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https://www.readbyqxmd.com/read/28324814/risk-of-injury-from-alcohol-marijuana-and-other-drug-use-among-emergency-department-patients
#1
Cheryl J Cherpitel, Yu Ye, Gabriel Andreuccetti, Tim Stockwell, Kate Vallance, Clifton Chow, Jeffrey R Brubacher
BACKGROUND: Alcohol is known to be associated with injury, but little is known of combined use of alcohol and other drugs on injury; especially important for marijuana, given increasing legalization of use in the U.S. and Canada. METHODS: Probability samples of patients 18 and older were interviewed in the emergency department at two sites in Vancouver and one in Victoria, BC (n=1191 injured and 1613 non-injured patients). Case-control and case-crossover analyses were used to analyze risk of injury, based on self-reported alcohol and drug use (marijuana, stimulants, depressants) prior to injury...
March 7, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28324273/acute-pancreatitis-caused-by-mycoplasma-pneumoniae-an-unusual-etiology
#2
Teresa Valdés Lacasa, María Alejandra Duarte Borges, Alicia García Marín, Covadonga Gómez Cuervo
It is well known that the most important etiologies of acute pancreatitis are gallstones and alcohol consumption. Once these causes have been ruled out, especially in young adults, it is important to consider less frequent etiologic factors such as drugs, trauma, malformations, autoimmunity or systemic diseases. Other rare and less well studied causes of this pathology are infections, among which Mycoplasma pneumoniae has been reported to cause acute pancreatitis as an unusual extrapulmonary manifestation. Here, we report the case of a 21-year-old patient who had acute idiopathic pancreatitis associated with an upper respiratory tract infection...
March 21, 2017: Clinical Journal of Gastroenterology
https://www.readbyqxmd.com/read/28323548/referral-to-treatment-for-hospitalized-medical-patients-with-an-alcohol-use-disorder-a-proof-of-concept-brief-intervention-study
#3
Lisa Berger, Jennifer Hernandez-Meier, John Hyatt, Michael Brondino
Substance misuse intervention in healthcare settings is becoming a US national priority, especially in the dissemination and implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT). Yet, the referral to treatment component of SBIRT is understudied. This proof-of-concept investigation tested an enhanced coordinated hospital-community two session brief intervention designed to facilitate the referral to treatment of hospitalized medical patients with an alcohol use disorder. Participants (N = 9) attended the second session of the brief intervention held in the community in most cases (56%), while one out of three (33%) received some level of post-brief intervention alcohol and/or other drug treatment...
March 21, 2017: Social Work in Health Care
https://www.readbyqxmd.com/read/28319752/energy-drink-use-frequency-among-an-international-sample-of-people-who-use-drugs-associations-with-other-substance-use-and-well-being
#4
Amy Peacock, Raimondo Bruno, Jason Ferris, Adam Winstock
OBJECTIVE: The study aims were to identify: i.) energy drink (ED), caffeine tablet, and caffeine intranasal spray use amongst a sample who report drug use, and ii.) the association between ED use frequency and demographic profile, drug use, hazardous drinking, and wellbeing. METHOD: Participants (n=74,864) who reported drug use completed the online 2014 Global Drug Survey. They provided data on demographics, ED use, and alcohol and drug use, completed the Alcohol Use Disorders Identification Test (AUDIT) and Personal Wellbeing Index (PWI), and reported whether they wished to reduce alcohol use...
February 28, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28318357/comparison-of-government-and-non-government-alcohol-and-other-drug-aod-treatment-service-delivery-for-the-lesbian-gay-bisexual-and-transgender-lgbt-community
#5
Amy B Mullens, Jane Fischer, Mary Stewart, Kathryn Kenny, Shane Garvey, Joseph Debattista
BACKGROUND: Lesbian, gay, bisexual, and transgender (LGBT) populations are more likely to misuse alcohol and other drugs (AOD), compared to the general population. However, LGBT engagement with AOD treatment is often precluded by insensitivity and misunderstanding of LGBT issues. These treatment barriers may be a consequence of either worker attitudes, organizational factors or a combination of both. Few studies have compared service context as an impediment to AOD treatment. OBJECTIVES: This pilot study sought to examine and compare staff attitudes, knowledge and awareness of LGBT issues in two state-wide AOD services within Australia...
March 20, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28317510/predictors-and-outcomes-of-twelve-step-sponsorship-of-stimulant-users-secondary-analyses-of-a-multisite-randomized-clinical-trial
#6
Dennis C Wendt, Kevin A Hallgren, Dennis C Daley, Dennis M Donovan
OBJECTIVE: This secondary data analysis explored predictors and outcomes of having a 12-step sponsor among individuals receiving treatment for stimulant use disorders, inclusive of four types of 12-step groups (Narcotics Anonymous, Alcoholics Anonymous, Cocaine Anonymous, and Crystal Meth Anonymous). METHOD: For a multisite randomized clinical trial, participants (N = 471; 59% women) were recruited among adult patients in 10 U.S. community treatment programs. Participants were randomized into treatment as usual (TAU) or a 12-step facilitation (TSF) intervention: Stimulant Abuser Groups to Engage in 12-Step (STAGE-12)...
March 2017: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/28317509/using-claims-data-to-examine-hospital-readmission-risk-in-patients-with-schizophrenia-and-comorbid-marijuana-use-disorders
#7
Mary E Slaughter, Coreen Farris, Mark I Singer, Kathleen A Smyth, Mendel E Singer
OBJECTIVE: Few epidemiologic studies have examined marijuana use disorder and repeated hospitalizations related to schizophrenia. To address this gap, this study examines time to readmission by indicators for recent marijuana use disorder in the presence of alcohol use disorder (AUD) and other drug use disorder. METHOD: Our sample consisted of 4,349 patients with a primary diagnosis of schizophrenia spectrum disorder (SSD) in 2005 in individually linked California Health Care Cost and Utilization Project (CA HCUP) data...
March 2017: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/28317259/a-prospective-study-of-the-substance-use-and-mental-health-outcomes-of-young-adult-former-and-current-cannabis-users
#8
Edmund Silins, Wendy Swift, Tim Slade, Barbara Toson, Bryan Rodgers, Delyse M Hutchinson
INTRODUCTION AND AIMS: The extent to which young adult former cannabis users fare better than infrequent users is unclear. We investigated the association between cannabis use status at age 23 and substance use and mental health outcomes at age 27. DESIGN AND METHODS: Data were from the 20+ year cohort of the PATH Through Life Study. Lifetime cannabis users (n = 1410) at age 23 were classified as former/occasional/regular users. Multivariable logistic regression was used to estimate the association between cannabis use status at age 23 and six outcomes assessed at age 27...
March 20, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28317200/self-limiting-non-medical-pharmaceutical-opioid-use-among-young-people-in-sydney-australia-an-exploratory-study
#9
George C Dertadian, Thomas C Dixon, Jennifer Iversen, Lisa Maher
INTRODUCTION AND AIMS: Indicators suggest an escalation in opioid use globally, with recent HIV outbreaks linked to non-medical pharmaceutical opioid (NMPO) use. Little is known about how young Australians engage in NMPO use. DESIGN AND METHODS: During 2015, we conducted qualitative interviews with young people (16-29 years) who reported oral NMPO use at least twice in the past 90 days. The study included a sample of injecting (n = 14) and oral (n = 22) users...
March 20, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28314454/challenges-and-gaps-in-understanding-substance-use-problems-in-transitional-age-youth
#10
REVIEW
Oscar G Bukstein
Transitional age youth (TAY), developing from adolescence to adulthood, exhibit the highest level of alcohol and other drug use of any other age group. Risk factors mirror those for the development of problems and disorders in adolescents. Early screening of both college students and noncollege high-risk TAY in the community is critical to early and effective intervention. Brief interventions using motivational techniques are effective for many TAY, particularly for those in early stages of problem use on college campuses...
April 2017: Child and Adolescent Psychiatric Clinics of North America
https://www.readbyqxmd.com/read/28301821/sex-related-substance-use-and-the-externalizing-spectrum
#11
Craig Rodriguez-Seijas, Kodi B Arfer, Ronald G Thompson, Deborah S Hasin, Nicholas R Eaton
BACKGROUND: Substance use before and during sexual activity is associated with many negative health outcomes. Estimates suggest that at least 4.3 million American adults annually engage in regular sex-related alcohol consumption, indicating that the intersection of substance use and sexual behavior is of public health concern. However, it is likely that when considering broader sex-related substance use, estimates would be notably higher. While substance use disorders and antisocial personality disorder have been associated with sex-related alcohol consumption, no study has investigated how regular sex-related substance use is associated with the broader transdiagnostic externalizing spectrum...
February 28, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28301369/-should-patients-with-substance-use-disorders-be-prescribed-benzodiazepines-no
#12
Robert L DuPont
Patients with substance use disorders (SUDs) should not use benzodiazepines to treat anxiety, insomnia, or anything else, for the same reasons that they should not drink any alcohol or use other drugs, regardless of their primary drug used. Once the addiction "switch" is thrown on, it never again goes off. This question has additional relevance today because in 2016, the US Food and Drug Administration put black box warnings on all benzodiazepines and opioid analgesics about the serious risks associated with their concomitant use...
March 2017: Journal of Addiction Medicine
https://www.readbyqxmd.com/read/28301362/analysis-of-surfing-injuries-presenting-in-the-acute-trauma-setting
#13
Kevin T Jubbal, Charlie Chen, Todd Costantini, Fernando Herrera, Marek Dobke, Ahmed Suliman
BACKGROUND AND PURPOSE: Surfing is a rapidly growing major worldwide sport; however, little is understood regarding severe injuries and resulting hospital admissions. This study explores surfing-related injuries in the major surfing hub of San Diego presenting in the acute trauma setting. The purpose of this study is to address the void of information regarding severe surfing injuries in the trauma setting, including injury patterns, associated hospitalization course, and risk factors...
March 16, 2017: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/28296533/polypharmacy-infectious-diseases-sexual-behavior-and-psychophysical-health-among-anabolic-steroid-using-homosexual-and-heterosexual-gym-patrons-in-san-francisco-s-castro-district
#14
Eric J Ip, Michael A Yadao, Bijal M Shah, Shadi Doroudgar, Paul J Perry, Michael J Tenerowicz, Lindsay Newsom, Amber A Mann, Hermine Mkrtchyan, Harrison G Pope
BACKGROUND: Limited studies based in England and Australia reported misuse of anabolic-androgenic steroids (AAS) among homosexual men to enhance body image. Anecdotally, AAS are also being misused by homosexual men in the United States. Since many AAS and certain performance enhancing drugs (PEDs) are administered via injection, this poses a potential vector for the spread of infectious disease in an already at-risk population. OBJECTIVES: This study compared and contrasted homosexual and heterosexual male gym clients regarding use of AAS and PEDs, use of alcohol and illicit drugs, seroprevalence of infectious disease, engagement in risky injection practices and sexual behaviors, and presence of psychiatric conditions...
March 15, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28295787/an-exploratory-wastewater-analysis-study-of-drug-use-in-auckland-new-zealand
#15
Foon Yin Lai, Chris Wilkins, Phong Thai, Jochen F Mueller
INTRODUCTION AND AIMS: New Zealand is considered to have unusual drug use patterns by international standards. However, this understanding has largely been obtained from social surveys where respondents self-report use. The aim of this paper is to conduct the first wastewater study of drug use in Auckland. DESIGN AND METHODS: Wastewater sampling was completed from 2 May to 18 July 2014 at 2 Auckland wastewater treatment plants which service 1.3 million people. Samples were analysed for 17 drug residues by using liquid chromatography-tandem mass spectrometry...
March 12, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28294443/health-service-utilisation-attributable-to-methamphetamine-use-in-australia-patterns-predictors-and-national-impact
#16
Rebecca McKetin, Louisa Degenhardt, Marian Shanahan, Amanda L Baker, Nicole K Lee, Dan I Lubman
AIM AND BACKGROUND: We estimated health service utilisation attributable to methamphetamine use, its national impact and examined other predictors of health service utilisation among dependent methamphetamine users. METHOD: Past year rates of health service utilisation (number of attendances for general hospitals, psychiatric hospitals, emergency departments, general practitioners, psychiatrists, counsellors or psychologists, and dentists) were estimated for three levels of methamphetamine use (no use, < weekly, ≥ weekly) using panel data from a longitudinal cohort of 484 dependent methamphetamine users from Sydney and Brisbane, Australia...
March 12, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28294436/purchases-by-heavier-drinking-young-people-concentrated-in-lower-priced-beverages-implications-for-policy
#17
Martin Wall, Sally Casswell, Li-Chia Yeh
INTRODUCTION AND AIMS: Alcohol is an increasingly important risk factor in the global burden of disease. The acute harms experienced and persistence of drinking patterns established in adolescence motivate investigating influences on youth drinking. The aim is to examine association between heavier drinking in young people and their choice of beverage type, purchase outlet and price. DESIGN AND METHODS: A nationally representative sample of New Zealand drinkers (N = 1056) aged 16-19 years recruited using random digit dialling was surveyed in 2012 as part of the International Alcohol Control study...
March 14, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28294429/longitudinal-alcohol-consumption-patterns-and-health-related-quality-of-life-results-from-the-national-epidemiologic-survey-on-alcohol-and-related-conditions
#18
Sameer Imtiaz, Genane Loheswaran, Bernard Le Foll, Jürgen Rehm
INTRODUCTION AND AIMS: Given the limited nature of the evidence concerning longitudinal alcohol consumption patterns and health-related quality of life (HrQoL), this study examined these associations. DESIGN AND METHODS: Data were from the National Epidemiologic Survey on Alcohol and Related Conditions (waves 1 and 2). Multiple linear regression was used to assess the associations between longitudinal alcohol consumption patterns (abstainers, no consumption change, decreased consumption, increased consumption, ceased consumption and initiated consumption) and HrQoL (Short-Form 12-Item Health Survey)...
March 14, 2017: Drug and Alcohol Review
https://www.readbyqxmd.com/read/28294105/breath-acetone-as-a-potential-marker-in-clinical-practice
#19
Vera Ruzsanyi, Miklós Kalapos
In recent decades, two facts have changed the opinion of researchers about the function of acetone in humans. Firstly, it has turned out that acetone cannot be regarded as simply a waste product of metabolism, because there are several pathways in which acetone is produced or broken down. Secondly, methods have emerged making possible its detection in exhaled breath, thereby offering an attractive alternative to investigation of blood and urine samples. From a clinical point of view the measurement of breath acetone levels are important, but there are limitations to its wide application...
March 15, 2017: Journal of Breath Research
https://www.readbyqxmd.com/read/28292795/primary-care-management-of-opioid-use-disorders-abstinence-methadone-or-buprenorphine-naloxone
#20
REVIEW
Anita Srivastava, Meldon Kahan, Maya Nader
OBJECTIVE: To advise physicians on which treatment options to recommend for specific patient populations: abstinence-based treatment, buprenorphine-naloxone maintenance, or methadone maintenance. SOURCES OF INFORMATION: PubMed was searched and literature was reviewed on the effectiveness, safety, and side effect profiles of abstinence-based treatment, buprenorphine-naloxone treatment, and methadone treatment. Both observational and interventional studies were included...
March 2017: Canadian Family Physician Médecin de Famille Canadien
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