A5025148339- Healthcare professionals’ stress and burnout
- Alcohol Consumption and Health Effects
- Substance Abuse Treatment and Outcomes
- Opioid Use Disorder Treatment
- Innovations in Medical Education
- Alcoholism and Thiamine Deficiency
- Primary Care and Health Outcomes
- Eicosanoids and Hypertension Pharmacology
- Poisoning and overdose treatments
- Musculoskeletal pain and rehabilitation
- Healthcare Policy and Management
- Mental Health Treatment and Access
- Ethics in medical practice
- Metabolomics and Mass Spectrometry Studies
- Medical Malpractice and Liability Issues
- Forensic Toxicology and Drug Analysis
- Healthcare cost, quality, practices
- Prenatal Substance Exposure Effects
- Workplace Violence and Bullying
- Cannabis and Cannabinoid Research
- Suicide and Self-Harm Studies
- Patient Safety and Medication Errors
- Workplace Health and Well-being
- Ophthalmology and Visual Health Research
- Veterinary Pharmacology and Anesthesia
Butler Hospital
2017
UC Davis Health System
2017
University of California, Davis
2017
Institutes for Behavior Resources
2017
Fundación Juan March
2017
October 6 University
2017
Robert Wood Johnson Foundation
2017
Health Net
2017
National Patient Safety Foundation
2015
Johns Hopkins University
2015
Aims: Physicians recovering from substance-related disorders are usually allowed to return practice if they agree remain abstinent drugs, including alcohol, and undergo random urine testing. Over 9000 physicians currently involved in such monitoring programs the US. To date, it has been difficult adequately monitor abstinence alcohol due short half-life of no other highly specific marker. Ethyl glucuronide (EtG), a direct metabolite offers an extended window for assessment drinking status...
BACKGROUND: Anesthesiologists have a higher rate of substance use disorders than other physicians, and their prognoses advisability to return anesthesiology practice after treatment remain controversial. Over the past 25 yr, physician health programs (PHPs), created under authority state medical regulatory boards, become primary resources for management monitoring physicians with abuse mental disorders. METHODS: We conducted 5-yr, longitudinal, cohort study involving 904 consecutively...
A high suicide risk has been reported among veterinarians in comparison to the general population. Postulated causes have included depression, substance abuse, work-related stress, reluctance admit psychiatric problems, and access lethal drugs and/or familiarity with euthanasia. Members of Student Chapter American Veterinary Medical Association (AVMA), all licensed Alabama, US veterinary-association executive directors were surveyed regarding their attitudes concerning mental health issues,...
Considerable lives and money could be saved if one detect early stages of lapsing/relapsing behavior in addicted persons (e.g., safety-sensitive workplaces) disclose harmful drinking social drinkers. Due to the serious public health problem alcohol use abuse worldwide, markers have been sought. Both ethyl glucuronide (EtG) phosphatidyl ethanol (PEth) appear high sensitivity specificity a time frame detection that may elucidate not detected by standard testing. Our aim was assess their...
Background: A substantial proportion of therapists experience the loss a patient to suicide at some point during their professional life. Aims: To assess (1) impact patient’s on distress and well-being over time, (2) which factors contribute reaction, (3) subgroup might need special interventions in aftermath suicide. Methods: 63-item questionnaire was sent all 185 Psychiatric Clinics General Hospitals Germany. The emotional reaction measured immediately, after 2 weeks, 6 months. Results:...
The success of the nation's state physician health programs (PHPs) provides important new evidence on potential for dramatically reducing relapse and promoting long-term recovery from substance use disorders. This article summarizes findings first national PHP study outlines six lessons learned this model care management: (1) zero tolerance any alcohol other drugs; (2) thorough evaluation patient-focused care; (3) prolonged, frequent random testing both (4) effective leverage; (5) defining...
Background Whereas urinary ethyl glucuronide (EtG) levels above 1,000 ng/ml reflect with a high probability ethanol (EtOH) consumption, below this cutoff are difficult to interpret as both extraneous (nonbeverage) EtOH exposure, recent drinking, and more distant intake (several days ago) might yield similar results. This be of particular relevance in medico-legal cases. To overcome dilemma, phosphatidylethanol (PEth) promising marker, because blood PEth is only positive following significant...
Chemical dependence among health professionals is a significant problem, with lifetime prevalence of approximately 10-15%. A physician who undertakes the challenge treating other physicians for chemical must have firm boundaries, and be willing to provide extra time patience. Denial symptoms, countertransference pitfalls been cited as prominent potential problems. Although there evidence that in general excellent outcomes following treatment, mismanagement can disastrous. Standards are...
Our website uses cookies to enhance your experience. By continuing use our site, or clicking "Continue," you are agreeing Cookie Policy | Continue JAMA HomeNew OnlineCurrent IssueFor Authors Publications Network Open Cardiology Dermatology Health Forum Internal Medicine Neurology Oncology Ophthalmology Otolaryngology–Head & Neck Surgery Pediatrics Psychiatry Archives of (1919-1959) Podcasts Clinical Reviews Editors' Summary Medical News Author Interviews More JN Learning /...
The objective of this study was to compare outcomes psychiatrists and nonpsychiatrist physicians enrolled in state physician health programs for substance use disorders.The used the data set from a five-year, longitudinal cohort 904 physicians, including 55 psychiatrists, with diagnoses abuse or dependence consecutively admitted one 16 between 1995 2001.There higher proportion women among than other but there were no significant differences cohorts. Five-year similar at least 75% continuing...
<b><i>Background:</i></b> Monitoring alcohol use is important in numerous situations. Direct ethanol metabolites, such as ethyl glucuronide (EtG), have been shown to be useful tools detecting and documenting abstinence. For very frequent or continuous control of abstinence, they lack practicability. Therefore, devices measuring itself might interest. This pilot study aims at elucidating the usability accuracy cellular photo digital breathalyzer (CPDB) compared...
This article summarizes content proceedings of a symposium held at the 2004 International Society for Biomedical Research on Alcoholism Congress in Mannheim, Germany. The chairs were Boris Tabakoff and Friedrich M. Wurst. presentations (1) Genetic associations with alcoholism affective disorders, by Paula Hoffman; (2) Proteomic analysis blood constituents alcoholism, Tabakoff; (3) Contrasts between responses GGT CDT to high alcohol intake, test their combined use, John Whitfield; (4) Direct...
Scientific evidence combined with new health insurance coverage now enable a chronic illness management approach to the treatment of alcohol use disorders (AUDs), including regular monitoring blood content (BAC), as useful indicator disease control. Recent technical advances permit many different types remote, real-time BAC. However, there is no body research empirically guide clinicians in how maximize clinical potential remote BAC monitoring. As an initial step guiding and supporting such...
Physician health programs (PHPs) have demonstrated efficacy, but their mechanism of influence is unclear. This study sought to identify essential components PHP care management for substance use disorder (SUD), and assess whether positive outcomes are sustained over time.Physicians with DSM-IV diagnoses Substance Dependence and/or Abuse who had successfully completed a monitoring agreement at least 5 years before the (N = 343) were identified as eligible. Of 143 (42%) that could be reached...