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The 2002 Official Patient's Sourcebook on Alcoholism PDF

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THE 2002 OFFICIAL PATIENT’S SOURCEBOOK on LCOHOLISM JAMES N. PARKER, M.D. AND PHILIP M. PARKER, PH.D., EDITORS ii ICON Health Publications ICON Group International, Inc. 4370 La Jolla Village Drive, 4th Floor San Diego, CA 92122 USA Copyright (cid:1)2002 by ICON Group International, Inc. Copyright (cid:1)2002 by ICON Group International, Inc. All rights reserved. This book is protected by copyright. No part of it may be reproduced, stored in a retrieval system, or transmitted in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without written permission from the publisher. Printed in the United States of America. Last digit indicates print number: 10 9 8 7 6 4 5 3 2 1 Publisher, Health Care: Tiffany LaRochelle Editor(s): James Parker, M.D., Philip Parker, Ph.D. Publisher's note: The ideas, procedures, and suggestions contained in this book are not intended as a substitute for consultation with your physician. All matters regarding your health require medical supervision. As new medical or scientific information becomes available from academic and clinical research, recommended treatments and drug therapies may undergo changes. The authors, editors, and publisher have attempted to make the information in this book up to date and accurate in accord with accepted standards at the time of publication. The authors, editors, and publisher are not responsible for errors or omissions or for consequences from application of the book, and make no warranty, expressed or implied, in regard to the contents of this book. Any practice described in this book should be applied by the reader in accordance with professional standards of care used in regard to the unique circumstances that may apply in each situation, in close consultation with a qualified physician. The reader is advised to always check product information (package inserts) for changes and new information regarding dose and contraindications before taking any drug or pharmacological product. Caution is especially urged when using new or infrequently ordered drugs, herbal remedies, vitamins and supplements, alternative therapies, complementary therapies and medicines, and integrative medical treatments. Cataloging-in-Publication Data Parker, James N., 1961- Parker, Philip M., 1960- The 2002 Official Patient’s Sourcebook on Alcoholism: Revised and Updated for the Internet Age/James N. Parker and Philip M. Parker, editors p. cm. Includes bibliographical references, glossary and index. ISBN: 0-597-83134-3 1. Alcoholism-Popular works. I. Title. iii Disclaimer This publication is not intended to be used for the diagnosis or treatment of a health problem or as a substitute for consultation with licensed medical professionals. It is sold with the understanding that the publisher, editors, and authors are not engaging in the rendering of medical, psychological, financial, legal, or other professional services. References to any entity, product, service, or source of information that may be contained in this publication should not be considered an endorsement, either direct or implied, by the publisher, editors or authors. ICON Group International, Inc., the editors, or the authors are not responsible for the content of any Web pages nor publications referenced in this publication. Copyright Notice If a physician wishes to copy limited passages from this sourcebook for patient use, this right is automatically granted without written permission from ICON Group International, Inc. (ICON Group). However, all of ICON Group publications are copyrighted. With exception to the above, copying our publications in whole or in part, for whatever reason, is a violation of copyright laws and can lead to penalties and fines. Should you want to copy tables, graphs or other materials, please contact us to request permission (e-mail: [email protected]). ICON Group often grants permission for very limited reproduction of our publications for internal use, press releases, and academic research. Such reproduction requires confirmed permission from ICON Group International Inc. The disclaimer above must accompany all reproductions, in whole or in part, of this sourcebook. iv Dedication To the healthcare professionals dedicating their time and efforts to the study of alcoholism. Acknowledgements The collective knowledge generated from academic and applied research summarized in various references has been critical in the creation of this sourcebook which is best viewed as a comprehensive compilation and collection of information prepared by various official agencies which directly or indirectly are dedicated to alcoholism. All of the Official Patient’s Sourcebooks draw from various agencies and institutions associated with the United States Department of Health and Human Services, and in particular, the Office of the Secretary of Health and Human Services (OS), the Administration for Children and Families (ACF), the Administration on Aging (AOA), the Agency for Healthcare Research and Quality (AHRQ), the Agency for Toxic Substances and Disease Registry (ATSDR), the Centers for Disease Control and Prevention (CDC), the Food and Drug Administration (FDA), the Healthcare Financing Administration (HCFA), the Health Resources and Services Administration (HRSA), the Indian Health Service (IHS), the institutions of the National Institutes of Health (NIH), the Program Support Center (PSC), and the Substance Abuse and Mental Health Services Administration (SAMHSA). In addition to these sources, information gathered from the National Library of Medicine, the United States Patent Office, the European Union, and their related organizations has been invaluable in the creation of this sourcebook. Some of the work represented was financially supported by the Research and Development Committee at INSEAD. This support is gratefully acknowledged. Finally, special thanks are owed to Tiffany LaRochelle for her excellent editorial support. v About the Editors James N. Parker, M.D. Dr. James N. Parker received his Bachelor of Science degree in Psychobiology from the University of California, Riverside and his M.D. from the University of California, San Diego. In addition to authoring numerous research publications, he has lectured at various academic institutions. Dr. Parker is the medical editor for the Official Patient’s Sourcebook series published by ICON Health Publications. Philip M. Parker, Ph.D. Philip M. Parker is the Eli Lilly Chair Professor of Innovation, Business and Society at INSEAD (Fontainebleau, France and Singapore). Dr. Parker has also been Professor at the University of California, San Diego and has taught courses at Harvard University, the Hong Kong University of Science and Technology, the Massachusetts Institute of Technology, Stanford University, and UCLA. Dr. Parker is the associate editor for the Official Patient’s Sourcebook series published by ICON Health Publications. vi About ICON Health Publications In addition to alcoholism, Official Patient’s Sourcebooks are available for the following related topics: (cid:1)(cid:2) The Official Patient's Sourcebook on Anabolic Steroid Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Club Drug Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Cocaine Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Dextromethorphan Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Dissociative Drug Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Ghb Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Hepatitis C (cid:1)(cid:2) The Official Patient's Sourcebook on Heroin Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Inhalants Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Ketamine Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Lsd Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Marijuana Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Mdma Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Methamphetamine Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Nicotine Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Pcp Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Prescription Cns Depressants Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Prescription Drug Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Prescription Opioids Dendedence (cid:1)(cid:2) The Official Patient's Sourcebook on Prescription Stimulants Dependence (cid:1)(cid:2) The Official Patient's Sourcebook on Rohypnol Dependence To discover more about ICON Health Publications, simply check with your preferred online booksellers, including Barnes & Noble.com and Amazon.com which currently carry all of our titles. Or, feel free to contact us directly for bulk purchases or institutional discounts: ICON Group International, Inc. 4370 La Jolla Village Drive, Fourth Floor San Diego, CA 92122 USA Fax: 858-546-4341 Web site: www.icongrouponline.com/health Contents vii Table of Contents INTRODUCTION......................................................................................1 Overview...............................................................................................................1 Organization.........................................................................................................3 Scope.....................................................................................................................3 Moving Forward...................................................................................................4 PART I: THE ESSENTIALS.................................................7 CHAPTER 1. THE ESSENTIALS ON ALCOHOLISM: GUIDELINES............9 Overview...............................................................................................................9 What Is Alcoholism?...........................................................................................11 What Is Alcohol Abuse?.....................................................................................12 What Are the Signs of a Problem?.....................................................................13 Getting Well.......................................................................................................14 Can Alcoholism Be Cured?.................................................................................15 New Directions...................................................................................................16 Resources............................................................................................................17 More Guideline Sources.....................................................................................18 Vocabulary Builder.............................................................................................29 CHAPTER 2. SEEKING GUIDANCE.......................................................31 Overview.............................................................................................................31 Associations and Alcoholism..............................................................................31 Finding More Associations.................................................................................76 Finding Drug Treatment and Alcohol Abuse Treatment Programs..................77 Selecting Your Doctor........................................................................................79 Working with Your Doctor................................................................................79 Broader Health-Related Resources.....................................................................81 Vocabulary Builder.............................................................................................81 CHAPTER 3. CLINICAL TRIALS AND ALCOHOLISM............................87 Overview.............................................................................................................87 Recent Trials on Alcoholism...............................................................................90 Benefits and Risks.............................................................................................107 Keeping Current on Clinical Trials..................................................................110 General References............................................................................................111 Vocabulary Builder...........................................................................................112 PART II: ADDITIONAL RESOURCES AND ADVANCED MATERIAL................................................116 CHAPTER 4. STUDIES ON ALCOHOLISM............................................117 Overview...........................................................................................................117 The Combined Health Information Database...................................................117 Federally-Funded Research on Alcoholism.......................................................119 viii Contents E-Journals: PubMed Central............................................................................132 The National Library of Medicine: PubMed....................................................133 ETOH Database................................................................................................136 Vocabulary Builder...........................................................................................137 CHAPTER 5. PATENTS ON ALCOHOLISM...........................................141 Overview...........................................................................................................141 Patents on Alcoholism......................................................................................142 Patent Applications on Alcoholism..................................................................156 Keeping Current...............................................................................................156 CHAPTER 6. BOOKS ON ALCOHOLISM..............................................159 Overview...........................................................................................................159 Book Summaries: Federal Agencies..................................................................159 Book Summaries: Online Booksellers...............................................................162 The National Library of Medicine Book Index.................................................179 Chapters on Alcoholism....................................................................................184 Directories.........................................................................................................184 General Home References.................................................................................185 Vocabulary Builder...........................................................................................186 CHAPTER 7. MULTIMEDIA ON ALCOHOLISM ...................................189 Overview...........................................................................................................189 Video Recordings..............................................................................................189 Audio Recordings.............................................................................................192 Bibliography: Multimedia on Alcoholism........................................................192 Vocabulary Builder...........................................................................................194 CHAPTER 8. PERIODICALS AND NEWS ON ALCOHOLISM ................197 Overview...........................................................................................................197 News Services & Press Releases.......................................................................197 Newsletter Articles...........................................................................................208 Academic Periodicals covering Alcoholism......................................................209 Vocabulary Builder...........................................................................................210 CHAPTER 9. PHYSICIAN GUIDELINES AND DATABASES...................213 Overview...........................................................................................................213 NIH Guidelines.................................................................................................213 NIH Databases..................................................................................................214 Other Commercial Databases...........................................................................219 The Genome Project and Alcoholism................................................................220 Specialized References.......................................................................................224 Vocabulary Builder...........................................................................................225 CHAPTER 10. DISSERTATIONS ON ALCOHOLISM..............................227 Overview...........................................................................................................227 Dissertations on Alcoholism.............................................................................227 Keeping Current...............................................................................................228 Contents ix PART III. APPENDICES ..................................................231 APPENDIX A. RESEARCHING YOUR MEDICATIONS..........................233 Overview...........................................................................................................233 Your Medications: The Basics..........................................................................234 Learning More about Your Medications..........................................................235 Commercial Databases......................................................................................238 Contraindications and Interactions (Hidden Dangers)...................................242 A Final Warning..............................................................................................243 General References............................................................................................243 Vocabulary Builder...........................................................................................244 APPENDIX B. RESEARCHING ALTERNATIVE MEDICINE...................247 Overview...........................................................................................................247 What Is CAM?.................................................................................................247 What Are the Domains of Alternative Medicine?............................................248 Can Alternatives Affect My Treatment?.........................................................251 Finding CAM References on Alcoholism.........................................................252 Additional Web Resources................................................................................262 General References............................................................................................272 APPENDIX C. RESEARCHING NUTRITION.........................................275 Overview...........................................................................................................275 Food and Nutrition: General Principles...........................................................276 Finding Studies on Alcoholism........................................................................280 Federal Resources on Nutrition........................................................................284 Additional Web Resources................................................................................285 Vocabulary Builder...........................................................................................289 APPENDIX D. FINDING MEDICAL LIBRARIES....................................291 Overview...........................................................................................................291 Preparation.......................................................................................................291 Finding a Local Medical Library......................................................................292 Medical Libraries Open to the Public...............................................................292 APPENDIX E. ALCOHOL AND YOUNG TEENAGERS..........................299 Overview...........................................................................................................299 How to Talk to Your Child about Alcohol........................................................300 Young Teens and Alcohol: The Risks...............................................................301 Your Young Teen’s World................................................................................301 The Bottom Line: A Strong Parent-Child Relationship...................................303 Tips for Communicating with Your Teen........................................................304 Talking with Your Teen about Alcohol............................................................304 The “Magic Potion “Myth...............................................................................305 Good Reasons Not to Drink..............................................................................306 How to Handle Peer Pressure...........................................................................307 “Mom, Dad, Did You Drink When You Were a Kid?”...................................307 How to Host a Teen Party................................................................................307 x Contents Taking Action: Prevention Strategies for Parents...........................................308 Could My Child Develop a Drinking Problem?...............................................311 Warning Signs of a Drinking Problem............................................................312 Action Checklist................................................................................................313 Additional Resources........................................................................................313 Other NIAAA Publications..............................................................................314 Additional E-Sources........................................................................................315 State Contacts...................................................................................................317 Vocabulary Builder...........................................................................................318 APPENDIX F. ALCOHOL: ADDITIONAL RISKS...................................321 Overview...........................................................................................................321 What Is a Drink?..............................................................................................322 Drinking and Driving......................................................................................322 Interactions with Medications..........................................................................322 Interpersonal Problems.....................................................................................322 Long-Term Health Problems............................................................................323 Alcohol-Related Liver Disease..........................................................................323 Heart Disease....................................................................................................323 Cancer...............................................................................................................324 Pancreatitis.......................................................................................................324 Aging and Alcohol Abuse.................................................................................324 Physical Effects of Alcohol................................................................................324 Who Becomes a Problem Drinker?...................................................................325 How to Recognize a Drinking Problem............................................................325 Drinking and Your Pregnancy.........................................................................326 Research Directions..........................................................................................327 Vocabulary Builder...........................................................................................329 APPENDIX G. REDUCING ALCOHOL CONSUMPTION.......................331 Overview...........................................................................................................331 How to Cut Down on Your Drinking..............................................................332 Tips for Reducing Your Alcohol Intake............................................................333 ONLINE GLOSSARIES....................................................335 Online Dictionary Directories..........................................................................342 ALCOHOLISM GLOSSARY...........................................343 General Dictionaries and Glossaries................................................................362 INDEX...................................................................................364

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This book has been created for patients who have decided to make education and research an integral part of the treatment process. Although it also gives information useful to doctors, caregivers and other health professionals, it tells patients where and how to look for information covering virtual
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