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https://www.readbyqxmd.com/read/28818082/comparing-chronic-condition-rates-using-icd-9-and-icd-10-in-va-patients-fy2014-2016
#1
Jean Yoon, Adam Chow
BACKGROUND: Management of patients with chronic conditions relies on accurate measurement. It is unknown how transition to the ICD-10 coding system affected reporting of chronic condition rates over time. We measured chronic condition rates 2 years before and 1 year after the transition to ICD-10 to examine changes in prevalence rates and potential measurement issues in the Veterans Affairs (VA) health care system. METHODS: We developed definitions for 34 chronic conditions using ICD-9 and ICD-10 codes and compared the prevalence rates of these conditions from FY2014 to 2016 in a 20% random sample (1...
August 17, 2017: BMC Health Services Research
https://www.readbyqxmd.com/read/28816928/psychotic-symptoms-associated-with-varenicline-in-a-patient-with-alcohol-and-nicotine-dependence-a-case-report
#2
Fumihiko Ueno, Hiroyuki Uchida, Takefumi Suzuki, Akira Yokoyama, Sachio Matsushita, Masaru Mimura, Susumu Higuchi
No abstract text is available yet for this article.
August 14, 2017: Journal of Clinical Psychopharmacology
https://www.readbyqxmd.com/read/28813208/substance-use-and-dependence-among-current-reserve-and-former-military-members-cross-sectional-findings-from-the-national-survey-on-drug-use-and-health-2010-2014
#3
Rachel A Hoopsick, Jennifer Fillo, Bonnie M Vest, D Lynn Homish, Gregory G Homish
BACKGROUND: Maladjustment after leaving the military may contribute to poor health outcomes, including increased risk for substance use and dependence. AIMS: We aimed to examine differences in substance use and dependence on the basis of military involvement in a large nationally representative sample. METHODS: Data are from a subset of the 2010-2014 waves of the National Survey on Drug Use and Health (N = 5,608). Our sample included men and women aged 20-49 years who had either separated/retired from the military (n = 4,862) or were a current reserve soldier (n = 746)...
August 16, 2017: Journal of Addictive Diseases
https://www.readbyqxmd.com/read/28804788/pro-dopamine-regulator-kb220-to-balance-brain-reward-circuitry-in-reward-deficiency-syndrome-rds
#4
Kenneth Blum, Marcelo Febo, Lyle Fried, David Baron, Eric R Braverman, Kristina Dushaj, Mona Li, Zsolt Demetrovics, Rajendra D Badgaiyan
We are faced with a worldwide opiate/opioid epidemic that is devastating. According to the Centers for Disease Control and Prevention (CDC), at least 127 people, young and old, are dying every day in America due to narcotic overdose. The Food and Drug Administration (FDA) has approved Medication-Assisted Treatments (MATs) for opiate/opioids as well as alcohol and nicotine. The mechanism of action of most MATS favors either blocking of dopaminergic function or a form of Opiate Substitution Therapy (OST). These treatment options are adequate for short-term treatment of the symptoms of addiction and harm reduction but fail long-term to deal with the cause or lead to recovery...
2017: Journal of Reward Deficiency Syndrome and Addiction Science
https://www.readbyqxmd.com/read/28792283/reasons-for-marijuana-and-tobacco-co-use-among-young-adults-a-mixed-methods-scale-development-study
#5
Carla J Berg, Jackelyn Payne, Lisa Henriksen, Patricia Cavazos-Rehg, Betelihem Getachew, Gillian L Schauer, Regine Haardörfer
BACKGROUND: Marijuana-tobacco co-use has increased recently, particularly in young adults. OBJECTIVES: We conducted a mixed-methods study to: (1) examine reasons for co-use; and (2) develop a scale assessing reasons for co-use among participants in a longitudinal cohort study of 3,418 students aged 18-25 from 7 Georgia colleges and universities. METHODS: Phone-based semi-structured interviews were conducted in Summer 2015 among 46 current (past 30-day, n = 26) or lifetime (n = 20) marijuana users...
August 9, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28777675/electronic-nicotine-delivery-systems-e-cigarette-vape-use-and-co-occurring-health-risk-behaviors-among-an-ethnically-diverse-sample-of-young-adults
#6
H Isabella Lanza, Heather Teeter
BACKGROUND: Prevalence rates of electronic nicotine delivery systems (ENDS; i.e., e-cigarette/vape) use has grown exponentially in the past few years. College students present a particularly vulnerable group for ENDS use. The current study sought to expand the literature by examining the context in which college students use ENDS, co-occurring health risks beyond traditional tobacco use, and the role of ethnicity in ENDS use. METHODS: Health-risk behavior survey data was collected from 452 undergraduates attending a large, public urban university during the 2015-2016 academic year...
August 4, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28763778/the-association-between-regular-marijuana-use-and-adult-mental-health-outcomes
#7
Katarina Guttmannova, Rick Kosterman, Helene R White, Jennifer A Bailey, Jungeun Olivia Lee, Marina Epstein, Tiffany M Jones, J David Hawkins
OBJECTIVE: The present study is a prospective examination of the relationship between regular marijuana use from adolescence through young adulthood and mental health outcomes at age 33. METHODS: Data came from a gender-balanced, ethnically diverse longitudinal panel of 808 participants from Seattle, Washington. Outcomes included symptom counts for six mental health disorders. Regular marijuana use was tracked during adolescence and young adulthood. Regression analyses controlled for demographics and early environment, behaviors, and individual risk factors...
July 18, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28760595/-smoking-and-blood-pressure-a-complex-relationship
#8
Anne-Laure Madika, Claire Mounier-Vehier
Hypertension and tobacco smoking are two major modifiable risk factors for atheromatous disease and its cardiovascular complications. If systolic hypertension (SBP≥140mmHg and DBP<90mmHg) is the leading risk factor for stroke, smoking (nicotine) has a more powerful impact on coronary events, aortic aneurysms, and peripheral artery disease. Smoking can transiently modify the regulation of blood pressure (BP) by a swift effect on the autonomic nervous system. It also accelerates arterial aging, which plays a role in chronic hypertension...
July 28, 2017: La Presse Médicale
https://www.readbyqxmd.com/read/28750823/major-depressive-disorder-suicidal-thoughts-and-behaviours-and-cannabis-involvement-in-discordant-twins-a-retrospective-cohort-study
#9
Arpana Agrawal, Elliot C Nelson, Kathleen K Bucholz, Rebecca Tillman, Richard A Grucza, Dixie J Statham, Pamela Af Madden, Nicholas G Martin, Andrew C Heath, Michael T Lynskey
BACKGROUND: Early and frequent cannabis use are associated with an increased likelihood of major depressive disorder (MDD) as well as suicidal thoughts and behaviours. We identify associations between aspects of cannabis use, MDD, and suicidal thoughts and behaviours and examine whether such associations persist after accounting for those predisposing factors, including genetic liability and early family environment, that are shared by identical twins who are discordant for cannabis exposure...
July 24, 2017: Lancet Psychiatry
https://www.readbyqxmd.com/read/28750254/prediction-of-incidence-and-stability-of-alcohol-use-disorders-by-latent-internalizing-psychopathology-risk-profiles-in-adolescence-and-young-adulthood
#10
Silke Behrendt, Gerhard Bühringer, Michael Höfler, Roselind Lieb, Katja Beesdo-Baum
BACKGROUND: Comorbid internalizing mental disorders in alcohol use disorders (AUD) can be understood as putative independent risk factors for AUD or as expressions of underlying shared psychopathology vulnerabilities. However, it remains unclear whether: 1) specific latent internalizing psychopathology risk-profiles predict AUD-incidence and 2) specific latent internalizing comorbidity-profiles in AUD predict AUD-stability. AIMS: To investigate baseline latent internalizing psychopathology risk profiles as predictors of subsequent AUD-incidence and -stability in adolescents and young adults...
July 11, 2017: Drug and Alcohol Dependence
https://www.readbyqxmd.com/read/28742413/association-of-current-and-lifetime-dsm-iv-drug-use-disorder-diagnoses-to-6-month-changes-in-smoking-behavior-in-risky-drinking-smokers-a-pilot-study
#11
Amy Cohn, Sarah Ehlke
BACKGROUND: Alcohol and other drug use disorders co-occur with cigarette smoking and negatively impact cessation outcomes. OBJECTIVES: This study examined the differential effects of current and lifetime DSM-IV drug diagnoses on the 6-month smoking outcomes of 84 untreated heavy drinking smokers who were motivated to quit smoking in the next 6-months. METHODS: Generalized estimating equations (GEE) assessed changes in nicotine dependence, readiness to quit smoking, and prevalence of heavy smoking from baseline to 6-months as a function of time, baseline drinking severity, and drug diagnosis...
July 25, 2017: Substance Use & Misuse
https://www.readbyqxmd.com/read/28739213/association-between-substance-use-disorder-and-polygenic-liability-to-schizophrenia
#12
Sarah M Hartz, Amy C Horton, Mary Oehlert, Caitlin E Carey, Arpana Agrawal, Ryan Bogdan, Li-Shiun Chen, Dana B Hancock, Eric O Johnson, Carlos N Pato, Michele T Pato, John P Rice, Laura J Bierut
BACKGROUND: There are high levels of comorbidity between schizophrenia and substance use disorder, but little is known about the genetic etiology of this comorbidity. METHODS: We tested the hypothesis that shared genetic liability contributes to the high rates of comorbidity between schizophrenia and substance use disorder. To do this, polygenic risk scores for schizophrenia derived from a large meta-analysis by the Psychiatric Genomics Consortium were computed in three substance use disorder datasets: the Collaborative Genetic Study of Nicotine Dependence (ascertained for tobacco use disorder; n = 918 cases; 988 control subjects), the Collaborative Study on the Genetics of Alcoholism (ascertained for alcohol use disorder; n = 643 cases; 384 control subjects), and the Family Study of Cocaine Dependence (ascertained for cocaine use disorder; n = 210 cases; 317 control subjects)...
June 6, 2017: Biological Psychiatry
https://www.readbyqxmd.com/read/28736097/alcoholic-pellagra-as-a-cause-of-altered-mental-status-in-the-emergency-department
#13
Sarah Kyuragi Luthe, Ryota Sato
BACKGROUND: Pellagra, which is caused by a deficiency of niacin and tryptophan, the precursor of niacin, is a rare disease in developed countries where alcoholism is a major risk factor due to malnutrition and lack of B vitamins. Although pellagra involves treatable dementia and psychosis, it is often underdiagnosed, especially in developed countries. CASE REPORT: In Japan, a 37-year-old man presented to the emergency department with altered mental status and seizures...
July 20, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28733920/complementary-and-alternative-medicine-among-persons-living-with-hiv-in-the-era-of-combined-antiretroviral-treatment
#14
Sean N Halpin, Edwin Clayton Carruth, Ramona P Rai, E Jennifer Edelman, David A Fiellin, Cynthia Gibert, Kirsha S Gordon, Wei Huang, Amy Justice, Vincent C Marconi, David Rimland, Molly M Perkins
Complementary and alternative medicine (CAM), often pursued independent of prescribing clinicians, may interact with traditional treatments, yet CAM use has not been well characterized among people living with HIV (PLWH) in the combined antiretroviral therapy (ART) era. We analyzed data from the Veterans Aging Cohort Study (October 2012-April 2015) to characterize CAM use in PLWH on ART. CAM users were more likely to have lived longer with HIV, report more bothersome symptoms, be prescribed more benzodiazepines and opioids, and consume less nicotine and alcohol...
July 21, 2017: AIDS and Behavior
https://www.readbyqxmd.com/read/28728645/elevated-behavioral-economic-demand-for-alcohol-in-a-community-sample-of-heavy-drinking-smokers
#15
Michael Amlung, James MacKillop, Peter M Monti, Robert Miranda
OBJECTIVE: Cigarette smokers are more likely to consume alcohol at higher levels and experience poorer response to treatment for alcohol problems than are nonsmokers. One previous study in university students suggests that a potential reason for the high overlap between alcohol and tobacco use is that concurrent smoking is associated with overvaluation of alcohol, as reflected in elevated behavioral economic demand. The present study sought to extend these initial findings in a community sample with heavier levels of alcohol and tobacco use...
May 2017: Journal of Studies on Alcohol and Drugs
https://www.readbyqxmd.com/read/28716791/factors-associated-with-nicotine-dependence-during-methadone-maintenance-treatment-findings-from-a-multisite-survey-in-vietnam
#16
Huyen Phuc Do, Long Hoang Nguyen, Nhung Phuong Thi Nguyen, Chau Ngo, Huong Lan Thi Nguyen, Giang Tong Le, Linh Khanh Nguyen, Cuong Tat Nguyen, Bach Xuan Tran, Huong Thi Le, Thuc Minh Thi Vu, Huong Thu Thi Phan, Tho Dinh Tran, Carl A Latkin, Michael P Dunne
OBJECTIVES: Smoking is associated with adverse health outcomes among drug users, including those in treatment. To date, however, there has been little evidence about smoking patterns among people receiving opioid-dependence treatment in developing countries. We examined self-reported nicotine dependence and associated factors in a large sample of opioid-dependent patients receiving methadone maintenance treatment (MMT) in northern Vietnam. SETTING: Five clinics in Hanoi (urban area) and Nam Dinh (rural area)...
July 17, 2017: BMJ Open
https://www.readbyqxmd.com/read/28716128/tobacco-dependence-among-people-with-mental-illness-a-facility-based-cross-sectional-study-from-southwest-ethiopia
#17
Zemenay Molla, Lamesa Dube, Wolfgang Krahl, Matiwos Soboka
BACKGROUND: Tobacco smoking is a health care issue in developed as well as in developing countries. Tobacco smoking among people with mental illness is significantly higher than in the general population. Tobacco smoking has negative effects on physical, mental and financial well-being of people with mental illness but little is known about tobacco dependence among mental health service users in sub-Saharan African countries, including Ethiopia. Therefore, this study attempted to assess the prevalence of tobacco dependence and associated factors among mental health service users at Jimma University teaching hospital...
July 17, 2017: BMC Research Notes
https://www.readbyqxmd.com/read/28710873/mecamylamine-treatment-for-alcohol-dependence-a-randomized-controlled-trial
#18
Ismene L Petrakis, Elizabeth Ralevski, Ralitza Gueorguieva, Stephanie S O'Malley, Albert Arias, Kevin A Sevarino, Jane S Jane, Erin O'Brien, John H Krystal
BACKGROUND AND AIMS: The nicotinic acetylcholine receptor antagonist, mecamylamine, is a potential novel pharmacotherapy for alcohol use disorder. The aims were to compare alcohol consumption between mecamylamine and placebo and test if smoking status modified treatment effects. DESIGN: Outpatient, randomized, double-blind clinical trial for 12 weeks of treatment with mecamylamine (10mg) (n=65) vs. placebo (n=63). SETTING: Connecticut, USA...
July 15, 2017: Addiction
https://www.readbyqxmd.com/read/28708935/testing-the-nicotine-dependence-measure-mftq-for-adolescent-smokers-a-multinational-investigation
#19
Alexander V Prokhorov, Georges E Khalil, Dawn W Foster, Salma K Marani, Michele Guindani, Jose P Espada, Maria T Gonzálvez, Bulat Idrisov, Artur Galimov, Monika Arora, Abha Tewari, Richard Isralowitz, Punyarat Lapvongwatana, Natkamol Chansatitporn, Xinguang Chen, Hong Zheng, Steve Sussman
BACKGROUND AND OBJECTIVES: As a measure of nicotine dependence among adolescent smokers, the modified Fagerström Tolerance Questionnaire (mFTQ; seven items), has been successfully used in the United States (USA). Nonetheless, the validity and reliability of mFTQ at the international level is still needed. The current study is the first to test the validity and reliability of mFTQ in four countries: Thailand, Spain, the USA, and Russia. METHODS: In a cross-sectional survey, mFTQ, risk factors of nicotine dependence, and sociodemographic characteristics were assessed...
July 14, 2017: American Journal on Addictions
https://www.readbyqxmd.com/read/28699829/association-between-nonmedical-marijuana-and-pain-reliever-uses-among-individuals-aged-50
#20
Namkee G Choi, Diana M DiNitto, C Nathan Marti, Bryan Y Choi
Marijuana and pain reliever use for medical and nonmedical purposes has been increasing among older adults. Using the 2012-2013 U.S. National Survey on Alcohol and Related Conditions (NESARC-III), this study examined: (1) the association between past-year nonmedical marijuana and pain reliever use among adults aged 50+ years (N = 14,715); and (2) sociodemographic, health, and pain-related correlates of nonmedical marijuana and/or pain reliever use. The findings show that 3.87% and 3.12%, respectively, used marijuana and pain relievers nonmedically and 14...
July 12, 2017: Journal of Psychoactive Drugs
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