{"title":"Monitored Antabuse in the emergency room.","authors":"B R Nagy, F Stark, A Spirawk","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Southern Tier Alcoholism Rehabilitation Service (STARS), a full-service treatment program, has for some time offered monitored antabuse to a few selected patients. This is given daily on an outpatient basis in the emergency room of the general hospital in which we are located. Over 100 patients have been served. This has been helpful for two kinds of patients: 1) those self-motivated voluntary patients making use of this on a short-term basis to extend structure, reassurance, support, and other rehabilitation services following a period of inpatient detoxification, or to get \"realigned\" following a brief slip, and 2) those poorly motivated patients using this on a long-term basis at the direction of the courts. About half of this latter group have been unsuccessful alumni of 30-day treatment programs outside the community. The program ensures a long-term (several months) period of sobriety in the patient's home setting, offering a chance to develop new life styles, support systems, and respect which can eventually become self-sustaining. It is unlikely that these changes would come about while the patient continued actively drinking. Specific procedures of administration, record keeping, confidentiality, and payment are discussed. The cost-effectiveness to motivated patients and cost-avoidance to taxpayers and third-party payers while providing effective therapy to long-term patients are significant advantages of the program.</p>","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"315-9"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11756381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The effect of ethanol consumption on trace elements in the fetal rat.","authors":"R A Mendelson, A M Huber","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>It is postulated that in the fetus trace element alternations secondary to maternal alcohol ingestion contribute to fetal alcohol syndrome. Female Charles River CD rats were given a semi-synthetic diet through two pregnancies. Half of the animals received 6% ethanol (v/v) in their drinking water. The animals were divided into the following groups: Control group received the diet ad lib, alcohol group received the diet and alcohol ad lib, pair fed group received a diet isocaloric with the alcohol group, and the alcohol + ZnMg group received the basal diet with added magnesium, zinc and alcohol. On the twenty-first day of gestation animals were sacrificed and iron, copper, zinc and magnesium measured in maternal and fetal tissues by atomic absorption spectrophotometry. The results indicated significantly reduced fetal zinc in the alcohol group while copper and iron levels were increased. In maternal tissues, only the femur was affected. Zinc and magnesium were significantly reduced (p < 0.01) while iron was increased (p < 0.01). The observed effects were not due to reduced food intake. The expected changes in tissue zinc and magnesium were prevented by diets fortified with these minerals. These results are consistant with our hypothesis that alcohol interferes with trace element metabolism during pregnancy and that diet can be manipulated to alter its effects.</p>","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"39-48"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11756388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Introduction: female alcoholism: impacts on women and children.","authors":"A Pytkowicz","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"429-34"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11756390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"An examination of male and female alcoholics' perceptions of their present and ideal family environments.","authors":"W J Filstead, C Anderson, O McElfresh","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The impact of alcoholism on family life is of major interest to the alcohol field. A comparison between male and female alcoholics' perceptions of their present and ideal family lives was conducted through use of a self-report questionnaire. The data revealed no difference between them regarding their perceptions of their present lives, but significant differences in their perceptions of the ideal family environment. The generic impact of alcoholism and the changing sex roles of men and women are given as possible explanations for these results.</p>","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"435-45"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11756391","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Maternal heavy drinking related to delayed onset of daughters menstruation.","authors":"L B Robe, R S Robe, P A Wilson","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Maternal drinking during pregnancy was related to filial age at menarche. Daughters showed a trend to late menarche if their mothers drank heavily during pregnancy.</p>","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"515-20"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11756398","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
R K Jones, O H Rundell, H L Williams, D Gregory, A Paredes
{"title":"Treatment outcome for alcoholics as a function of therapeutic effort.","authors":"R K Jones, O H Rundell, H L Williams, D Gregory, A Paredes","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The association between therapeutic effort measured in terms of reimbursements for services and several treatment outcome variables was examined. A sample of clients regarded as definitely alcoholic was grouped into five categories according to the amount of money reimbursed for treatment in a fee-for-service arrangement. A systematic positive relationship was found between the amount of treatment measured in dollars and therapeutic outcome measured by remission rate and income. The data suggest that there may be an optimal cutoff for resource investment, above which no further treatment gains are achieved. Such information can provide a basis for program management decisions and suggests important implications for assumptions regarding alcoholism.</p>","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"287-96"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11757707","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Alcoholism: an overview of biomedical issues.","authors":"F L Iber","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"3-4"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11757709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Entering the alcohol outpatient service: application of a systems approach to patient drop-out.","authors":"M Galanter, W Panepinto","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"7 ","pages":"307-13"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11757710","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Reliable interpretation of the NCA criteria in an estimate of the prevalence of alcoholism in a general hospital.","authors":"R G Johnston, D G Mayfield, B W Lex","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"6 ","pages":"25-31"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11725102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
J L Nichols, V S Ellingstad, D L Struckman-Johnson
{"title":"An experimental evaluation of the effectiveness of short-term education and rehabilitation programs for convicted drinking drivers.","authors":"J L Nichols, V S Ellingstad, D L Struckman-Johnson","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":75769,"journal":{"name":"Currents in alcoholism","volume":"6 ","pages":"157-78"},"PeriodicalIF":0.0,"publicationDate":"1979-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"11725094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}