print JC - 100899009 IO - Med Acupunct CP - United States KW - Acupuncture; Health Care; Impact; Perspective AB - BACKGROUND: It took almost 300 years for Europe and 400 years for the United States to finally appreciate the therapeutic value of acupuncture. Findings from basic medical research that acupuncture stimulation causes release of endorphins, serotonin, enkephalins, and gamma-amino-butyric acid (GABA; a major inhibitory neurotransmitter of the brain), norepinephrine, and dopamine helped to explain the acupuncture effect on a biomedical and pharmacological basis that was acceptable to the Western medical establishment. AB - CONTEXT: In the United States, there is significantly increased familiarity with acupuncture and U.S. patients have sought acupuncture treatment to relieve stress-related syndromes, to enhance the immune system, to reduce insomnia, to improve athletic performance, and to address Alzheimer's disease, as well as for cardiac and poststroke therapy. This article briefly reviews the history of acupuncture in the United States and discusses the potential of this modality in the the future. AB - DISCUSSION: Acupuncture can be combined with conventional Western medicine for pain management in patient with cancer to reduce dosages of narcotic medications, side-effects, adverse reactions, and the possibility of narcotic addiction. Because of acupuncture's increased popularity, acupuncture training schools have been set up in the United States, and some insurance companies cover acupuncture therapy. AB - CONCLUSIONS: By studying both Eastern and Western medicine and using them in a complementary fashion, we open ourselves to many discoveries for the benefit of humanity. IS - 1933-6586 IL - 1933-6586 PT - Review ID - 10.1089/acu.2012.0921 [doi] ID - 10.1089/acu.2012.0921 [pii] ID - PMC3796320 [pmc] PP - ppublish LG - English DP - 2013 Oct EZ - 2014/04/25 06:00 DA - 2014/04/25 06:00 DT - 2014/04/25 06:00 YR - 2013 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=24761180 <1719. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 22942480 TI - The Severe 5%: A Latent Class Analysis of the Externalizing Behavior Spectrum in the United States. SO - Journal of Criminal Justice. 39(1):75-80, 2011 Jan. AS - J crim justice. 39(1):75-80, 2011 Jan. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Vaughn MG AU - Delisi M AU - Gunterbh T AU - Fu Q AU - Beaver KM AU - Perron BE AU - Howard MO FA - Vaughn, Michael G FA - Delisi, Matt FA - Gunterbh, Tracy FA - Fu, Qiang FA - Beaver, Kevin M FA - Perron, Brian E FA - Howard, Matthew O IN - Vaughn, Michael G. Saint Louis University. NJ - Journal of criminal justice VO - 39 IP - 1 PG - 75-80 PI - Journal available in: Print-Electronic PI - Citation processed from: Print JC - 9876192 IO - J Crim Justice CP - United States AB - OBJECTIVE: Criminological research consistently demonstrates that approximately 5% of study populations are comprised of pathological offenders who account for a preponderance of antisocial behavior and violent crime. Unfortunately, there have been no nationally representative epidemiological studies characterizing the severe 5% group. MATERIALS AND METHODS: Data from the 2001-2002 National Epidemiologic Survey on Alcohol and Related Conditions (NESARC), a nationally representative sample of 43,093 non-institutionalized U.S. residents aged 18 years and older were analyzed using latent class analysis to assess sociodemographic, psychiatric, and behavioral characteristics. RESULTS: Four-classes of respondents were identified vis-a-vis lifetime externalizing behaviors. A normative class (66.1% of respondents) demonstrated little involvement in antisocial conduct. A low substance use/high antisocial behavior class (20.7% of respondents) and high substance use/moderate antisocial behavior (8.0% of respondents) class evinced diverse externalizing and psychiatric symptoms. Finally, a severe class (5.3% of respondents) was characterized by pathological involvement in more varied and intensive forms of antisocial and externalizing behaviors and extensive psychiatric disturbance. CONCLUSIONS: The current study is the first nationally representative epidemiological study of criminal careers/externalizing behavior spectrum in the United States and validates the existence of the 5% pathological group demonstrated by prior research. IS - 0047-2352 IL - 0047-2352 PT - Journal Article ID - 10.1016/j.jcrimjus.2010.12.001 [doi] ID - PMC3431912 [pmc] ID - NIHMS258210 [mid] PP - ppublish GI - No: K07 CA104119 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: K07 CA104119-05 Organization: (CA) *NCI NIH HHS* Country: United States GI - No: R01 DA021405 Organization: (DA) *NIDA NIH HHS* Country: United States LG - English EP - 20110113 DP - 2011 Jan EZ - 2011/01/01 00:00 DA - 2011/01/01 00:00 DT - 2012/09/04 06:00 YR - 2011 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=22942480 <1720. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 20161028 TI - An Examination of the Role of Perceptions in Neighborhood Research. SO - Journal of Community Psychology. 37(3):327-341, 2009 Apr 01. AS - J Community Psychol. 37(3):327-341, 2009 Apr 01. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Roosa MW AU - White RM AU - Zeiders KH AU - Tein JY FA - Roosa, Mark W FA - White, Rebecca M B FA - Zeiders, Katharine H FA - Tein, Jenn-Yun IN - Roosa, Mark W. All authors were affiliated with Arizona State University's Prevention Research Center. Roosa, and Zeiders are in the School of Social and Family Dynamics; White is in the School of Health Management and Policy; Tein is affiliated with the Psychology Department. NJ - Journal of community psychology VO - 37 IP - 3 PG - 327-341 PI - Journal available in: Print PI - Citation processed from: Print JC - 0367033, huu, 0367033 IO - J Community Psychol CP - United States AB - Accumulating research demonstrates that both archival indicators and residents' self-reports of neighborhood conditions are useful predictors of a variety of physical health, mental health, substance use, criminal, and educational outcomes. Although studies have shown these two types of measures are often related, no research has systematically examined their relationship. With a sample of Mexican Americans, this study examined this relationship and demographic factors that might account for variations of residents' perceptions of their neighborhoods. Results showed that country of birth, social class, family structure, and gender moderated relations between archival variables and adults' perceptions of danger. Thus using information from both archival data and self-reports should improve the ability of neighborhood researchers to understand individual differences in responses to neighborhood conditions. IS - 0090-4392 IL - 0090-4392 PT - Journal Article ID - 10.1002/jcop.20298 [doi] ID - PMC2749696 [pmc] ID - NIHMS110150 [mid] PP - ppublish GI - No: R01 MH068920 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH068920-01 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH068920-02 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH068920-05 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH068920-03S1 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH068920-03 Organization: (MH) *NIMH NIH HHS* Country: United States GI - No: R01 MH068920-04 Organization: (MH) *NIMH NIH HHS* Country: United States LG - English DP - 2009 Apr 01 EZ - 2010/02/18 06:00 DA - 2010/02/18 06:00 DT - 2010/02/18 06:00 YR - 2009 RD - 20170220 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=20161028 <1721. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 15955255 TI - Perceptions of substance use, treatment options and training needs among Iranian primary care physicians. SO - International Journal for Equity in Health. 4(1):7, 2005 Jun 15. AS - Intern. j. equity health. 4(1):7, 2005 Jun 15. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Shakeshaft A AU - Nassirimanesh B AU - Day C AU - Dolan KA FA - Shakeshaft, Anthony FA - Nassirimanesh, Bijan FA - Day, Carolyn FA - Dolan, Kate A IN - Shakeshaft, Anthony. Program of International Research and Training (PIRT), National Drug and Alcohol Research Centre (NDARC), University of New South Wales, Sydney, Australia. k.dolan@unsw.edu.au. NJ - International journal for equity in health VO - 4 IP - 1 PG - 7 PI - Journal available in: Electronic PI - Citation processed from: Internet JC - 101147692 IO - Int J Equity Health CP - England AB - In order to be optimally effective, continuing training programmes for health-care professionals need to be tailored so that they target specific knowledge deficits, both in terms of topic content and appropriate intervention strategies. A first step in designing tailored treatment programmes is to identify the characteristics of the relevant health-care professional group, their current levels of content and treatment knowledge, the estimated prevalence of drug and alcohol problems among their patients and their preferred options for receiving continuing education and training. This study reports the results of a survey of 53 primary care physicians working in Iran. The majority were male, had a mean age of 44 years and saw approximately 94 patients per week. In terms of their patients' drug use, primary care physicians thought most patients with a substance use problem were male, women were most likely to use tobacco (52%), opium (32%) and marijuana/hashish and young people were most likely to use tobacco, alcohol, marijuana and heroin. Counselling and nicotine patches were the treatments most commonly provided. Although the majority (55%) reported referring patients to other services, more than a third did not. Most primary care physicians reported being interested in attending further training on substance abuse issues. The implications of these data for ongoing education and training of primary care physicians in Iran are discussed. ES - 1475-9276 IL - 1475-9276 PT - Journal Article ID - 1475-9276-4-7 [pii] ID - 10.1186/1475-9276-4-7 [doi] ID - PMC1164425 [pmc] PP - epublish PH - 2004/10/11 [received] PH - 2005/06/15 [accepted] LG - English EP - 20050615 DP - 2005 Jun 15 EZ - 2005/06/16 09:00 DA - 2005/06/16 09:00 DT - 2005/06/16 09:00 YR - 2005 RD - 20170219 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=15955255 <1722. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12466685 TI - Faculty Rating of Learning Objectives for an Undergraduate Medical Curriculum in Substance Abuse. SO - Substance Abuse. 22(4):257-263, 2001 Dec. AS - Subst Abus. 22(4):257-263, 2001 Dec. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Kahan M AU - Midmer D AU - Wilson L AU - Liu E FA - Kahan, Meldon FA - Midmer, Deana FA - Wilson, Lynn FA - Liu, Eleanor IN - Kahan, Meldon. Department of Family Medicine, University of Toronto, Ontario, Canada. Addiction Research Foundation Division, Centre for Addiction and Mental Health, Ontario, Canada. Department of Family Medicine, St. Joseph's Health Centre, Ontario, Canada. meldon.kahan@utoronto.ca NJ - Substance abuse VO - 22 IP - 4 PG - 257-263 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - The purpose of this study is to describe medical faculty's ratings of learning objectives related to substance abuse. A comprehensive set of learning objectives was drafted. The Associate Dean at each of Ontario's five medical schools was asked to select two faculty members from each clinical discipline who were involved in undergraduate medical education. The selected faculty were sent a survey asking them to rate 282 objectives according to their importance for undergraduate education in their discipline, using a 5-point scale. Sixty-eight out of 90 surveys were returned. For statistical analysis, disciplines were placed into two groups, Group 1 (internal medicine, surgery, emergency medicine, and anesthesia) and Group 2 (family medicine, psychiatry, and pediatrics). The mean ratings of Group 1 were significantly higher than Group 2 (p < 0.001) for five sets of objectives: attitudes, epidemiology, screening and assessment, nonmedical interventions, and specific populations (women, the elderly, and adolescents). Group 1 gave mean ratings above 4 to all themes except epidemiology, inpatient care, and medical complications. In contrast, Group 2 gave mean ratings above 4 to only three themes: physician substance abuse problems, withdrawal, and medical complications. The marked differences in learning objectives between disciplines suggest that a discipline-specific approach is needed for curricular development in substance abuse. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 343824 [pii] ID - 10.1080/08897070109511467 [doi] PP - ppublish LG - English DP - 2001 Dec EZ - 2002/12/06 04:00 DA - 2002/12/06 04:00 DT - 2002/12/06 04:00 YR - 2001 RD - 20021205 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12466685 <1723. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12466672 TI - Medical Education About the Care of Addicted Incarcerated Persons: A National Survey of Residency Programs. SO - Substance Abuse. 22(2):97-104, 2001 Jun. AS - Subst Abus. 22(2):97-104, 2001 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Kraus ML AU - Isaacson JH AU - Kahn R AU - Mundt MP AU - Manwell LB FA - Kraus, Mark L. FA - Isaacson, J. Harry FA - Kahn, Ruth FA - Mundt, Marlon P. FA - Manwell, Linda Baier IN - Kraus, Mark L.. Addiction Medicine, Waterbury Hospital, Waterbury, Connecticut. Yale University, School of Medicine, New Haven, Connecticut; marklk@home.com NJ - Substance abuse VO - 22 IP - 2 PG - 97-104 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - In June 1998, there were 1.8 million inmates in correctional facilities for adults; 1.2 million in state and federal prisons and 600,000 in municipal/county jails (668 persons per 100,000 U.S. population). Rates of TB, AIDS, mental illness, and substance abuse are 2-13 times higher in persons living in jails and prisons. This study was designed to assess the level of training offered to residents in seven medical specialties in the care of addicted incarcerated persons. The study design involved two stages. The first entailed a mailed survey to 1,831 residency directors in family medicine, internal medicine, osteopathic medicine, pediatrics, obstetrics and gynecology, psychiatry, and emergency medicine. The second stage was a telephone interview, about substance use disorders, of faculty listed by the residency directors as teaching residents. The mailed survey was completed by 1,205 residency directors (66%). The 769 faculty from those identified programs, who participated in the telephone interview, reported that only 14% of their residency programs offered lectures or conferences on the care of incarcerated persons, yet 44% of the programs had residents caring for incarcerated persons with substance abuse problems, in a clinical setting. Only 22% offered clinical experiences for residents in a correctional facility.We recognize that our survey of correctional health and substance abuse training is limited, but as such, a greater number of respondents to our survey do not teach residents addiction medicine topics pertaining to prevention, evaluation, intervention, and management of the addicted criminal offender/patient in a correctional setting or give adequate clinical exposure to this special population. The data suggests a need to develop and implement educational programs on medical care for this high-risk and expanding population. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 296648 [pii] ID - 10.1080/08897070109511449 [doi] PP - ppublish LG - English DP - 2001 Jun EZ - 2002/12/06 04:00 DA - 2002/12/06 04:00 DT - 2002/12/06 04:00 YR - 2001 RD - 20021205 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12466672 <1724. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12466655 TI - Psychiatry Residents' Opinions of a Substance Abuse Rotation in a VA Hospital General Internal Medicine Unit. SO - Substance Abuse. 21(3):149-154, 2000 Sep. AS - Subst Abus. 21(3):149-154, 2000 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Khouzam HR FA - Khouzam, Hani Raoul IN - Khouzam, Hani Raoul. VA Medical Center, Manchester, New Hampshire; Department of Psychiatry, Dartmouth Medical School, Lebanon, New Hampshire; Harvard Medical School, Boston, Massachusetts; and Department of Psychiatry and Behavioral Sciences, University of Oklahoma College of Medicine, Oklahoma City, Oklahoma. khouzam.hani@manchester.va.gov NJ - Substance abuse VO - 21 IP - 3 PG - 149-154 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - Written optional evaluation forms were devised to gather psychiatry residents' opinions regarding their substance use disorder rotation in a general internal medicine unit. Over a 4-year period 24 residents completed that rotation and 83% (N = 20) completed the form. Of the responding residents, 95% (N = 19) rated an above-average satisfaction with the rotation and 90% (N = 18) would recommend the rotation to other residents. All respondents 100% (N = 20) reported that the rotation met its stated training objectives. Considering the recent changes in the delivery of health care with its focus toward primary care and away from specialty care, these findings raise the possibility of incorporating the substance abuse training of psychiatry residents into the primary care setting of general internal medicine. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 224716 [pii] ID - 10.1080/08897070009511428 [doi] PP - ppublish LG - English DP - 2000 Sep EZ - 2002/12/06 04:00 DA - 2002/12/06 04:00 DT - 2002/12/06 04:00 YR - 2000 RD - 20021205 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12466655 <1725. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12466654 TI - Course and Severity of Substance Abuse in Women with Comorbid Eating Disorder. SO - Substance Abuse. 21(3):137-147, 2000 Sep. AS - Subst Abus. 21(3):137-147, 2000 Sep. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Specker S AU - Westermeyer J AU - Thuras P FA - Specker, Sheila FA - Westermeyer, Joseph FA - Thuras, Paul IN - Specker, Sheila. Substance Abuse Program, University-Fairview Hospital, Minneapolis, Minnesota. Department of Psychiatry, University of Minnesota, Minneapolis, Minnesota. NJ - Substance abuse VO - 21 IP - 3 PG - 137-147 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - The objective of this study is to ascertain whether the course and severity of Substance Abuse among female patients with comorbid Substance Related Disorder and Eating Disorder (SRD-ED) is similar to or different from the course and severity of SRD among female patients with Substance Related Disorder but no Eating Disorder (SRD). Subjects were voluntary patients, obtained in two addiction programs located within departments of psychiatry in two state university medical centers, and included 66 women with SRD-ED and 211 women with SRD. Data were collected on demography, course and severity of SRD, and associated biomedical conditions. SRD-ED patients were significantly younger and more apt to be single, more highly educated, living with family and friends, employed, and of higher socioeconomic status. SRD-ED and SRD patients were more similar than different on most indicators of course and severity, although several clinical differences prevailed. These clinical differences were primarily ascribed to age. In most respects, patients with comorbid SRD-ED manifest course and severity of SRD similar to patients with SRD. Demographic differences between the two groups can mostly be ascribed to the younger mean age of SRD-ED patients rather than to the comorbid ED. Some biomedical problems are related to the specific consequences of ED. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 224715 [pii] ID - 10.1080/08897070009511427 [doi] PP - ppublish LG - English DP - 2000 Sep EZ - 2002/12/06 04:00 DA - 2002/12/06 04:00 DT - 2002/12/06 04:00 YR - 2000 RD - 20021205 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12466654 <1726. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12466651 TI - Innovative Clinical Addiction Research Training Track in Preventive Medicine. SO - Substance Abuse. 21(2):111-119, 2000 Jun. AS - Subst Abus. 21(2):111-119, 2000 Jun. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Foley ME AU - Garland E AU - Stimmel B AU - Merino R FA - Foley, Mary E. FA - Garland, Elizabeth FA - Stimmel, Barry FA - Merino, Rolando IN - Foley, Mary E.. Department of Community and Preventive Medicine. NJ - Substance abuse VO - 21 IP - 2 PG - 111-119 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - Medical education related to identification, diagnosis and management of alcohol and other drug problems receives inadequate attention in the undergraduate curriculum and during residency training. This article describes the design, implementation, and evaluation of a new track in Clinical Addiction Research Training (CART) in a General Preventive Medicine (GPM) residency program. CART is comprised of a new course in Addiction Medicine, new practicum sites in addiction medicine research and treatment, and a CART-designated resident. An Advisory Group of educators, researchers, scholars, and administrators in addiction medicine, has provided guidance and support for this new track. Evaluation of the CART track suggested improvements in residents' knowledge and attitudes. Residents engaged in high caliber clinical addiction research projects. The development of the CART track within the GPM residency is an approach that can be integrated into other specialties, such as internal medicine, family practice, and adolescent medicine, to develop residents' interest and expertise in the addictive behaviors. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 222760 [pii] ID - 10.1080/08897070009511423 [doi] PP - ppublish LG - English DP - 2000 Jun EZ - 2002/12/06 04:00 DA - 2002/12/06 04:00 DT - 2002/12/06 04:00 YR - 2000 RD - 20021205 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12466651 <1727. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12466645 TI - Training Community-Based Clinicians in Screening and Brief Intervention for Substance Abuse Problems: Translating Evidence into Practice. SO - Substance Abuse. 21(1):21-31, 2000 Mar. AS - Subst Abus. 21(1):21-31, 2000 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Saitz R AU - Sullivan LM AU - Samet JH FA - Saitz, Richard FA - Sullivan, Lisa M. FA - Samet, Jeffrey H. IN - Saitz, Richard. Clinical Addictions Research and Education (CARE) Unit, Section of General Internal Medicine, Department of Medicine, Boston University School of Medicine and Boston Medical Center, 91 East Concord Street, Suite 200, Boston, Massachusetts 02118-2393. NJ - Substance abuse VO - 21 IP - 1 PG - 21-31 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - Screening and brief intervention in general health care settings are efficacious but have not been widely adopted. Our objective was to assess the effect of an educational intervention on clinicians' substance abuse-related clinical practices. The study was a telephone survey of practicing physicians, nurses, psychologists, physician's assistants, and social workers who attended a half-day continuing education course on one of four occasions. The course covered the stages of behavioral change and motivational counseling, using primarily role play with standardized patients. Of 87 course attendees, 70 (80%) completed the interview. Months to years after the course, most (91%) reported that the course made an impact on their practice. Most (78%) of respondents reported that they frequently or always asked new patients who drank alcohol a formal screening questionnaire such as the CAGE, and 94% frequently or always assessed their substance abusing patients' readiness to change. Most respondents reported that since taking the course they were more likely (1) to screen patients for alcohol or drug related problems (86%) and (2) to ask patients about their substance abuse on a follow-up visit (96%). After exposure to an active-learning half-day continuing education course, clinicians reported improvement with and high rates of desirable substance abuse-related clinical practices up to 5 years later. Continuing education efforts that incorporate active learning directed toward practicing clinicians show promise for improving rates of brief intervention for alcohol and other drug abuse. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 221614 [pii] ID - 10.1080/08897070009511415 [doi] PP - ppublish GI - No: R01 AA016059 Organization: (AA) *NIAAA NIH HHS* Country: United States LG - English DP - 2000 Mar EZ - 2002/12/06 04:00 DA - 2002/12/06 04:00 DT - 2002/12/06 04:00 YR - 2000 RD - 20161025 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12466645 <1728. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12511819 TI - A Pilot Project: Continuing Education for Pharmacists on Substance Abuse Prevention. SO - Substance Abuse. 20(1):33-43, 1999 Mar. AS - Subst Abus. 20(1):33-43, 1999 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Graham A AU - Pfeifer J AU - Trumble J AU - Nelson ED FA - Graham, Antonnette FA - Pfeifer, Judie FA - Trumble, Jeanne FA - Nelson, E. Don IN - Graham, Antonnette. Department of Family Medicine, School of Medicine, Case Western Reserve University, Cleveland, Ohio 44106-4950. NJ - Substance abuse VO - 20 IP - 1 PG - 33-43 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - The American Association of Colleges of Pharmacy advocates that pharmacists can have a significant impact on substance abuse prevention provided they receive adequate training. Continuing education programs are needed to enable practicing pharmacists to augment their limited education. This paper examines the process the Society of Teachers of Family Medicine (STFM) used to develop a pilot continuing education program for pharmacists. With limited literature and a small number of pharmacy teaching about substance abuse, input on topics and training methods was obtained from a convenience sample of practicing pharmacists to enhance the information from the pharmacist faculty regarded as content experts. Results of this pilot study revealed lack of agreement between faculty and practicing pharmacists regarding the prioritizing of content and educational methods. Consequently, input must be obtained from targeted audiences instead of relying solely on the advice of identified academic content experts when designing continuing educational programs. Other professions should consider this process when designing continuing education programs. Pharmacists are poised to play an important role in the prevention of substance abuse problems, but they need continuing education about substance abuse. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 410780 [pii] ID - 10.1080/08897079909511392 [doi] PP - ppublish LG - English DP - 1999 Mar EZ - 2003/01/04 04:00 DA - 2003/01/04 04:00 DT - 2003/01/04 04:00 YR - 1999 RD - 20030103 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12511819 <1729. > VN - Ovid Technologies DB - Ovid MEDLINE(R) UI - 12511818 TI - Perinatal Substance Abuse Education: A Review of Existing Curricula. SO - Substance Abuse. 20(1):17-31, 1999 Mar. AS - Subst Abus. 20(1):17-31, 1999 Mar. VI - 1 RO - From MEDLINE, a database of the U.S. National Library of Medicine. ST - Publisher AU - Redding BA AU - Selleck CS FA - Redding, Barbara A. FA - Selleck, Cynthia S. IN - Redding, Barbara A.. University of South Florida, College of Nursing, 12901 Bruce B. Downs Boulevard, Tampa, Florida 33612-4799. NJ - Substance abuse VO - 20 IP - 1 PG - 17-31 PI - Journal available in: Print PI - Citation processed from: Internet JC - 8808537, 101514834 IO - Subst Abus CP - United States AB - The magnitude of the substance abuse problem in this country requires that health care professionals be appropriately and adequately trained to recognize and care for substance abusing patients, yet didactic and clinical curricular content on the topic remains limited for most of them. Efforts have been made over the past 25 years to develop faculty who have expertise in alcohol, tobacco, and other drug abuse and who can provide leadership in curricular development. Through these efforts, pockets of faculty expertise developed in nursing, medicine, social work, and psychology programs around the country. In addition, a number of printed substance abuse curricula were developed. The purpose of this article is to address issues regarding the substance abuse information needed by health professionals and to review the available educationial curricula, especially as they relate to perinatal substance abuse. Discussion of methods to update information as substance abuse knowledge expands is also included. ES - 1547-0164 IL - 0889-7077 PT - Journal Article ID - 410779 [pii] ID - 10.1080/08897079909511391 [doi] PP - ppublish LG - English DP - 1999 Mar EZ - 2003/01/04 04:00 DA - 2003/01/04 04:00 DT - 2003/01/04 04:00 YR - 1999 RD - 20030103 UP - 20171128 XL - http://ovidsp.ovid.com/ovidweb.cgi?T=JS&CSC=Y&NEWS=N&PAGE=fulltext&D=medp&AN=12511818