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World No Tobacco Day 2016

31 May is World No Tobacco Day. It is organized by the World Health Organization to draw attention to the health risks associated with the use of tobacco and what can still be done to reduce tobacco consumption around the world.Here we focus on a Cochrane Review of a medical intervention - nicotine receptor partial agonists for smoking cessation - and what the available evidence tells us about its effectiveness. Cochrane Review provides more support for medication as long-term aid to quitting smokingWhen people stop smoking, they experience cravings to smoke and unpleasant mood changes. Nicotine receptor partial agonists aim to reduce these withdrawal symptoms and the pleasure people usually experience when they smoke. The most widely available treatment in this drug type is varenicline, which is available worldwide as an aid for quitting smoking. Cytisine is a similar medication, but is only available in Central and Eastern European countries, and through internet sales.A team of Cochrane authors based in the UK, working with the Cochrane Tobacco Addiction Group, updated their review of the efficacy of nicotine receptor partial agonists, including varenicline and cytisine, for smoking cessation. Findings take from 44 studies, which include 25,200 people.Varenicline at standard dose more than doubled the chances of quitting compared with placebo. Low-dose varenicline roughly doubled the chances of quitting, and reduced the number and severity of side effects associated with u...
Source: Cochrane News and Events - Category: Information Technology Authors: Source Type: news

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When a doctor in your hospital system kills himself, the entire medical staff receives a mass email informing everyone of “Dr. So-and-So’s sudden unexpected death”. Thoughts and prayers for his family and loved ones. Perhaps a link to your Employee Assistance Program is provided, for those who may need counseling or grief assistance.  This is followed later that day with another email detailing the schedule for the final arrangements. Calling hours. Funeral. Directions to the church.Not everyone will have known the physician. So most scan the email and then go about thei...
Source: Buckeye Surgeon - Category: Surgery Authors: Source Type: blogs
Conclusion: The empirical literature can be seen as further documenting the negative health effects of residential schooling, both among former residential school attendees and subsequent generations. Future empirical research should focus on developing a clearer understanding of the aetiology of these effects, and particularly on identifying the characteristics that lead people and communities to be resilient to them. PMID: 29450080 [PubMed - in process]
Source: Public Health Reviews - Category: International Medicine & Public Health Tags: Public Health Rev Source Type: research
Given that alcohol misuse elevates risk of suicide death among ideators, the paucity of treatment outcome research for individuals presenting with both suicide ideation and problem drinking is particularly troubling. Dialectical Behavior Therapy (DBT) skills training, which effectively targets behaviors associated with emotion dysregulation including addictive and suicidal behaviors, provides a fitting model amenable to computerization. As stigma and scarcity stand as potential barriers to treatment, online dissemination platforms provide means for efficient treatment delivery that can augment the utility of suitable interventions.
Source: Journal of Affective Disorders - Category: Neurology Authors: Tags: Research paper Source Type: research
I am a physician in recovery and just celebrated my fifth-year anniversary on October 11, 2017. While in active addiction, my drugs of choice were benzodiazepines and opioids that I washed down with top-shelf alcohol. Near the end of my usage, I was diverting scheduled drugs in order to feed my addiction. After an unsuccessful suicide attempt, I finally admitted myself for treatment. As part of the treatment process, I enrolled with our state’s physician help program (PHP). Because of my diversion, they were obligated to report me to the medical board who in turn suspended my license for six months. After that time p...
Source: Kevin, M.D. - Medical Weblog - Category: General Medicine Authors: Tags: Physician Psychiatry Source Type: blogs
U.S. life expectancy has decreased for the second year in a row, and an editorial in the BMJ points to three contributing factors: drugs, alcohol and suicides, particularly among middle-age white Americans and those living in rural communities. The authors of the paper paint a bleak picture of the problems facing much of the United States today, but the authors say that policies that bolster the middle-class can help reverse the trend. The recent drop in life expectancy is alarming, the editorial states, “because life expectancy has risen for much of the past century in developed countries, including in the U.S.&rdqu...
Source: TIME: Health - Category: Consumer Health News Authors: Tags: Uncategorized healthytime onetime public health Source Type: news
CONCLUSIONS: A dedicated community mental health center is able to treat patients experiencing acute mental health crises. LOS times were significantly shorter compared to regional EDs. Successful broader programmatic implementation could improve care quality and significantly reduce the volume of patients treated in the ED for acute mental health disorders. PMID: 29412043 [PubMed - as supplied by publisher]
Source: Prehospital Emergency Care - Category: Endocrinology Tags: Prehosp Emerg Care Source Type: research
This study investig...
Source: SafetyLit - Category: International Medicine & Public Health Tags: Suicide and Self-Harm Source Type: news
Conclusion: MBT for patients with concurrent BPD and SD does not appear to be harmful; on the other hand, it is possibly helpful in reducing the risk involved in suicide attempts.Eur Addict Res 2018;24:1 –8
Source: European Addiction Research - Category: Addiction Source Type: research
This study investigates the nature, frequency, and preferences of gambling behavior as well as problem gambling severity and comorbid conditions among DFS players. Data were collected from an epidemiologic survey of 3634 New Jersey residents on gambling and leisure activities. Participants were contacted by phone (land-line and cell) and online to obtain a representative, cross-sectional sample of non-institutionalized adults, aged 18  years or older. Excluding non-gamblers, the remaining 2146 participants, included in these analyses, indicated they had either played DFS (n = 299) or had gambled but not play...
Source: Journal of Gambling Studies - Category: Addiction Source Type: research
By Alex Fradera New research on gender identity disorder (also known as gender dysphoria, in which a person does not identify with their biological sex) questions how best to handle the condition when it arises in children and adolescents. Should biological treatments be used as early as possible to help a young client transition, or is caution required, in case of complicating psychological issues? Melanie Bechard of the University of Toronto and her colleagues examined the prevalence of “psychosocial and psychological vulnerabilities” in 50 child and teen cases of gender dysphoria, and writing in a recen...
Source: BPS RESEARCH DIGEST - Category: Psychiatry & Psychology Authors: Tags: Gender Mental health Source Type: blogs
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