“…4 It is not clear whether high utilization suggests ineffective substance use treatment, recidivism to preservice drug use practices, increased alcohol use upon return, or prolonged readjustment problems.…”
The primary objective was to determine whether Vietnam veterans who had alcohol or drug use problems prior to, during, or immediately after the war used Veterans Administration (VA) health care services more intensively during the next two decades than Vietnam veterans without these behaviors. The secondary objective was to identify predictors of VA health services utilization among data collected at service discharge. Logistic and ordinary least squares regression were used to model the effect of predisposing, enabling, and need factors on utilization of VA health services (N = 571). Results show that Vietnam veterans who had substance use problems either before or immediately after Vietnam used VA health care services more intensively during the next two decades than Vietnam veterans without these behaviors. Depression and psychiatric care seeking were also important predictors. More research is needed to evaluate the impact of health system characteristics and private sector use on the predictive ability of the models.
“…4 It is not clear whether high utilization suggests ineffective substance use treatment, recidivism to preservice drug use practices, increased alcohol use upon return, or prolonged readjustment problems.…”
The primary objective was to determine whether Vietnam veterans who had alcohol or drug use problems prior to, during, or immediately after the war used Veterans Administration (VA) health care services more intensively during the next two decades than Vietnam veterans without these behaviors. The secondary objective was to identify predictors of VA health services utilization among data collected at service discharge. Logistic and ordinary least squares regression were used to model the effect of predisposing, enabling, and need factors on utilization of VA health services (N = 571). Results show that Vietnam veterans who had substance use problems either before or immediately after Vietnam used VA health care services more intensively during the next two decades than Vietnam veterans without these behaviors. Depression and psychiatric care seeking were also important predictors. More research is needed to evaluate the impact of health system characteristics and private sector use on the predictive ability of the models.
“…30 In general, alcohol is the principal substance abused by physicians. However, anesthesiologists are the exception to this generalization: alcohol is the second drug of choice, behind potent opioids.…”
Section: Substance-related Disorders In Anesthesiology Epidemiologymentioning
confidence: 99%
“…29 An interesting debate has emerged regarding compulsory drug testing of physicians. 30 Pre-employment screening, random drug screening, or both are already well established in various industries, especially those with high public health profiles (eg, nuclear, aviation, and military arenas). 32 Many chairs of academic anesthesiology programs have indicated their willingness to initiate a program of random drug screening of their staff.…”
“…The central opioid activity is increased after alcohol consumption (2). It was reported that the level of β-endorphin in plasma and hypothalamus increased after acute and chronic administration of alcohol to mice (3).…”
The purpose of this study was to investigate the differences in subjective acute effects of alcohol and naltrexone among those who prefer spicy food to varying degrees. Acute biphasic alcohol effects scale (BAES), visual analogue scale for craving (VAS-C), blood alcohol concentration (BAC) and food preference scale were measured in 26 men. Repeated measures ANOVA (2 preference groups×4 time blocks) on the stimulative subscale of BAES revealed a significant group by block interaction in naltrexone condition (N+) (P<0.001), but not in non-naltrexone condition (N-). Furthermore, repeated measures ANOVA (2 drug groups×4 time blocks) on the stimulative subscale of BAES revealed a significant group by block interaction in strong preference for spicy food (SP) (P<0.001), but not in lesser preference for spicy food (LP). The paired t-test revealed that significant suppression of the stimulative subscale of BAES was observed at 15 min (P<0.001) and 30 min (P<0.001) after drinking when N+ compared with N- in SP. For those who prefer spicy food, the stimulative effect of acute alcohol administration was suppressed by naltrexone. This result suggests that the effect of naltrexone may vary according to spicy food preference.Graphical Abstract
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